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Ambetter Secure Care 20 (2022) + Vision + Adult Dental

Field Data
Health Insurance Plan ID99723MO0110064
Health Insurance Plan Year2022
StateMissouri
Health Insurance IssuerCeltic Insurance Company
Plan Marketing Materials URLMarketing URL
Last Plan Update DateMon, 16 Aug 2021 00:00 GMT
Last Import DateFri, 24 Mar 2023 05:06 GMT
 
Available Variants of the Health Plan

99723MO0110064-00

99723MO0110064-01

99723MO0110064-02

99723MO0110064-03

Copay & Coinsurance of Ambetter Secure Care 20 (2022) + Vision + Adult Dental Health Insurance Plan, 99723MO0110064

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 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 Secure Care 20 (2022) + Vision + Adult Dental, 99723MO0110064 Health Insurance Plan, 99723MO0110064

Does Ambetter Secure Care 20 (2022) + Vision + Adult Dental Health Insurance Plan, 99723MO0110064 support Mail Ordering?

Yes, Ambetter Secure Care 20 (2022) + Vision + Adult Dental Health Insurance Plan, 99723MO0110064 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 Secure Care 20 (2022) + Vision + Adult Dental (99723MO0110064) 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 Secure Care 20 (2022) + Vision + Adult Dental Health Insurance Plan (99723MO0110064)?

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, preferred brand drug tier

What are the copay and coinsurance options for Brand Drugs with Ambetter Secure Care 20 (2022) + Vision + Adult Dental Health Insurance Plan (99723MO0110064)?

, 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, 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