Ambetter SilverSummit

Ambetter Essential Care: $0 Medical Deductible

Prescription Drug Information

Inpatient Coverage

Emergency and Urgent Care

Links

Plan Overview

Medical Deductible	Individual: $0 Family: $0 Per Person: $0
Prescription Drug Deductible	Individual: $3,800 Family: $7,600 Per Person: $3,800
Medical Out-of-Pocket Maximum	Individual: $8,700 Family: $17,400 Per Person: $8,700
Drug Out-of-Pocket Maximum	Individual: Included in Medical Family: Included in Medical Per Person: Included in Medical

Office Visit

Primary Doctor	Standard: $45 Copay
Specialist	Standard: $115 Copay

Prescription Drug Information

Preferred Brand Drugs	Standard: $195 Copay
Non Preferred Brand Drugs	Standard: $250 Copay after deductible
Generic Drugs	Standard: $31.40 Copay
Specialty Drugs	Standard: 50% Coinsurance after deductible

Inpatient Coverage

Hospital Services	Standard: $3000 Copay per day
Inpatient Services	Standard: No Charge

Emergency and Urgent Care

Emergency Room

Standard: $2500 Copay

Related Articles

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

Sick With a Cold, Flu, or Allergies? Symptoms + Tips to Get Well

Is it a cold, flu, or allergies? You’re feeling pretty lousy. You’ve got sniffles,…Read More

Read More

What’s changing about Affordable Care Act benefits in 2023?

Open enrollment is here for Affordable Care Act (ACA) marketplace health insurance plans, and there are important, new…Read More

Read More

Supplemental Vision Insurance: 10 Clear Benefits You May Need to See

Thinking you might need supplemental vision insurance to help keep your eyes healthy? See…Read More

Read More