Others titles
- Certified Insurance Dental Plans
- Health Insurance Metal Plans in Market
Keywords
- Health Care
- Health Insurance
- Health Dental Plans
- Adults Health Care Coverage
- Age Groups and Health Care Coverage
- Primary Care Physician
- Dental Plans in Market
- Health Premiums
- Health Dental Plans
Quality Dental Plans in Market
This dataset shows 2023 individual and family dental plans available in states where the federal government is operating the Marketplace. States not represented in the dataset runs their own Marketplaces.
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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 document reports plans offered by 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.
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
About this Dataset
Data Info
Date Created | 2016-06-23 |
---|---|
Last Modified | 2022-11-01 |
Version | 2022-11-01 |
Update Frequency |
Annual |
Temporal Coverage |
2023-01-01 to 2023-12-31 |
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 | Health Care, Health Insurance, Health Dental Plans, Adults Health Care Coverage, Age Groups and Health Care Coverage, Primary Care Physician, Dental Plans in Market, Health Premiums, Health Dental Plans |
Other Titles | Certified Insurance Dental Plans, Health Insurance Metal Plans in Market |
Data Fields
Name | Description | Type | Constraints |
---|---|---|---|
State_Abbreviation | State abbreviation for which dental 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 | - |
Health_Plan_Level | Category of health plan level offered (High and Low) | 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, Indemnity) | 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 of health plan on web URL | string | - |
Is_Basic_Adult_Dental_Care | Adult basic dental coverage in health plan | boolean | - |
Is_Basic_Child_Dental_Care | Children basic dental coverage in health plan | boolean | - |
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 plus one child age 21 | number | - |
Individual_Plus_1_Child_Age_30 | Premium amount for individual plus one child age 30 | number | - |
Individual_Plus_1_Child_Age_40 | Premium amount for individual plus one child age 40 | number | - |
Individual_Plus_1_Child_Age_50 | Premium amount for individual plus one child age 50 | number | - |
Individual_Plus_2_Child_Age_21 | Premium amount for individual plus two children age 21 | number | - |
Individual_Plus_2_Child_Age_30 | Premium amount for individual plus two children age 30 | number | - |
Individual_Plus_2_Child_Age_40 | Premium amount for individual plus two children age 40 | number | - |
Individual_Plus_2_Child_Age_50 | Premium amount for individual plus two children age 50 | number | - |
Individual_Plus_3_Child_Age_21 | Premium amount for individual plus three children or more age 21 | number | - |
Individual_Plus_3_Child_Age_30 | Premium amount for individual plus three children or more age 30 | number | - |
Individual_Plus_3_Child_Age_40 | Premium amount for individual plus three children or more age 40 | number | - |
Individual_Plus_3_Child_Age_50 | Premium amount for individual plus three children or more age 50 | number | - |
Dental_Deductible_Individual_Standard | Deductible amount for in-network dental care by individual standard | number | - |
Dental_Deductible_Family_Standard | Deductible amount for in-network dental care by family standard | string | - |
Dental_Deductible_Family_Per_Person_Standard | Deductible amount for in-network dental care by per person standard | number | - |
Dental_Maximum_Out_of_Pocket_Individual_Standard | number | - | |
Dental_Maximum_Out_of_Pocket_Family_Standard | number | - | |
Dental_Maximum_Out_of_Pocket_Family_Per_Person_Standard | number | - |
Data Preview
State Abbreviation | FIPS Code | County | Health Plan 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 | Is Basic Adult Dental Care | Is Basic Child Dental Care | 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 | Dental Deductible Individual Standard | Dental Deductible Family Standard | Dental Deductible Family Per Person Standard | Dental Maximum Out of Pocket Individual Standard | Dental Maximum Out of Pocket Family Standard | Dental Maximum Out of Pocket Family Per Person Standard | Unnamed: 63 | Unnamed: 64 | Unnamed: 65 | Unnamed: 66 | Unnamed: 67 | Unnamed: 68 | Unnamed: 69 | Unnamed: 70 | Unnamed: 71 | Unnamed: 72 | Unnamed: 73 | Unnamed: 74 | Unnamed: 75 | Unnamed: 76 | Unnamed: 77 | Unnamed: 78 |
AK | 2013 | Aleutians East | Low | Delta Dental of Alaska | 21989 | 21989AK0030001 | Delta Dental Premier Plan | Indemnity | Rating Area 2 | Allows Adult and Child-Only | HIOS | 1-844-235-8014 | 1-844-235-8014 | 1-844-235-8014 | https://www.modahealth.com/ProviderSearch?productCategory=dental&selectedNetwork=DeltaDentalPremier&state=AK | https://www.deltadentalak.com/-/media/deltadental/downloads/alaska/plans/2024/individual/Delta-Dental-Premier-Plan-SOB-2024-AK.pdf | True | True | 64 | 64 | 33 | 33 | 35 | 40 | 44 | 53 | 66 | 70 | 80 | 88 | 106 | 130 | 134 | 144 | 152 | 194 | 198 | 208 | 216 | 258 | 262 | 272 | 280 | 97 | 99 | 104 | 108 | 161 | 163 | 168 | 172 | 225 | 227 | 232 | 236 | 0 | 0 | 0 | 400 | 800 | 400 | |||||||||||||||||
AK | 2013 | Aleutians East | High | BEST Life | 74819 | 74819AK0020007 | BESTOne Advantage Gold | Indemnity | Rating Area 2 | Allows Adult and Child-Only | HIOS | 1-949-253-4080 | 1-800-433-0088 | 1-949-222-2134 | https://www.bestlife.com/Provider_Search/ | http://www.bestlife.com/AK/current/AK_BESTOne_Dental_Advantage-Gold_Plan.pdf | True | True | 45 | 46 | 48 | 52 | 52 | 52 | 52 | 52 | 97 | 104 | 104 | 104 | 104 | 142 | 148 | 148 | 148 | 187 | 193 | 193 | 193 | 232 | 238 | 238 | 238 | 93 | 97 | 97 | 97 | 138 | 142 | 142 | 142 | 183 | 186 | 186 | 186 | 50 | 150 | 50 | 350 | 700 | 350 | |||||||||||||||||
AK | 2013 | Aleutians East | Low | BEST Life | 74819 | 74819AK0020010 | BESTOne Basic Silver | Indemnity | Rating Area 2 | Allows Adult and Child-Only | HIOS | 1-949-253-4080 | 1-800-433-0088 | 1-949-222-2134 | https://www.bestlife.com/Provider_Search/ | http://www.bestlife.com/AK/current/AK_BESTOne_Dental_Base-Silver_Plan.pdf | True | True | 35 | 36 | 28 | 29 | 29 | 29 | 29 | 29 | 55 | 59 | 59 | 59 | 59 | 90 | 94 | 94 | 94 | 125 | 128 | 128 | 128 | 159 | 163 | 163 | 163 | 62 | 64 | 64 | 64 | 97 | 99 | 99 | 99 | 132 | 134 | 134 | 134 | 75 | See Plan Brochure | 75 | 350 | 700 | 350 | |||||||||||||||||
AK | 2013 | Aleutians East | High | BEST Life | 74819 | 74819AK0020011 | BESTOne Gold Plus | Indemnity | Rating Area 2 | Allows Adult and Child-Only | HIOS | 1-949-253-4080 | 1-800-433-0088 | 1-949-222-2134 | https://www.bestlife.com/Provider_Search/ | http://www.bestlife.com/AK/current/AK_BESTOne_Dental_Gold-Plus_Plan.pdf | True | True | 45 | 46 | 40 | 42 | 42 | 42 | 42 | 42 | 79 | 85 | 85 | 85 | 85 | 124 | 130 | 130 | 130 | 169 | 175 | 175 | 175 | 214 | 219 | 219 | 219 | 85 | 87 | 87 | 87 | 129 | 132 | 132 | 132 | 174 | 177 | 177 | 177 | 50 | 150 | 50 | 350 | 700 | 350 | |||||||||||||||||
AK | 2013 | Aleutians East | Low | BEST Life | 74819 | 74819AK0020012 | BESTOne Base Silver | Indemnity | Rating Area 2 | Allows Adult and Child-Only | HIOS | 1-949-253-4080 | 1-800-433-0088 | 1-949-222-2134 | https://www.bestlife.com/Provider_Search/ | http://www.bestlife.com/AK/current/AK_BESTOne_Dental_Basic-Silver_Plan.pdf | True | True | 35 | 36 | 19 | 21 | 21 | 21 | 21 | 21 | 39 | 41 | 41 | 41 | 41 | 73 | 76 | 76 | 76 | 108 | 111 | 111 | 111 | 143 | 146 | 146 | 146 | 54 | 55 | 55 | 55 | 89 | 90 | 90 | 90 | 124 | 125 | 125 | 125 | 75 | See Plan Brochure | 75 | 350 | 700 | 350 | |||||||||||||||||
AK | 2016 | Aleutians West | Low | Delta Dental of Alaska | 21989 | 21989AK0030001 | Delta Dental Premier Plan | Indemnity | Rating Area 2 | Allows Adult and Child-Only | HIOS | 1-844-235-8014 | 1-844-235-8014 | 1-844-235-8014 | https://www.modahealth.com/ProviderSearch?productCategory=dental&selectedNetwork=DeltaDentalPremier&state=AK | https://www.deltadentalak.com/-/media/deltadental/downloads/alaska/plans/2024/individual/Delta-Dental-Premier-Plan-SOB-2024-AK.pdf | True | True | 64 | 64 | 33 | 33 | 35 | 40 | 44 | 53 | 66 | 70 | 80 | 88 | 106 | 130 | 134 | 144 | 152 | 194 | 198 | 208 | 216 | 258 | 262 | 272 | 280 | 97 | 99 | 104 | 108 | 161 | 163 | 168 | 172 | 225 | 227 | 232 | 236 | 0 | 0 | 0 | 400 | 800 | 400 | |||||||||||||||||
AK | 2016 | Aleutians West | High | BEST Life | 74819 | 74819AK0020007 | BESTOne Advantage Gold | Indemnity | Rating Area 2 | Allows Adult and Child-Only | HIOS | 1-949-253-4080 | 1-800-433-0088 | 1-949-222-2134 | https://www.bestlife.com/Provider_Search/ | http://www.bestlife.com/AK/current/AK_BESTOne_Dental_Advantage-Gold_Plan.pdf | True | True | 45 | 46 | 48 | 52 | 52 | 52 | 52 | 52 | 97 | 104 | 104 | 104 | 104 | 142 | 148 | 148 | 148 | 187 | 193 | 193 | 193 | 232 | 238 | 238 | 238 | 93 | 97 | 97 | 97 | 138 | 142 | 142 | 142 | 183 | 186 | 186 | 186 | 50 | 150 | 50 | 350 | 700 | 350 | |||||||||||||||||
AK | 2016 | Aleutians West | Low | BEST Life | 74819 | 74819AK0020010 | BESTOne Basic Silver | Indemnity | Rating Area 2 | Allows Adult and Child-Only | HIOS | 1-949-253-4080 | 1-800-433-0088 | 1-949-222-2134 | https://www.bestlife.com/Provider_Search/ | http://www.bestlife.com/AK/current/AK_BESTOne_Dental_Base-Silver_Plan.pdf | True | True | 35 | 36 | 28 | 29 | 29 | 29 | 29 | 29 | 55 | 59 | 59 | 59 | 59 | 90 | 94 | 94 | 94 | 125 | 128 | 128 | 128 | 159 | 163 | 163 | 163 | 62 | 64 | 64 | 64 | 97 | 99 | 99 | 99 | 132 | 134 | 134 | 134 | 75 | See Plan Brochure | 75 | 350 | 700 | 350 | |||||||||||||||||
AK | 2016 | Aleutians West | High | BEST Life | 74819 | 74819AK0020011 | BESTOne Gold Plus | Indemnity | Rating Area 2 | Allows Adult and Child-Only | HIOS | 1-949-253-4080 | 1-800-433-0088 | 1-949-222-2134 | https://www.bestlife.com/Provider_Search/ | http://www.bestlife.com/AK/current/AK_BESTOne_Dental_Gold-Plus_Plan.pdf | True | True | 45 | 46 | 40 | 42 | 42 | 42 | 42 | 42 | 79 | 85 | 85 | 85 | 85 | 124 | 130 | 130 | 130 | 169 | 175 | 175 | 175 | 214 | 219 | 219 | 219 | 85 | 87 | 87 | 87 | 129 | 132 | 132 | 132 | 174 | 177 | 177 | 177 | 50 | 150 | 50 | 350 | 700 | 350 | |||||||||||||||||
AK | 2016 | Aleutians West | Low | BEST Life | 74819 | 74819AK0020012 | BESTOne Base Silver | Indemnity | Rating Area 2 | Allows Adult and Child-Only | HIOS | 1-949-253-4080 | 1-800-433-0088 | 1-949-222-2134 | https://www.bestlife.com/Provider_Search/ | http://www.bestlife.com/AK/current/AK_BESTOne_Dental_Basic-Silver_Plan.pdf | True | True | 35 | 36 | 19 | 21 | 21 | 21 | 21 | 21 | 39 | 41 | 41 | 41 | 41 | 73 | 76 | 76 | 76 | 108 | 111 | 111 | 111 | 143 | 146 | 146 | 146 | 54 | 55 | 55 | 55 | 89 | 90 | 90 | 90 | 124 | 125 | 125 | 125 | 75 | See Plan Brochure | 75 | 350 | 700 | 350 |