Ambetter Health

Ambetter Balanced Care 11 + Vision + Adult Dental

Prescription Drug Information

Inpatient Coverage

Emergency and Urgent Care

Links

Summary Of Benefits

Plan Overview

Medical Deductible	Individual: $6,000 Family: $12,000 Per Person: $6,000
Prescription Drug Deductible	Individual: Included in Deductible Family: Included in Deductible Per Person: Included in Deductible
Medical Out-of-Pocket Maximum	Individual: $8,500 Family: $17,000 Per Person: $8,500
Drug Out-of-Pocket Maximum	Individual: Included in Deductible Family: Included in Deductible Per Person: Included in Deductible

Office Visit

Primary Doctor	Standard: $30 Copay
Specialist	Standard: $60 Copay

Prescription Drug Information

Preferred Brand Drugs	Standard: $60
Non Preferred Brand Drugs	Standard: 50% Coinsurance after deductible
Generic Drugs	Standard: $30
Specialty Drugs	Standard: 50% Coinsurance after deductible

Inpatient Coverage

Hospital Services	Standard: 40% Coinsurance after deductible
Inpatient Services	Standard: 40% Coinsurance after deductible

Emergency and Urgent Care

Emergency Room

Standard: 40% Coinsurance after deductible

Related Articles

You may be interested in these relevant articles from across the HealthMarkets.com network.

Get in Shape Faster: 3 Exercises to Improve Your Health

Ready to get in shape, but you’re short on time? Chances are pretty good…Read More

Read More

Do These 10 Hand Exercises for Arthritis Daily to Ease The Pain

Are there hand exercises for arthritis that can ease the pain? Yes! In this…Read More

Read More

Children's vision: How do I know if my child needs glasses?

While vision issues tend to be obvious in adults — you have trouble seeing…Read More

Read More