Ambetter Balanced Care 28 (2021) + Vision + Adult Dental

Plan Type: HMO
Plan Tier: Silver
Individual Deductible $0
Family Deductible $0
Individual Out of Pocket Max $8,200
Family Out of Pocket Max $16,400
Primary Care Visit: $50
Specialist Visit: $90
Emergency Room: 50%
Hospital - Physician: 50%
Hospital - Facility: 50%
Link to Full SBC:
Plan Brochure:

Other Coverage:

Child Dental: No
Adult Dental Yes

Prescription Drug Pricing:

Generic Drugs: $30
Non-Preferred Brand Drugs: 50% Coinsurance after deductible
Preferred Brand Drugs: 50% Coinsurance after deductible
Specialty Drugs: 50% Coinsurance after deductible
Summary of Benefits

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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