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Ambetter Secure Care 5 (2022)

Field Data
Health Insurance Plan ID99723MO0090016
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

99723MO0090016-00

99723MO0090016-01

99723MO0090016-02

99723MO0090016-03

Copay & Coinsurance of Ambetter Secure Care 5 (2022) Health Insurance Plan, 99723MO0090016

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 30.0% After deductible YES
Non preferred brand 3 month in mail $0 No charge 25.0% 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 30.0% After deductible YES
Specialty 3 month in mail $0 No charge 30.0% After deductible YES

Frequently Asked Questions(FAQ) about Ambetter Secure Care 5 (2022), 99723MO0090016 Health Insurance Plan, 99723MO0090016

Does Ambetter Secure Care 5 (2022) Health Insurance Plan, 99723MO0090016 support Mail Ordering?

Yes, Ambetter Secure Care 5 (2022) Health Insurance Plan, 99723MO0090016 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 5 (2022) (99723MO0090016) 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 5 (2022) Health Insurance Plan (99723MO0090016)?

For non preferred brand drug tier copay (No charge) is $0.0 and coinsurance (After deductible) is 30.0%, non preferred brand drug tier copay (No charge) is $0.0 and coinsurance (After deductible) is 25.0%, preferred brand drug tier, preferred brand drug tier

What are the copay and coinsurance options for Brand Drugs with Ambetter Secure Care 5 (2022) Health Insurance Plan (99723MO0090016)?

, non preferred brand drug tier copay (No charge) is $0.0 and coinsurance (After deductible) is 30.0%, non preferred brand drug tier copay (No charge) is $0.0 and coinsurance (After deductible) is 25.0%, 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