Ambetter SilverSummit

Ambetter Value Gold 20

Prescription Drug Information

Inpatient Coverage

Emergency and Urgent Care

Links

Plan Overview

Medical Deductible	Individual: $750 Family: $1,500 Per Person: $750
Prescription Drug Deductible	Individual: Included in Medical Family: Included in Medical Per Person: Included in Medical
Medical Out-of-Pocket Maximum	Individual: $7,500 Family: $15,000 Per Person: $7,500
Drug Out-of-Pocket Maximum	Individual: Included in Medical Family: Included in Medical Per Person: Included in Medical

Office Visit

Primary Doctor	Standard: $35 Copay
Specialist	Standard: $55 Copay

Prescription Drug Information

Preferred Brand Drugs	Standard: $60 Copay
Non Preferred Brand Drugs	Standard: 50% Coinsurance after deductible
Generic Drugs	Standard: $13.80 Copay
Specialty Drugs	Standard: 50% Coinsurance after deductible

Inpatient Coverage

Hospital Services	Standard: 35% Coinsurance after deductible
Inpatient Services	Standard: 35% Coinsurance after deductible

Emergency and Urgent Care

Emergency Room

Standard: 35% Coinsurance after deductible

Related Articles

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

When Is Open Enrollment for 2023?

The 2023 Open Enrollment Period (OEP) begins November 1, 2022, and ends January 15,…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

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