Ambetter Balanced Care 2 (2020)

Plan Type: HMO
Plan Tier: Silver
Medical Deductible - Individual: $6,500
Medical Deductible - Family: $13,000
Drug Deductible - Individual: Included in Medical
Drug Deductible - Family: Included in Medical
Out of Pocket Max - Individual: $6,500
Out of Pocket Max - Family: $13,000
Primary Care Visit: $30
Specialist Visit: $60
Emergency Room: No Charge after Deductible
Hospital - Physician: No Charge after Deductible
Hospital - Facility: No Charge after Deductible
Link to Full SBC: https://api.centene.com/SBC/2019/41047OH0010019-01.pdf
Plan Brochure: https://api.centene.com/Brochures/2019/41047OH0010019-01.pdf

Other Coverage:

Child Dental: No
Adult Dental No

Prescription Drug Pricing:

Generic Drugs: $15
Non-Preferred Brand Drugs: No Charge after Deductible
Preferred Brand Drugs: $50
Specialty Drugs: No Charge after Deductible
Link to Full Policy Formulary: https://ambetter.buckeyehealthplan.com/resources/pharmacy-resources.html
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