Ambetter Essential Care 1 & Ambetter Essential Care 1 + Vision:
| Deductible | $6,800 |
| Out of Pocked Max | $6,800 |
| Primary Care Provider Visits | No charge after deductible |
| Specialist Office Visits | No charge after deductible |
| Mental Illness and Substance Abuse Treatment | No charge after deductible |
| ER Visit | No charge after deductible |
| Urgent Care – | No charge after deductible |
| In Patient Hospital Care | No charge after deductible |
| Out Patient Surgery | No charge after deductible |
| Out Patient X-Rays and Diagnostic Imaging | No charge after deductible |
| Out Patient imaging(CT/PET/MRIs) | No charge after deductible |
| Outpatient Prescription Drugs(preferred pharmacy) | $20/ No charge after deductible/No charge after deductible/No charge after deductible |
| Outpatient Prescription Drugs(Non Preferred Pharmacy) | Not Covered |
What are the benefits of these plans?
High deductible plans will work best for consumers that have little to no regular doctor’s appointments or medications. They will have the lowest premium rates as well as the highest out of pocket costs. This would be best suited for someone in good health that only goes to the doctor for their annual well being visits and or tests.