Ambetter Balanced Care 10 (2018) + Vision + Adult Dental
Plan Type: | HMO |
Plan Tier: | Silver |
Medical Deductible - Individual: | $5,000 |
Medical Deductible - Family: | $10,000 |
Drug Deductible - Individual: | Included in Medical |
Drug Deductible - Family: | Included in Medical |
Out of Pocket Max - Individual: | $6,700 |
Out of Pocket Max - Family: | $13,400 |
Primary Care Visit: | $20 |
Specialist Visit: | $40 |
Emergency Room: | 20% Coinsurance after deductible |
Hospital - Physician: | 20% Coinsurance after deductible |
Hospital - Facility: | 20% Coinsurance after deductible |
Link to Full SBC: | https://api.centene.com/SBC/2018/41047OH0030020-01.pdf |
Plan Brochure: | https://api.centene.com/Brochures/2018/41047OH0030020-01.pdf |
Other Coverage:
Child Dental: | No |
Adult Dental | No |
Prescription Drug Pricing:
Generic Drugs: | $10 |
Non-Preferred Brand Drugs: | 20% Coinsurance after deductible |
Preferred Brand Drugs: | $50 |
Specialty Drugs: | 20% Coinsurance after deductible |
Link to Full Policy Formulary: | https://ambetter.buckeyehealthplan.com/resources/pharmacy-resources.html |
This Carrier Offers:
About The Carrier
AmBetter from Buckeye Community Health Plan provides quality healthcare solutions that help residents of Ohio live better. With a variety of affordable coverage options, they make it easier to stay healthy.
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