Ambetter Essential Care 1 (2020)

Plan Type: EPO
Plan Tier: Bronze
Medical Deductible - Individual: $8150
Medical Deductible - Family: Included in Medical
Drug Deductible - Individual: $8150
Drug Deductible - Family: Included in Medical
Out of Pocket Max - Individual: $8150
Out of Pocket Max - Family: $8150
Primary Care Visit: No Charge after Deductible
Specialist Visit: No Charge after Deductible
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/2020/21663FL0130006-01.pdf
Plan Brochure: https://www.flblue.com/plan-brochure/bo?id=1705

Other Coverage:

Child Dental: No
Adult Dental No

Prescription Drug Pricing:

Generic Drugs: $20
Non-Preferred Brand Drugs: No Charge after Deductible
Preferred Brand Drugs: No Charge after Deductible
Specialty Drugs: No Charge after Deductible
Link to Full Policy Formulary: https://ambetter.sunshinehealth.com/resources/pharmacy-resources.html
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