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226022 - Ess Gold 1600

Field Data
Health Insurance Plan ID14624MS0010002
Health Insurance Plan Year2022
StateMississippi
Health Insurance IssuerVantage Health Plan of Mississippi, Inc.
Plan Marketing Materials URLMarketing URL
Last Plan Update DateTue, 24 Aug 2021 00:00 GMT
Last Import DateSat, 10 Dec 2022 05:07 GMT
 
Available Variants of the Health Plan

14624MS0010002-00

14624MS0010002-01

14624MS0010002-02

14624MS0010002-03

Copay & Coinsurance of 226022 - Ess Gold 1600 Health Insurance Plan, 14624MS0010002

Drug Tier Pharmacy Type Copay amount Copay option Coinsurance rate Coinsurance option Mail Order
Non preferred brand 1 month in mail $0 No charge after deductible 20.0% No charge after deductible YES
Non preferred brand 1 month in retail $0 No charge after deductible 20.0% No charge after deductible YES
Non preferred brand 2 month in mail $0 No charge after deductible 20.0% No charge after deductible YES
Non preferred brand 2 month in retail $0 No charge after deductible 20.0% No charge after deductible YES
Non preferred brand 3 month in mail $0 No charge after deductible 20.0% No charge after deductible YES
Non preferred brand 3 month in retail $0 No charge after deductible 20.0% No charge after deductible YES
Non preferred generic 1 month in mail $30.0 No charge after deductible 0% No charge after deductible YES
Non preferred generic 1 month in retail $30.0 No charge after deductible 0% No charge after deductible YES
Non preferred generic 2 month in mail $60.0 No charge after deductible 0% No charge after deductible YES
Non preferred generic 2 month in retail $60.0 No charge after deductible 0% No charge after deductible YES
Non preferred generic 3 month in mail $90.0 No charge after deductible 0% No charge after deductible YES
Non preferred generic 3 month in retail $90.0 No charge after deductible 0% No charge after deductible YES
Preferred brand 1 month in mail $0 No charge after deductible 20.0% No charge after deductible YES
Preferred brand 1 month in retail $0 No charge after deductible 20.0% No charge after deductible YES
Preferred brand 2 month in mail $0 No charge after deductible 20.0% No charge after deductible YES
Preferred brand 2 month in retail $0 No charge after deductible 20.0% No charge after deductible YES
Preferred brand 3 month in mail $0 No charge after deductible 20.0% No charge after deductible YES
Preferred brand 3 month in retail $0 No charge after deductible 20.0% No charge after deductible YES
Preferred generic 1 month in mail $10.0 No charge after deductible 0% No charge after deductible YES
Preferred generic 1 month in retail $10.0 No charge after deductible 0% No charge after deductible YES
Preferred generic 2 month in mail $20.0 No charge after deductible 0% No charge after deductible YES
Preferred generic 2 month in retail $20.0 No charge after deductible 0% No charge after deductible YES
Preferred generic 3 month in mail $30.0 No charge after deductible 0% No charge after deductible YES
Preferred generic 3 month in retail $30.0 No charge after deductible 0% No charge after deductible YES
Specialty 1 month in retail $0 No charge after deductible 50.0% No charge after deductible NO
Specialty 2 month in retail $0 No charge after deductible 50.0% No charge after deductible NO
Specialty 3 month in retail $0 No charge after deductible 50.0% No charge after deductible NO
Zero cost share preventive 1 month in mail $0 No charge after deductible 0% No charge after deductible YES
Zero cost share preventive 1 month in retail $0 No charge after deductible 0% No charge after deductible YES
Zero cost share preventive 2 month in mail $0 No charge after deductible 0% No charge after deductible YES
Zero cost share preventive 2 month in retail $0 No charge after deductible 0% No charge after deductible YES
Zero cost share preventive 3 month in mail $0 No charge after deductible 0% No charge after deductible YES
Zero cost share preventive 3 month in retail $0 No charge after deductible 0% No charge after deductible YES

Frequently Asked Questions(FAQ) about 226022 - Ess Gold 1600, 14624MS0010002 Health Insurance Plan, 14624MS0010002

Does 226022 - Ess Gold 1600 Health Insurance Plan, 14624MS0010002 support Mail Ordering?

Yes, 226022 - Ess Gold 1600 Health Insurance Plan, 14624MS0010002 supports mail ordering for the next drug tiers: Non preferred brand, Non preferred generic, Preferred brand, Preferred generic, Zero cost share preventive

What are the Generic Medications coinsurance & copay options with 226022 - Ess Gold 1600 (14624MS0010002) Health Insurance Plan?

For non preferred generic drug tier copay (No charge after deductible) is $30.0 and coinsurance (No charge after deductible) is 0.0%, non preferred generic drug tier copay (No charge after deductible) is $30.0 and coinsurance (No charge after deductible) is 0.0%, non preferred generic drug tier copay (No charge after deductible) is $60.0 and coinsurance (No charge after deductible) is 0.0%, non preferred generic drug tier copay (No charge after deductible) is $60.0 and coinsurance (No charge after deductible) is 0.0%, non preferred generic drug tier copay (No charge after deductible) is $90.0 and coinsurance (No charge after deductible) is 0.0%, non preferred generic drug tier copay (No charge after deductible) is $90.0 and coinsurance (No charge after deductible) is 0.0%, preferred generic drug tier copay (No charge after deductible) is $10.0 and coinsurance (No charge after deductible) is 0.0%, preferred generic drug tier copay (No charge after deductible) is $10.0 and coinsurance (No charge after deductible) is 0.0%, preferred generic drug tier copay (No charge after deductible) is $20.0 and coinsurance (No charge after deductible) is 0.0%, preferred generic drug tier copay (No charge after deductible) is $20.0 and coinsurance (No charge after deductible) is 0.0%, preferred generic drug tier copay (No charge after deductible) is $30.0 and coinsurance (No charge after deductible) is 0.0%, preferred generic drug tier copay (No charge after deductible) is $30.0 and coinsurance (No charge after deductible) is 0.0%

What are the copay and coinsurance options for Brand Drugs with 226022 - Ess Gold 1600 Health Insurance Plan (14624MS0010002)?

For non preferred brand drug tier copay (No charge after deductible) is $0.0 and coinsurance (No charge after deductible) is 20.0%, non preferred brand drug tier copay (No charge after deductible) is $0.0 and coinsurance (No charge after deductible) is 20.0%, non preferred brand drug tier copay (No charge after deductible) is $0.0 and coinsurance (No charge after deductible) is 20.0%, non preferred brand drug tier copay (No charge after deductible) is $0.0 and coinsurance (No charge after deductible) is 20.0%, non preferred brand drug tier copay (No charge after deductible) is $0.0 and coinsurance (No charge after deductible) is 20.0%, non preferred brand drug tier copay (No charge after deductible) is $0.0 and coinsurance (No charge after deductible) is 20.0%, preferred brand drug tier copay (No charge after deductible) is $0.0 and coinsurance (No charge after deductible) is 20.0%, preferred brand drug tier copay (No charge after deductible) is $0.0 and coinsurance (No charge after deductible) is 20.0%, preferred brand drug tier copay (No charge after deductible) is $0.0 and coinsurance (No charge after deductible) is 20.0%, preferred brand drug tier copay (No charge after deductible) is $0.0 and coinsurance (No charge after deductible) is 20.0%, preferred brand drug tier copay (No charge after deductible) is $0.0 and coinsurance (No charge after deductible) is 20.0%, preferred brand drug tier copay (No charge after deductible) is $0.0 and coinsurance (No charge after deductible) is 20.0%

What are the copay and coinsurance options for Brand Drugs with 226022 - Ess Gold 1600 Health Insurance Plan (14624MS0010002)?

, non preferred brand drug tier copay (No charge after deductible) is $0.0 and coinsurance (No charge after deductible) is 20.0%, non preferred brand drug tier copay (No charge after deductible) is $0.0 and coinsurance (No charge after deductible) is 20.0%, non preferred brand drug tier copay (No charge after deductible) is $0.0 and coinsurance (No charge after deductible) is 20.0%, non preferred brand drug tier copay (No charge after deductible) is $0.0 and coinsurance (No charge after deductible) is 20.0%, non preferred brand drug tier copay (No charge after deductible) is $0.0 and coinsurance (No charge after deductible) is 20.0%, non preferred brand drug tier copay (No charge after deductible) is $0.0 and coinsurance (No charge after deductible) is 20.0%, preferred brand drug tier copay (No charge after deductible) is $0.0 and coinsurance (No charge after deductible) is 20.0%, preferred brand drug tier copay (No charge after deductible) is $0.0 and coinsurance (No charge after deductible) is 20.0%, preferred brand drug tier copay (No charge after deductible) is $0.0 and coinsurance (No charge after deductible) is 20.0%, preferred brand drug tier copay (No charge after deductible) is $0.0 and coinsurance (No charge after deductible) is 20.0%, preferred brand drug tier copay (No charge after deductible) is $0.0 and coinsurance (No charge after deductible) is 20.0%, preferred brand drug tier copay (No charge after deductible) is $0.0 and coinsurance (No charge after deductible) is 20.0%

 

Disclaimer: This is based on the import(Date: Sat, 10 Dec 2022 05:07 GMT) of the data from Healthcare Issuers listed by CMS. While we make every effort to ensure that data is accurate, you should assume all results are unvalidated. Source: CMS.gov, HealthPorta HEALTHCARE MRF API