Others titles
- PY2017 to PY2018 Health Plan Information for Individual and Small Group Markets
- Health Plan Information for Different Insurance Marketplaces PY2017 to PY2018
Keywords
- Dental Plans
- Medical Plans
- Emergency Plans
- Drug Formulary
- Physicians Fees
- Medical Charges
- Emergency Costs
- Health Insurance
- Health Plan Information
- Cost Sharing Plan
- Standardized Plan Design
Individual and Family Health Plan Information PY2017 to PY2018
This dataset includes 2017 Individual and Family health plans available in the United States where the federal government is operating the Marketplace. It contains plan information for states in the Federally-facilitated Marketplaces and State Partnership Marketplaces: “Medical plans in the individual market”, “Medical plans in the small group (SHOP) market”, “Dental plans in the individual market” and “Dental plans in the small group (SHOP) market”.
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Description
This dataset contains plan information for states in the Federally-facilitated Marketplaces and State Partnership Marketplaces:
– Medical plans in the individual market
– Medical plans in the small group (SHOP) market
– Dental plans in the individual market
– Dental plans in the small group (SHOP) market
States not represented in this dataset run their own Marketplaces. In addition to the above, it also includes data from plans in the State Based Marketplaces using the federal platform for eligibility and enrollment. The data were pulled from the Health Insurance Oversight System (HIOS) for Federally-facilitated states and the System for Electronic and Rate Form Filing (SERFF) for State Partnership states and State Based Marketplace states, and the Office of Personnel Management (OPM) for Multi-State Plans.
This dataset also includes different premiums for the following rating scenarios:
– Child = one child any age
– Adult Individual Age 21, 27, 30, 40, 50, and 60 = one adult age 21, 27, 30, 40, 50, or 60
– Couple 21, 30, 40, 50, and 60 = two adults age 21, 30, 40, 50, or 60, no children
– Couple + 1 child, Age 21, 30, 40, 50 = two adults age 21, 30, 40, or 50, and one child
– Couple + 2 children, Age 21, 30, 40, 50 = two adults age 21, 30, 40, or 50, and two children
– Couple + 3 or more children, Age 21, 30, 40, 50 = two adults age 21, 30, 40, or 50, and three or more children
– Single Parent + 1 child, Age 21, 30, 40, and 50 = one adult age 21, 30, 40, or 50, and one child
– Single Parent + 2 children, Age 21, 30, 40, and 50 = one adult age 21, 30, 40, or 50, and two children
– Single Parent + 3 or more children, Age 21, 30, 40, and 50 = one adult age 21, 30, 40, or 50, and three or more children
The above premium amounts do not include tax credits that will lower premiums for many consumers applying for insurance, specifically those with income up to 400 percent of the federal poverty level.
This dataset indicates whether the medical plan is a standardized plan design. An issuer may have up to five unique plans in each metal level that follow the standardized plan design for that metal level.
This information in this dataset also shows phone numbers and links to the following plan resources:
– Customer service phone numbers (local, toll-free, TTY)
– Network URL
– Plan brochure URL
– Summary of benefits URL
– Drug formulary URL
This dataset indicates whether the medical plan covers adult dental or child dental services. It also shows Essential Health Benefit (EHB) percent of total premium for each plan.
The dataset shows standard cost sharing information for each plan. Cost sharing information is shown for in-network services (showing first tier where there are multiple in-network tiers), and includes:
– Deductibles: For in-network medical care and drugs (by individual, family, family per person)
– Maximum out of pocket expenses: For in-network medical care and drugs (by individual, family, family per person)
– Copayments and coinsurance for the following in-network services:
– Primary care physician
– Specialist
– Emergency Room
– Inpatient facility
– Inpatient physician
– Generic drugs
– Preferred brand drugs
– Non-preferred brand drugs
– Specialty drugs
This dataset also shows cost sharing information for silver metal plans that are variants of the standard silver plan. Consumers that qualify for these silver plan variations based on their incomes and family size will see lower out-of-pocket costs. These plans differ from the standard plan by the percentage of health care expenses covered by the plan for a typical group of enrollees (i.e., actuarial value). The actuarial values of these silver plan variants are: 73 Percent Silver, 87 Percent Silver and 94 Percent Silver.
About this Dataset
Data Info
Date Created | 2017-08-09 |
---|---|
Last Modified | 2018-01-26 |
Version | 2018-01-26 |
Update Frequency |
Annual |
Temporal Coverage |
2018 |
Spatial Coverage |
United States |
Source | John Snow Labs; HealthCare.gov; |
Source License URL | |
Source License Requirements |
N/A |
Source Citation |
N/A |
Keywords | Dental Plans, Medical Plans, Emergency Plans, Drug Formulary, Physicians Fees, Medical Charges, Emergency Costs, Health Insurance, Health Plan Information, Cost Sharing Plan, Standardized Plan Design |
Other Titles | PY2017 to PY2018 Health Plan Information for Individual and Small Group Markets, Health Plan Information for Different Insurance Marketplaces PY2017 to PY2018 |
Data Fields
Name | Description | Type | Constraints |
---|---|---|---|
Year | Year of analysis | date | - |
State | Full name of different states of U.S. | string | - |
State_Abbreviation | Two-letter state abbreviation in the mailing address of the hospital. | string | - |
FIPS_Code | The FIPS county code is a Federal Information Processing Standards (FIPS) code which uniquely identifies counties and county equivalents in the United States, certain U.S. possessions, and certain freely associated states. | string | - |
County | Refers to the mailing county of the hospital. | string | - |
Metal_Level | Indicates the insurance plan level. It includes the metal names: Bronze, Silver, Gold, Platinum and Catastrophic. | string | - |
Issuer_Name | It includes the Health Insurance Plan provider atering to different states of U.S. | string | - |
HIOS_Issuer_ID | It refers to the identity of the Health Insurance Oversight System (HIOS). | string | - |
Plan_ID_Standard_Component | One of the basic components of Plan ID is the Standard Component ID. It is an alphanumeric code to identify a particular plan. | string | - |
Plan_Marketing_Name | Refers to the name of the Health Insurance Plan which the companies used for their marketing. | string | - |
Plan_Type | Indicates the type of Health Insurance Plans. It includes four types of plans: Health Maintenance Organization (HMO), Preferred Provider Organization (PPO), Exclusive Provider Organization (EPO) and Point Of Service (POS). | string | - |
Standardized_Plan_Design | It refers to the plan designs that all insurers are required to sell in the marketplace that has standardized cost-sharing for covered health services. This dataset comprises five Standard Plan Designs. | string | - |
Rating_Area | Under the Affordable Care Act (ACA), each state has submitted a plan to divide up the areas of the state into locations called Rating Areas. Depending on the state, these geographical units will eiher be made up of counties, metroplitan statistical areas or 3 digit zip codes. These state groupings will be submitted to The Department of Human Health Services (HHS) for approval and will then be used by insurers to price premiums. This dataset includes 67 Rating Areas. | string | - |
Child_Only_Offering | Refers to the information that the Health Insurance Plan is either Adult-Only or Adult and Child-Only. | string | - |
Source | Indicates the source from where data has been collected. It includes: Health Insurance Oversight System (HIOS), Office of Personnel Management (OPM) and System for Electronic Rate and Form Filing (SERFF). | string | - |
Customer_Service_Phone_Number_Local | Refers to the local phone number to contact customer service. | string | - |
Customer_Service_Phone_Number_Toll_Free | Refers to the Toll Free phone number to contact customer service. | string | - |
Customer_Service_Phone_Number_TTY | Refers to the TeleTYpewriter (TTY) phone number to contact customer service. TTY refers to the Telecommunication Device for the Deaf also abbreviated as TDD. | string | - |
Network_URL | Indicates the Universal Resource Locator (URL) of the Health Insurance Network. | string | - |
Plan_Brochure_URL | Refers to the Universal Resource Locator (URL) of the Health Insurance Plan Brochure. | string | - |
Summary_of_Benefits_URL | Indicates the Universal Resource Locator (URL) of the Health Insurance Summary of Benefits. | string | - |
Drug_Formulary_URL | Refers to the Universal Resource Locator (URL) of the Health Insurance Drug Formulary. | string | - |
Accreditation | The information included in this dataset is accredited to: National Committee for Quality Assurance (NCQA) and Utilization Review Accreditation Commission (URAC). | string | - |
Is_Adult_Dental_Allowed | Refers to the information whether the Health Insurance Plan covers Adult Dental services or not. | boolean | - |
Is_Child_Dental_Allowed | Refers to the information whether the Health Insurance Plan covers chid Dental services or not. | boolean | - |
EHB_Percent_of_Total_Premium | The Affordable Care Act requires that non-grandfathered, insured health plans offered in the individual and small group markets, both inside and outside of the Exchanges, provide a core package of health care services, known as "Essential Health Benefits (EHB)". | number | level : Ratio |
Premium_Child_In_Dollars | Indicates the child premium amount in dollars within Premium Scenarios. | number | - |
Premium_Individual_Adult_At_Age0_to_14_In_Dollars | This Premium Scenario refers to the premium amount in dollars for Adults at age of 0 to 14 years. | number | - |
Premium_Individual_Adult_At_Age18_In_Dollars | This Premium Scenario refers to the premium amount in dollars for Adults at age of 18 years. | number | - |
Premium_Individual_Adult_At_Age21_In_Dollars | This Premium Scenario refers to the premium amount in dollars for Adults at age of 21 years. | number | - |
Premium_Individual_Adult_At_Age27_In_Dollars | This Premium Scenario indicates the premium amount in dollars for Adults at age of 27 years. | number | - |
Premium_Individual_Adult_At_Age30_In_Dollars | This Premium Scenario refers to the premium amount in dollars for Adults at age of 30 years. | number | - |
Premium_Individual_Adult_At_Age40_In_Dollars | This Premium Scenario indicates to the premium amount in dollars for Adults at age of 40 years. | number | - |
Premium_Individual_Adult_At_Age50_In_Dollars | This Premium Scenario refers to the premium amount in dollars for individual Adult at Age of 50 years. | number | - |
Premium_Individual_Adult_At_Age60_In_Dollars | This Premium Scenario refers to the premium amount in dollars for individual Adult at Age of 60 years. | number | - |
Premium_Couple_at_Age21_In_Dollars | This Premium Scenario indicates the premium amount in dollars for the Couple at Age of 21 years. | number | - |
Premium_Couple_at_Age30_In_Dollars | This Premium Scenario indicates the premium amount in dollars for the Couple at Age of 30 years. | number | - |
Premium_Couple_at_Age40_In_Dollars | This Premium Scenario indicates the premium amount in dollars for the Couple at Age of 40 years. | number | - |
Premium_Couple_at_Age50_In_Dollars | This Premium Scenario refers to the premium amount in dollars for the Couple at Age of 50 years. | number | - |
Premium_Couple_at_Age60_In_Dollars | This Premium Scenario indicates the premium amount in dollars for the Couple at Age of 60 years. | number | - |
Premium_Couple_Plus1_Child_At_Age21_In_Dollars | This Premium Scenario refers to the premium amount in dollars for the Couple at Age of 21 years with one child. | number | - |
Premium_Couple_Plus1_Child_At_Age30_In_Dollars | This Premium Scenario refers to the premium amount in dollars for the Couple at Age of 30 years with one child. | number | - |
Premium_Couple_Plus1_Child_At_Age40_In_Dollars | This Premium Scenario refers to the premium amount in dollars for the Couple at Age of 40 years with one child. | number | - |
Premium_Couple_Plus1_Child_At_Age50_In_Dollars | This Premium Scenario indicates the premium amount in dollars for the Couple at Age of 50 years with one child. | number | - |
Premium_Couple_Plus2_Children_At_Age21_In_Dollars | This Premium Scenario refers to the premium amount in dollars for the Couple at Age of 21 years with two children. | number | - |
Premium_Couple_Plus2_Children_At_Age30_In_Dollars | This Premium Scenario refers to the premium amount in dollars for the Couple at Age of 30 years with two children. | number | - |
Premium_Couple_Plus2_Children_At_Age40_In_Dollars | This Premium Scenario indicates the premium amount in dollars for the Couple at Age of 40 years with two children. | number | - |
Premium_Couple_Plus2_Children_At_Age50_In_Dollars | This Premium Scenario indicates the premium amount in dollars for the Couple at Age of 50 years with two children. | number | - |
Premium_Couple_Plus3_or_More_Children_Age21_In_Dollars | This Premium Scenario indicates the premium amount in dollars for the Couple at Age of 21 years with three or more children. | number | - |
Premium_Couple_Plus3_or_More_Children_Age30_In_Dollars | This Premium Scenario refers to the premium amount in dollars for the Couple at Age of 30 years with three or more children. | number | - |
Premium_Couple_Plus3_or_More_Children_Age40_In_Dollars | This Premium Scenario indicates the premium amount in dollars for the Couple at Age of 40 years with three or more children. | number | - |
Premium_Couple_Plus3_or_More_Children_Age50_In_Dollars | This Premium Scenario refers to the premium amount in dollars for the Couple at Age of 50 years with three or more children. | number | - |
Premium_Individual_Plus1_Child_Age21_In_Dollars | This Premium Scenario indicates the premium amount in dollars for a Single Parent at Age of 21 years with one child. | number | - |
Premium_Individual_Plus1_Child_Age30_In_Dollars | This Premium Scenario refers to the premium amount in dollars for a Single Parent at Age of 30 years with one child. | number | - |
Premium_Individual_Plus1_Child_Age40_In_Dollars | This Premium Scenario indicates the premium amount in dollars for a Single Parent at Age of 40 years with one child. | number | - |
Premium_Individual_Plus1_Child_Age50_In_Dollars | This Premium Scenario refers to the premium amount in dollars for a Single Parent at Age of 50 years with one child. | number | - |
Premium_Individual_Plus2_Children_Age21_In_Dollars | This Premium Scenario indicates the premium amount in dollars for a Single Parent at Age of 21 years with two children. | number | - |
Premium_Individual_Plus2_Children_Age30_In_Dollars | This Premium Scenario refers to the premium amount in dollars for a Single Parent at Age of 30 years with two children. | number | - |
Premium_Individual_Plus2_Children_Age40_In_Dollars | This Premium Scenario indicates the premium amount in dollars for a Single Parent at Age of 40 years with two children. | number | - |
Premium_Individual_Plus2_Children_Age50_In_Dollars | This Premium Scenario indicates the premium amount in dollars for a Single Parent at Age of 50 years with two children. | number | - |
Premium_Individual_Plus3_or_More_Children_Age21_In_Dollars | This Premium Scenario indicates the premium amount in dollars for a Single Parent at Age of 21 years with three or more children. | number | - |
Premium_Individual_Plus3_or_More_Children_Age30_In_Dollars | This Premium Scenario refers to the premium amount in dollars for a Single Parent at Age of 30 years with three or more children. | number | - |
Premium_Individual_Plus3_or_More_Children_Age40_In_Dollars | This Premium Scenario indicates the premium amount in dollars for a Single Parent at Age of 40 years with three or more children. | number | - |
Premium_Individual_Plus3_or_More_Children_Age50_In_Dollars | This Premium Scenario refers to the premium amount in dollars for a Single Parent at Age of 50 years with three or more children. | number | - |
Standard_Individual_Medical_Deductible_In_Dollars | It includes the standardized Medical plan with individual deductible amount in dollars within Standardized Cost Sharing plan. | number | - |
Standard_Individual_Drug_Deductible_In_Dollars | It includes the Standardized Cost Sharing plan for individual drug deductible amount in dollars. | number | - |
Standard_Individual_Drug_Deductible_Note | It includes the note for Standardized Cost Sharing plan for individual drug deductible. | string | - |
Standard_Family_Medical_Deductible_In_Dollars | It includes the Standardized Cost Sharing plan for family medical deductible amount in dollars. | number | - |
Standard_Family_Medical_Deductible_Note | It includes the note for Standardized Cost Sharing plan for family medical deductible. | string | - |
Standard_Family_Drug_Deductible_In_Dollars | It includes the Standardized Cost Sharing plan for family drug deductible amount in dollars. | number | - |
Standard_Family_Drug_Deductible_Note | It includes the note for Standardized Cost Sharing plan for family drug deductible. | string | - |
Standard_Family_Medical_Deductible_Per_Person_In_Dollars | It includes the Standardized Cost Sharing plan for family medical deductible amount in dollars for each person. | number | - |
Standard_Family_Drug_Deductible_Per_Person_In_Dollars | It includes the Standardized Cost Sharing plan for family drug deductible amount in dollars for each person. | number | - |
Standard_Family_Drug_Deductible_Per_Person_Note | It includes the note for Standardized Cost Sharing plan for family drug deductible for each person. | string | - |
Standard_Individual_Medical_Maximum_Out_Of_Pocket_In_Dollars | It contains the Standardized Cost Sharing plan for medical maximum out of pocket amount in dollars for an individual. | number | - |
Standard_Individual_Drug_Maximum_Out_Of_Pocket_In_Dollars | It contains the Standardized Cost Sharing plan for drug maximum out of pocket amount in dollars for an individual. | number | - |
Standard_Individual_Drug_Maximum_Out_Of_Pocket_Note | It contains the note for Standardized Cost Sharing plan for drug maximum out of pocket for an individual. | string | - |
Standard_Family_Medical_Maximum_Out_Of_Pocket_In_Dollars | It contains the Standardized Cost Sharing plan for medical maximum out of pocket amount in dollars for family. | number | - |
Standard_Family_Medical_Maximum_Out_Of_Pocket_Note | It contains the note for Standardized Cost Sharing plan for medical maximum out of pocket for family. | string | - |
Standard_Family_Drug_Maximum_Out_Of_Pocket_In_Dollars | It contains the Standardized Cost Sharing plan for drug maximum out of pocket amount in dollars for family. | number | - |
Standard_Family_Drug_Maximum_Out_Of_Pocket_Note | It contains the note for Standardized Cost Sharing plan for drug maximum out of pocket for family. | string | - |
Standard_Family_Medical_Maximum_Out_Of_Pocket_Per_Person_In_Dollars | It contains the Standardized Cost Sharing plan for family medical maximum out of pocket amount in dollars for each person. | number | - |
Standard_Family_Drug_Maximum_Out_Of_Pocket_Per_Person_In_Dollars | It contains the Standardized Cost Sharing plan for family drug maximum out of pocket amount in dollars for each person. | number | - |
Standard_Family_Drug_Maximum_Out_Of_Pocket_Per_Person_Note | It contains the note for Standardized Cost Sharing plan for family drug maximum out of pocket for each person. | string | - |
Standard_Primary_Care_Physician_Fee | It includes the Standardized Cost Sharing Plan for Primary care Physician fee. | string | - |
Standard_Specialist_Fee | It includes the Standardized Cost Sharing Plan for Specialist fee. | string | - |
Standard_Emergency_Room_Charges | It includes the Standardized Cost Sharing Plan for Emergency room charges. | string | - |
Standard_Inpatient_Facility_Charges | It includes the Standardized Cost Sharing Plan for Inpatient facility charges. | string | - |
Standard_Inpatient_Physician_Fee | It includes the Standardized Cost Sharing Plan for Inpatient Physician fee. | string | - |
Standard_Generic_Drugs_Charges | It includes the Standardized Cost Sharing Plan for Generic drugs charges. | string | - |
Standard_Preferred_Brand_Drugs_Charges | It includes the Standardized Cost Sharing Plan for Preferred brand drugs charges. | string | - |
Standard_NonPreferred_Brand_Drugs_Charges | It includes the Standardized Cost Sharing Plan for Non-Preferred brand drugs charges. | string | - |
Standard_Specialty_Drugs_Charges | It includes the Standardized Cost Sharing Plan for Speciality drugs charges. | string | - |
Individual_Medical_Deductible_In_Dollars_73Percent | It includes the 73 Percent Actuarial Value Silver Cost Sharing Plan for Medical Deductible amount in dollars of an individual. | number | - |
Individual_Drug_Deductible_In_Dollars_73Percent | It includes the 73 Percent Actuarial Value Silver Cost Sharing Plan for drug Deductible amount in dollars of an individual. | number | - |
Individual_Drug_Deductible_Note_73Percent | It includes the note for 73 Percent Actuarial Value Silver Cost Sharing Plan for drug Deductible of an individual. | string | - |
Family_Medical_Deductible_In_Dollars_73Percent | It includes the 73 Percent Actuarial Value Silver Cost Sharing Plan for medical Deductible amount in dollars of family. | number | - |
Family_Drug_Deductible_In_Dollars_73Percent | It includes the 73 Percent Actuarial Value Silver Cost Sharing Plan for drug Deductible amount in dollars of family . | number | - |
Family_Drug_Deductible_Note_73Percent | It includes the note for 73 Percent Actuarial Value Silver Cost Sharing Plan for drug Deductible amount in dollars of family . | string | - |
Family_Medical_Deductible_Per_Person_In_Dollars_73Percent | It includes the 73 Percent Actuarial Value Silver Cost Sharing Plan for family medical Deductible amount in dollars for each person. | number | - |
Family_Drug_Deductible_Per_Person_In_Dollars_73Percent | It includes the 73 Percent Actuarial Value Silver Cost Sharing Plan for family drug Deductible amount in dollars for each person. | number | - |
Family_Drug_Deductible_Per_Person_Note_73Percent | It includes the note for 73 Percent Actuarial Value Silver Cost Sharing Plan for family drug Deductible amount in dollars for each person. | string | - |
Individual_Medical_Maximum_Out_Of_Pocket_In_Dollars_73Percent | It includes the 73 Percent Actuarial Value Silver Cost Sharing Plan for medical maximum out of pocket amount in dollars for an individual. | number | - |
Individual_Drug_Maximum_Out_Of_Pocket_In_Dollars_73Percent | It includes the 73 Percent Actuarial Value Silver Cost Sharing Plan for drug maximum out of pocket amount in dollars for an individual. | number | - |
Individual_Drug_Maximum_Out_Of_Pocket_Note_73Percent | It includes the note for 73 Percent Actuarial Value Silver Cost Sharing Plan for drug maximum out of pocket for an individual. | string | - |
Family_Medical_Maximum_Out_Of_Pocket_In_Dollars_73Percent | It includes the 73 Percent Actuarial Value Silver Cost Sharing Plan for medical maximum out of pocket amount in dollars for family. | number | - |
Family_Drug_Maximum_Out_Of_Pocket_In_Dollars_73Percent | It includes the 73 Percent Actuarial Value Silver Cost Sharing Plan for drug maximum out of pocket amount in dollars. | number | - |
Family_Drug_Maximum_Out_Of_Pocket_Note_73Percent | It includes the note for 73 Percent Actuarial Value Silver Cost Sharing Plan for drug maximum out of pocket. | string | - |
Family_Medical_Maximum_Out_Of_Pocket_Per_Person_In_Dollars_73Percent | It contains the 73 Percent Actuarial Value Silver Cost Sharing Plan for family medical maximum out of pocket amount in dollars for each person. | number | - |
Family_Drug_Maximum_Out_Of_Pocket_Per_Person_In_Dollars_73Percent | It contains the 73 Percent Actuarial Value Silver Cost Sharing Plan for family drug maximum out of pocket amount in dollars for each person. | number | - |
Family_Drug_Maximum_Out_Of_Pocket_Per_Person_Note_73Percent | It contains the note for 73 Percent Actuarial Value Silver Cost Sharing Plan for family drug maximum out of pocket for each person. | string | - |
Primary_Care_Physician_Fee_73Percent | It includes the 73 Percent Actuarial Value Silver Cost Sharing Plan for primary care physician fee. | string | - |
Specialist_Fee_73Percent | It contains the 73 Percent Actuarial Value Silver Cost Sharing Plan for Specialist fee. | string | - |
Emergency_Room_Charges_73Percent | It includes the 73 Percent Actuarial Value Silver Cost Sharing Plan for emergency room charges. | string | - |
Inpatient_Facility_Charges_73Percent | It contains the 73 Percent Actuarial Value Silver Cost Sharing Plan for Inpatient facility charges. | string | - |
Inpatient_Physician_Fee_73Percent | It contains the 73 Percent Actuarial Value Silver Cost Sharing Plan for Inpatient physician fee. | string | - |
Generic_Drugs_Charges_73Percent | It includes the 73 Percent Actuarial Value Silver Cost Sharing Plan for generic drugs charges. | string | - |
Preferred_Brand_Drugs_Charges_73Percent | It includes the 73 Percent Actuarial Value Silver Cost Sharing Plan for preferred brand drugs charges. | string | - |
NonPreferred_Brand_Drugs_Charges_73Percent | It includes the 73 Percent Actuarial Value Silver Cost Sharing Plan for non-preferred brand drugs charges. | string | - |
Specialty_Drugs_Charges_73Percent | It contains the 73 Percent Actuarial Value Silver Cost Sharing Plan for specialty drugs charges. | string | - |
Individual_Medical_Deductible_In_Dollars_87Percent | It includes the 87 Percent Actuarial Value Silver Cost Sharing Plan for medical deductible amount in dollars for an individual. | number | - |
Individual_Drug_Deductible_In_Dollars_87Percent | It contains the 87 Percent Actuarial Value Silver Cost Sharing Plan for drug deductible amount in dollars for an individual. | number | - |
Individual_Drug_Deductible_Note_87Percent | It contains the note 87 Percent Actuarial Value Silver Cost Sharing Plan for drug deductible for an individual. | string | - |
Family_Medical_Deductible_In_Dollars_87Percent | It contains the 87 Percent Actuarial Value Silver Cost Sharing Plan for medical deductible amount in dollars for family. | number | - |
Family_Medical_Deductible_Note_87Percent | It contains the note for 87 Percent Actuarial Value Silver Cost Sharing Plan for medical deductible amount in dollars for family. | string | - |
Family_Drug_Deductible_In_Dollars_87Percent | It includes the 87 Percent Actuarial Value Silver Cost Sharing Plan for drug deductible amount in dollars for family. | number | - |
Family_Drug_Deductible_Note_87Percent | It includes the note for 87 Percent Actuarial Value Silver Cost Sharing Plan for drug deductible amount in dollars for family. | string | - |
Family_Medical_Deductible_Per_Person_In_Dollars_87Percent | It contains the 87 Percent Actuarial Value Silver Cost Sharing Plan for family medical deductible amount in dollars for each person. | number | - |
Family_Drug_Deductible_Per_Person_In_Dollars_87Percent | It contains the 87 Percent Actuarial Value Silver Cost Sharing Plan for family drug deductible amount in dollars for each person. | number | - |
Family_Drug_Deductible_Per_Person_Note_87Percent | It contains the note for 87 Percent Actuarial Value Silver Cost Sharing Plan for family drug deductible amount in dollars for each person. | string | - |
Individual_Medical_Maximum_Out_Of_Pocket_In_Dollars_87Percent | It contains the 87 Percent Actuarial Value Silver Cost Sharing Plan for medical maximum out of pocket amount in dollars for an individual. | number | - |
Individual_Drug_Maximum_Out_Of_Pocket_In_Dollars_87Percent | It includes the 87 Percent Actuarial Value Silver Cost Sharing Plan for drug maximum out of pocket amount in dollars for an individual. | number | - |
Individual_Drug_Maximum_Out_Of_Pocket_Note_87Percent | It includes the note for 87 Percent Actuarial Value Silver Cost Sharing Plan for drug maximum out of pocket for an individual. | string | - |
Family_Medical_Maximum_Out_Of_Pocket_In_Dollars_87Percent | It includes the 87 Percent Actuarial Value Silver Cost Sharing Plan for medical maximum out of pocket amount in dollars for family. | number | - |
Family_Drug_Maximum_Out_Of_Pocket_In_Dollars_87Percent | It includes the 87 Percent Actuarial Value Silver Cost Sharing Plan for drug maximum out of pocket amount in dollars for family. | number | - |
Family_Drug_Maximum_Out_Of_Pocket_Note_87Percent | It includes the note for 87 Percent Actuarial Value Silver Cost Sharing Plan for drug maximum out of pocket for family. | string | - |
Family_Medical_Maximum_Out_Of_Pocket_Per_Person_In_Dollars_87Percent | It includes the 87 Percent Actuarial Value Silver Cost Sharing Plan for family medical maximum out of pocket amount in dollars for each person. | number | - |
Family_Drug_Maximum_Out_Of_Pocket_Per_Person_In_Dollars_87Percent | It includes the 87 Percent Actuarial Value Silver Cost Sharing Plan for family drug maximum out of pocket amount in dollars for each person. | number | - |
Family_Drug_Maximum_Out_Of_Pocket_Per_Person_Note_87Percent | It includes the note for 87 Percent Actuarial Value Silver Cost Sharing Plan for family drug maximum out of pocket for each person. | string | - |
Primary_Care_Physician_Fee_87Percent | It includes the 87 Percent Actuarial Value Silver Cost Sharing Plan for primary care physician fee. | string | - |
Specialist_Fee_87Percent | It includes the 87 Percent Actuarial Value Silver Cost Sharing Plan for specialist fee. | string | - |
Emergency_Room_Charges_87Percent | It includes the 87 Percent Actuarial Value Silver Cost Sharing Plan for emergency room charges. | string | - |
Inpatient_Facility_Charges_87Percent | It contains the 87 Percent Actuarial Value Silver Cost Sharing Plan for inpatient facility charges. | string | - |
Inpatient_Physician_Fee_87Percent | It contains the 87 Percent Actuarial Value Silver Cost Sharing Plan for inpatient physician fee. | string | - |
Generic_Drugs_Charges_87Percent | It includes the 87 Percent Actuarial Value Silver Cost Sharing Plan for generic drugs charges. | string | - |
Preferred_Brand_Drugs_Charges_87Percent | It includes the 87 Percent Actuarial Value Silver Cost Sharing Plan for preferred brand drugs charges. | string | - |
NonPreferred_Brand_Drugs_Charges_87Percent | It includes the 87 Percent Actuarial Value Silver Cost Sharing Plan for non-preferred brand drugs charges. | string | - |
Specialty_Drugs_Charges_87Percent | It contains the Cost Sharing 87 percent silver Plan for specialty drugs charges. | string | - |
Individual_Medical_Deductible_In_Dollars_94Percent | It includes the 94 Percent Actuarial Value Silver Cost Sharing Plan for medical deductible amount in dollars for an individual. | number | - |
Individual_Drug_Deductible_In_Dollars_94Percent | It includes the 94 Percent Actuarial Value Silver Cost Sharing Plan for drug deductible amount in dollars for an individual. | number | - |
Individual_Drug_Deductible_Note_94Percent | It includes the note for 94 Percent Actuarial Value Silver Cost Sharing Plan for drug deductible for an individual. | string | - |
Family_Medical_Deductible_In_Dollars_94Percent | It contains the 94 Percent Actuarial Value Silver Cost Sharing Plan for medical deductible amount in dollars for family. | number | - |
Family_Medical_Deductible_Note_94Percent | It contains the note for 94 Percent Actuarial Value Silver Cost Sharing Plan for medical deductible for family. | string | - |
Family_Drug_Deductible_In_Dollars_94Percent | It contains the 94 Percent Actuarial Value Silver Cost Sharing Plan for drug deductible amount in dollars for family. | number | - |
Family_Drug_Deductible_Note_94Percent | It contains the note for 94 Percent Actuarial Value Silver Cost Sharing Plan for drug deductible for family. | string | - |
Family_Medical_Deductible_Per_Person_In_Dollars_94Percent | It contains the 94 Percent Actuarial Value Silver Cost Sharing Plan for family medical deductible amount in dollars for each person. | number | - |
Family_Drug_Deductible_Per_Person_In_Dollars_94Percent | It contains the 94 Percent Actuarial Value Silver Cost Sharing Plan for family drug deductible amount in dollars for each person. | number | - |
Family_Drug_Deductible_Per_Person_Note_94Percent | It contains the note for 94 Percent Actuarial Value Silver Cost Sharing Plan for family drug deductible for each person. | string | - |
Individual_Medical_Maximum_Out_Of_Pocket_In_Dollars_94Percent | It includes the 94 Percent Actuarial Value Silver Cost Sharing Plan for medical maximum out of pocket amount in dollars for an individual. | number | - |
Individual_Drug_Maximum_Out_Of_Pocket_In_Dollars_94Percent | It includes the 94 Percent Actuarial Value Silver Cost Sharing Plan for drug maximum out of pocket amount in dollars for an individual. | number | - |
Individual_Drug_Maximum_Out_Of_Pocket_Note_94Percent | It includes the note for 94 Percent Actuarial Value Silver Cost Sharing Plan for drug maximum out of pocket for an individual. | string | - |
Family_Medical_Maximum_Out_Of_Pocket_In_Dollars_94Percent | It includes the 94 Percent Actuarial Value Silver Cost Sharing Plan for medical maximum out of pocket amount in dollars for family. | number | - |
Family_Drug_Maximum_Out_Of_Pocket_In_Dollars_94Percent | It includes the 94 Percent Actuarial Value Silver Cost Sharing Plan for drug maximum out of pocket amount in dollars for family. | number | - |
Family_Drug_Maximum_Out_Of_Pocket_Note_94Percent | It includes the note for 94 Percent Actuarial Value Silver Cost Sharing Plan for drug maximum out of pocket for family. | string | - |
Family_Medical_Maximum_Out_Of_Pocket_Per_Person_In_Dollars_94Percent | It includes the 94 Percent Actuarial Value Silver Cost Sharing Plan for family medical maximum out of pocket amount in dollars for each person. | number | - |
Family_Drug_Maximum_Out_Of_Pocket_Per_Person_In_Dollars_94Percent | It includes the 94 Percent Actuarial Value Silver Cost Sharing Plan for family drug maximum out of pocket amount in dollars for each person. | string | - |
Family_Drug_Maximum_Out_Of_Pocket_Per_Person_Note_94Percent | It includes the note for 94 Percent Actuarial Value Silver Cost Sharing Plan for family drug maximum out of pocket amount in dollars for each person. | string | - |
Primary_Care_Physician_Fee_94Percent | It includes the 94 Percent Actuarial Value Silver Cost Sharing Plan for primary care Physician fee. | string | - |
Specialist_Fee_94Percent | It includes the 94 Percent Actuarial Value Silver Cost Sharing Plan for Specialist fee. | string | - |
Emergency_Room_Charges_94Percent | It includes the 94 Percent Actuarial Value Silver Cost Sharing Plan for Emergency room charges. | string | - |
Inpatient_Facility_Charges_94Percent | It includes the 94 Percent Actuarial Value Silver Cost Sharing Plan for Inpatient facility charges. | string | - |
Inpatient_Physician_Fee_94Percent | It includes the 94 Percent Actuarial Value Silver Cost Sharing Plan for Inpatient Physician fee. | string | - |
Generic_Drugs_Charges_94Percent | It includes the 94 Percent Actuarial Value Silver Cost Sharing Plan for Generic drugs charges. | string | - |
Preferred_Brand_Drugs_Charges_94Percent | It includes the 94 Percent Actuarial Value Silver Cost Sharing Plan for Preferred brand drugs charges. | string | - |
NonPreferred_Brand_Drugs_Charges_94Percent | It includes the 94 Percent Actuarial Value Silver Cost Sharing Plan for Non-preferred brand drugs charges. | string | - |
Specialty_Drugs_Charges_94Percent | It includes the 94 Percent Actuarial Value Silver Cost Sharing Plan for Specialty drugs charges. | string | - |
Data Preview
Year | State | State Abbreviation | FIPS Code | County | Metal Level | Issuer Name | HIOS Issuer ID | Plan ID Standard Component | Plan Marketing Name | Plan Type | Standardized Plan Design | Rating Area | Child Only Offering | Source | Customer Service Phone Number Local | Customer Service Phone Number Toll Free | Customer Service Phone Number TTY | Network URL | Plan Brochure URL | Summary of Benefits URL | Drug Formulary URL | Accreditation | Is Adult Dental Allowed | Is Child Dental Allowed | EHB Percent of Total Premium | Premium Child In Dollars | Premium Individual Adult At Age0 to 14 In Dollars | Premium Individual Adult At Age18 In Dollars | Premium Individual Adult At Age21 In Dollars | Premium Individual Adult At Age27 In Dollars | Premium Individual Adult At Age30 In Dollars | Premium Individual Adult At Age40 In Dollars | Premium Individual Adult At Age50 In Dollars | Premium Individual Adult At Age60 In Dollars | Premium Couple at Age21 In Dollars | Premium Couple at Age30 In Dollars | Premium Couple at Age40 In Dollars | Premium Couple at Age50 In Dollars | Premium Couple at Age60 In Dollars | Premium Couple Plus1 Child At Age21 In Dollars | Premium Couple Plus1 Child At Age30 In Dollars | Premium Couple Plus1 Child At Age40 In Dollars | Premium Couple Plus1 Child At Age50 In Dollars | Premium Couple Plus2 Children At Age21 In Dollars | Premium Couple Plus2 Children At Age30 In Dollars | Premium Couple Plus2 Children At Age40 In Dollars | Premium Couple Plus2 Children At Age50 In Dollars | Premium Couple Plus3 or More Children Age21 In Dollars | Premium Couple Plus3 or More Children Age30 In Dollars | Premium Couple Plus3 or More Children Age40 In Dollars | Premium Couple Plus3 or More Children Age50 In Dollars | Premium Individual Plus1 Child Age21 In Dollars | Premium Individual Plus1 Child Age30 In Dollars | Premium Individual Plus1 Child Age40 In Dollars | Premium Individual Plus1 Child Age50 In Dollars | Premium Individual Plus2 Children Age21 In Dollars | Premium Individual Plus2 Children Age30 In Dollars | Premium Individual Plus2 Children Age40 In Dollars | Premium Individual Plus2 Children Age50 In Dollars | Premium Individual Plus3 or More Children Age21 In Dollars | Premium Individual Plus3 or More Children Age30 In Dollars | Premium Individual Plus3 or More Children Age40 In Dollars | Premium Individual Plus3 or More Children Age50 In Dollars | Standard Individual Medical Deductible In Dollars | Standard Individual Drug Deductible In Dollars | Standard Individual Drug Deductible Note | Standard Family Medical Deductible In Dollars | Standard Family Medical Deductible Note | Standard Family Drug Deductible In Dollars | Standard Family Drug Deductible Note | Standard Family Medical Deductible Per Person In Dollars | Standard Family Drug Deductible Per Person In Dollars | Standard Family Drug Deductible Per Person Note | Standard Individual Medical Maximum Out Of Pocket In Dollars | Standard Individual Drug Maximum Out Of Pocket In Dollars | Standard Individual Drug Maximum Out Of Pocket Note | Standard Family Medical Maximum Out Of Pocket In Dollars | Standard Family Medical Maximum Out Of Pocket Note | Standard Family Drug Maximum Out Of Pocket In Dollars | Standard Family Drug Maximum Out Of Pocket Note | Standard Family Medical Maximum Out Of Pocket Per Person In Dollars | Standard Family Drug Maximum Out Of Pocket Per Person In Dollars | Standard Family Drug Maximum Out Of Pocket Per Person Note | Standard Primary Care Physician Fee | Standard Specialist Fee | Standard Emergency Room Charges | Standard Inpatient Facility Charges | Standard Inpatient Physician Fee | Standard Generic Drugs Charges | Standard Preferred Brand Drugs Charges | Standard NonPreferred Brand Drugs Charges | Standard Specialty Drugs Charges | Individual Medical Deductible In Dollars 73Percent | Individual Drug Deductible In Dollars 73Percent | Individual Drug Deductible Note 73Percent | Family Medical Deductible In Dollars 73Percent | Family Drug Deductible In Dollars 73Percent | Family Drug Deductible Note 73Percent | Family Medical Deductible Per Person In Dollars 73Percent | Family Drug Deductible Per Person In Dollars 73Percent | Family Drug Deductible Per Person Note 73Percent | Individual Medical Maximum Out Of Pocket In Dollars 73Percent | Individual Drug Maximum Out Of Pocket In Dollars 73Percent | Individual Drug Maximum Out Of Pocket Note 73Percent | Family Medical Maximum Out Of Pocket In Dollars 73Percent | Family Drug Maximum Out Of Pocket In Dollars 73Percent | Family Drug Maximum Out Of Pocket Note 73Percent | Family Medical Maximum Out Of Pocket Per Person In Dollars 73Percent | Family Drug Maximum Out Of Pocket Per Person In Dollars 73Percent | Family Drug Maximum Out Of Pocket Per Person Note 73Percent | Primary Care Physician Fee 73Percent | Specialist Fee 73Percent | Emergency Room Charges 73Percent | Inpatient Facility Charges 73Percent | Inpatient Physician Fee 73Percent | Generic Drugs Charges 73Percent | Preferred Brand Drugs Charges 73Percent | NonPreferred Brand Drugs Charges 73Percent | Specialty Drugs Charges 73Percent | Individual Medical Deductible In Dollars 87Percent | Individual Drug Deductible In Dollars 87Percent | Individual Drug Deductible Note 87Percent | Family Medical Deductible In Dollars 87Percent | Family Medical Deductible Note 87Percent | Family Drug Deductible In Dollars 87Percent | Family Drug Deductible Note 87Percent | Family Medical Deductible Per Person In Dollars 87Percent | Family Drug Deductible Per Person In Dollars 87Percent | Family Drug Deductible Per Person Note 87Percent | Individual Medical Maximum Out Of Pocket In Dollars 87Percent | Individual Drug Maximum Out Of Pocket In Dollars 87Percent | Individual Drug Maximum Out Of Pocket Note 87Percent | Family Medical Maximum Out Of Pocket In Dollars 87Percent | Family Drug Maximum Out Of Pocket In Dollars 87Percent | Family Drug Maximum Out Of Pocket Note 87Percent | Family Medical Maximum Out Of Pocket Per Person In Dollars 87Percent | Family Drug Maximum Out Of Pocket Per Person In Dollars 87Percent | Family Drug Maximum Out Of Pocket Per Person Note 87Percent | Primary Care Physician Fee 87Percent | Specialist Fee 87Percent | Emergency Room Charges 87Percent | Inpatient Facility Charges 87Percent | Inpatient Physician Fee 87Percent | Generic Drugs Charges 87Percent | Preferred Brand Drugs Charges 87Percent | NonPreferred Brand Drugs Charges 87Percent | Specialty Drugs Charges 87Percent | Individual Medical Deductible In Dollars 94Percent | Individual Drug Deductible In Dollars 94Percent | Individual Drug Deductible Note 94Percent | Family Medical Deductible In Dollars 94Percent | Family Medical Deductible Note 94Percent | Family Drug Deductible In Dollars 94Percent | Family Drug Deductible Note 94Percent | Family Medical Deductible Per Person In Dollars 94Percent | Family Drug Deductible Per Person In Dollars 94Percent | Family Drug Deductible Per Person Note 94Percent | Individual Medical Maximum Out Of Pocket In Dollars 94Percent | Individual Drug Maximum Out Of Pocket In Dollars 94Percent | Individual Drug Maximum Out Of Pocket Note 94Percent | Family Medical Maximum Out Of Pocket In Dollars 94Percent | Family Drug Maximum Out Of Pocket In Dollars 94Percent | Family Drug Maximum Out Of Pocket Note 94Percent | Family Medical Maximum Out Of Pocket Per Person In Dollars 94Percent | Family Drug Maximum Out Of Pocket Per Person In Dollars 94Percent | Family Drug Maximum Out Of Pocket Per Person Note 94Percent | Primary Care Physician Fee 94Percent | Specialist Fee 94Percent | Emergency Room Charges 94Percent | Inpatient Facility Charges 94Percent | Inpatient Physician Fee 94Percent | Generic Drugs Charges 94Percent | Preferred Brand Drugs Charges 94Percent | NonPreferred Brand Drugs Charges 94Percent | Specialty Drugs Charges 94Percent |
2017 | Alaska | AK | 2013 | Aleutians East | Gold | Premera Blue Cross Blue Shield of Alaska | 38344 | 38344AK0540003 | Premera Blue Cross Preferred Plus Gold 1500 | Preferred Provider Oraganization | Rating Area 2 | Allows Adult and Child-Only | Health Insurance Oversight System | 1-800-508-4722 | 1-800-508-4722 | 1-800-842-5357 | https://premera.vitalschoice.com/?ci=premeraak&network_id=4 | https://www.premera.com/documents/031112_2017.pdf | https://www.premera.com/documents/036252_2017.pdf | https://www.premera.com/ak/drug-search/ | National Committee for Quality Assurance | False | True | 99.9 | 550 | 866 | 908 | 983 | 1107 | 1547 | 2351 | 1732 | 1966 | 2214 | 3094 | 4702 | 2282 | 2516 | 2764 | 3644 | 3066 | 3314 | 4194 | 3382 | 3616 | 3864 | 4744 | 1416 | 1533 | 1657 | 2097 | 1966 | 2083 | 2207 | 2647 | 2516 | 2633 | 2757 | 3197 | 1500 | Included in Medical | 3000 | Included in Medical | 1500 | Included in Medical | 5000 | Included in Medical | 10000 | Included in Medical | 5000 | Included in Medical | $20 | $60 | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | $10 | $40 | 50% | 40% Coinsurance after deductible | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
2017 | Alaska | AK | 2013 | Aleutians East | Silver | Premera Blue Cross Blue Shield of Alaska | 38344 | 38344AK0540006 | Premera Blue Cross Preferred Plus Silver 3000 | Preferred Provider Oraganization | Rating Area 2 | Allows Adult and Child-Only | Health Insurance Oversight System | 1-800-508-4722 | 1-800-508-4722 | 1-800-842-5357 | https://premera.vitalschoice.com/?ci=premeraak&network_id=4 | https://www.premera.com/documents/031112_2017.pdf | https://www.premera.com/documents/036256_2017.pdf | https://www.premera.com/ak/drug-search/ | National Committee for Quality Assurance | False | True | 99.9 | 472 | 743 | 779 | 844 | 950 | 1328 | 2018 | 1486 | 1688 | 1900 | 2656 | 4036 | 1958 | 2160 | 2372 | 3128 | 2632 | 2844 | 3600 | 2902 | 3104 | 3316 | 4072 | 1215 | 1316 | 1422 | 1800 | 1687 | 1788 | 1894 | 2272 | 2159 | 2260 | 2366 | 2744 | 3000 | Included in Medical | 6000 | Included in Medical | 3000 | Included in Medical | 7150 | Included in Medical | 14300 | Included in Medical | 7150 | Included in Medical | $20 | $60 | 25% Coinsurance after deductible | 25% Coinsurance after deductible | 25% Coinsurance after deductible | $20 | $55 | 50% Coinsurance after deductible | 40% Coinsurance after deductible | 3000.0 | Included in Medical | 6000.0 | Included in Medical | 3000.0 | Included in Medical | 5700.0 | Included in Medical | 11400.0 | 5700.0 | Included in Medical | $20 | $60 | 25% Coinsurance after deductible | 25% Coinsurance after deductible | 25% Coinsurance after deductible | $20 | $55 | 50% Coinsurance after deductible | 40% Coinsurance after deductible | 1000.0 | Included in Medical | 2000.0 | Included in Medical | 1000.0 | Included in Medical | 1600.0 | Included in Medical | 3200.0 | Included in Medical | 1600.0 | Included in Medical | $10 | $45 | 25% Coinsurance after deductible | 25% Coinsurance after deductible | 25% Coinsurance after deductible | $10 | $45 | 25% Coinsurance after deductible | 40% Coinsurance after deductible | 300.0 | Included in Medical | 600.0 | 300.0 | Included in Medical | 500.0 | Included in Medical | 1000.0 | Included in Medical | 500.0 | Included in Medical | $10 | $40 | 25% Coinsurance after deductible | 25% Coinsurance after deductible | 25% Coinsurance after deductible | $5 | $35 | 25% Coinsurance after deductible | 40% Coinsurance after deductible | ||||||||||||||||||||||||||||||||||
2017 | Alaska | AK | 2013 | Aleutians East | Bronze | Premera Blue Cross Blue Shield of Alaska | 38344 | 38344AK0540008 | Premera Blue Cross Preferred Plus Bronze 6350 | Preferred Provider Oraganization | Rating Area 2 | Allows Adult and Child-Only | Health Insurance Oversight System | 1-800-508-4722 | 1-800-508-4722 | 1-800-842-5357 | https://premera.vitalschoice.com/?ci=premeraak&network_id=4 | https://www.premera.com/documents/031112_2017.pdf | https://www.premera.com/documents/036263_2017.pdf | https://www.premera.com/ak/drug-search/ | National Committee for Quality Assurance | False | True | 99.8 | 368 | 580 | 608 | 658 | 741 | 1035 | 1573 | 1160 | 1316 | 1482 | 2070 | 3146 | 1528 | 1684 | 1850 | 2438 | 2052 | 2218 | 2806 | 2264 | 2420 | 2586 | 3174 | 948 | 1026 | 1109 | 1403 | 1316 | 1394 | 1477 | 1771 | 1684 | 1762 | 1845 | 2139 | 6350 | Included in Medical | 12700 | Included in Medical | 6350 | Included in Medical | 7150 | Included in Medical | 14300 | Included in Medical | 7150 | Included in Medical | $20 and 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 40% Coinsurance after deductible | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
2017 | Alaska | AK | 2013 | Aleutians East | Bronze | Premera Blue Cross Blue Shield of Alaska | 38344 | 38344AK0550001 | Premera Blue Cross Preferred Plus Bronze 5250 HSA | Preferred Provider Oraganization | Rating Area 2 | Allows Adult and Child-Only | Health Insurance Oversight System | 1-800-508-4722 | 1-800-508-4722 | 1-800-842-5357 | https://premera.vitalschoice.com/?ci=premeraak&network_id=4 | https://www.premera.com/documents/031112_2017.pdf | https://www.premera.com/documents/036267_2017.pdf | https://www.premera.com/ak/drug-search/ | National Committee for Quality Assurance | False | True | 99.8 | 367 | 578 | 606 | 657 | 739 | 1033 | 1570 | 1156 | 1314 | 1478 | 2066 | 3140 | 1523 | 1681 | 1845 | 2433 | 2048 | 2212 | 2800 | 2257 | 2415 | 2579 | 3167 | 945 | 1024 | 1106 | 1400 | 1312 | 1391 | 1473 | 1767 | 1679 | 1758 | 1840 | 2134 | 5250 | Included in Medical | 10500 | Included in Medical | 5250 | Included in Medical | 6500 | Included in Medical | 13000 | Included in Medical | 6500 | Included in Medical | 30% Coinsurance after deductible | 30% Coinsurance after deductible | 30% Coinsurance after deductible | 30% Coinsurance after deductible | 30% Coinsurance after deductible | 30% Coinsurance after deductible | 30% Coinsurance after deductible | 30% Coinsurance after deductible | 40% Coinsurance after deductible | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
2017 | Alaska | AK | 2013 | Aleutians East | Silver | Premera Blue Cross Blue Shield of Alaska | 38344 | 38344AK0550002 | Premera Blue Cross Preferred Plus Silver 3000 HSA | Preferred Provider Oraganization | Rating Area 2 | Allows Adult and Child-Only | Health Insurance Oversight System | 1-800-508-4722 | 1-800-508-4722 | 1-800-842-5357 | https://premera.vitalschoice.com/?ci=premeraak&network_id=4 | https://www.premera.com/documents/031112_2017.pdf | https://www.premera.com/documents/036271_2017.pdf | https://www.premera.com/ak/drug-search/ | National Committee for Quality Assurance | False | True | 99.9 | 459 | 723 | 758 | 821 | 924 | 1291 | 1962 | 1446 | 1642 | 1848 | 2582 | 3924 | 1905 | 2101 | 2307 | 3041 | 2560 | 2766 | 3500 | 2823 | 3019 | 3225 | 3959 | 1182 | 1280 | 1383 | 1750 | 1641 | 1739 | 1842 | 2209 | 2100 | 2198 | 2301 | 2668 | 3000 | Included in Medical | 6000 | Included in Medical | 3000 | Included in Medical | 4100 | Included in Medical | 8200 | Included in Medical | 4100 | Included in Medical | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 40% Coinsurance after deductible | 2600.0 | Included in Medical | 5200.0 | Included in Medical | 2600.0 | Included in Medical | 3600.0 | Included in Medical | 7200.0 | 3600.0 | Included in Medical | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 40% Coinsurance after deductible | 750.0 | Included in Medical | 1500.0 | Included in Medical | 750.0 | Included in Medical | 1500.0 | Included in Medical | 3000.0 | Included in Medical | 1500.0 | Included in Medical | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 40% Coinsurance after deductible | 250.0 | Included in Medical | 500.0 | 250.0 | Included in Medical | 500.0 | Included in Medical | 1000.0 | Included in Medical | 500.0 | Included in Medical | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 40% Coinsurance after deductible | ||||||||||||||||||||||||||||||||||
2017 | Alaska | AK | 2016 | Aleutians West | Gold | Premera Blue Cross Blue Shield of Alaska | 38344 | 38344AK0540003 | Premera Blue Cross Preferred Plus Gold 1500 | Preferred Provider Oraganization | Rating Area 2 | Allows Adult and Child-Only | Health Insurance Oversight System | 1-800-508-4722 | 1-800-508-4722 | 1-800-842-5357 | https://premera.vitalschoice.com/?ci=premeraak&network_id=4 | https://www.premera.com/documents/031112_2017.pdf | https://www.premera.com/documents/036252_2017.pdf | https://www.premera.com/ak/drug-search/ | National Committee for Quality Assurance | False | True | 99.9 | 550 | 866 | 908 | 983 | 1107 | 1547 | 2351 | 1732 | 1966 | 2214 | 3094 | 4702 | 2282 | 2516 | 2764 | 3644 | 3066 | 3314 | 4194 | 3382 | 3616 | 3864 | 4744 | 1416 | 1533 | 1657 | 2097 | 1966 | 2083 | 2207 | 2647 | 2516 | 2633 | 2757 | 3197 | 1500 | Included in Medical | 3000 | Included in Medical | 1500 | Included in Medical | 5000 | Included in Medical | 10000 | Included in Medical | 5000 | Included in Medical | $20 | $60 | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | $10 | $40 | 50% | 40% Coinsurance after deductible | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
2017 | Alaska | AK | 2016 | Aleutians West | Silver | Premera Blue Cross Blue Shield of Alaska | 38344 | 38344AK0540006 | Premera Blue Cross Preferred Plus Silver 3000 | Preferred Provider Oraganization | Rating Area 2 | Allows Adult and Child-Only | Health Insurance Oversight System | 1-800-508-4722 | 1-800-508-4722 | 1-800-842-5357 | https://premera.vitalschoice.com/?ci=premeraak&network_id=4 | https://www.premera.com/documents/031112_2017.pdf | https://www.premera.com/documents/036256_2017.pdf | https://www.premera.com/ak/drug-search/ | National Committee for Quality Assurance | False | True | 99.9 | 472 | 743 | 779 | 844 | 950 | 1328 | 2018 | 1486 | 1688 | 1900 | 2656 | 4036 | 1958 | 2160 | 2372 | 3128 | 2632 | 2844 | 3600 | 2902 | 3104 | 3316 | 4072 | 1215 | 1316 | 1422 | 1800 | 1687 | 1788 | 1894 | 2272 | 2159 | 2260 | 2366 | 2744 | 3000 | Included in Medical | 6000 | Included in Medical | 3000 | Included in Medical | 7150 | Included in Medical | 14300 | Included in Medical | 7150 | Included in Medical | $20 | $60 | 25% Coinsurance after deductible | 25% Coinsurance after deductible | 25% Coinsurance after deductible | $20 | $55 | 50% Coinsurance after deductible | 40% Coinsurance after deductible | 3000.0 | Included in Medical | 6000.0 | Included in Medical | 3000.0 | Included in Medical | 5700.0 | Included in Medical | 11400.0 | 5700.0 | Included in Medical | $20 | $60 | 25% Coinsurance after deductible | 25% Coinsurance after deductible | 25% Coinsurance after deductible | $20 | $55 | 50% Coinsurance after deductible | 40% Coinsurance after deductible | 1000.0 | Included in Medical | 2000.0 | Included in Medical | 1000.0 | Included in Medical | 1600.0 | Included in Medical | 3200.0 | Included in Medical | 1600.0 | Included in Medical | $10 | $45 | 25% Coinsurance after deductible | 25% Coinsurance after deductible | 25% Coinsurance after deductible | $10 | $45 | 25% Coinsurance after deductible | 40% Coinsurance after deductible | 300.0 | Included in Medical | 600.0 | 300.0 | Included in Medical | 500.0 | Included in Medical | 1000.0 | Included in Medical | 500.0 | Included in Medical | $10 | $40 | 25% Coinsurance after deductible | 25% Coinsurance after deductible | 25% Coinsurance after deductible | $5 | $35 | 25% Coinsurance after deductible | 40% Coinsurance after deductible | ||||||||||||||||||||||||||||||||||
2017 | Alaska | AK | 2016 | Aleutians West | Bronze | Premera Blue Cross Blue Shield of Alaska | 38344 | 38344AK0540008 | Premera Blue Cross Preferred Plus Bronze 6350 | Preferred Provider Oraganization | Rating Area 2 | Allows Adult and Child-Only | Health Insurance Oversight System | 1-800-508-4722 | 1-800-508-4722 | 1-800-842-5357 | https://premera.vitalschoice.com/?ci=premeraak&network_id=4 | https://www.premera.com/documents/031112_2017.pdf | https://www.premera.com/documents/036263_2017.pdf | https://www.premera.com/ak/drug-search/ | National Committee for Quality Assurance | False | True | 99.8 | 368 | 580 | 608 | 658 | 741 | 1035 | 1573 | 1160 | 1316 | 1482 | 2070 | 3146 | 1528 | 1684 | 1850 | 2438 | 2052 | 2218 | 2806 | 2264 | 2420 | 2586 | 3174 | 948 | 1026 | 1109 | 1403 | 1316 | 1394 | 1477 | 1771 | 1684 | 1762 | 1845 | 2139 | 6350 | Included in Medical | 12700 | Included in Medical | 6350 | Included in Medical | 7150 | Included in Medical | 14300 | Included in Medical | 7150 | Included in Medical | $20 and 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 40% Coinsurance after deductible | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
2017 | Alaska | AK | 2016 | Aleutians West | Bronze | Premera Blue Cross Blue Shield of Alaska | 38344 | 38344AK0550001 | Premera Blue Cross Preferred Plus Bronze 5250 HSA | Preferred Provider Oraganization | Rating Area 2 | Allows Adult and Child-Only | Health Insurance Oversight System | 1-800-508-4722 | 1-800-508-4722 | 1-800-842-5357 | https://premera.vitalschoice.com/?ci=premeraak&network_id=4 | https://www.premera.com/documents/031112_2017.pdf | https://www.premera.com/documents/036267_2017.pdf | https://www.premera.com/ak/drug-search/ | National Committee for Quality Assurance | False | True | 99.8 | 367 | 578 | 606 | 657 | 739 | 1033 | 1570 | 1156 | 1314 | 1478 | 2066 | 3140 | 1523 | 1681 | 1845 | 2433 | 2048 | 2212 | 2800 | 2257 | 2415 | 2579 | 3167 | 945 | 1024 | 1106 | 1400 | 1312 | 1391 | 1473 | 1767 | 1679 | 1758 | 1840 | 2134 | 5250 | Included in Medical | 10500 | Included in Medical | 5250 | Included in Medical | 6500 | Included in Medical | 13000 | Included in Medical | 6500 | Included in Medical | 30% Coinsurance after deductible | 30% Coinsurance after deductible | 30% Coinsurance after deductible | 30% Coinsurance after deductible | 30% Coinsurance after deductible | 30% Coinsurance after deductible | 30% Coinsurance after deductible | 30% Coinsurance after deductible | 40% Coinsurance after deductible | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
2017 | Alaska | AK | 2016 | Aleutians West | Silver | Premera Blue Cross Blue Shield of Alaska | 38344 | 38344AK0550002 | Premera Blue Cross Preferred Plus Silver 3000 HSA | Preferred Provider Oraganization | Rating Area 2 | Allows Adult and Child-Only | Health Insurance Oversight System | 1-800-508-4722 | 1-800-508-4722 | 1-800-842-5357 | https://premera.vitalschoice.com/?ci=premeraak&network_id=4 | https://www.premera.com/documents/031112_2017.pdf | https://www.premera.com/documents/036271_2017.pdf | https://www.premera.com/ak/drug-search/ | National Committee for Quality Assurance | False | True | 99.9 | 459 | 723 | 758 | 821 | 924 | 1291 | 1962 | 1446 | 1642 | 1848 | 2582 | 3924 | 1905 | 2101 | 2307 | 3041 | 2560 | 2766 | 3500 | 2823 | 3019 | 3225 | 3959 | 1182 | 1280 | 1383 | 1750 | 1641 | 1739 | 1842 | 2209 | 2100 | 2198 | 2301 | 2668 | 3000 | Included in Medical | 6000 | Included in Medical | 3000 | Included in Medical | 4100 | Included in Medical | 8200 | Included in Medical | 4100 | Included in Medical | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 40% Coinsurance after deductible | 2600.0 | Included in Medical | 5200.0 | Included in Medical | 2600.0 | Included in Medical | 3600.0 | Included in Medical | 7200.0 | 3600.0 | Included in Medical | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 40% Coinsurance after deductible | 750.0 | Included in Medical | 1500.0 | Included in Medical | 750.0 | Included in Medical | 1500.0 | Included in Medical | 3000.0 | Included in Medical | 1500.0 | Included in Medical | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 40% Coinsurance after deductible | 250.0 | Included in Medical | 500.0 | 250.0 | Included in Medical | 500.0 | Included in Medical | 1000.0 | Included in Medical | 500.0 | Included in Medical | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 20% Coinsurance after deductible | 40% Coinsurance after deductible |