| Field | Data |
|---|---|
| Health Insurance Plan ID | 99723MO0110051 |
| 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 | $250.0 | After deductible | 0% | YES | |
| Non preferred brand | 3 month in mail | $625.0 | 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 | 50.0% | After deductible | YES |
| Specialty | 3 month in mail | $0 | No charge | 50.0% | After deductible | YES |
Frequently Asked Questions(FAQ) about Ambetter Essential Care 22 (2022) + Vision + Adult Dental, 99723MO0110051 Health Insurance Plan, 99723MO0110051
Does Ambetter Essential Care 22 (2022) + Vision + Adult Dental Health Insurance Plan, 99723MO0110051 support Mail Ordering?
Yes, Ambetter Essential Care 22 (2022) + Vision + Adult Dental Health Insurance
Plan, 99723MO0110051 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 22 (2022) + Vision + Adult Dental (99723MO0110051) 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 Essential Care 22 (2022) + Vision + Adult Dental Health Insurance Plan (99723MO0110051)?
For non preferred brand drug tier copay (After deductible) is $250.0, non preferred brand drug tier copay (After deductible) is $625.0, preferred brand drug tier, preferred brand drug tier
What are the copay and coinsurance options for Brand Drugs with Ambetter Essential Care 22 (2022) + Vision + Adult Dental Health Insurance Plan (99723MO0110051)?
, non preferred brand drug tier copay (After deductible) is $250.0, non preferred brand drug tier copay (After deductible) is $625.0, 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