| Field | Data |
|---|---|
| Health Insurance Plan ID | 99723MO0090058 |
| 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 | No charge | 10.0% | After deductible | YES |
| Generic | 3 month in mail | $0 | No charge | 8.0% | After deductible | 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 | 10.0% | After deductible | YES |
| Preferred brand | 3 month in mail | $0 | No charge | 8.0% | After deductible | YES |
| Preferredgeneric | 1 month in retail | $0 | No charge | 10.0% | After deductible | YES |
| Preferredgeneric | 3 month in mail | $0 | No charge | 8.0% | After deductible | 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 31 (2022), 99723MO0090058 Health Insurance Plan, 99723MO0090058
Does Ambetter Balanced Care 31 (2022) Health Insurance Plan, 99723MO0090058 support Mail Ordering?
Yes, Ambetter Balanced Care 31 (2022) Health Insurance
Plan, 99723MO0090058 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 31 (2022) (99723MO0090058) Health Insurance Plan?
For generic drug tier copay (No charge) is $0.0 and coinsurance (After deductible) is 10.0%, generic drug tier copay (No charge) is $0.0 and coinsurance (After deductible) is 8.0%, preferredgeneric drug tier copay (No charge) is $0.0 and coinsurance (After deductible) is 10.0%, preferredgeneric drug tier copay (No charge) is $0.0 and coinsurance (After deductible) is 8.0%
What are the copay and coinsurance options for Brand Drugs with Ambetter Balanced Care 31 (2022) Health Insurance Plan (99723MO0090058)?
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 10.0%, preferred brand drug tier copay (No charge) is $0.0 and coinsurance (After deductible) is 8.0%
What are the copay and coinsurance options for Brand Drugs with Ambetter Balanced Care 31 (2022) Health Insurance Plan (99723MO0090058)?
, 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 10.0%, preferred brand drug tier copay (No charge) is $0.0 and coinsurance (After deductible) is 8.0%
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