Ambetter Ambetter Silver 2 AR

These are the details for a 2014 Obamacare Plan. To see the available 2015 plans take a look at our plan comparison for the state of Arkansas. Compare Plans

Plan Information
Company Ambetter of Arkansas
State AR
Metal Tier Silver
Plan Type PPO

Cost Sharing Benefits

These details are for the standard Silver plan. For reduced Cost Sharing versions scroll down below

Policyholders are generally responsible for 100% of costs until the deductible amount is met. After the deductible has been met the policyholder is responsible for the coinsurance / copay until the out of pocket maximum is reached at which point the insurance company assumes 100% of all costs.

Deductibles and Cost Sharing In Network Out of Network
Deductible (Individual) $3,000 $6,000
Deductible (Family) $6,000 $12,000
Coinsurance 20% 50%
Out of Pocket Maximum (Individual) $6,350 $12,500
Out of Pocket Maximum (Family) $12,700 $25,000
Services In Network Out of Network
Primary Care Visit $50 50% coinsurance
Specialist Visit $75 50% coinsurance
In Patient Hospital Services $1000 Copay per Day 50% coinsurance
Emergency Room Services $250 Copay after deductible $250 copay
Mental / Behavioral Health $50 copay 50% coinsurance
Imaging (CT/PET Scans, MRIs) $150 copay 50% coinsurance
Rehabilitative Speech Therapy $50 copay 50% coinsurance
Rehabilitative Occupational & Physical Therapy $50 copay 50% coinsurance
Preventative Care $0 50% coinsurance
Laboratory Outpatient and Professional Services $50 copay 50% coinsurance
X-ray and Diagnostic Imaging $50 copay 50% coinsurance
Prescription Drugs In Network Out of Network
Generic Rx $10
Preferred Brand Rx $50
Non Preferred Brand Rx $100 Copay after deductible
Specialty Drugs $250 Copay after deductible

73% Cost Sharing Benefits

Households with incomes between 200% to 250% of FPL qualify for the following cost sharing benefits for this silver plan. To understand how cost sharing reductions work and how they work for you see our article about Obamacare Cost Sharing Reduction Discounts

Deductibles and Cost Sharing In Network Out of Network
Deductible (Individual) $2,500.00
Deductible (Family) $5,000.00
Out of Pocket Maximum (Individual) $5,200.00
Out of Pocket Maximum (Family) $10,400.00
Services In Network Out of Network
Primary Care Physician $15
Specialists $30
Emergency Room $150 Copay after deductible
Inpatient Facility $1000 Copay per Day
Inpatient Physician 10% Coinsurance after deductible
Prescription Drugs In Network Out of Network
Generic Rx $10.00
Preferred Brand Rx $25
Non Preferred Brand Rx $50 Copay after deductible
Specialty Drugs $250 Copay after deductible

87% Cost Sharing Benefits

Households with incomes between 150% to 200% of FPL qualify for the following cost sharing benefits for this silver plan.

Deductibles and Cost Sharing In Network Out of Network
Deductible (Individual) $500.00
Deductible (Family) $1,000.00
Out of Pocket Maximum (Individual) $2,250.00
Out of Pocket Maximum (Family) $4,500.00
Services In Network Out of Network
Primary Care Physician $10
Specialists $20
Emergency Room $100 Copay after deductible
Inpatient Facility $250 Copay per Day
Inpatient Physician No Charge
Prescription Drugs In Network Out of Network
Generic Rx $10.00
Preferred Brand Rx $20
Non Preferred Brand Rx $40 Copay after deductible
Specialty Drugs $250 Copay after deductible

94% Cost Sharing Benefits

Households with incomes between 138% to 150% of FPL qualify for the following cost sharing benefits for this silver plan.

Deductibles and Cost Sharing In Network Out of Network
Deductible (Individual) $150.00
Deductible (Family) $300.00
Out of Pocket Maximum (Individual) $754.00
Out of Pocket Maximum (Family) $1,508.00
Services In Network Out of Network
Primary Care Physician $8
Specialists $10
Emergency Room $20
Inpatient Facility $140 Copay per Day
Inpatient Physician No Charge
Prescription Drugs In Network Out of Network
Generic Rx $4.00
Preferred Brand Rx $4
Non Preferred Brand Rx $8
Specialty Drugs $8

Other Plans

Other plans that are available in the state.

Plan Name
Ambetter Bronze 1
Ambetter Bronze 1 + Vision
Ambetter Bronze 1 + Vision + Adult Dental
Ambetter Bronze 2
Ambetter Bronze 2 + Vision
Ambetter Bronze 2 + Vision + Adult Dental
Ambetter Gold 1
Ambetter Gold 1 + Vision
Ambetter Gold 1 + Vision + Adult Dental
Ambetter Gold 2
Ambetter Gold 2 + Vision
Ambetter Gold 2 + Vision + Adult Dental
Ambetter Silver 1
Ambetter Silver 1 + Vision
Ambetter Silver 1 + Vision + Adult Dental
Ambetter Silver 2
Ambetter Silver 2 + Vision
Ambetter Silver 2 + Vision + Adult Dental
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This tool is for research purposes only. The numbers shown are estimates based on the information you have provided and our best efforts to provide accurate data. We try to keep the information up to date however we cannot make warranties about the accuracy of our information. We advise that users confirm any research with the respective health insurance companies and health exchanges.