Ambetter Balanced Care 25 HSA (2021) + Vision + Adult Dental
Plan Type: | HMO |
Plan Tier: | Silver |
Individual Deductible | $4,800 |
Family Deductible | $9,600 |
Individual Out of Pocket Max | $4,800 |
Family Out of Pocket Max | $9,600 |
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/2021/70893GA0030031-01.pdf |
Plan Brochure: | https://www.ambetterhealth.com/content/dam/centene/ambetter-brochures/GA-2021.pdf |
Other Coverage:
Child Dental: | No |
Adult Dental | Yes |
Prescription Drug Pricing:
Generic Drugs: | No Charge after Deductible |
Non-Preferred Brand Drugs: | No Charge after Deductible |
Preferred Brand Drugs: | No Charge after Deductible |
Specialty Drugs: | No Charge after Deductible |
Summary of Benefits | https://ambetter.pshpgeorgia.com/resources/pharmacy-resources.html |
This Carrier Offers:
About The Carrier
AmBetter from Buckeye Community Health Plan provides quality healthcare solutions that help residents of Georgia live better. With a variety of affordable coverage options, they make it easier to stay healthy.
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