Individual and Family Health Plan Information PY2017 to PY2018

$447.50 / year

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”.

Complexity

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.

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

Source License URL

John Snow Labs Standard License

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

NameDescriptionTypeConstraints
YearYear of analysisdate-
StateFull name of different states of U.S.string-
State_AbbreviationTwo-letter state abbreviation in the mailing address of the hospital.string-
FIPS_CodeThe 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-
CountyRefers to the mailing county of the hospital.string-
Metal_LevelIndicates the insurance plan level. It includes the metal names: Bronze, Silver, Gold, Platinum and Catastrophic.string-
Issuer_NameIt includes the Health Insurance Plan provider atering to different states of U.S.string-
HIOS_Issuer_IDIt refers to the identity of the Health Insurance Oversight System (HIOS).string-
Plan_ID_Standard_ComponentOne 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_NameRefers to the name of the Health Insurance Plan which the companies used for their marketing.string-
Plan_TypeIndicates 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_DesignIt 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_AreaUnder 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_OfferingRefers to the information that the Health Insurance Plan is either Adult-Only or Adult and Child-Only.string-
SourceIndicates 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_LocalRefers to the local phone number to contact customer service.string-
Customer_Service_Phone_Number_Toll_FreeRefers to the Toll Free phone number to contact customer service.string-
Customer_Service_Phone_Number_TTYRefers 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_URLIndicates the Universal Resource Locator (URL) of the Health Insurance Network.string-
Plan_Brochure_URLRefers to the Universal Resource Locator (URL) of the Health Insurance Plan Brochure.string-
Summary_of_Benefits_URLIndicates the Universal Resource Locator (URL) of the Health Insurance Summary of Benefits.string-
Drug_Formulary_URLRefers to the Universal Resource Locator (URL) of the Health Insurance Drug Formulary.string-
AccreditationThe information included in this dataset is accredited to: National Committee for Quality Assurance (NCQA) and Utilization Review Accreditation Commission (URAC).string-
Is_Adult_Dental_AllowedRefers to the information whether the Health Insurance Plan covers Adult Dental services or not.boolean-
Is_Child_Dental_AllowedRefers to the information whether the Health Insurance Plan covers chid Dental services or not.boolean-
EHB_Percent_of_Total_PremiumThe 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)".numberlevel : Ratio
Premium_Child_In_DollarsIndicates the child premium amount in dollars within Premium Scenarios.number-
Premium_Individual_Adult_At_Age0_to_14_In_DollarsThis 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_DollarsThis Premium Scenario refers to the premium amount in dollars for Adults at age of 18 years.number-
Premium_Individual_Adult_At_Age21_In_DollarsThis Premium Scenario refers to the premium amount in dollars for Adults at age of 21 years.number-
Premium_Individual_Adult_At_Age27_In_DollarsThis Premium Scenario indicates the premium amount in dollars for Adults at age of 27 years.number-
Premium_Individual_Adult_At_Age30_In_DollarsThis Premium Scenario refers to the premium amount in dollars for Adults at age of 30 years.number-
Premium_Individual_Adult_At_Age40_In_DollarsThis Premium Scenario indicates to the premium amount in dollars for Adults at age of 40 years.number-
Premium_Individual_Adult_At_Age50_In_DollarsThis Premium Scenario refers to the premium amount in dollars for individual Adult at Age of 50 years.number-
Premium_Individual_Adult_At_Age60_In_DollarsThis Premium Scenario refers to the premium amount in dollars for individual Adult at Age of 60 years.number-
Premium_Couple_at_Age21_In_DollarsThis Premium Scenario indicates the premium amount in dollars for the Couple at Age of 21 years.number-
Premium_Couple_at_Age30_In_DollarsThis Premium Scenario indicates the premium amount in dollars for the Couple at Age of 30 years.number-
Premium_Couple_at_Age40_In_DollarsThis Premium Scenario indicates the premium amount in dollars for the Couple at Age of 40 years.number-
Premium_Couple_at_Age50_In_DollarsThis Premium Scenario refers to the premium amount in dollars for the Couple at Age of 50 years.number-
Premium_Couple_at_Age60_In_DollarsThis Premium Scenario indicates the premium amount in dollars for the Couple at Age of 60 years.number-
Premium_Couple_Plus1_Child_At_Age21_In_DollarsThis 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_DollarsThis 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_DollarsThis 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_DollarsThis 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_DollarsThis 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_DollarsThis 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_DollarsThis 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_DollarsThis 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_DollarsThis 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_DollarsThis 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_DollarsThis 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_DollarsThis 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_DollarsThis 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_DollarsThis 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_DollarsThis 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_DollarsThis 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_DollarsThis 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_DollarsThis 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_DollarsThis 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_DollarsThis 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_DollarsThis 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_DollarsThis 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_DollarsThis 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_DollarsThis 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_DollarsIt includes the standardized Medical plan with individual deductible amount in dollars within Standardized Cost Sharing plan.number-
Standard_Individual_Drug_Deductible_In_DollarsIt includes the Standardized Cost Sharing plan for individual drug deductible amount in dollars.number-
Standard_Individual_Drug_Deductible_NoteIt includes the note for Standardized Cost Sharing plan for individual drug deductible.string-
Standard_Family_Medical_Deductible_In_DollarsIt includes the Standardized Cost Sharing plan for family medical deductible amount in dollars.number-
Standard_Family_Medical_Deductible_NoteIt includes the note for Standardized Cost Sharing plan for family medical deductible.string-
Standard_Family_Drug_Deductible_In_DollarsIt includes the Standardized Cost Sharing plan for family drug deductible amount in dollars.number-
Standard_Family_Drug_Deductible_NoteIt includes the note for Standardized Cost Sharing plan for family drug deductible.string-
Standard_Family_Medical_Deductible_Per_Person_In_DollarsIt includes the Standardized Cost Sharing plan for family medical deductible amount in dollars for each person.number-
Standard_Family_Drug_Deductible_Per_Person_In_DollarsIt includes the Standardized Cost Sharing plan for family drug deductible amount in dollars for each person.number-
Standard_Family_Drug_Deductible_Per_Person_NoteIt includes the note for Standardized Cost Sharing plan for family drug deductible for each person.string-
Standard_Individual_Medical_Maximum_Out_Of_Pocket_In_DollarsIt 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_DollarsIt 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_NoteIt 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_DollarsIt 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_NoteIt 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_DollarsIt 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_NoteIt 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_DollarsIt 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_DollarsIt 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_NoteIt contains the note for Standardized Cost Sharing plan for family drug maximum out of pocket for each person.string-
Standard_Primary_Care_Physician_FeeIt includes the Standardized Cost Sharing Plan for Primary care Physician fee.string-
Standard_Specialist_FeeIt includes the Standardized Cost Sharing Plan for Specialist fee.string-
Standard_Emergency_Room_ChargesIt includes the Standardized Cost Sharing Plan for Emergency room charges.string-
Standard_Inpatient_Facility_ChargesIt includes the Standardized Cost Sharing Plan for Inpatient facility charges.string-
Standard_Inpatient_Physician_FeeIt includes the Standardized Cost Sharing Plan for Inpatient Physician fee.string-
Standard_Generic_Drugs_ChargesIt includes the Standardized Cost Sharing Plan for Generic drugs charges.string-
Standard_Preferred_Brand_Drugs_ChargesIt includes the Standardized Cost Sharing Plan for Preferred brand drugs charges.string-
Standard_NonPreferred_Brand_Drugs_ChargesIt includes the Standardized Cost Sharing Plan for Non-Preferred brand drugs charges.string-
Standard_Specialty_Drugs_ChargesIt includes the Standardized Cost Sharing Plan for Speciality drugs charges.string-
Individual_Medical_Deductible_In_Dollars_73PercentIt 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_73PercentIt includes the 73 Percent Actuarial Value Silver Cost Sharing Plan for drug Deductible amount in dollars of an individual.number-
Individual_Drug_Deductible_Note_73PercentIt includes the note for 73 Percent Actuarial Value Silver Cost Sharing Plan for drug Deductible of an individual.string-
Family_Medical_Deductible_In_Dollars_73PercentIt includes the 73 Percent Actuarial Value Silver Cost Sharing Plan for medical Deductible amount in dollars of family.number-
Family_Drug_Deductible_In_Dollars_73PercentIt includes the 73 Percent Actuarial Value Silver Cost Sharing Plan for drug Deductible amount in dollars of family .number-
Family_Drug_Deductible_Note_73PercentIt 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_73PercentIt 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_73PercentIt 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_73PercentIt 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_73PercentIt 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_73PercentIt 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_73PercentIt 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_73PercentIt 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_73PercentIt 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_73PercentIt 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_73PercentIt 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_73PercentIt 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_73PercentIt 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_73PercentIt includes the 73 Percent Actuarial Value Silver Cost Sharing Plan for primary care physician fee.string-
Specialist_Fee_73PercentIt contains the 73 Percent Actuarial Value Silver Cost Sharing Plan for Specialist fee.string-
Emergency_Room_Charges_73PercentIt includes the 73 Percent Actuarial Value Silver Cost Sharing Plan for emergency room charges.string-
Inpatient_Facility_Charges_73PercentIt contains the 73 Percent Actuarial Value Silver Cost Sharing Plan for Inpatient facility charges.string-
Inpatient_Physician_Fee_73PercentIt contains the 73 Percent Actuarial Value Silver Cost Sharing Plan for Inpatient physician fee.string-
Generic_Drugs_Charges_73PercentIt includes the 73 Percent Actuarial Value Silver Cost Sharing Plan for generic drugs charges.string-
Preferred_Brand_Drugs_Charges_73PercentIt includes the 73 Percent Actuarial Value Silver Cost Sharing Plan for preferred brand drugs charges.string-
NonPreferred_Brand_Drugs_Charges_73PercentIt includes the 73 Percent Actuarial Value Silver Cost Sharing Plan for non-preferred brand drugs charges.string-
Specialty_Drugs_Charges_73PercentIt contains the 73 Percent Actuarial Value Silver Cost Sharing Plan for specialty drugs charges.string-
Individual_Medical_Deductible_In_Dollars_87PercentIt 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_87PercentIt contains the 87 Percent Actuarial Value Silver Cost Sharing Plan for drug deductible amount in dollars for an individual.number-
Individual_Drug_Deductible_Note_87PercentIt contains the note 87 Percent Actuarial Value Silver Cost Sharing Plan for drug deductible for an individual.string-
Family_Medical_Deductible_In_Dollars_87PercentIt contains the 87 Percent Actuarial Value Silver Cost Sharing Plan for medical deductible amount in dollars for family.number-
Family_Medical_Deductible_Note_87PercentIt 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_87PercentIt includes the 87 Percent Actuarial Value Silver Cost Sharing Plan for drug deductible amount in dollars for family.number-
Family_Drug_Deductible_Note_87PercentIt 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_87PercentIt 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_87PercentIt 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_87PercentIt 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_87PercentIt 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_87PercentIt 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_87PercentIt 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_87PercentIt 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_87PercentIt 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_87PercentIt 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_87PercentIt 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_87PercentIt 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_87PercentIt 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_87PercentIt includes the 87 Percent Actuarial Value Silver Cost Sharing Plan for primary care physician fee.string-
Specialist_Fee_87PercentIt includes the 87 Percent Actuarial Value Silver Cost Sharing Plan for specialist fee.string-
Emergency_Room_Charges_87PercentIt includes the 87 Percent Actuarial Value Silver Cost Sharing Plan for emergency room charges.string-
Inpatient_Facility_Charges_87PercentIt contains the 87 Percent Actuarial Value Silver Cost Sharing Plan for inpatient facility charges.string-
Inpatient_Physician_Fee_87PercentIt contains the 87 Percent Actuarial Value Silver Cost Sharing Plan for inpatient physician fee.string-
Generic_Drugs_Charges_87PercentIt includes the 87 Percent Actuarial Value Silver Cost Sharing Plan for generic drugs charges.string-
Preferred_Brand_Drugs_Charges_87PercentIt includes the 87 Percent Actuarial Value Silver Cost Sharing Plan for preferred brand drugs charges.string-
NonPreferred_Brand_Drugs_Charges_87PercentIt includes the 87 Percent Actuarial Value Silver Cost Sharing Plan for non-preferred brand drugs charges.string-
Specialty_Drugs_Charges_87PercentIt contains the Cost Sharing 87 percent silver Plan for specialty drugs charges.string-
Individual_Medical_Deductible_In_Dollars_94PercentIt 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_94PercentIt includes the 94 Percent Actuarial Value Silver Cost Sharing Plan for drug deductible amount in dollars for an individual.number-
Individual_Drug_Deductible_Note_94PercentIt includes the note for 94 Percent Actuarial Value Silver Cost Sharing Plan for drug deductible for an individual.string-
Family_Medical_Deductible_In_Dollars_94PercentIt contains the 94 Percent Actuarial Value Silver Cost Sharing Plan for medical deductible amount in dollars for family.number-
Family_Medical_Deductible_Note_94PercentIt contains the note for 94 Percent Actuarial Value Silver Cost Sharing Plan for medical deductible for family.string-
Family_Drug_Deductible_In_Dollars_94PercentIt contains the 94 Percent Actuarial Value Silver Cost Sharing Plan for drug deductible amount in dollars for family.number-
Family_Drug_Deductible_Note_94PercentIt 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_94PercentIt 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_94PercentIt 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_94PercentIt 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_94PercentIt 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_94PercentIt 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_94PercentIt 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_94PercentIt 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_94PercentIt 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_94PercentIt 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_94PercentIt 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_94PercentIt 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_94PercentIt 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_94PercentIt includes the 94 Percent Actuarial Value Silver Cost Sharing Plan for primary care Physician fee.string-
Specialist_Fee_94PercentIt includes the 94 Percent Actuarial Value Silver Cost Sharing Plan for Specialist fee.string-
Emergency_Room_Charges_94PercentIt includes the 94 Percent Actuarial Value Silver Cost Sharing Plan for Emergency room charges.string-
Inpatient_Facility_Charges_94PercentIt includes the 94 Percent Actuarial Value Silver Cost Sharing Plan for Inpatient facility charges.string-
Inpatient_Physician_Fee_94PercentIt includes the 94 Percent Actuarial Value Silver Cost Sharing Plan for Inpatient Physician fee.string-
Generic_Drugs_Charges_94PercentIt includes the 94 Percent Actuarial Value Silver Cost Sharing Plan for Generic drugs charges.string-
Preferred_Brand_Drugs_Charges_94PercentIt includes the 94 Percent Actuarial Value Silver Cost Sharing Plan for Preferred brand drugs charges.string-
NonPreferred_Brand_Drugs_Charges_94PercentIt includes the 94 Percent Actuarial Value Silver Cost Sharing Plan for Non-preferred brand drugs charges.string-
Specialty_Drugs_Charges_94PercentIt includes the 94 Percent Actuarial Value Silver Cost Sharing Plan for Specialty drugs charges.string-
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_87PercentFamily_Drug_Deductible_In_Dollars_87PercentFamily_Drug_Deductible_Note_87PercentFamily_Medical_Deductible_Per_Person_In_Dollars_87PercentFamily_Drug_Deductible_Per_Person_In_Dollars_87PercentFamily_Drug_Deductible_Per_Person_Note_87PercentIndividual_Medical_Maximum_Out_Of_Pocket_In_Dollars_87PercentIndividual_Drug_Maximum_Out_Of_Pocket_In_Dollars_87PercentIndividual_Drug_Maximum_Out_Of_Pocket_Note_87PercentFamily_Medical_Maximum_Out_Of_Pocket_In_Dollars_87PercentFamily_Drug_Maximum_Out_Of_Pocket_In_Dollars_87PercentFamily_Drug_Maximum_Out_Of_Pocket_Note_87PercentFamily_Medical_Maximum_Out_Of_Pocket_Per_Person_In_Dollars_87PercentFamily_Drug_Maximum_Out_Of_Pocket_Per_Person_In_Dollars_87PercentFamily_Drug_Maximum_Out_Of_Pocket_Per_Person_Note_87PercentPrimary_Care_Physician_Fee_87PercentSpecialist_Fee_87PercentEmergency_Room_Charges_87PercentInpatient_Facility_Charges_87PercentInpatient_Physician_Fee_87PercentGeneric_Drugs_Charges_87PercentPreferred_Brand_Drugs_Charges_87PercentNonPreferred_Brand_Drugs_Charges_87PercentSpecialty_Drugs_Charges_87PercentIndividual_Medical_Deductible_In_Dollars_94PercentIndividual_Drug_Deductible_In_Dollars_94PercentIndividual_Drug_Deductible_Note_94PercentFamily_Medical_Deductible_In_Dollars_94PercentFamily_Medical_Deductible_Note_94PercentFamily_Drug_Deductible_In_Dollars_94PercentFamily_Drug_Deductible_Note_94PercentFamily_Medical_Deductible_Per_Person_In_Dollars_94PercentFamily_Drug_Deductible_Per_Person_In_Dollars_94PercentFamily_Drug_Deductible_Per_Person_Note_94PercentIndividual_Medical_Maximum_Out_Of_Pocket_In_Dollars_94PercentIndividual_Drug_Maximum_Out_Of_Pocket_In_Dollars_94PercentIndividual_Drug_Maximum_Out_Of_Pocket_Note_94PercentFamily_Medical_Maximum_Out_Of_Pocket_In_Dollars_94PercentFamily_Drug_Maximum_Out_Of_Pocket_In_Dollars_94PercentFamily_Drug_Maximum_Out_Of_Pocket_Note_94PercentFamily_Medical_Maximum_Out_Of_Pocket_Per_Person_In_Dollars_94PercentFamily_Drug_Maximum_Out_Of_Pocket_Per_Person_In_Dollars_94PercentFamily_Drug_Maximum_Out_Of_Pocket_Per_Person_Note_94PercentPrimary_Care_Physician_Fee_94PercentSpecialist_Fee_94PercentEmergency_Room_Charges_94PercentInpatient_Facility_Charges_94PercentInpatient_Physician_Fee_94PercentGeneric_Drugs_Charges_94PercentPreferred_Brand_Drugs_Charges_94PercentNonPreferred_Brand_Drugs_Charges_94PercentSpecialty_Drugs_Charges_94Percent
2018HawaiiHI15009MauiGoldHawaii Medical Service Association1835018350HI0880007HMSA Gold PPOPPORating Area 1Allows Adult and Child-OnlySERFF1-808-948-55551-800-620-46721-877-447-5990http://www.hmsa.com/search/providershttp://www.hmsa.com/sbc/2018/gold-ppo.pdfhttps://hmsa.com/portal/provider/HMSA_Metallic_Prescription_Formulary.pdffalsefalse0.993033623964154505067081076793900101314162151109612031316171913991506161920221702180919232325700753810101110031056111313141306135914161617Included in MedicalIncluded in Medical7350Included in Medical14700Included in Medical7350Included in Medical$30$3030%30%30%$10$50$10020%
2018HawaiiHI15007KauaiGoldHawaii Medical Service Association1835018350HI0880007HMSA Gold PPOPPORating Area 1Allows Adult and Child-OnlySERFF1-808-948-55551-800-620-46721-877-447-5990http://www.hmsa.com/search/providershttp://www.hmsa.com/sbc/2018/gold-ppo.pdfhttps://hmsa.com/portal/provider/HMSA_Metallic_Prescription_Formulary.pdffalsefalse0.993033623964154505067081076793900101314162151109612031316171913991506161920221702180919232325700753810101110031056111313141306135914161617Included in MedicalIncluded in Medical7350Included in Medical14700Included in Medical7350Included in Medical$30$3030%30%30%$10$50$10020%
2018HawaiiHI15001HawaiiGoldHawaii Medical Service Association1835018350HI0880007HMSA Gold PPOPPORating Area 1Allows Adult and Child-OnlySERFF1-808-948-55551-800-620-46721-877-447-5990http://www.hmsa.com/search/providershttp://www.hmsa.com/sbc/2018/gold-ppo.pdfhttps://hmsa.com/portal/provider/HMSA_Metallic_Prescription_Formulary.pdffalsefalse0.993033623964154505067081076793900101314162151109612031316171913991506161920221702180919232325700753810101110031056111313141306135914161617Included in MedicalIncluded in Medical7350Included in Medical14700Included in Medical7350Included in Medical$30$3030%30%30%$10$50$10020%
2018HawaiiHI15003HonoluluGoldHawaii Medical Service Association1835018350HI0880007HMSA Gold PPOPPORating Area 1Allows Adult and Child-OnlySERFF1-808-948-55551-800-620-46721-877-447-5990http://www.hmsa.com/search/providershttp://www.hmsa.com/sbc/2018/gold-ppo.pdfhttps://hmsa.com/portal/provider/HMSA_Metallic_Prescription_Formulary.pdffalsefalse0.993033623964154505067081076793900101314162151109612031316171913991506161920221702180919232325700753810101110031056111313141306135914161617Included in MedicalIncluded in Medical7350Included in Medical14700Included in Medical7350Included in Medical$30$3030%30%30%$10$50$10020%
2018PA42017BucksGoldKeystone Health Plan East, Inc3387133871PA0040002Keystone HMO GoldHMORating Area 8Allows Adult and Child-OnlySERFF1-844-258-34631-844-258-34631-844-258-3463http://www.ibx.com/individuals/find_provider/index.htmlhttps://www.ibx4you.com/ffm/brochure2018https://www.ibx4you.com/pdfs/ffm/2018/hmogold2018.pdfhttp://www.ibx.com/ffm/formulary5vfalsefalse1382456499523567638892135599911331276178427101381151516582165176318972040254721452279242229298819491020127412631331140216561645171317842038$06000Included in Medical12000Included in Medical6000Included in Medical$35$65$350$750 Copay per Day20%$1540%50%50%
2018PA42029ChesterGoldKeystone Health Plan East, Inc3387133871PA0040002Keystone HMO GoldHMORating Area 8Allows Adult and Child-OnlySERFF1-844-258-34631-844-258-34631-844-258-3463http://www.ibx.com/individuals/find_provider/index.htmlhttps://www.ibx4you.com/ffm/brochure2018https://www.ibx4you.com/pdfs/ffm/2018/hmogold2018.pdfhttp://www.ibx.com/ffm/formulary5vfalsefalse1382456499523567638892135599911331276178427101381151516582165176318972040254721452279242229298819491020127412631331140216561645171317842038$06000Included in Medical12000Included in Medical6000Included in Medical$35$65$350$750 Copay per Day20%$1540%50%50%
2018PA42045DelawareGoldKeystone Health Plan East, Inc3387133871PA0040002Keystone HMO GoldHMORating Area 8Allows Adult and Child-OnlySERFF1-844-258-34631-844-258-34631-844-258-3463http://www.ibx.com/individuals/find_provider/index.htmlhttps://www.ibx4you.com/ffm/brochure2018https://www.ibx4you.com/pdfs/ffm/2018/hmogold2018.pdfhttp://www.ibx.com/ffm/formulary5vfalsefalse1382456499523567638892135599911331276178427101381151516582165176318972040254721452279242229298819491020127412631331140216561645171317842038$06000Included in Medical12000Included in Medical6000Included in Medical$35$65$350$750 Copay per Day20%$1540%50%50%
2018PA42091MontgomeryGoldKeystone Health Plan East, Inc3387133871PA0040002Keystone HMO GoldHMORating Area 8Allows Adult and Child-OnlySERFF1-844-258-34631-844-258-34631-844-258-3463http://www.ibx.com/individuals/find_provider/index.htmlhttps://www.ibx4you.com/ffm/brochure2018https://www.ibx4you.com/pdfs/ffm/2018/hmogold2018.pdfhttp://www.ibx.com/ffm/formulary5vfalsefalse1382456499523567638892135599911331276178427101381151516582165176318972040254721452279242229298819491020127412631331140216561645171317842038$06000Included in Medical12000Included in Medical6000Included in Medical$35$65$350$750 Copay per Day20%$1540%50%50%
2018HawaiiHI15009MauiPlatinumHawaii Medical Service Association1835018350HI0880001HMSA Platinum PPOPPORating Area 1Allows Adult and Child-OnlySERFF1-808-948-55551-800-620-46721-877-447-5990http://www.hmsa.com/search/providershttp://www.hmsa.com/sbc/2018/platinum-ppo.pdfhttps://hmsa.com/portal/provider/HMSA_Metallic_Prescription_Formulary.pdffalsefalse0.9833740244046250056378711958811000112615732391121813371463191015551674180022471892201121372584777837900112411141174123714611451151115741798Included in MedicalIncluded in Medical7150Included in Medical14300Included in Medical7150Included in Medical$20$2020%20%10%$7$30$7520%
2018HawaiiHI15007KauaiPlatinumHawaii Medical Service Association1835018350HI0880001HMSA Platinum PPOPPORating Area 1Allows Adult and Child-OnlySERFF1-808-948-55551-800-620-46721-877-447-5990http://www.hmsa.com/search/providershttp://www.hmsa.com/sbc/2018/platinum-ppo.pdfhttps://hmsa.com/portal/provider/HMSA_Metallic_Prescription_Formulary.pdffalsefalse0.9833740244046250056378711958811000112615732391121813371463191015551674180022471892201121372584777837900112411141174123714611451151115741798Included in MedicalIncluded in Medical7150Included in Medical14300Included in Medical7150Included in Medical$20$2020%20%10%$7$30$7520%