| Field | Data |
|---|---|
| Health Insurance Plan ID | 99723MO0090036 |
| Health Insurance Plan Year | 2022 |
| State | Missouri |
| Health Insurance Issuer | Celtic Insurance Company |
| Plan Marketing Materials URL | Marketing URL |
| Last Plan Update Date | Mon, 16 Aug 2021 00:00 GMT |
| Last Import Date | Fri, 24 Mar 2023 05:06 GMT |
| Available Variants of the Health Plan | |
| Drug Tier | Pharmacy Type | Copay amount | Copay option | Coinsurance rate | Coinsurance option | Mail Order |
|---|---|---|---|---|---|---|
| Generic | 1 month in retail | $0 | 0% | YES | ||
| Generic | 3 month in mail | $0 | 0% | YES | ||
| Non preferred brand | 1 month in retail | $0 | No charge after deductible | 0% | YES | |
| Non preferred brand | 3 month in mail | $0 | No charge after deductible | 0% | YES | |
| Preferred brand | 1 month in retail | $0 | 0% | YES | ||
| Preferred brand | 3 month in mail | $0 | 0% | YES | ||
| Preferredgeneric | 1 month in retail | $0 | 0% | YES | ||
| Preferredgeneric | 3 month in mail | $0 | 0% | YES | ||
| Specialty | 1 month in retail | $0 | No charge after deductible | 0% | YES | |
| Specialty | 3 month in mail | $0 | No charge after deductible | 0% | YES |
Frequently Asked Questions(FAQ) about Ambetter Balanced Care 124 (2022), 99723MO0090036 Health Insurance Plan, 99723MO0090036
Does Ambetter Balanced Care 124 (2022) Health Insurance Plan, 99723MO0090036 support Mail Ordering?
Yes, Ambetter Balanced Care 124 (2022) Health Insurance
Plan, 99723MO0090036 supports mail ordering for the next drug tiers: Generic, Non preferred brand, Preferred brand, Preferredgeneric, Specialty
What are the Generic Medications coinsurance & copay options with Ambetter Balanced Care 124 (2022) (99723MO0090036) Health Insurance Plan?
For generic drug tier, generic drug tier, preferredgeneric drug tier, preferredgeneric drug tier
What are the copay and coinsurance options for Brand Drugs with Ambetter Balanced Care 124 (2022) Health Insurance Plan (99723MO0090036)?
For non preferred brand drug tier copay (No charge after deductible) is $0.0, non preferred brand drug tier copay (No charge after deductible) is $0.0, preferred brand drug tier, preferred brand drug tier
What are the copay and coinsurance options for Brand Drugs with Ambetter Balanced Care 124 (2022) Health Insurance Plan (99723MO0090036)?
, non preferred brand drug tier copay (No charge after deductible) is $0.0, non preferred brand drug tier copay (No charge after deductible) is $0.0, preferred brand drug tier, preferred brand drug tier
Disclaimer: This is based on the import(Date: Fri, 24 Mar 2023 05:06 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