Others titles
- Certified Insurance Medical Plans
- Health Insurance Metal Plans in Market
Keywords
- Healthcare
- Health Insurance
- Health Plans
- Adults Healthcare Coverage
- Age Groups And Healthcare Coverage
- Primary Care Physician
- Health Plans in Market
- Health Premiums
- Health Medical Plans
Qualified Health Plans in Market
This dataset shows 2018 individual and family health plans available in the United States where the federal government is operating the Marketplace. States not represented in the dataset runs their own Marketplaces.
Get The Data
- ResearchNon-Commercial, Share-Alike, Attribution Free Forever
- CommercialCommercial Use, Remix & Adapt, White Label Log in to download
Description
This dataset contains information on certified medical plans offered through an exchange to consumers in the individual market. These plans are also known as Qualified Health Plans (QHPs). The plans offered by the county for states in the Federally-facilitated Exchanges, state partnership exchanges and state-based exchanges using the federal platform for eligibility and enrollment.
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 also 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.
The dataset also shows standard cost-sharing information for each plan. Cost-sharing information is shown for in-network services, and includes:
• Deductibles: For in-network medical care and drugs (by individual, family)
• Maximum out-of-pocket expenses: For in-network medical care and drugs (by individual, family)
• Copayments and coinsurance for the following in-network services:
o Primary care physician
o Specialist
o Emergency Room
o Inpatient facility
o Inpatient physician
o Generic drugs
o Preferred brand drugs
o Non-preferred brand drugs
o Specialty drugs
It 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 healthcare 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 | 2016-06-23 |
---|---|
Last Modified | 2022-05-04 |
Version | 2022-05-04 |
Update Frequency |
Annual |
Temporal Coverage |
2019-01-01 to 2022-05-04 |
Spatial Coverage |
United States |
Source | John Snow Labs; Centers for Medicare and Medicaid Services; |
Source License URL | |
Source License Requirements |
N/A |
Source Citation |
N/A |
Keywords | Healthcare, Health Insurance, Health Plans, Adults Healthcare Coverage, Age Groups And Healthcare Coverage, Primary Care Physician, Health Plans in Market, Health Premiums, Health Medical Plans |
Other Titles | Certified Insurance Medical Plans, Health Insurance Metal Plans in Market |
Data Fields
Name | Description | Type | Constraints |
---|---|---|---|
State_Abbreviation | State abbreviation for which medical plan is offered | string | - |
FIPS_Code | FIPS county code is a five-digit Federal Information Processing Standards (FIPS) code which uniquely identifies counties and county equivalents in the United States | integer | level : Nominal |
County | Name of the county where health plan is offered | string | - |
Metal_Level | Category of plan level offered (Gold, Silver, Bronze, Catastrophic, Expanded Bronze, Platinum) | string | - |
Issuer_Name | Name of the insurance company who are offering health plans | string | - |
HIOS_Issuer_ID | The Health Insurance Oversight System (HIOS) is responsible for collecting issuer general identification information. | integer | level : Nominal |
Plan_ID | A unique identification number assigned to health plan | string | - |
Plan_Marketing_Name | Name of the plan in the market | string | - |
Plan_Type | Type of plan (EPO= Exclusive Provider Organization, HMO= Health Maintenance Organization, PPO= Preferred Provider Organization, POS= Point of service) | string | - |
Rating_Area | Under the Affordable Care Act each state has submitted a plan to divide up the areas of the state into locations called rating areas | string | - |
Child_Only_Offering | Health plan offered (Allows Adult and Child-Only, Allows Adult-Only) | string | - |
Source | Source name which uses web-based application software | string | - |
Customer_Service_Phone_Number_Local | Phone number of the local customer service helpline | string | - |
Customer_Service_Phone_Number_Toll_Free | Toll-free service helpline for customers | string | - |
Customer_Service_Phone_Number_TTY | Text Phone number which is used mostly by deaf customers | string | - |
Network_URL | Web link of the health plan offered | string | - |
Plan_Brochure_URL | Brochure of health plan on Web URL | string | - |
Summary_of_Benefits_URL | Summary benefits for health plan on web URL | string | - |
Drug_Formulary_URL | Drug formulary is a list of prescription drugs, both generic and brand name, used by practitioners to identify drugs that offer the greatest overall value | string | - |
Is_Adult_Dental | Adult dental coverage in health plan | boolean | - |
Is_Child_Dental | Child dental coverage in health plan | boolean | - |
EHB_Percent_of_Total_Premium | Percentage of Total Premium of Essential Health Benefits | number | level : Ratio |
Premium_Child_Age_0_to_14 | Premium amount for one child from age 0 to 14 | number | - |
Premium_Child_Age_18 | Premium amount for one child age 18 | number | - |
Premium_Adult_Individual_Age_21 | Premium amount for individual adult one child age 21 | number | - |
Premium_Adult_Individual_Age_27 | Premium amount for individual adult one child age 27 | number | - |
Premium_Adult_Individual_Age_30 | Premium amount for individual adult one child age 30 | number | - |
Premium_Adult_Individual_Age_40 | Premium amount for individual adult one child age 40 | number | - |
Premium_Adult_Individual_Age_50 | Premium amount for individual adult one child age 50 | number | - |
Premium_Adult_Individual_Age_60 | Premium amount for individual adult one child age 60 | number | - |
Premium_Couple_21 | Premium amount for couple (two adults, no child) age 21 | number | - |
Premium_Couple_30 | Premium amount for couple (two adults, no child) age 30 | number | - |
Premium_Couple_40 | Premium amount for couple (two adults, no child) age 40 | number | - |
Premium_Couple_50 | Premium amount for couple (two adults, no child) age 50 | number | - |
Premium_Couple_60 | Premium amount for couple (two adults, no child) age 60 | number | - |
Couple_Plus_1_Child_Age_21 | Premium amount for couple (two adults, one child) age 21 | number | - |
Couple_Plus_1_Child_Age_30 | Premium amount for couple (two adults, one child) age 30 | number | - |
Couple_Plus_1_Child_Age_40 | Premium amount for couple (two adults, one child) age 40 | number | - |
Couple_Plus_1_Child_Age_50 | Premium amount for couple (two adults, one child) age 50 | number | - |
Couple_Plus_2_Child_Age_21 | Premium amount for couple (two adults, two children) age 21 | number | - |
Couple_Plus_2_Child_Age_30 | Premium amount for couple (two adults, two children) age 30 | number | - |
Couple_Plus_2_Child_Age_40 | Premium amount for couple (two adults, two children) age 40 | number | - |
Couple_Plus_2_Child_Age_50 | Premium amount for couple (two adults, two children) age 50 | number | - |
Couple_Plus_3_Child_Age_21 | Premium amount for couple (two adults, three or more children) age 21 | number | - |
Couple_Plus_3_Child_Age_30 | Premium amount for couple (two adults, three or more children) age 30 | number | - |
Couple_Plus_3_Child_Age_40 | Premium amount for couple (two adults, three or more children) age 40 | number | - |
Couple_Plus_3_Child_Age_50 | Premium amount for couple (two adults, three or more children) age 50 | number | - |
Individual_Plus_1_Child_Age_21 | Premium amount for individual one child age 21 | number | - |
Individual_Plus_1_Child_Age_30 | Premium amount for individual one child age 30 | number | - |
Individual_Plus_1_Child_Age_40 | Premium amount for individual one child age 40 | number | - |
Individual_Plus_1_Child_Age_50 | Premium amount for individual one child age 50 | number | - |
Individual_Plus_2_Child_Age_21 | Premium amount for individual two children age 21 | number | - |
Individual_Plus_2_Child_Age_30 | Premium amount for individual two children age 30 | number | - |
Individual_Plus_2_Child_Age_40 | Premium amount for individual two children age 40 | number | - |
Individual_Plus_2_Child_Age_50 | Premium amount for individual two children age 50 | number | - |
Individual_Plus_3_Child_Age_21 | Premium amount for individual three children ore more age 21 | number | - |
Individual_Plus_3_Child_Age_30 | Premium amount for individual three children ore more age 30 | number | - |
Individual_Plus_3_Child_Age_40 | Premium amount for individual three children ore more age 40 | number | - |
Individual_Plus_3_Child_Age_50 | Premium amount for individual three children ore more age 50 | number | - |
Medical_Deductible_Individual_Standard | Deductible amount for in-network medical care by individual standard | number | - |
Drug_Deductible_Individual_Standard | Deductible amount for in-network drug care by individual standard | string | - |
Medical_Deductible_Family_Standard | Deductible amount for in-network medical care by family standard | number | - |
Drug_Deductible_Family_Standard | Deductible amount for in-network drug care by family standard | string | - |
Medical_Deductible_Family_Per_Person_Standard | Deductible amount for in-network medical care by per person standard | number | - |
Drug_Deductible_Family_Per_Person_Standard | Deductible amount for in-network drug care by per person standard | string | - |
Medical_Maximum_Out_of_Pocket_Individual_Standard | number | - | |
Drug_Maximum_Out_of_Pocket_Individual_Standard | string | - | |
Medical_Maximum_Out_of_Pocket_Family_Standard | string | - | |
Drug_Maximum_Out_of_Pocket_Family_Standard | string | - | |
Medical_Maximum_Out_of_Pocket_Family_Per_Person_Standard | number | - | |
Drug_Maximum_Out_of_Pocket_Family_Per_Person_Standard | string | - | |
Primary_Care_Physician_Standard | Copayments and coinsurance for the primary care physicians standard in-network services | string | - |
Specialist_Standard | Copayments and coinsurance for the specialist standard in-network services | string | - |
Emergency_Room_Standard | Copayments and coinsurance for the emergency room standard in-network services | string | - |
Inpatient_Facility_Standard | Copayments and coinsurance for the inpatient facility standard in-network services | string | - |
Inpatient_Physician_Standard | Copayments and coinsurance for the inpatient-physician standard in-network services | string | - |
Generic_Drugs_Standard | Copayments and coinsurance for the generic drugs standard in-network services | string | - |
Preferred_Brand_Drugs_Standard | Copayments and coinsurance for the preferred brand drugs standard in-network services | string | - |
Non_Preferred_Brand_Drugs_Standard | Copayments and coinsurance for the non-preferred brand drugs standard in-network services | string | - |
Specialty_Drugs_Standard | Copayments and coinsurance for the specialty drugs standard in-network services | string | - |
Medical_Deductible_Individual_73_Percent | Medical cost-sharing information for 73 percent silver metal plans that are variants of the individual standard silver plan | number | - |
Drug_Deductible_Individual_73_Percent | Drug cost-sharing information for 73 percent silver metal plans that are variants of the individual standard silver plan | string | - |
Medical_Deductible_Family_73_Percent | Medical cost-sharing information for 73 percent silver metal plans that are variants of the family standard silver plan | number | - |
Drug_Deductible_Family_73_Percent | Drug cost-sharing information for 73 percent silver metal plans that are variants of the family standard silver plan | string | - |
Medical_Deductible_Family_Per_Person_73_Percent | Medical cost-sharing information for 73 percent silver metal plans that are variants of the per person standard silver plan | number | - |
Drug_Deductible_Family_Per_Person_73_Percent | Drug cost-sharing information for 73 percent silver metal plans that are variants of the per person standard silver plan | string | - |
Medical_Maximum_Out_of_Pocket_Individual_73_Percent | number | - | |
Drug_Maximum_Out_of_Pocket_Individual_73_Percent | string | - | |
Medical_Maximum_Out_of_Pocket_Family_73_Percent | number | - | |
Drug_Maximum_Out_of_Pocket_Family_73_Percent | string | - | |
Medical_Maximum_Out_of_Pocket_Family_Per_Person_73_Percent | number | - | |
Drug_Maximum_Out_of_Pocket_Family_Per_Person_73_Percent | string | - | |
Primary_Care_Physician_73_Percent | Copayments and coinsurance for the primary care physicians standard plan 73 percent silver | string | - |
Specialist_73_Percent | Copayments and coinsurance for the specialist standard plan 73 percent silver | string | - |
Emergency_Room_73_Percent | Copayments and coinsurance for the emergency room standard plan 73 percent silver | string | - |
Inpatient_Facility_73_Percent | Copayments and coinsurance for the inpatient facility standard plan 73 percent silver | string | - |
Inpatient_Physician_73_Percent | Copayments and coinsurance for the inpatient-physician standard plan 73 percent silver | string | - |
Generic_Drugs_73_Percent | Copayments and coinsurance for the generic drug standard plan 73 percent silver | string | - |
Preferred_Brand_Drugs_73_Percent | Copayments and coinsurance for the preferred brand drugs plan 73 percent silver | string | - |
Non_Preferred_Brand_Drugs_73_Percent | Copayments and coinsurance for the non-preferred brand drugs plan 73 percent silver | string | - |
Specialty_Drugs_73_Percent | Copayments and coinsurance for the specialty drugs plan 73 percent silver | string | - |
Medical_Deductible_Individual_87_Percent | Medical cost-sharing information for 87 percent silver metal plans that are variants of the individual standard silver plan | number | - |
Drug_Deductible_Individual_87_Percent | Drug cost-sharing information for 87 percent silver metal plans that are variants of the individual standard silver plan | string | - |
Medical_Deductible_Family_87_Percent | Medical cost-sharing information for 87 percent silver metal plans that are variants of the family standard silver plan | number | - |
Drug_Deductible_Family_87_Percent | Drug cost-sharing information for 87 percent silver metal plans that are variants of the family standard silver plan | string | - |
Medical_Deductible_Family_Per_Person_87_Percent | Medical cost-sharing information for 87 percent silver metal plans that are variants of the per person standard silver plan | number | - |
Drug_Deductible_Family_Per_Person_87_Percent | Drug cost-sharing information for 87 percent silver metal plans that are variants of the per person standard silver plan | string | - |
Medical_Maximum_Out_of_Pocket_Individual_87_Percent | number | - | |
Drug_Maximum_Out_of_Pocket_Individual_87_Percent | string | - | |
Medical_Maximum_Out_of_Pocket_Family_87_Percent | number | - | |
Drug_Maximum_Out_of_Pocket_Family_87_Percent | string | - | |
Medical_Maximum_Out_of_Pocket_Family_Per_Person_87_Percent | number | - | |
Drug_Maximum_Out_of_Pocket_Famil_Per_Person_87_Percent | string | - | |
Primary_Care_Physician_87_Percent | Copayments and coinsurance for the primary care physicians standard plan 87 percent silver | string | - |
Specialist_87_Percent | Copayments and coinsurance for the specialist standard plan 87 percent silver | string | - |
Emergency_Room_87_Percent | Copayments and coinsurance for the emergency room standard plan 87 percent silver | string | - |
Inpatient_Facility_87_Percent | Copayments and coinsurance for the inpatient facility standard plan 87 percent silver | string | - |
Inpatient_Physician_87_Percent | Copayments and coinsurance for the inpatient-physician standard plan 87 percent silver | string | - |
Generic_Drugs_87_Percent | Copayments and coinsurance for the generic drug standard plan 87 percent silver | string | - |
Preferred_Brand_Drugs_87_Percent | Copayments and coinsurance for the preferred brand drugs plan 87 percent silver | string | - |
Non_Preferred_Brand_Drugs_87_Percent | Copayments and coinsurance for the non-preferred brand drugs plan 87 percent silver | string | - |
Specialty_Drugs_87_Percent | Copayments and coinsurance for the specialty drugs plan 87 percent silver | string | - |
Medical_Deductible_Individual_94_Percent | Medical cost-sharing information for 94 percent silver metal plans that are variants of the individual standard silver plan | number | - |
Drug_Deductible_Individual_94_Percent | Drug cost-sharing information for 94 percent silver metal plans that are variants of the individual standard silver plan | string | - |
Medical_Deductible_Family_94_Percent | Medical cost-sharing information for 94 percent silver metal plans that are variants of the family standard silver plan | number | - |
Drug_Deductible_Family_94_Percent | Drug cost-sharing information for 94 percent silver metal plans that are variants of the family standard silver plan | string | - |
Medical_Deductible_Family_Per_Person_94_Percent | Medical cost-sharing information for 94 percent silver metal plans that are variants of the per person standard silver plan | number | - |
Drug_Deductible_Family_Per_Person_94_Percent | Drug cost-sharing information for 94 percent silver metal plans that are variants of the per person standard silver plan | string | - |
Medical_Maximum_Out_of_Pocket_Individual_94_Percent | number | - | |
Drug_Maximum_Out_of_Pocket_Individual_94_Percent | string | - | |
Medical_Maximum_Out_of_Pocket_Family_94_Percent | number | - | |
Drug_Maximum_Out_of_Pocket_Family_94_Percent | string | - | |
Medical_Maximum_Out_of_Pocket_Family_Per_Person_94_Percent | number | - | |
Drug_Maximum_Out_of_Pocket_Family_Per_Person_94_Percent | string | - | |
Primary_Care_Physician_94_Percent | Copayments and coinsurance for the primary care physicians standard plan 94 percent silver | string | - |
Specialist_94_Percent | Copayments and coinsurance for the specialist standard plan 94 percent silver | string | - |
Emergency_Room_94_Percent | Copayments and coinsurance for the emergency room standard plan 94 percent silver | string | - |
Inpatient_Facility_94_Percent | Copayments and coinsurance for the inpatient facility standard plan 94 percent silver | string | - |
Inpatient_Physician_94_Percent | Copayments and coinsurance for the inpatient-physician standard plan 94 percent silver | string | - |
Generic_Drugs_94_Percent | Copayments and coinsurance for the generic drug standard plan 94 percent silver | string | - |
Preferred_Brand_Drugs_94_Percent | Copayments and coinsurance for the preferred brand drugs plan 94 percent silver | string | - |
Non_Preferred_Brand_Drugs_94_Percent | Copayments and coinsurance for the non-preferred brand drugs plan 94 percent silver | string | - |
Specialty_Drugs_94_Percent | Copayments and coinsurance for the specialty drugs plan 94 percent silver | string | - |
Data Preview
State Abbreviation | FIPS Code | County | Metal Level | Issuer Name | HIOS Issuer ID | Plan ID | Plan Marketing Name | Plan Type | 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 | Is Child Dental | EHB Percent of Total Premium | Premium Child Age 0 to 14 | Premium Child Age 18 | Premium Adult Individual Age 21 | Premium Adult Individual Age 27 | Premium Adult Individual Age 30 | Premium Adult Individual Age 40 | Premium Adult Individual Age 50 | Premium Adult Individual Age 60 | Premium Couple 21 | Premium Couple 30 | Premium Couple 40 | Premium Couple 50 | Premium Couple 60 | Couple Plus 1 Child Age 21 | Couple Plus 1 Child Age 30 | Couple Plus 1 Child Age 40 | Couple Plus 1 Child Age 50 | Couple Plus 2 Child Age 21 | Couple Plus 2 Child Age 30 | Couple Plus 2 Child Age 40 | Couple Plus 2 Child Age 50 | Couple Plus 3 Child Age 21 | Couple Plus 3 Child Age 30 | Couple Plus 3 Child Age 40 | Couple Plus 3 Child Age 50 | Individual Plus 1 Child Age 21 | Individual Plus 1 Child Age 30 | Individual Plus 1 Child Age 40 | Individual Plus 1 Child Age 50 | Individual Plus 2 Child Age 21 | Individual Plus 2 Child Age 30 | Individual Plus 2 Child Age 40 | Individual Plus 2 Child Age 50 | Individual Plus 3 Child Age 21 | Individual Plus 3 Child Age 30 | Individual Plus 3 Child Age 40 | Individual Plus 3 Child Age 50 | Medical Deductible Individual Standard | Drug Deductible Individual Standard | Medical Deductible Family Standard | Drug Deductible Family Standard | Medical Deductible Family Per Person Standard | Drug Deductible Family Per Person Standard | Medical Maximum Out of Pocket Individual Standard | Drug Maximum Out of Pocket Individual Standard | Medical Maximum Out of Pocket Family Standard | Drug Maximum Out of Pocket Family Standard | Medical Maximum Out of Pocket Family Per Person Standard | Drug Maximum Out of Pocket Family Per Person Standard | Primary Care Physician Standard | Specialist Standard | Emergency Room Standard | Inpatient Facility Standard | Inpatient Physician Standard | Generic Drugs Standard | Preferred Brand Drugs Standard | Non Preferred Brand Drugs Standard | Specialty Drugs Standard | Medical Deductible Individual 73 Percent | Drug Deductible Individual 73 Percent | Medical Deductible Family 73 Percent | Drug Deductible Family 73 Percent | Medical Deductible Family Per Person 73 Percent | Drug Deductible Family Per Person 73 Percent | Medical Maximum Out of Pocket Individual 73 Percent | Drug Maximum Out of Pocket Individual 73 Percent | Medical Maximum Out of Pocket Family 73 Percent | Drug Maximum Out of Pocket Family 73 Percent | Medical Maximum Out of Pocket Family Per Person 73 Percent | Drug Maximum Out of Pocket Family Per Person 73 Percent | Primary Care Physician 73 Percent | Specialist 73 Percent | Emergency Room 73 Percent | Inpatient Facility 73 Percent | Inpatient Physician 73 Percent | Generic Drugs 73 Percent | Preferred Brand Drugs 73 Percent | Non Preferred Brand Drugs 73 Percent | Specialty Drugs 73 Percent | Medical Deductible Individual 87 Percent | Drug Deductible Individual 87 Percent | Medical Deductible Family 87 Percent | Drug Deductible Family 87 Percent | Medical Deductible Family Per Person 87 Percent | Drug Deductible Family Per Person 87 Percent | Medical Maximum Out of Pocket Individual 87 Percent | Drug Maximum Out of Pocket Individual 87 Percent | Medical Maximum Out of Pocket Family 87 Percent | Drug Maximum Out of Pocket Family 87 Percent | Medical Maximum Out of Pocket Family Per Person 87 Percent | Drug Maximum Out of Pocket Famil Per Person 87 Percent | Primary Care Physician 87 Percent | Specialist 87 Percent | Emergency Room 87 Percent | Inpatient Facility 87 Percent | Inpatient Physician 87 Percent | Generic Drugs 87 Percent | Preferred Brand Drugs 87 Percent | Non Preferred Brand Drugs 87 Percent | Specialty Drugs 87 Percent | Medical Deductible Individual 94 Percent | Drug Deductible Individual 94 Percent | Medical Deductible Family 94 Percent | Drug Deductible Family 94 Percent | Medical Deductible Family Per Person 94 Percent | Drug Deductible Family Per Person 94 Percent | Medical Maximum Out of Pocket Individual 94 Percent | Drug Maximum Out of Pocket Individual 94 Percent | Medical Maximum Out of Pocket Family 94 Percent | Drug Maximum Out of Pocket Family 94 Percent | Medical Maximum Out of Pocket Family Per Person 94 Percent | Drug Maximum Out of Pocket Family Per Person 94 Percent | Primary Care Physician 94 Percent | Specialist 94 Percent | Emergency Room 94 Percent | Inpatient Facility 94 Percent | Inpatient Physician 94 Percent | Generic Drugs 94 Percent | Preferred Brand Drugs 94 Percent | Non Preferred Brand Drugs 94 Percent | Specialty Drugs 94 Percent |
AK | 2013 | Aleutians East | Gold | Premera Blue Cross Blue Shield of Alaska | 38344 | 38344AK1060001 | Premera Blue Cross Preferred Gold 1500 | PPO | Rating Area 2 | Allows Adult and Child-Only | HIOS | 1-800-508-4722 | 1-800-508-4722 | 1-800-842-5357 | https://premera.sapphirecareselect.com/?ci=premeraak&network_id=81 | https://www.premera.com/documents/045578_2021.pdf | https://www.premera.com/documents/045632_2021.pdf | https://www.premera.com/documents/052166_2021.pdf | True | 98.98% | 373 | 445 | 488 | 511 | 554 | 623 | 871 | 1324 | 976 | 1108 | 1246 | 1742 | 2648 | 1349 | 1481 | 1619 | 2115 | 1722 | 1854 | 1992 | 2488 | 2095 | 2227 | 2365 | 2861 | 861 | 927 | 996 | 1244 | 1234 | 1300 | 1369 | 1617 | 1607 | 1673 | 1742 | 1990 | 1500 | Included in Medical | 3000 | Included in Medical | 1,500 | Included in Medical | 6,000 | Included in Medical | 12,000 | Included in Medical | 6,000 | Included in Medical | 30 | 60 | 30% Coinsurance after deductible | 30% Coinsurance after deductible | 30% Coinsurance after deductible | 10 | 45 | 50% Coinsurance after deductible | 40% Coinsurance after deductible | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
AK | 2013 | Aleutians East | Silver | Premera Blue Cross Blue Shield of Alaska | 38344 | 38344AK1060002 | Premera Blue Cross Preferred Silver 4500 | PPO | Rating Area 2 | Allows Adult and Child-Only | HIOS | 1-800-508-4722 | 1-800-508-4722 | 1-800-842-5357 | https://premera.sapphirecareselect.com/?ci=premeraak&network_id=81 | https://www.premera.com/documents/045581_2021.pdf | https://www.premera.com/documents/045635_2021.pdf | https://www.premera.com/documents/052166_2021.pdf | True | 99.09% | 415 | 495 | 543 | 569 | 616 | 693 | 969 | 1473 | 1086 | 1232 | 1386 | 1938 | 2946 | 1501 | 1647 | 1801 | 2353 | 1916 | 2062 | 2216 | 2768 | 2331 | 2477 | 2631 | 3183 | 958 | 1031 | 1108 | 1384 | 1373 | 1446 | 1523 | 1799 | 1788 | 1861 | 1938 | 2214 | 4500 | Included in Medical | 9000 | Included in Medical | 4,500 | Included in Medical | 7,350 | Included in Medical | 14,700 | Included in Medical | 7,350 | Included in Medical | 30 | 60 | 30% Coinsurance after deductible | 30% Coinsurance after deductible | 30% Coinsurance after deductible | 20 | 60 | 50% Coinsurance after deductible | 40% Coinsurance after deductible | 4,000 | Included in Medical | 8,000 | Included in Medical | 4,000 | Included in Medical | 6,200 | Included in Medical | 12,400 | Included in Medical | 6,200 | Included in Medical | 15 | 55 | 30% Coinsurance after deductible | 30% Coinsurance after deductible | 30% Coinsurance after deductible | 15 | 60 | 50% Coinsurance after deductible | 40% Coinsurance after deductible | 1,000 | Included in Medical | 2,000 | Included in Medical | 1,000 | Included in Medical | 2,000 | Included in Medical | 4,000 | Included in Medical | 2,000 | Included in Medical | 10 | 45 | 30% Coinsurance after deductible | 30% Coinsurance after deductible | 30% Coinsurance after deductible | 10 | 45 | 50% Coinsurance after deductible | 40% Coinsurance after deductible | 300.0 | Included in Medical | 600.0 | Included in Medical | 300.0 | Included in Medical | 700.0 | Included in Medical | 1,400 | Included in Medical | 700.0 | Included in Medical | 10 | 40 | 30% Coinsurance after deductible | 30% Coinsurance after deductible | 30% Coinsurance after deductible | 10 | 40 | 50% Coinsurance after deductible | 40% Coinsurance after deductible | ||
AK | 2013 | Aleutians East | Expanded Bronze | Premera Blue Cross Blue Shield of Alaska | 38344 | 38344AK1060004 | Premera Blue Cross Preferred Bronze 6350 | PPO | Rating Area 2 | Allows Adult and Child-Only | HIOS | 1-800-508-4722 | 1-800-508-4722 | 1-800-842-5357 | https://premera.sapphirecareselect.com/?ci=premeraak&network_id=81 | https://www.premera.com/documents/045588_2021.pdf | https://www.premera.com/documents/045642_2021.pdf | https://www.premera.com/documents/052166_2021.pdf | True | 98.63% | 277 | 331 | 362 | 379 | 411 | 463 | 647 | 983 | 724 | 822 | 926 | 1294 | 1966 | 1001 | 1099 | 1203 | 1571 | 1278 | 1376 | 1480 | 1848 | 1555 | 1653 | 1757 | 2125 | 639 | 688 | 740 | 924 | 916 | 965 | 1017 | 1201 | 1193 | 1242 | 1294 | 1478 | 6350 | Included in Medical | 12700 | Included in Medical | 6,350 | Included in Medical | 8,400 | Included in Medical | 16,800 | Included in Medical | 8,400 | Included in Medical | 30 | 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 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
AK | 2013 | Aleutians East | Silver | Premera Blue Cross Blue Shield of Alaska | 38344 | 38344AK1070001 | Premera Blue Cross Preferred Silver 3000 HSA | PPO | Rating Area 2 | Allows Adult and Child-Only | HIOS | 1-800-508-4722 | 1-800-508-4722 | 1-800-842-5357 | https://premera.sapphirecareselect.com/?ci=premeraak&network_id=81 | https://www.premera.com/documents/045595_2021.pdf | https://www.premera.com/documents/045649_2021.pdf | https://www.premera.com/documents/052166_2021.pdf | True | 99.88% | 414 | 494 | 541 | 567 | 614 | 692 | 967 | 1469 | 1082 | 1228 | 1384 | 1934 | 2938 | 1496 | 1642 | 1798 | 2348 | 1910 | 2056 | 2212 | 2762 | 2324 | 2470 | 2626 | 3176 | 955 | 1028 | 1106 | 1381 | 1369 | 1442 | 1520 | 1795 | 1783 | 1856 | 1934 | 2209 | 3000 | Included in Medical | 6000 | Included in Medical | 3,000 | Included in Medical | 6,600 | Included in Medical | 13,200 | Included in Medical | 6,600 | 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 | 2,800 | Included in Medical | 5,600 | Included in Medical | 2,800 | Included in Medical | 4,000 | Included in Medical | 8,000 | Included in Medical | 4,000 | 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 | 750 | Included in Medical | 1,500 | Included in Medical | 750 | Included in Medical | 1,650 | Included in Medical | 3,300 | Included in Medical | 1,650 | 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 | 250.0 | Included in Medical | 500.0 | Included in Medical | 250.0 | Included in Medical | 500.0 | Included in Medical | 1,000 | Included in Medical | 500.0 | 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 | ||
AK | 2013 | Aleutians East | Expanded Bronze | Premera Blue Cross Blue Shield of Alaska | 38344 | 38344AK1070002 | Premera Blue Cross Preferred Bronze 5800 HSA | PPO | Rating Area 2 | Allows Adult and Child-Only | HIOS | 1-800-508-4722 | 1-800-508-4722 | 1-800-842-5357 | https://premera.sapphirecareselect.com/?ci=premeraak&network_id=81 | https://www.premera.com/documents/045592_2021.pdf | https://www.premera.com/documents/045646_2021.pdf | https://www.premera.com/documents/052166_2021.pdf | True | 99.82% | 271 | 323 | 354 | 371 | 402 | 453 | 632 | 961 | 708 | 804 | 906 | 1264 | 1922 | 979 | 1075 | 1177 | 1535 | 1250 | 1346 | 1448 | 1806 | 1521 | 1617 | 1719 | 2077 | 625 | 673 | 724 | 903 | 896 | 944 | 995 | 1174 | 1167 | 1215 | 1266 | 1445 | 5800 | Included in Medical | 11600 | Included in Medical | 5,800 | Included in Medical | 7,000 | Included in Medical | 14,000 | Included in Medical | 7,000 | Included in Medical | 35% Coinsurance after deductible | 35% Coinsurance after deductible | 35% Coinsurance after deductible | 35% Coinsurance after deductible | 35% Coinsurance after deductible | 35% Coinsurance after deductible | 35% Coinsurance after deductible | 35% Coinsurance after deductible | 40% Coinsurance after deductible | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
AK | 2016 | Aleutians West | Gold | Premera Blue Cross Blue Shield of Alaska | 38344 | 38344AK1060001 | Premera Blue Cross Preferred Gold 1500 | PPO | Rating Area 2 | Allows Adult and Child-Only | HIOS | 1-800-508-4722 | 1-800-508-4722 | 1-800-842-5357 | https://premera.sapphirecareselect.com/?ci=premeraak&network_id=81 | https://www.premera.com/documents/045578_2021.pdf | https://www.premera.com/documents/045632_2021.pdf | https://www.premera.com/documents/052166_2021.pdf | True | 98.98% | 373 | 445 | 488 | 511 | 554 | 623 | 871 | 1324 | 976 | 1108 | 1246 | 1742 | 2648 | 1349 | 1481 | 1619 | 2115 | 1722 | 1854 | 1992 | 2488 | 2095 | 2227 | 2365 | 2861 | 861 | 927 | 996 | 1244 | 1234 | 1300 | 1369 | 1617 | 1607 | 1673 | 1742 | 1990 | 1500 | Included in Medical | 3000 | Included in Medical | 1,500 | Included in Medical | 6,000 | Included in Medical | 12,000 | Included in Medical | 6,000 | Included in Medical | 30 | 60 | 30% Coinsurance after deductible | 30% Coinsurance after deductible | 30% Coinsurance after deductible | 10 | 45 | 50% Coinsurance after deductible | 40% Coinsurance after deductible | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
AK | 2016 | Aleutians West | Silver | Premera Blue Cross Blue Shield of Alaska | 38344 | 38344AK1060002 | Premera Blue Cross Preferred Silver 4500 | PPO | Rating Area 2 | Allows Adult and Child-Only | HIOS | 1-800-508-4722 | 1-800-508-4722 | 1-800-842-5357 | https://premera.sapphirecareselect.com/?ci=premeraak&network_id=81 | https://www.premera.com/documents/045581_2021.pdf | https://www.premera.com/documents/045635_2021.pdf | https://www.premera.com/documents/052166_2021.pdf | True | 99.09% | 415 | 495 | 543 | 569 | 616 | 693 | 969 | 1473 | 1086 | 1232 | 1386 | 1938 | 2946 | 1501 | 1647 | 1801 | 2353 | 1916 | 2062 | 2216 | 2768 | 2331 | 2477 | 2631 | 3183 | 958 | 1031 | 1108 | 1384 | 1373 | 1446 | 1523 | 1799 | 1788 | 1861 | 1938 | 2214 | 4500 | Included in Medical | 9000 | Included in Medical | 4,500 | Included in Medical | 7,350 | Included in Medical | 14,700 | Included in Medical | 7,350 | Included in Medical | 30 | 60 | 30% Coinsurance after deductible | 30% Coinsurance after deductible | 30% Coinsurance after deductible | 20 | 60 | 50% Coinsurance after deductible | 40% Coinsurance after deductible | 4,000 | Included in Medical | 8,000 | Included in Medical | 4,000 | Included in Medical | 6,200 | Included in Medical | 12,400 | Included in Medical | 6,200 | Included in Medical | 15 | 55 | 30% Coinsurance after deductible | 30% Coinsurance after deductible | 30% Coinsurance after deductible | 15 | 60 | 50% Coinsurance after deductible | 40% Coinsurance after deductible | 1,000 | Included in Medical | 2,000 | Included in Medical | 1,000 | Included in Medical | 2,000 | Included in Medical | 4,000 | Included in Medical | 2,000 | Included in Medical | 10 | 45 | 30% Coinsurance after deductible | 30% Coinsurance after deductible | 30% Coinsurance after deductible | 10 | 45 | 50% Coinsurance after deductible | 40% Coinsurance after deductible | 300.0 | Included in Medical | 600.0 | Included in Medical | 300.0 | Included in Medical | 700.0 | Included in Medical | 1,400 | Included in Medical | 700.0 | Included in Medical | 10 | 40 | 30% Coinsurance after deductible | 30% Coinsurance after deductible | 30% Coinsurance after deductible | 10 | 40 | 50% Coinsurance after deductible | 40% Coinsurance after deductible | ||
AK | 2016 | Aleutians West | Expanded Bronze | Premera Blue Cross Blue Shield of Alaska | 38344 | 38344AK1060004 | Premera Blue Cross Preferred Bronze 6350 | PPO | Rating Area 2 | Allows Adult and Child-Only | HIOS | 1-800-508-4722 | 1-800-508-4722 | 1-800-842-5357 | https://premera.sapphirecareselect.com/?ci=premeraak&network_id=81 | https://www.premera.com/documents/045588_2021.pdf | https://www.premera.com/documents/045642_2021.pdf | https://www.premera.com/documents/052166_2021.pdf | True | 98.63% | 277 | 331 | 362 | 379 | 411 | 463 | 647 | 983 | 724 | 822 | 926 | 1294 | 1966 | 1001 | 1099 | 1203 | 1571 | 1278 | 1376 | 1480 | 1848 | 1555 | 1653 | 1757 | 2125 | 639 | 688 | 740 | 924 | 916 | 965 | 1017 | 1201 | 1193 | 1242 | 1294 | 1478 | 6350 | Included in Medical | 12700 | Included in Medical | 6,350 | Included in Medical | 8,400 | Included in Medical | 16,800 | Included in Medical | 8,400 | Included in Medical | 30 | 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 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
AK | 2016 | Aleutians West | Silver | Premera Blue Cross Blue Shield of Alaska | 38344 | 38344AK1070001 | Premera Blue Cross Preferred Silver 3000 HSA | PPO | Rating Area 2 | Allows Adult and Child-Only | HIOS | 1-800-508-4722 | 1-800-508-4722 | 1-800-842-5357 | https://premera.sapphirecareselect.com/?ci=premeraak&network_id=81 | https://www.premera.com/documents/045595_2021.pdf | https://www.premera.com/documents/045649_2021.pdf | https://www.premera.com/documents/052166_2021.pdf | True | 99.88% | 414 | 494 | 541 | 567 | 614 | 692 | 967 | 1469 | 1082 | 1228 | 1384 | 1934 | 2938 | 1496 | 1642 | 1798 | 2348 | 1910 | 2056 | 2212 | 2762 | 2324 | 2470 | 2626 | 3176 | 955 | 1028 | 1106 | 1381 | 1369 | 1442 | 1520 | 1795 | 1783 | 1856 | 1934 | 2209 | 3000 | Included in Medical | 6000 | Included in Medical | 3,000 | Included in Medical | 6,600 | Included in Medical | 13,200 | Included in Medical | 6,600 | 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 | 2,800 | Included in Medical | 5,600 | Included in Medical | 2,800 | Included in Medical | 4,000 | Included in Medical | 8,000 | Included in Medical | 4,000 | 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 | 750 | Included in Medical | 1,500 | Included in Medical | 750 | Included in Medical | 1,650 | Included in Medical | 3,300 | Included in Medical | 1,650 | 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 | 250.0 | Included in Medical | 500.0 | Included in Medical | 250.0 | Included in Medical | 500.0 | Included in Medical | 1,000 | Included in Medical | 500.0 | 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 | ||
AK | 2016 | Aleutians West | Expanded Bronze | Premera Blue Cross Blue Shield of Alaska | 38344 | 38344AK1070002 | Premera Blue Cross Preferred Bronze 5800 HSA | PPO | Rating Area 2 | Allows Adult and Child-Only | HIOS | 1-800-508-4722 | 1-800-508-4722 | 1-800-842-5357 | https://premera.sapphirecareselect.com/?ci=premeraak&network_id=81 | https://www.premera.com/documents/045592_2021.pdf | https://www.premera.com/documents/045646_2021.pdf | https://www.premera.com/documents/052166_2021.pdf | True | 99.82% | 271 | 323 | 354 | 371 | 402 | 453 | 632 | 961 | 708 | 804 | 906 | 1264 | 1922 | 979 | 1075 | 1177 | 1535 | 1250 | 1346 | 1448 | 1806 | 1521 | 1617 | 1719 | 2077 | 625 | 673 | 724 | 903 | 896 | 944 | 995 | 1174 | 1167 | 1215 | 1266 | 1445 | 5800 | Included in Medical | 11600 | Included in Medical | 5,800 | Included in Medical | 7,000 | Included in Medical | 14,000 | Included in Medical | 7,000 | Included in Medical | 35% Coinsurance after deductible | 35% Coinsurance after deductible | 35% Coinsurance after deductible | 35% Coinsurance after deductible | 35% Coinsurance after deductible | 35% Coinsurance after deductible | 35% Coinsurance after deductible | 35% Coinsurance after deductible | 40% Coinsurance after deductible |