Ambetter Health

Ambetter Balanced Care 32 + Vision + Adult Dental

Prescription Drug Information

Inpatient Coverage

Emergency and Urgent Care

Links

Summary Of Benefits

Plan Overview

Medical Deductible	Individual: $8,100 Family: $16,200 Per Person: $8,100
Prescription Drug Deductible	Individual: Included in Deductible Family: Included in Deductible Per Person: Included in Deductible
Medical Out-of-Pocket Maximum	Individual: $8,700 Family: $17,400 Per Person: $8,700
Drug Out-of-Pocket Maximum	Individual: Included in Deductible Family: Included in Deductible Per Person: Included in Deductible

Office Visit

Primary Doctor	Standard: $45 Copay
Specialist	Standard: $100 Copay

Prescription Drug Information

Preferred Brand Drugs	Standard: $75
Non Preferred Brand Drugs	Standard: 50% Coinsurance after deductible
Generic Drugs	Standard: $25
Specialty Drugs	Standard: 50% Coinsurance after deductible

Inpatient Coverage

Hospital Services	Standard: 50% Coinsurance after deductible
Inpatient Services	Standard: 50% Coinsurance after deductible

Emergency and Urgent Care

Emergency Room

Standard: 50% Coinsurance after deductible

Related Articles

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

Life Insurance Riders: What Are They and Why Might You Need One?

So you’re looking to buy life insurance. First, pat yourself on the back. It…Read More

Read More

Burial Insurance: What You Need to Know

Burial insurance is usually a type of life insurance policy intended to cover costs…Read More

Read More

What Does Basic Health Insurance Cost?

Shopping for healthcare can be time-consuming and feel overwhelming. And one frustrating part can…Read More

Read More