Does this plan cover services outside plan service area? When filing a claim for this bill, the first $6,500 would be paid by you and then the next $1,000 would be paid by the insurance provider. To find our most up to date list of in-network providers, please visit our website at Ambetter.SuperiorHealthPlan.com . 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. Contact us. Does this plan cover services outside the country? The fundamental difference among the new Obamacare health plans is the percentage of covered medical costs paid by the health plan. HealthPocket is a free information source designed to help consumers find medical coverage. HealthPocket is a free information source designed to help consumers find medical coverage. Don't see your state listed? See our Open Enrollment article for more information. Ambetter Balanced Care 5 Coverage Period: Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual/Family | Plan Type: HMO Does this plan have access to a national provider network? The Open Enrollment period for the 2018 Affordable Care Act health plans begins November 1, 2017 and ends December 15, 2017. Please contact, Primary Care Visit to Treat an Injury or Illness, Laboratory Outpatient and Professional Services, Diagnostic Imaging such as MRIs, CT, and PET scans. The Silver Plan pays 70% of covered medical costs for a typical enrollee. If you live in CA or NY, you can enroll in coverage with Health Net (CA) or Fidelis Care (NY). The Tools You Need To Manage Your Health. Inpatient Hospital Services (e.g., Hospital Stay), Inpatient Physician and Surgical Services, Emergency Transportation or Ambulance Service, Delivery and all inpatient services for maternity care, Mental/Behavioral Health Outpatient Services, Mental/Behavioral Health Inpatient Services, Substance use disorder outpatient services, Substance use disorder inpatient services. ObamaCare’s Silver Plan is a type of Metal Plan on the Health Insurance Marketplace. Learn more about plan monthly cost,premimum deductibles,prescription drug coverage, hospital services, accepted doctors and more. 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. Learn more about our Healthcare Marketplace plans and enroll in the plan that is best for you. Get Health Insurance plan info on Ambetter Balanced Care 5 (2021) from Ambetter from Superior HealthPlan. Our easy to use secure site gives you access to your health information anytime. Does this plan offer disease managment programs? Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan. Select your state below to see plans in your area. Ambetter offers customers affordable health care plans in 14 states including Arkansas, Arizona, Georgia, Florida, Indiana, and Nevada, among others. 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. See our Open Enrollment article for more information. You can use HealthPocket’s comparison tool to compare Silver Plan premiums in your area. For example, say you owned an Ambetter Balanced Care 2 plan and incurred medical expenses of $7,500. and select “Find a Provider” in the main menu. 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. You can use HealthPocket’s comparison tool to compare Silver Plan premiums in your area. Child Dental Coverage - Routine Dental Care, Child Dental Coverage - Basic Dental Care, Child Dental Coverage - Major Dental Care, Adult Dental Coverage - Routine Dental Care, Adult Dental Coverage - Basic Dental Care, Adult Dental Coverage - Major Dental Care, 8 Myths about Short-Term Health Insurance, https://providersearch.ambetterhealth.com/, Asthma, Diabetes, Heart Disease, High Blood Pressure & High Cholesterol, Low Back Pain, Pregnancy, Other Practitioner Office Visit (Nurse, Physician Assistant), Ambetter Balanced Care 5 (2021) + Vision + Adult Dental. Whether you are looking for Medicare, or an individual and family health insurance plan, we will help you find the right healthcare option and save on your out of pocket healthcare costs. Any other expenses beyond this point would also be covered by the insurer. Get Health Insurance plan info on Ambetter Balanced Care 5 (2019) from Celtic Insurance Company. Learn more about plan monthly cost,premimum deductibles,prescription drug coverage, hospital services, accepted doctors and more. All Silver Plans share the same minimum health benefits, but the way they charge out-of-pocket costs can differ significantly. HealthPocket.com provides information on insurance products. Always review the privacy and terms of use of the partner website. If you choose to obtain a quote or apply for an insurance plan, you may be transferred to a partner website to complete your request. HealthPocket.com provides information on insurance products. ObamaCare’s Silver Plan is a type of Metal Plan on the Health Insurance Marketplace. 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. We do not have any data on plans available in your area. The Open Enrollment period for the 2018 Affordable Care Act health plans begins November 1, 2017 and ends December 15, 2017. Ambetter is a health insurance company owned by the Centene Corporation, which is a multi-national healthcare company that provides programs and services to under-insured and uninsured individuals. Ambetter Balanced Care 5 (2020) (Silver Level) Covered benefits are for In-network providers only. HealthPocket, Inc. is part of the Benefytt Technologies, Inc. family of companies. HealthPocket, Inc. is part of the Benefytt Technologies, Inc. family of companies. The Silver Plan pays 70% of covered medical costs for a typical enrollee. If you choose to obtain a quote or apply for an insurance plan, you may be transferred to a partner website to complete your request. 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. Whether you are looking for Medicare, or an individual and family health insurance plan, we will help you find the right healthcare option and save on your out of pocket healthcare costs. We do not have any data on plans available in your area. Find Ambetter coverage in your state. Ambetter has you covered, with plans available in 20 states nationwide. Providers listed in the Ambetter from Superior HealthPlan online 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. All Silver Plans share the same minimum health benefits, but the way they charge out-of-pocket costs can differ significantly. 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. Always review the privacy and terms of use of the partner website. 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. 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. Is a referral required to see a Specialist? Ambetter offers a variety of marketplace health insurance plans with varying levels of coverage and premiums to meet the needs of a diverse community. 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