Ambetter Secure Care 1 (2019) with 3 Free PCP Visits

Plan Type: HMO
Plan Tier: Gold
Medical Deductible - Individual: $1,000
Medical Deductible - Family: $2,000
Drug Deductible - Individual: $500
Drug Deductible - Family: $1,000
Out of Pocket Max - Individual: $6,350
Out of Pocket Max - Family: $12,700
Primary Care Visit: 20% Coinsurance after deductible
Specialist Visit: 20% Coinsurance after deductible
Emergency Room: $250 Copay after deductible
Hospital - Physician: 20% Coinsurance after deductible
Hospital - Facility: 20% Coinsurance after deductible
Link to Full SBC: https://api.centene.com/SBC/2019/41047OH0010004-01.pdf
Plan Brochure: https://api.centene.com/Brochures/2019/41047OH0010004-01.pdf

Other Coverage:

Child Dental: No
Adult Dental No

Prescription Drug Pricing:

Generic Drugs: $10
Non-Preferred Brand Drugs: $75 Copay after deductible
Preferred Brand Drugs: $25 Copay after deductible
Specialty Drugs: 30% 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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