2018 Ambetter Balanced Care 7 (2018) + Vision + Adult Dental Plan Details - HealthPocket

Ambetter Balanced Care 7 (2018) + Vision + Adult Dental

$318.22/mo

Apply For This Plan

Zip Code72209
Applicant10/20/1983 Male
Coverage Start10/23/2018
Apply Now

Benefits & Coverage

Insurance TypeACA (Obamacare)
Plan NameAmbetter Balanced Care 7 (2018) + Vision + Adult Dental
Plan IDqhp-62141AR0100007
Plan Year2018
Insurance ProviderCeltic
Metal LevelSilver
Plan TypePPO
Deductible$5,100
Out-of-Pocket Maximum$6,250
Plan Highlights

Costs for Medical Care

Primary Care Visit to Treat an Injury or Illness$50 Copay
Specialist Visit$75 Copay
Deductible - Family$10200
Out-of-Pocket Maximum - Family$12500

Prescription drug coverage

Generic Drugs$10 Copay
Preferred Brand Drugs$50 Copay
Non-Preferred Brand Drugs$100 Copay
Specialty Drugs$250 Copay

Access to doctors and hospitals

Provider directory URLComing Soon

Hospital services

Emergency Room Services$250 Copay
Inpatient Hospital Services (e.g., Hospital Stay)$1000 Copay
Inpatient Physician and Surgical Services20% Coinsurance after deductible
PremiumPlan NameDeductible
from $1,080
Ambetter Balanced Care 7 (2018) + Vision + Adult Dental
$5,100.00Select
from $244
Bronze Plan 1
$5,000.00Select
from $249
Bronze Classic Saver 5000
$5,000.00Select
from $294
Ambetter Balanced Care 7 (2018)
$5,100.00Select
from $294
Bronze Basic Saver 5000
$5,000.00Select
  • 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.

Close

Health Plans Found