Ambetter Balanced Care 15 (2020)
|Medical Deductible - Individual:||$2950|
|Medical Deductible - Family:||Included in Medical|
|Drug Deductible - Individual:||$2950|
|Drug Deductible - Family:||Included in Medical|
|Out of Pocket Max - Individual:||$8150|
|Out of Pocket Max - Family:||$8150|
|Primary Care Visit:||$30|
|Emergency Room:||40% Coinsurance after deductible|
|Hospital - Physician:||40% Coinsurance after deductible|
|Hospital - Facility:||40% Coinsurance after deductible|
|Link to Full SBC:||https://api.centene.com/SBC/2020/21663FL0130042-01.pdf|
Prescription Drug Pricing:
|Non-Preferred Brand Drugs:||50% Coinsurance after deductible|
|Preferred Brand Drugs:||$60|
|Specialty Drugs:||50% Coinsurance after deductible|
|Link to Full Policy Formulary:||https://ambetter.sunshinehealth.com/resources/pharmacy-resources.html|
This Carrier Offers:
About The Carrier
Ambetter plans are certified as Qualified Health Plans offered on the Health Insurance Marketplace.
Established to deliver quality health insurance through local, regional and community-based resources, our Ambetter products are offered by Centene Corporation – a Fortune 500 company with over 27 years of experience in the Managed Care industry and a robust portfolio of specialty health solutions.
Ambetter health insurance plans are designed to deliver high quality, locally-based healthcare services to its members, with our providers benefiting from enhanced collaboration and strategic care coordination programs.
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