Namara Marketplace

Benefits Cost Sharing PUF - 2018

Businessyear

Want total control?

Request access to start using the data.

Statecode

Want total control?

Request access to start using the data.

Issuerid

Want total control?

Request access to start using the data.

Sourcename

Want total control?

Request access to start using the data.

Importdate

Want total control?

Request access to start using the data.

Standardcomponentid

Want total control?

Request access to start using the data.

Planid

Want total control?

Request access to start using the data.

Benefitname

Want total control?

Request access to start using the data.

Copayinntier1

Want total control?

Request access to start using the data.

Copayinntier2

Want total control?

Request access to start using the data.

Copayoutofnet

Want total control?

Request access to start using the data.

Coinsinntier1

Want total control?

Request access to start using the data.

Coinsinntier2

Want total control?

Request access to start using the data.

Coinsoutofnet

Want total control?

Request access to start using the data.

Isehb

Want total control?

Request access to start using the data.

Iscovered

Want total control?

Request access to start using the data.

Quantlimitonsvc

Want total control?

Request access to start using the data.

Limitqty

Want total control?

Request access to start using the data.

Limitunit

Want total control?

Request access to start using the data.

Exclusions

Want total control?

Request access to start using the data.

Explanation

Want total control?

Request access to start using the data.

Ehbvarreason

Want total control?

Request access to start using the data.

Isexclfrominnmoop

Want total control?

Request access to start using the data.

Isexclfromoonmoop

Want total control?

Request access to start using the data.

2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0030001
21989AK0030001-00
Accidental Dental
2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0030001
21989AK0030001-00
Basic Dental Care - Child
Not Applicable
Not Applicable
70.00%
0.7
t
Covered
f
f
2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0030001
21989AK0030001-00
Dental Check-Up for Children
Not Applicable
Not Applicable
30.00%
0.3
t
Covered
t
1
Visit(s) per 6 Months
Substantially Equal
f
f
2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0030001
21989AK0030001-00
Major Dental Care - Adult
Not Applicable
Not Applicable
50.00%
0.5
Covered
t
1000
Dollars per Year
12-exclusion period period for age 19 and over if member does not have 12 continuous months of prior dental coverage with no more than a 90-day break in coverage from the end of the old policy to the effective date of the new policy
Not EHB
f
f
2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0030001
21989AK0030001-00
Major Dental Care - Child
Not Applicable
Not Applicable
70.00%
0.7
t
Covered
f
f
2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0030001
21989AK0030001-00
Orthodontia - Adult
2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0030001
21989AK0030001-00
Orthodontia - Child
Not Applicable
Not Applicable
70.00%
0.7
t
Covered
Only medically necessary orthodontia is covered
Substantially Equal
f
f
2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0030001
21989AK0030001-00
Routine Dental Services (Adult)
Not Applicable
Not Applicable
20.00%
0.2
Covered
t
1000
Dollars per Year
Combined annual benefit maximum
Not EHB
f
f
2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0030001
21989AK0030001-01
Accidental Dental
2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0030001
21989AK0030001-01
Basic Dental Care - Child
Not Applicable
Not Applicable
70.00%
0.7
t
Covered
f
f
2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0030001
21989AK0030001-01
Dental Check-Up for Children
Not Applicable
Not Applicable
30.00%
0.3
t
Covered
t
1
Visit(s) per 6 Months
Substantially Equal
f
f
2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0030001
21989AK0030001-01
Major Dental Care - Adult
Not Applicable
Not Applicable
50.00%
0.5
Covered
t
1000
Dollars per Year
12-exclusion period period for age 19 and over if member does not have 12 continuous months of prior dental coverage with no more than a 90-day break in coverage from the end of the old policy to the effective date of the new policy
Not EHB
f
f
2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0030001
21989AK0030001-01
Major Dental Care - Child
Not Applicable
Not Applicable
70.00%
0.7
t
Covered
f
f
2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0030001
21989AK0030001-01
Orthodontia - Adult
2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0030001
21989AK0030001-01
Orthodontia - Child
Not Applicable
Not Applicable
70.00%
0.7
t
Covered
Only medically necessary orthodontia is covered
Substantially Equal
f
f
2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0030001
21989AK0030001-01
Routine Dental Services (Adult)
Not Applicable
Not Applicable
20.00%
0.2
Covered
t
1000
Dollars per Year
Combined annual benefit maximum
Not EHB
f
f
2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0050001
21989AK0050001-00
Accidental Dental
2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0050001
21989AK0050001-00
Basic Dental Care - Adult
Not Applicable
Not Applicable
20.00%
0.5
Covered
t
1000
Visit(s) per Year
6-month exclusion period for age 19 and over if member does not have 12 continuous months of prior dental coverage with no more than a 90-day break in coverage from the end of the old policy to the effective date of the new policy.
Not EHB
f
f
2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0050001
21989AK0050001-00
Basic Dental Care - Child
Not Applicable
Not Applicable
50.00%
0.7
t
Covered
f
f
2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0050001
21989AK0050001-00
Major Dental Care - Adult
Not Applicable
Not Applicable
50.00%
0.5
Covered
t
1000
Visit(s) per Year
12-month exclusion period for age 19 and over if member does not have 12 continuous months of prior dental coverage with no more than a 90-day break in coverage from the end of the old policy to the effective date of the new policy.
Not EHB
f
f
2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0050001
21989AK0050001-00
Major Dental Care - Child
Not Applicable
Not Applicable
70.00%
0.7
t
Covered
f
f
2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0050001
21989AK0050001-00
Orthodontia - Adult
2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0050001
21989AK0050001-00
Orthodontia - Child
Not Applicable
Not Applicable
70.00%
0.7
t
Covered
Only medically necessary orthodontia is covered
Substantially Equal
f
f
2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0050001
21989AK0050001-00
Routine Dental Services (Adult)
Not Applicable
Not Applicable
No Charge
0.5
Covered
t
1000
Dollars per Year
Combined annual benefit maximum
Not EHB
f
f
2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0050001
21989AK0050001-01
Accidental Dental
2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0050001
21989AK0050001-01
Basic Dental Care - Adult
Not Applicable
Not Applicable
20.00%
0.5
Covered
t
1000
Visit(s) per Year
6-month exclusion period for age 19 and over if member does not have 12 continuous months of prior dental coverage with no more than a 90-day break in coverage from the end of the old policy to the effective date of the new policy.
Not EHB
f
f
2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0050001
21989AK0050001-01
Basic Dental Care - Child
Not Applicable
Not Applicable
50.00%
0.7
t
Covered
f
f
2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0050001
21989AK0050001-01
Major Dental Care - Adult
Not Applicable
Not Applicable
50.00%
0.5
Covered
t
1000
Visit(s) per Year
12-month exclusion period for age 19 and over if member does not have 12 continuous months of prior dental coverage with no more than a 90-day break in coverage from the end of the old policy to the effective date of the new policy.
Not EHB
f
f
2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0050001
21989AK0050001-01
Major Dental Care - Child
Not Applicable
Not Applicable
70.00%
0.7
t
Covered
f
f
2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0050001
21989AK0050001-01
Orthodontia - Adult
2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0050001
21989AK0050001-01
Orthodontia - Child
Not Applicable
Not Applicable
70.00%
0.7
t
Covered
Only medically necessary orthodontia is covered
Substantially Equal
f
f
2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0050001
21989AK0050001-01
Routine Dental Services (Adult)
Not Applicable
Not Applicable
No Charge
0.5
Covered
t
1000
Dollars per Year
Combined annual benefit maximum
Not EHB
f
f
2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0050002
21989AK0050002-00
Accidental Dental
2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0050002
21989AK0050002-00
Basic Dental Care - Adult
Not Applicable
Not Applicable
20.00%
0.5
Covered
t
1500
Visit(s) per Year
6-month exclusion period for age 19 and over if member does not have 12 continuous months of prior dental coverage with no more than a 90-day break in coverage from the end of the old policy to the effective date of the new policy.
Not EHB
f
f
2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0050002
21989AK0050002-00
Basic Dental Care - Child
Not Applicable
Not Applicable
50.00%
0.7
t
Covered
f
f
2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0050002
21989AK0050002-00
Major Dental Care - Adult
Not Applicable
Not Applicable
50.00%
0.5
Covered
t
1500
Visit(s) per Year
12-month exclusion period for age 19 and over if member does not have 12 continuous months of prior dental coverage with no more than a 90-day break in coverage from the end of the old policy to the effective date of the new policy.
Not EHB
f
f
2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0050002
21989AK0050002-00
Major Dental Care - Child
Not Applicable
Not Applicable
70.00%
0.7
t
Covered
f
f
2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0050002
21989AK0050002-00
Orthodontia - Adult
2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0050002
21989AK0050002-00
Orthodontia - Child
Not Applicable
Not Applicable
70.00%
0.7
t
Covered
Only medically necessary orthodontia is covered
Substantially Equal
f
f
2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0050002
21989AK0050002-00
Routine Dental Services (Adult)
Not Applicable
Not Applicable
No Charge
0.5
Covered
t
1500
Dollars per Year
Combined annual benefit maximum
Not EHB
f
f
2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0050002
21989AK0050002-01
Accidental Dental
2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0050002
21989AK0050002-01
Basic Dental Care - Adult
Not Applicable
Not Applicable
20.00%
0.5
Covered
t
1500
Visit(s) per Year
6-month exclusion period for age 19 and over if member does not have 12 continuous months of prior dental coverage with no more than a 90-day break in coverage from the end of the old policy to the effective date of the new policy.
Not EHB
f
f
2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0050002
21989AK0050002-01
Basic Dental Care - Child
Not Applicable
Not Applicable
50.00%
0.7
t
Covered
f
f
2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0050002
21989AK0050002-01
Major Dental Care - Adult
Not Applicable
Not Applicable
50.00%
0.5
Covered
t
1500
Visit(s) per Year
12-month exclusion period for age 19 and over if member does not have 12 continuous months of prior dental coverage with no more than a 90-day break in coverage from the end of the old policy to the effective date of the new policy.
Not EHB
f
f
2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0050002
21989AK0050002-01
Major Dental Care - Child
Not Applicable
Not Applicable
70.00%
0.7
t
Covered
f
f
2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0050002
21989AK0050002-01
Orthodontia - Adult
2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0050002
21989AK0050002-01
Orthodontia - Child
Not Applicable
Not Applicable
70.00%
0.7
t
Covered
Only medically necessary orthodontia is covered
Substantially Equal
f
f
2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0050002
21989AK0050002-01
Routine Dental Services (Adult)
Not Applicable
Not Applicable
No Charge
0.5
Covered
t
1500
Dollars per Year
Combined annual benefit maximum
Not EHB
f
f
2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0070001
21989AK0070001-00
Accidental Dental
2018
AK
21989
HIOS
2017-09-26 02:21:16
21989AK0070001
21989AK0070001-00
Basic Dental Care - Adult

Want to start using the data?

Namara offers a connection to over 250K data feeds from every industry and the tools to drive value and insight.