| Field | Data |
|---|---|
| Health Insurance Plan ID | 91450AZ0180072 |
| Health Insurance Plan Year | 2022 |
| State | Arizona |
| Health Insurance Issuer | Health Net of Arizona, Inc. |
| Plan Marketing Materials URL | Marketing URL |
| Last Plan Update Date | Mon, 16 Aug 2021 00:00 GMT |
| Last Import Date | Tue, 21 Mar 2023 13:10 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 | 50.0% | After deductible | YES |
| Non preferred brand | 3 month in mail | $0 | No charge | 42.0% | After deductible | YES |
| Preferred brand | 1 month in retail | $0 | No charge | 50.0% | After deductible | YES |
| Preferred brand | 3 month in mail | $0 | No charge | 42.0% | After deductible | 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 | 50.0% | After deductible | YES |
| Specialty | 3 month in mail | $0 | No charge | 50.0% | After deductible | YES |
Frequently Asked Questions(FAQ) about Ambetter Balanced Care 28 (2022) + Vision + Adult Dental, 91450AZ0180072 Health Insurance Plan, 91450AZ0180072
Does Ambetter Balanced Care 28 (2022) + Vision + Adult Dental Health Insurance Plan, 91450AZ0180072 support Mail Ordering?
Yes, Ambetter Balanced Care 28 (2022) + Vision + Adult Dental Health Insurance
Plan, 91450AZ0180072 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 28 (2022) + Vision + Adult Dental (91450AZ0180072) 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 28 (2022) + Vision + Adult Dental Health Insurance Plan (91450AZ0180072)?
For non preferred brand drug tier copay (No charge) is $0.0 and coinsurance (After deductible) is 50.0%, non preferred brand drug tier copay (No charge) is $0.0 and coinsurance (After deductible) is 42.0%, preferred brand drug tier copay (No charge) is $0.0 and coinsurance (After deductible) is 50.0%, preferred brand drug tier copay (No charge) is $0.0 and coinsurance (After deductible) is 42.0%
What are the copay and coinsurance options for Brand Drugs with Ambetter Balanced Care 28 (2022) + Vision + Adult Dental Health Insurance Plan (91450AZ0180072)?
, non preferred brand drug tier copay (No charge) is $0.0 and coinsurance (After deductible) is 50.0%, non preferred brand drug tier copay (No charge) is $0.0 and coinsurance (After deductible) is 42.0%, preferred brand drug tier copay (No charge) is $0.0 and coinsurance (After deductible) is 50.0%, preferred brand drug tier copay (No charge) is $0.0 and coinsurance (After deductible) is 42.0%
Disclaimer: This is based on the import(Date: Tue, 21 Mar 2023 13:10 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