2019 Ambetter Silver 5 Plan Details - HealthPocket

Ambetter Silver 5

$202.72/mo

Apply For This Plan

Zip Code79936
Applicant8/22/1984 Male
Coverage Start8/23/2019
Apply Now

Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan NameAmbetter Silver 5
Plan IDqhp-87226TX0010009
Plan Year2019
Insurance ProviderAmbetter
Metal LevelSilver
Plan TypeHMO
Deductible$3,000
Out-of-Pocket Maximum$6,350
Personal Score

Plan Highlights

Costs for Medical Care

Primary Care Visit to Treat an Injury or Illness$50 Copay
Specialist Visit$75 Copay
Deductible - Family$6000
Out-of-Pocket Maximum - Family$12700

Prescription drug coverage

Generic Drugs$10 Copay
Preferred Brand Drugs$50 Copay
Non-Preferred Brand Drugs$75 Copay
Specialty Drugs$250 Copay

Access to doctors and hospitals

Provider directory URLhttp://ambetter.superiorhealthplan.com/findadoc

Hospital services

Emergency Room Services$250 Copay
Inpatient Hospital Services (e.g., Hospital Stay)$1000 Copay
Inpatient Physician and Surgical ServicesNo Charge after Deductible
PremiumPlan NameDeductible
from $174
Blue Advantage Silver HMO 004
$3,000.00Select
from $206
Ambetter Silver 5 + Vision
$3,000.00Select
from $217
Ambetter Silver 5 + Vision + Adult Dental
$3,000.00Select
from $231
Scott and White Health Plan Silver 3000
$3,000.00Select
from $236
Blue Choice Silver PPO 004
$3,000.00Select
/
Please select the correct zip
Olmer, Brooker
View All Details
Maria, Cardenas
View All Details
Patricia, Azarcon-samonte
View All Details
Thomas, Hoffer
View All Details
Daniel, Vande Lune
View All Details
Alberto, Weber
View All Details
Eep Internal Medicine Pa
View All Details
Edward, Favela
View All Details
Bee Well El Paso Pediatrics Pllc
View All Details
Victoria, Fierro
View All Details
Stephanie, Carranza
View All Details
Irma, Miguel
View All Details
Amanda, Murr
View All Details
Sun City Neuromuscular Rehabilitation Pllc
View All Details
Valerie, Vasquez
View All Details
Dana, Nielsen
View All Details
Texas Federal Wellness Center Of El Paso, Pllc
View All Details
Janet, Montenegro
View All Details
Christine, Kenney
View All Details
Rossalyn, Portilllo
View All Details
Maycrystal, Gay
View All Details
Optimum Performance And Therapy Clinic, Pllc
View All Details
Paul, Anderson
View All Details
Olmer Brooker, M.D.
View All Details
  • Phone Number
    (915) 855-7900
  • Office Locations
    1418 George Dieter Dr
    El Paso, TX 79936
1418 George Dieter Dr El Paso TX, 79936
  • What Is the Silver Plan?

    ObamaCare’s Silver Plan is a type of Metal Plan on the Health Insurance Marketplace. Silver Plans qualify for both Tax Credits and Cost Sharing subsidies.Silver Plans have lower out-of-pocket costs than Bronze Plans but higher out- of-pocket costs than both Gold and Platinum Plans. All Silver Plans share the same minimum health benefits, but the way they charge out-of-pocket costs can differ significantly.

  • How are Silver Plans different than other Obamacare health plans?

    The fundamental difference among the new Obamacare health plans is the percentage of covered medical costs paid by the health plan. The Silver Plan pays 70% of covered medical costs for a typical enrollee. Silver Plans are also the only metal plans which offer cost-sharing reduction (CSR) versions to consumers that require financial assistance for out-of-pocket costs.

  • How much does a Silver Plan cost?

    The monthly premium for a Silver Plan depends on the insurer from whom you purchase the plan, the number of people to be insured by the plan, your age, whether you smoke, and the region in which you live. You can use HealthPocket’s comparison tool to compare Silver Plan premiums in your area.

  • When Can I Enroll in a Silver Plan?

    The Open Enrollment period for the 2018 Affordable Care Act health plans begins November 1, 2017 and ends December 15, 2017. See our Open Enrollment article for more information.

Read More

HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, Medicaid or an individual health insurance plan, we will help you find the right healthcare option and save on your out of pocket healthcare costs. We receive our data from government, non-profit and private sources, and you should confirm key provisions of your coverage with your selected health plan. If you select a plan presented on our site, you will be directed (via a click or a call) to one of our partners who can help you with your application. Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan. HealthPocket, Inc. is a wholly owned subsidiary of Health Plan Intermediaries Holdings LLC (NASDAQ: HIIQ)

Close

Health Plans Found

 

HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, Medicaid or an individual health insurance plan, we will help you find the right healthcare option and save on your out of pocket healthcare costs. We receive our data from government, non-profit and private sources, and you should confirm key provisions of your coverage with your selected health plan. If you select a plan presented on our site, you will be directed (via a click or a call) to one of our partners who can help you with your application. Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan. HealthPocket, Inc. is a wholly owned subsidiary of Health Plan Intermediaries Holdings LLC (NASDAQ: HIIQ)