Ambetter Essential Care 1 (2021)
| Plan Type: | HMO |
| Plan Tier: | Bronze |
| Individual Deductible | $8,300 |
| Family Deductible | $16,600 |
| Individual Out of Pocket Max | $8,300 |
| Family Out of Pocket Max | $16,600 |
| 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/2021/70893GA0010015-01.pdf |
| Plan Brochure: | https://www.ambetterhealth.com/content/dam/centene/ambetter-brochures/GA-2021.pdf |
Other Coverage:
| Child Dental: | No |
| Adult Dental | No |
Prescription Drug Pricing:
| Generic Drugs: | $25 |
| 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 |
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