Ambetter Essential Care 2 HSA (2021) + Vision + Adult Dental

Plan Type: HMO
Plan Tier: Expanded Bronze
Individual Deductible $6,900
Family Deductible $13,800
Individual Out of Pocket Max $6,900
Family Out of Pocket Max $13,800
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/2021/70893GA0030051-01.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
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