Ambetter Health

Ambetter Essential Care 2 HSA

Plan Overview

Medical Deductible
  • Individual: $6,900
  • Family: $13,800
  • Per Person: $6,900
Prescription Drug Deductible
  • Individual: Included in Deductible
  • Family: Included in Deductible
  • Per Person: Included in Deductible
Medical Out-of-Pocket Maximum
  • Individual: $6,900
  • Family: $13,800
  • Per Person: $6,900
Drug Out-of-Pocket Maximum
  • Individual: Included in Deductible
  • Family: Included in Deductible
  • Per Person: Included in Deductible

Office Visit

Primary Doctor
  • Standard: No Charge after deductible
Specialist
  • Standard: No Charge after deductible

Prescription Drug Information

Preferred Brand Drugs
  • Standard: No Charge after deductible
Non Preferred Brand Drugs
  • Standard: No Charge after deductible
Generic Drugs
  • Standard: No Charge after deductible
Specialty Drugs
  • Standard: No Charge after deductible

Inpatient Coverage

Hospital Services
  • Standard: No Charge after deductible
Inpatient Services
  • Standard: No Charge after deductible

Emergency and Urgent Care

Emergency Room
  • Standard: No Charge after deductible
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