Ambetter Insurance Coverage for Drug and Alcohol >Ambetter Insurance Coverage for Drug and Alcohol. Ambetter Telehealth 24/7 medical help from doctors via video and phone, with $0 co-pay. Ambetter from NH >Health Insurance Benefits & Services. You can count on us to share helpful information about COVID, how to prevent it, and recognize its symptoms. Ambetter Essential Care: $0 Medical Deductible + Vision + Adult Dental Coverage Level: Expanded Bronze Deductible per individual Max Out-of-Pocket per individual Office Visit Network Type Ambetter from Louisiana Healthcare Connections See Plan Details Ambetter Essential Care: $1,500 Medical Deductible + Vision + Adult Dental. Request a prescription or ask for medical advice by video or phone, 24/7. Log in Search without logging. 00 Copay after deductible; CoInsurance: Not Applicable; Covered: Covered; Generic Drugs: CoPay: $31. The cost of Ambetter Health Insurance plans varies depending on several factors, including the level of coverage, deductibles, and copayments. Then, as with other Ambetter health insurance plans, once you reach the out-of-pocket maximum, all medical services are covered by the insurer. Ambetter Health Insurance Review & Ratings (2023). People without insurance pay, on average, twice as much for care. I have some ideas that may make the cost of your procedure easier to manage. Ambetter DeductibleAmbetter Balanced Care 32: Standard Silver Off Exchange Plan Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Ambetter Balanced Care 32: Standard Silver Off Exchange Plan Coverage Period: 01/01/2022 – 12/31/2022 Coverage for: Individual/Family / Plan Type: EPO. Ambetter from Sunshine Health. Health Savings Account Benefits. The Gold health plans deductible is $2,550 less than the deductible of the Silver plan. $0 Ambetter Telehealth cost share does not apply to HSA plans until the deductible is met. Ambetter from Superior HealthPlan Attn: Claims Department – Member Reimbursement P. Ambetter Telehealth 24/7 medical help from doctors via video and phone, with $0 co-pay. Health Plan’s Annual Deductible Reset>How to Face Your Health Plan’s Annual Deductible Reset. We are legally required to do this for all individuals to whom we provided minimum essential coverage. Ambetter Health™ has your back every step of the way on your personal health and wellness journey. Ambetter from Sunshine Health. Make your first payment to access great benefits. Log in Search without logging in Choose one of these options: Your home state Ambetter member ID number Last 6 digits of your SSN Dont have a plan?. When you choose Ambetter, youre covered on these essential medical care and wellness services: Emergency Care Outpatient or Ambulatory Care Preventive & Wellness Care Maternity & Newborn Care Pediatric Care Mental Health & Substance Abuse Care Laboratory Services Prescription Drugs Therapy Services Hospitalization. You can get a quote for a plan by visiting their website or contacting their customer service team. X-ray and diagnostic imaging $95 (deductible waived) Laboratory tests $50 (deductible waived) Imaging (CT, PET scans, MRIs) $325 (deductible waived) Rehabilitation and. *Statistical claims and the #1 Marketplace Insurance statement are in reference to national on. Plan Overview Office Visit Prescription Drug Information Inpatient Coverage Emergency and Urgent Care Maternity Vision Major Dental Care Links Plan Brochure Summary Of Benefits Network Drug Formulary Plan Overview Office Visit. prescription; deductible does not apply Not covered. Choose from different levels of care to fit your needs. Ambetter from Superior HealthPlan is a Qualified Health Plan issuer in the Texas Health Insurance Marketplace and does not discriminate on the basis of race, color, national 100/0% coinsurance after annual deductible; 60/40% coinsurance after annual deductible: 60/40% coinsurance after annual deductible: 60/40% coinsurance after annual. With a high deductible health plan (HDHP) and a limited amount of money set aside for health care costs, a pressing medical need such as your knee-replacement surgery can make that deductible seem insurmountable. Get the most from your Ambetter insurance with our health and wellness benefits. In each state it serves, there are several plan options for policyholders to choose from, including an affordable. Then, as with other Ambetter health insurance plans, once you reach the out-of-pocket maximum, all medical services are covered by the insurer. Ambetter from Peach State Health Plan offers quality and affordable health insurance plans in Georgia that fit your needs and budget. Ambetter Balanced Care (Silver): Silver plans generally have higher rates than Bronze plans, but lower out-of-pocket costs when you need care. HERE IS HOW YOU CAN EARN MY HEALTH PAYS™ REWARDS: Complete your Ambetter Wellbeing Survey during the first 90 days of your membership and earn $50 in rewards. Ambetter Secure Care 20 / HealthMarkets Plans Ambetter Secure Care 20 Get a Quote Enter your zip code to get started. show Join Ambetter menu Become a Member Become a Provider Become a Broker Enroll in a Plan How to Enroll in a Plan Four easy steps is all it takes What you need to enroll Special Enrollment Information For Members show For Members menu Pay Now Find a Doctor Drug Coverage Ways to Pay New Members. Deductible: The annual amount a customer must pay before Ambetter will begin covering expenses. Ambetter from Superior HealthPlan Attn: Claims Department – Member Reimbursement P. Ambetter offers Bronze, Silver, and Gold plans. *Statistical claims and the #1 Marketplace Insurance statement are in reference to national on-exchange marketplace membership and based on national Ambetter data in conjunction with findings from 2021 Rate Review data from CMS, 2021 State-Level Public Use File from CMS, state insurance regulatory filings, and public financial filings. Ambetter Telehealth gives you access to doctors for non-emergency health issues or questions. In offering this website, HealthMarkets Insurance Agency is required to comply with all applicable federal laws, including the standards established under 45 C. Depending on the plan design, the deductible can be as high as the allowable out-of-pocket maximum, which is $8,700 for a single individual in 2022. In each state it serves, there are several plan options for policyholders to choose from,. Plus, there’s no co-pay when you use in-network telehealth providers. Log in Search without logging in Choose one of these options: Your home state Ambetter member ID number Last 6 digits of your SSN Dont have a plan?. Choose optional, affordable vision and dental insurance plans, enroll in our mail-order pharmacy, or find extra support through Ambetter telehealth or care management programs. See full list on benzinga. You may also contact Provider Services. The government decides these FPL levels. 1 Fortunately, most health plans have deductibles that are well below this limit. I Need Surgery But Cant Afford My Deductible. Specialty Drugs: CoPay: Not Applicable; CoInsurance: 50. Its why more Marketplace consumers choose Ambetter HealthTM than any other health insurance. 2023 Ambetter Bronze, Silver, and Gold Plan Brochure (PDF). Learn more and enroll today! Affordable. Get the most from your Ambetter insurance with our health and wellness benefits. Ambetter is a health insurance provider that offers plans in 26 States. Provider and Billing Manual. Shopping for plans is easy with support from us See what kind of savings you get without having to sign up. Once the deductible has been met, you would begin 20% coinsurance with the insurer. Prescription medication may be required during and after outpatient treatment. Generally, you must pay all of the costs from providers up to the deductible amount before this plan begins to pay. Members must qualify for and complete all activities to receive $500 or more. For instance, say you had a medical expense of $1,500. Washington Health Insurance Plans. Ambetter Telehealth * gives you access to doctors for non-emergency health issues or questions. Ambetter offers Marketplace insurance plans with different coverage and premium levels. A Silver plan could be a wise decision if you don’t. Benefit Explanation: Most Ambetter Plans offer Preferred Generic Drugs at $5 or less. Ambetter does not provide medical care. 4 Copayment: Once a customer reaches their deductible, they’ll still have to pay a small amount for doctor visits or select other visits (e. For example, this plan covers certain preventive services without cost-sharing and before you meet your deductible. 40; CoInsurance: Not Applicable; Covered: Covered; Benefit Explanation: Most Ambetter Plans offer Preferred Generic Drugs at $5 or less. Use the filters below to narrow your search results and compare our plans. Deductible: The annual amount a customer must pay before Ambetter will begin covering expenses. 00% Coinsurance after deductible; Covered: Covered. During the deductible period, you pay some or all of your health care costs. Ambetter from Louisiana Healthcare Connections. And in 2023, we have expanded our plans in certain states and counties to help. $0 Telehealth copay does not apply to plans with HSA until the deductible is met. Ambetter Telehealth * gives you access to doctors for non-emergency health issues or questions. Ambetter from >Affordable Health Insurance in Arizona. Plan maximums Calendar year deductible1 $4,750 single / $9,500 family Out-of-pocket maximum (Payments for services and supplies not covered by. Ambetter can help. But forgoing care is not the answer. Silver plans are generally in the middle of the pack: They have modest premiums and reasonable deductibles. Ambetter Balanced Care 32: Standard Silver Off Exchange Plan. Because protecting peoples’ health is why we’re here, and it’s what we’ll always do. Ambetter from Peach State Health Plan offers quality and affordable health insurance plans in Georgia that fit your needs and budget. It’s a savings account that you contribute to during the year, like a retirement account. 260 to protect the privacy and security of personally identifiable information. *Statistical claims and the #1 Marketplace Insurance statement are in reference to national on-exchange marketplace membership and based on national Ambetter data in. Ambetter insurance covers over 2 million people in the United States. All the health plans offered on the Health Insurance Marketplace include certain items or services, or Essential Health Benefits (EHBs). $40 each time they see the physician. Summary of Benefits and Coverage: What this Plan Covers. Health insurance deductibles have been steadily rising for years. services through Ambetter Telehealth. Together, were on a mission for better health insurance and healthier lives. *Ambetter does not provide medical care. Silver plans are generally in the middle of. Covered services for medical conditions and Mental Health and Substance Use Disorders provided appropriately as Telehealth Services are covered on the same basis and to the same extent as covered services delivered in-person. Ambetter mental health coverage is extensive; Ambetter insurance covers a host of. On a mission to bring better health insurance to all. Ambetter offers Marketplace insurance plans with different coverage and premium levels. 220(c) and (d) and standards established under 45 C. 4 Copayment: Once a customer reaches their deductible, theyll still have to pay a small amount for doctor visits or select other visits (e. Ambetter of North Carolina Inc. Ambetter Secure Care 20 / HealthMarkets Plans Ambetter Secure Care 20 Get a Quote Enter your zip code to get started. Ambetter Secure Care 20 / HealthMarkets Plans Ambetter Secure Care 20 Get a Quote Enter your zip code to get started. Ambetter Insurance Coverage for Drug and Alcohol Rehabilitation …. GHP (Group Health Plan) Health Insurance (2023) The Best Comprehensive Healthcare Providers. Box 5010 Farmington, MO 63640-3800 After getting your claim, we will let you know we have received it, begin an investigation and request all items necessary to resolve the claim. Ambetter from Superior HealthPlan rewards your healthy choices through our My Health Pays incentive program. According to policy settings, the Ambetter insurance program offers prescription drug coverage, mental and behavioral health services, maternity care, newborn care, 24/7 nurse advice line, optional vision and dental coverages, ambulatory services, lab services, and more. You would pay $1,450 to meet the Ambetter Secure Care 5 deductible, then 20% of the remaining $50, or $10, with Ambetter paying the remaining balance. If you have other family members on the plan, each family member must meet their own individual deductible until the total amount of deductible expenses paid by all family members meets the overall family deductible. Ambetter Essential Care Essential Care plans cover your essential healthcare needs. The policy has a deductible of $1,000 and an out-of-pocket maximum of $6,350. Make your first payment to access great benefits. Silver and Gold plans that charge. Then, you can use it to pay for many health-related costs, such as pharmacy copays and doctor office visits. Find Health Insurance Marketplace plans in Washington with Ambetter from Coordinated Care. Services like cancer screening, immunizations, and well-child. at 1-877-687-1180 to verify the copay, coinsurance and deductible amounts. Typically, youd see lower monthly premiums, but potentially higher out-of-pocket costs if you end up needing a lot of care. The Ambetter deductible works as it would with most health plans. Ambetter Guide Find nearby in-network care Log in for the most accurate results Logging in helps us find you the most accurate results for your plan. View our 2023 Ambetter Plan Brochure to see the valuable benefits each plan has to offer. 00% Coinsurance after deductible; Covered: Covered. Find a Healthcare Provider. things to know about deductibles in the Health Insurance >6 things to know about deductibles in the Health Insurance. Here are 5 things to know about deductibles in Marketplace plans: All Marketplace plans cover recommended preventive services without a deductible. Generally, you must pay all of the costs from providers up to the deductible amount before this plan begins to pay. Insurance companies negotiate their rates with providers and you’ll pay that discounted rate. But a copayment or coinsurance may apply. Ambetter Guide Find nearby in-network care Log in for the most accurate results Logging in helps us find you the most accurate results for your plan. For general definitions of common terms, such as allowed amount, balance billing, coinsurance, copayment, deductible, provider, or other underlined terms, see the Glossary. deductible. Ambetter Health Insurance offers plans in some parts of the United States. Ambetter does not provide medical care. Start the survey now! Get your annual wellness exam with your primary care provider (PCP). A deductible is a fixed amount of money you have to pay for services before your health plan begins to pay its share for health care. Washington State Health Insurance Plans. Affordable Health Insurance in Texas. The policy has a deductible of $1,000 and an out-of-pocket maximum of $6,350. * $0 cost share applies for in-network telehealth services through Ambetter Telehealth. Stay Healthy and Stay Well with Ambetter. The deductible of $6,500 (if it has not already been met). ) 5 In some instances, their deductible may not apply to their. The maximum for families is $12,700. In 2014, there’s a $6,350 maximum for individual out-of-pocket costs for in-network services. The Gold health plans deductible is $2,550 less than the deductible of the Silver plan. Ambetter from Peach State Health Plan offers quality and affordable health insurance plans in Georgia that fit your needs and budget. Ambetter HMO is available through Covered California in Los Angeles, Orange and San Diego counties, and parts of Kern, Benefits are subject to a deductible unless noted. Ambetter is a health insurance provider that offers plans in 26 States. Prescription drugs are provided up to 30 days retail and up to 90 days through mail order. ) 5 In some instances, their deductible may not apply to their. Once the deductible has been met, you would begin 20% coinsurance with the insurer. Even if you choose a high deductible catastrophic plan, your out-of-pocket costs should not exceed this limit. 6 things to know about deductibles in the Health Insurance …. Please see plans Summary of Benefits and Coverage (SBC) or policy document for Preferred Generic and Generic prescription drug cost. 4 Copayment: Once a customer reaches their deductible, they’ll still have to pay a small amount for doctor visits or select other visits (e. Ambetter Secure Care has higher monthly premiums, but the lowest out-of-pocket expenses of the three plan types. Preferred brand drugs (Tier 2) Retail: $60 Copay / prescription; deductible does not apply Not covered Prior authorization may be required. (850) 413-3089 or (877) MY-FL-CFO (693-5236). MONTHLY PREMIUM PAYMENT $ OUT-OF-POCKET-COST $$$ SILVER BEST VALUE Ambetter Balanced Care. Cheap Health Insurance in Mississippi (2023 >Best Cheap Health Insurance in Mississippi (2023. Ambetter Health Insurance offers plans in some parts of the United States. Cant Pay Your Health Insurance Deductible? What …. HealthMarkets can find the right health insurance plan for you. 40; CoInsurance: Not Applicable; Covered: Covered; Benefit. Silver and Gold plans that charge higher premiums and lower deductibles are available, as well. With a high deductible health plan (HDHP) and a limited amount of money set aside for health care costs, a pressing medical need such as your knee-replacement surgery can make that deductible seem insurmountable. Deductibles Coinsurance *My Health Pays™ rewards cannot be used for pharmacy copays. Ambetter Secure Care has higher monthly premiums, but the lowest out-of-pocket expenses of the three plan types. Ambetter from Arizona Complete Health can help. Medical care is provided by individual providers. Ambetter Health Insurance Review 2023 • Pros, Cons & More. Ambetter Health™ has your back every step of the way on your personal health and wellness journey. The Gold health plans deductible is $2,550 less than the deductible of the Silver plan. All the health plans offered on the Health Insurance Marketplace include certain items or services, or Essential Health Benefits (EHBs). Deductible: The annual amount a customer must pay before Ambetter will begin covering expenses. Covered services for medical conditions and Mental Health and Substance Use Disorders provided appropriately as Telehealth Services are covered on the same basis and to the same extent as covered services delivered in-person. Health insurance deductibles reset every calendar year in a predictable way that’s especially hard on people with high-cost or chronic medical needs. Each metal level provides a balance on monthly premium payment and out-of-pocket expenses, as well as access to Ambetters in-network providers. Benefit Explanation: Most Ambetter Plans offer Preferred Generic Drugs at $5 or less. Ambetter Essential Care Essential Care plans cover your essential healthcare needs. FAQ Topics Specific to Our Providers. 6 things to know about deductibles in the Health Insurance. Once you meet the deductible, you pay 20% of the cost for most of your care. Ambetter health insurance does include bronze plans, which typically carry lower monthly premiums and higher deductibles. * $0 cost share applies for in-network telehealth services through Ambetter Telehealth. New Ambetter plans for 2022. Ambetter health insurance does include bronze plans, which typically carry lower monthly premiums and higher deductibles. Blue Cross Blue Shield Vs Ambetter: What You Need To Know. Don’t miss out on your affordable health plan! Pay now to activate the health benefits you deserve. LOUIS, March 1, 2021 /PRNewswire/ — Now through May 15,. In 2014, there’s a $6,350 maximum for individual out-of-pocket costs for in-network services. Ambetter can help. We will do this in 15 days or less. You can view the Glossary at https://www. , is the amount you owe for the health care services your plan covers before your health insurance plan begins to pay. The policy has a deductible of $1,000 and an out-of-pocket maximum of $6,350. 2023 Ambetter Bronze, Silver, and Gold Plan Brochure (PDF). Ambetter from Superior HealthPlan rewards your healthy choices through our My Health Pays incentive program. $0 Telehealth copay does not apply to plans with HSA until the deductible is met. But the premium for this Gold plan is more expensive by $119 per month. Ambetter Health Insurance Review: Cheap Rates, Poor Service. Ambetter Insurance – Policy Coverage And Conditions>Ambetter Insurance – Policy Coverage And Conditions. We want to help you find the Ambetter health plan that best fits your budget and your health needs. Plus, you don’t have to pay federal taxes as you add money to an HSA or when you use it for approved healthcare costs. We’re adding value to your affordable health insurance plan with the benefits you need. The policy has a deductible of $1,000 and an out-of-pocket maximum of $6,350. Ambetter ID card. IMPORTANT ADDRESS CHANGE: As of 9/30/2022, Ambetter from Arizona Complete Healths new mailing address will be 1850 W Rio Salado Parkway, Suite 211, Tempe, AZ 85281. Once you pay enough to reach the deductible amount, your insurance plan starts to pay its share. Ambetter submits the information on Form 1095-B to the IRS and your State Franchise Tax Board to document your health coverage in 2022. Ambetter submits the information on Form 1095-B to the IRS and your State Franchise Tax Board to document your health coverage in 2022. For specific coverage and cost information, including the deductible, out-of-pocket expenses, and premium costs, youll need to work with Ambetter directly. Ambetter from Sunshine Health: Ambetter Balanced Care 12 (2021). View all 1 photos Products & Services Health, Vision and Mental Health Insurance. Healthcare is essential. Ambetter from Superior HealthPlan rewards your healthy choices through our My Health Pays incentive program. Is Ambetter accepted in Missouri? ST. Using a non-network provider for outpatient services would result in having no Ambetter drug and alcohol rehab coverage. Ambetter Value Bronze: $1,500 Medical Deductible Plan Overview Office Visit Prescription Drug Information Inpatient Coverage Emergency and Urgent Care Links Plan Brochure Summary Of Benefits Network Drug Formulary Plan Overview Office Visit Prescription Drug Information Inpatient Coverage Emergency and Urgent Care Emergency Room. 24/7 medical help from doctors via video and phone, with $0 co-pay. 00 Copay after deductible; CoInsurance: Not Applicable; Covered: Covered; Generic Drugs: CoPay: $31. Earn up to $125 on your My Health Pays card for: Completing your online Welcome Survey ($50) Getting your Annual Wellness Exam ($50). View our 2023 Ambetter Plan Brochure to see the valuable benefits each plan has to offer. 00% Coinsurance after deductible. Because protecting peoples health is why were here, and its what well always do. Over 70% of Marketplace plans have deductibles under $3,000. Ambetter Essential Care Essential Care plans cover your essential healthcare needs. Ambetter Balanced Care (Silver): Silver plans generally have higher rates than Bronze plans, but lower out-of-pocket costs when you need care. Generally, you must pay all of the costs from providers up to the deductible amount before this plan begins to pay. Ambetter Telehealth 24/7 medical help from doctors via video and phone, with $0 co-pay. About Ambetter. Ambetter offers Marketplace insurance plans with different coverage and premium levels. Questions? Give us a call at: 855-436-8413 Sign up for an affordable plan today Enter your info to compare plans Zip Code* Name Email Phone. It’s why more Marketplace consumers choose Ambetter HealthTM than any other health insurance. Choose optional, affordable vision and dental insurance plans, enroll in our mail-order pharmacy, or find extra support through Ambetter telehealth or care management programs. Ambetter submits the information on Form 1095-B to the IRS and your State Franchise Tax Board to document your health coverage in 2022. Once the deductible has been met, you would begin 20% coinsurance with the. $0 Ambetter Telehealth cost share does not apply to HSA plans until the deductible is met. See a list of covered preventive. A deductible is a fixed amount of money you have to pay for services before your health plan begins to pay its share for health care. Is Florida Blue the same as Blue Cross?. CoPay: $250. The policy has a deductible of $1,000 and an out-of-pocket maximum of $6,350. Ambetter from >Washington State Health Insurance Plans. For deductibles, the secure web portal will show the annual deductible amount, the year to date portion of the deductible that has been met as well as the remaining deductible amount that must be met. Ambetter Value Bronze: $1,500 Medical Deductible Plan Overview Office Visit Prescription Drug Information Inpatient Coverage Emergency and Urgent Care Links Plan Brochure Summary Of Benefits Network Drug Formulary Plan Overview Office Visit Prescription Drug Information Inpatient Coverage Emergency and Urgent Care Emergency Room. View our 2023 Ambetter Plan Brochure (PDF) to see the valuable benefits each plan has to offer. Plus, theres no co-pay when you use in-network telehealth providers. Health Insurance Benefits & Services. Whether its understanding your options, enrolling, or managing your plan, were here to help. RlXNyoA;_ylu=Y29sbwNiZjEEcG9zAzMEdnRpZAMEc2VjA3Ny/RV=2/RE=1683533095/RO=10/RU=https%3a%2f%2fwww. A $30 copayment each doctor visit (deductible does not apply). If you have other family members on the plan, each family member must meet their own individual deductible until the total amount of deductible expenses paid by all family members meets the overall family deductible. In offering this website, HealthMarkets Insurance Agency is required to comply with all applicable federal laws, including the standards established under 45 C. We want to help you find the Ambetter health plan that best fits your budget and your health needs. The deductible of $6,500 (if it has not already been met). Shopping for plans is easy with support from us See what kind of savings you get without having to sign up. The amount of premium tax credit you may be eligible for is based on how your household income compares to Federal Poverty Levels. covers some items and services even if you haven’t yet met the deductible amount. Ambetter Balanced Care 32: Standard Silver Off Exchange Plan>Ambetter Balanced Care 32: Standard Silver Off Exchange Plan. Federal Poverty Level (FPL) is the minimum income a family requires for basic needs like food or shelter. When you choose Ambetter, youre covered on these essential medical care and wellness services: Emergency Care Outpatient or Ambulatory Care Preventive & Wellness Care Maternity & Newborn Care Pediatric Care Mental Health & Substance Abuse Care Laboratory Services Prescription Drugs Therapy Services Hospitalization Bronze or Silver?. According to policy settings, the Ambetter insurance program offers prescription drug coverage, mental and behavioral health services, maternity care, newborn care, 24/7 nurse advice line, optional vision and dental coverages, ambulatory services, lab services, and more. Plan Overview – Silver 70 Ambetter HMO. Here are 6 important things to know about deductibles: Having health insurance can lower your costs even when you have to pay out of pocket to meet your deductible. Choose optional, affordable vision and dental insurance. We want to help you find the Ambetter health plan that best fits your budget and your health needs. Ambetter Essential Care: $0 Medical Deductible. Deductibles Coinsurance *My Health Pays™ rewards cannot be used for pharmacy copays. Benefit Explanation: Most Ambetter Plans offer Preferred Generic Drugs at $5 or less. And in 2023, we have expanded our plans in certain states and counties to help our members find more coverage options that best fit their needs and their budget! Find the Ambetter plan that works best for you. *Ambetter does not provide medical care. You can check the levels on the Department of Health and Human. Learn more and enroll today! Affordable Health Insurance Plans in Georgia / Ambetter from Peach State Health Plan. Enroll in the Ambetter Essential Care: $1,500 Medical Deductible with Walgreens plan today. Ambetter from Arizona Complete Health can help. Ambetter from Arizona Complete Health can help. *Statistical claims and the #1 Marketplace Insurance statement are in reference to national on-exchange marketplace membership and based on national Ambetter data in conjunction with findings from 2021 Rate Review data from CMS, 2021 State-Level Public Use File from CMS, state insurance regulatory filings, and public financial filings. See if you’re eligible to enroll BRONZE Ambetter Bronze Care Bronze Care plans cover your essential healthcare needs. *Ambetter does not provide medical care. Ambetter from Superior HealthPlan Attn: Claims Department – Member Reimbursement P. For general definitions of common terms, such as allowed amount, balance billing, coinsurance, copayment, deductible, provider, or other underlined terms, see the Glossary. Once you meet the deductible, you pay 20% of the cost for most of your care. For specific coverage and cost information, including the deductible, out-of-pocket expenses, and premium costs, youll need to work with Ambetter directly. The contact information for those agencies is: Ambetter from Sunshine Health at 1-877-687-1169 (Relay Florida: 1-800-955-8770); Florida Office of Insurance Regulation, 200 East Gaines Street, Tallahassee, FL 32399-4288, Phone No. gov/sbc-glossary or call 1-877-687-1196 (Relay Texas/TTY 1-800-735-2989) to request a copy. Mental/Behavioral health / Substance use disorder (outpatient) Office visit: $45 (deductible waived) Other than office visit: 20% up to $45 (deductible waived) Home health care services (100 visits per calendar year) $45 (deductible waived) Other services Durable medical equipment 20% (deductible waived) Hospice service $0 (deductible waived). Depending on the plan design, the deductible can be as high as the allowable out-of-pocket maximum, which is $8,700 for a single individual. When you choose Ambetter, youre covered on these essential medical care and wellness services: Emergency Care. Ambetter Guide Find nearby in-network care Log in for the most accurate results Logging in helps us find you the most accurate results for your plan. Ambetter mental health coverage is extensive; Ambetter insurance covers a host of medical and mental health needs, including the treatment of substance abuse disorders. Ambetter exists to improve the health of its beneficiaries through focused, compassionate and coordinated care. Once you meet the deductible, you pay 20% of the cost for most of your care. Ambetter from Ambetter from Sunshine Health PO Box 459089 Fort Lauderdale, FL 33345-9089 Phone: 1-877-687-1169 (Relay Florida 1-800-955-8770) Ambetter. Health insurance deductibles have been steadily rising for years. Benefit description Member(s) responsibility Facility: $400 (deductible waived); Physician: $0 (deductible waived).