Ambetter Secure Care 5 (2021) + Vision + Adult Dental
Plan Type: | HMO |
Plan Tier: | Gold |
Individual Deductible | $1,450 |
Family Deductible | $2,900 |
Individual Out of Pocket Max | $6,300 |
Family Out of Pocket Max | $12,600 |
Primary Care Visit: | $15 |
Specialist Visit: | $35 |
Emergency Room: | 20% Coinsurance after deductible |
Hospital - Physician: | 20% Coinsurance after deductible |
Hospital - Facility: | 20% Coinsurance after deductible |
Link to Full SBC: | https://api.centene.com/SBC/2021/70893GA0030025-01.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: | $15 |
Non-Preferred Brand Drugs: | 30% Coinsurance after deductible |
Preferred Brand Drugs: | $30 |
Specialty Drugs: | 30% Coinsurance 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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