Ambetter SilverSummit
Ambetter Balanced Care 11
Plan Overview
Medical Deductible |
|
Prescription Drug Deductible |
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Medical Out-of-Pocket Maximum |
|
Drug Out-of-Pocket Maximum |
|
Office Visit
Primary Doctor |
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Specialist |
|
Prescription Drug Information
Preferred Brand Drugs |
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Non Preferred Brand Drugs |
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Generic Drugs |
|
Specialty Drugs |
|
Inpatient Coverage
Hospital Services |
|
Inpatient Services |
|
Emergency and Urgent Care
Emergency Room |
|
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