| Field | Data |
|---|---|
| Health Insurance Plan ID | 99723MO0110039 |
| 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 after deductible | 0% | YES | |
| Generic | 3 month in mail | $0 | No charge after deductible | 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 | No charge after deductible | 0% | YES | |
| Preferred brand | 3 month in mail | $0 | No charge after deductible | 0% | YES | |
| Preferredgeneric | 1 month in retail | $0 | No charge after deductible | 0% | YES | |
| Preferredgeneric | 3 month in mail | $0 | No charge after deductible | 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 Essential Care 2 HSA (2022) + Vision + Adult Dental, 99723MO0110039 Health Insurance Plan, 99723MO0110039
Does Ambetter Essential Care 2 HSA (2022) + Vision + Adult Dental Health Insurance Plan, 99723MO0110039 support Mail Ordering?
Yes, Ambetter Essential Care 2 HSA (2022) + Vision + Adult Dental Health Insurance
Plan, 99723MO0110039 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 Essential Care 2 HSA (2022) + Vision + Adult Dental (99723MO0110039) Health Insurance Plan?
For generic drug tier copay (No charge after deductible) is $0.0, generic drug tier copay (No charge after deductible) is $0.0, preferredgeneric drug tier copay (No charge after deductible) is $0.0, preferredgeneric drug tier copay (No charge after deductible) is $0.0
What are the copay and coinsurance options for Brand Drugs with Ambetter Essential Care 2 HSA (2022) + Vision + Adult Dental Health Insurance Plan (99723MO0110039)?
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 copay (No charge after deductible) is $0.0, preferred brand drug tier copay (No charge after deductible) is $0.0
What are the copay and coinsurance options for Brand Drugs with Ambetter Essential Care 2 HSA (2022) + Vision + Adult Dental Health Insurance Plan (99723MO0110039)?
, 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 copay (No charge after deductible) is $0.0, preferred brand drug tier copay (No charge after deductible) is $0.0
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