CMS
Health insurance marketplace plans & rates
Every plan sold on HealthCare.gov: benefits and cost sharing, premiums by age and area, networks, service areas, and how plans carry over.
Published by CMS
Finest detail county
Tables 8
Benefits and cost sharing
Sample of 25 rows out of about 1,465,051
· 27 columns
| row_id | plan_year | state | businessyear | statecode | issuerid | sourcename | importdate | standardcomponentid | planid | benefitname | copayinntier1 | copayinntier2 | copayoutofnet | coinsinntier1 | coinsinntier2 | coinsoutofnet | isehb | iscovered | quantlimitonsvc | limitqty | limitunit | exclusions | explanation | ehbvarreason | isexclfrominnmoop | isexclfromoonmoop |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | 2026 | AK | 2026 | AK | 21989 | HIOS | 2025-10-15 | 21989AK0030001 | 21989AK0030001-00 | Accidental Dental | No data | No data | No data | No data | No data | No data | No data | Not Covered | No data | No data | No data | No data | No data | No data | No data | No data |
| 2 | 2026 | AK | 2026 | AK | 21989 | HIOS | 2025-10-15 | 21989AK0030001 | 21989AK0030001-00 | Basic Dental Care - Adult | Not Applicable | No data | Not Applicable | 35.00% | No data | 35.00% | No data | Covered | No data | No data | No data | See policy for exclusions. | All dental services are subject to an annual maximum of $1,100. See policy for other limits. A 6-month exclusion period applies except if the member has one year of prior dental coverage with no more than a 90-day break in coverage from the end of the old plicy to the effective date of the new policy. | Not EHB | Yes | Yes |
| 3 | 2026 | AK | 2026 | AK | 21989 | HIOS | 2025-10-15 | 21989AK0030001 | 21989AK0030001-00 | Basic Dental Care - Child | Not Applicable | No data | Not Applicable | 60.00% | No data | 60.00% | Yes | Covered | No data | No data | No data | See policy for exclusions. | See policy for limits. | Substantially Equal | No | No |
| 4 | 2026 | AK | 2026 | AK | 21989 | HIOS | 2025-10-15 | 21989AK0030001 | 21989AK0030001-00 | Dental Check-Up for Children | Not Applicable | No data | Not Applicable | 15.00% | No data | 15.00% | Yes | Covered | Yes | 2.0 | Exam(s) per Year | See policy for exclusions. | See policy for other limits. | Substantially Equal | No | No |
| 5 | 2026 | AK | 2026 | AK | 21989 | HIOS | 2025-10-15 | 21989AK0030001 | 21989AK0030001-00 | Major Dental Care - Adult | Not Applicable | No data | Not Applicable | 50.00% | No data | 50.00% | No data | Covered | No data | No data | No data | See policy for exclusions. | All dental services are subject to an annual maximum of $1,100. See policy for other limits. A 12-month exclusion period applies except if the member has one year of prior dental coverage with no more than a 90-day break in coverage from the end of the old plicy to the effective date of the new policy. | Not EHB | Yes | Yes |
| 6 | 2026 | AK | 2026 | AK | 21989 | HIOS | 2025-10-15 | 21989AK0030001 | 21989AK0030001-00 | Major Dental Care - Child | Not Applicable | No data | Not Applicable | 70.00% | No data | 70.00% | Yes | Covered | No data | No data | No data | See policy for exclusions. | See policy for limits. | Substantially Equal | No | No |
| 7 | 2026 | AK | 2026 | AK | 21989 | HIOS | 2025-10-15 | 21989AK0030001 | 21989AK0030001-00 | Orthodontia - Adult | No data | No data | No data | No data | No data | No data | No data | Not Covered | No data | No data | No data | No data | No data | No data | No data | No data |
| 8 | 2026 | AK | 2026 | AK | 21989 | HIOS | 2025-10-15 | 21989AK0030001 | 21989AK0030001-00 | Orthodontia - Child | Not Applicable | No data | Not Applicable | 70.00% | No data | 70.00% | Yes | Covered | No data | No data | No data | See policy for exclusions. | For medically necessary orthodontic treatment only. | Substantially Equal | No | No |
| 9 | 2026 | AK | 2026 | AK | 21989 | HIOS | 2025-10-15 | 21989AK0030001 | 21989AK0030001-00 | Routine Dental Services (Adult) | Not Applicable | No data | Not Applicable | 20.00% | No data | 20.00% | No data | Covered | Yes | 2.0 | Exam(s) per Year | See policy for exclusions. | All dental services are subject to an annual maximum of $1,100. See policy for other limits. | Not EHB | Yes | Yes |
| 10 | 2026 | AK | 2026 | AK | 21989 | HIOS | 2025-10-15 | 21989AK0030001 | 21989AK0030001-01 | Accidental Dental | No data | No data | No data | No data | No data | No data | No data | Not Covered | No data | No data | No data | No data | No data | No data | No data | No data |
| 11 | 2026 | AK | 2026 | AK | 21989 | HIOS | 2025-10-15 | 21989AK0030001 | 21989AK0030001-01 | Basic Dental Care - Adult | Not Applicable | No data | Not Applicable | 35.00% | No data | 35.00% | No data | Covered | No data | No data | No data | See policy for exclusions. | All dental services are subject to an annual maximum of $1,100. See policy for other limits. A 6-month exclusion period applies except if the member has one year of prior dental coverage with no more than a 90-day break in coverage from the end of the old plicy to the effective date of the new policy. | Not EHB | Yes | Yes |
| 12 | 2026 | AK | 2026 | AK | 21989 | HIOS | 2025-10-15 | 21989AK0030001 | 21989AK0030001-01 | Basic Dental Care - Child | Not Applicable | No data | Not Applicable | 60.00% | No data | 60.00% | Yes | Covered | No data | No data | No data | See policy for exclusions. | See policy for limits. | Substantially Equal | No | No |
| 13 | 2026 | AK | 2026 | AK | 21989 | HIOS | 2025-10-15 | 21989AK0030001 | 21989AK0030001-01 | Dental Check-Up for Children | Not Applicable | No data | Not Applicable | 15.00% | No data | 15.00% | Yes | Covered | Yes | 2.0 | Exam(s) per Year | See policy for exclusions. | See policy for other limits. | Substantially Equal | No | No |
| 14 | 2026 | AK | 2026 | AK | 21989 | HIOS | 2025-10-15 | 21989AK0030001 | 21989AK0030001-01 | Major Dental Care - Adult | Not Applicable | No data | Not Applicable | 50.00% | No data | 50.00% | No data | Covered | No data | No data | No data | See policy for exclusions. | All dental services are subject to an annual maximum of $1,100. See policy for other limits. A 12-month exclusion period applies except if the member has one year of prior dental coverage with no more than a 90-day break in coverage from the end of the old plicy to the effective date of the new policy. | Not EHB | Yes | Yes |
| 15 | 2026 | AK | 2026 | AK | 21989 | HIOS | 2025-10-15 | 21989AK0030001 | 21989AK0030001-01 | Major Dental Care - Child | Not Applicable | No data | Not Applicable | 70.00% | No data | 70.00% | Yes | Covered | No data | No data | No data | See policy for exclusions. | See policy for limits. | Substantially Equal | No | No |
| 16 | 2026 | AK | 2026 | AK | 21989 | HIOS | 2025-10-15 | 21989AK0030001 | 21989AK0030001-01 | Orthodontia - Adult | No data | No data | No data | No data | No data | No data | No data | Not Covered | No data | No data | No data | No data | No data | No data | No data | No data |
| 17 | 2026 | AK | 2026 | AK | 21989 | HIOS | 2025-10-15 | 21989AK0030001 | 21989AK0030001-01 | Orthodontia - Child | Not Applicable | No data | Not Applicable | 70.00% | No data | 70.00% | Yes | Covered | No data | No data | No data | See policy for exclusions. | For medically necessary orthodontic treatment only. | Substantially Equal | No | No |
| 18 | 2026 | AK | 2026 | AK | 21989 | HIOS | 2025-10-15 | 21989AK0030001 | 21989AK0030001-01 | Routine Dental Services (Adult) | Not Applicable | No data | Not Applicable | 20.00% | No data | 20.00% | No data | Covered | Yes | 2.0 | Exam(s) per Year | See policy for exclusions. | All dental services are subject to an annual maximum of $1,100. See policy for other limits. | Not EHB | Yes | Yes |
| 19 | 2026 | AK | 2026 | AK | 21989 | HIOS | 2025-10-15 | 21989AK0050001 | 21989AK0050001-00 | Accidental Dental | No data | No data | No data | No data | No data | No data | No data | Not Covered | No data | No data | No data | No data | No data | No data | No data | No data |
| 20 | 2026 | AK | 2026 | AK | 21989 | HIOS | 2025-10-15 | 21989AK0050001 | 21989AK0050001-00 | Basic Dental Care - Adult | Not Applicable | No data | Not Applicable | 20.00% Coinsurance after deductible | No data | 50.00% Coinsurance after deductible | No data | Covered | No data | No data | No data | See policy for exclusions. | All dental services are subject to an annual maximum of $1,000. See policy for other limits. A 6-month exclusion period applies except if the member has one year of prior dental coverage with no more than a 90-day break in coverage from the end of the old plicy to the effective date of the new policy. | Not EHB | Yes | Yes |
| 21 | 2026 | AK | 2026 | AK | 21989 | HIOS | 2025-10-15 | 21989AK0050001 | 21989AK0050001-00 | Basic Dental Care - Child | Not Applicable | No data | Not Applicable | 50.00% Coinsurance after deductible | No data | 70.00% Coinsurance after deductible | Yes | Covered | No data | No data | No data | See policy for exclusions. | See policy for limits. A 6-month exclusion period applies to-out-of-network services except if the member has one year 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. | Substantially Equal | No | Yes |
| 22 | 2026 | AK | 2026 | AK | 21989 | HIOS | 2025-10-15 | 21989AK0050001 | 21989AK0050001-00 | Dental Check-Up for Children | Not Applicable | No data | Not Applicable | No Charge | No data | 50.00% | Yes | Covered | Yes | 2.0 | Exam(s) per Year | See policy for exclusions. | See policy for other limits. | Substantially Equal | No | Yes |
| 23 | 2026 | AK | 2026 | AK | 21989 | HIOS | 2025-10-15 | 21989AK0050001 | 21989AK0050001-00 | Major Dental Care - Adult | Not Applicable | No data | Not Applicable | 50.00% Coinsurance after deductible | No data | 50.00% Coinsurance after deductible | No data | Covered | No data | No data | No data | See policy for exclusions. | All dental services are subject to an annual maximum of $1,000. See policy for other limits. A 12-month exclusion period applies except if the member has one year of prior dental coverage with no more than a 90-day break in coverage from the end of the old plicy to the effective date of the new policy. | Not EHB | Yes | Yes |
| 24 | 2026 | AK | 2026 | AK | 21989 | HIOS | 2025-10-15 | 21989AK0050001 | 21989AK0050001-00 | Major Dental Care - Child | Not Applicable | No data | Not Applicable | 70.00% Coinsurance after deductible | No data | 70.00% Coinsurance after deductible | Yes | Covered | No data | No data | No data | See policy for exclusions. | See policy for limits. A 12-month exclusion period applies to-out-of-network services except if the member has one year 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. | Substantially Equal | No | Yes |
| 25 | 2026 | AK | 2026 | AK | 21989 | HIOS | 2025-10-15 | 21989AK0050001 | 21989AK0050001-00 | Orthodontia - Adult | No data | No data | No data | No data | No data | No data | No data | Not Covered | No data | No data | No data | No data | No data | No data | No data | No data |
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