Share
Medicine Status
Ambetter Essential Care 6 (2019)
Healthcare.gov Individual Medical Plan Finder
Contents
Explore
Search
Medicine Status
More
About Medicine Status
Copyright © 2020 MedicineStatus.com and Spring Launch Media LLC. All Rights Reserved.

All content on this website ("the Site") is the property of Spring Launch Media LLC. The collection and assembly of content on this Site are the exclusive property of Spring Launch Media LLC and are protected by copyright and other intellectual property laws. MedicineStatus.com does not provide medical advice, diagnosis, or treatment, and urges you to consult with a qualified medical provider for diagnosis, treatment, and for answers to your medical questions. MedicineStatus.com does not warrant or assume any legal liability or responsibility for the accuracy, completeness, or usefulness of any information disclosed. MedicineStatus.com does not assume any responsibility for any aspect of medical care administered based on the contents provided on this Site. The contents of MedicineStatus.com, such as text, images, graphics, or other material are solely for informational purposes. MedicineStatus.com does not recommend or endorse any specific provider, opinions, procedures, or other information on the Site. Rely on any information provided by MedicineStatus.com or displayed on this Site solely at your own risk. Consult a healthcare professional before taking any drug, choosing or changing any course of treatment.

Ambetter Essential Care 6 (2019)

Overview
Back to Top

Ambetter Essential Care 6 (2019) is an individual health health plan issued by Celtic Insurance Company and is available for the year 2019. This health plan is offered by the federal government through HealthCare.gov and the Affordable Care Act (ACA).

Where Do I Need to Live to Quality for this Plan?

This plan is available for qualifying individuals who live in White county, Arkansas.

What Type of Health Plan Is This?

This plan is a PPO plan, which is also known as a "Preferred Provider Organization." In this type of insurance plan, you can choose to receive care from doctors, hospitals, and other providers who are in-network or out-of-network. You pay less if you use in-network providers. In a PPO plan, you can visit any doctor without getting a referral.

Where Can I Buy This Plan?

You can purchase this plan at HealthCare.gov.

About
Back to Top
Issuer
Celtic Insurance Company
Plan ID
62141AR0080005
Coverage area
White County, Arkansas
Phone
Local Phone: 1-877-617-0390
Toll-Free: 1-877-617-0390
TTY: 1-877-617-0392
Plan type
PPO
Coverage type
Medical deductible
$5,650
Out-of-pocket maximum
$7,650
Generic drug co-pay
$25
Preferred brand drug co-pay
$50 Copay after deductible
Primary care physician visit cost
40% Coinsurance after deductible
Specialist doctor visit cost
40% Coinsurance after deductible
Doctor Visits
Primary Care Visit 40% Coinsurance after deductible
Specialist Visit 40% Coinsurance after deductible
Emergency Room Visit 40% Coinsurance after deductible
Inpatient Facility Visit 40% Coinsurance after deductible
Inpatient Physician Visit 40% Coinsurance after deductible
Prescription Drugs
Generic Drugs $25
Preferred Brand Drugs $50 Copay after deductible
Non-preferred Brand Drugs $150 Copay after deductible
Specialty Drugs 30% Coinsurance after deductible
Medical Deductible
Medical Deductible (Individual) $5,650
Medical Maximum Out Of Pocket (Individual) $7,650
Medical Deductible (Family) $11,300
Medical Maximum Out Of Pocket (Family) $15,300
Drug Deductible
Drug Deductible (Individual) $500
Drug Maximum Out Of Pocket (Individual) Included in Medical
Drug Deductible (Family) $1,000
Drug Maximum Out Of Pocket (Family) Included in Medical
Premium Rates
EHB Percent of Total Premium 100.00%
Premium Child Age 0-14 198
Premium Child Age 18 237
Premium Adult Individual Age 21 259
Premium Adult Individual Age 27 272
Premium Adult Individual Age 30 294
Premium Adult Individual Age 40 332
Premium Adult Individual Age 50 464
Premium Adult Individual Age 60 705
Premium Couple 21 519
Premium Couple 30 589
Premium Couple 40 664
Premium Couple 50 928
Premium Couple 60 1,410
Couple+1 child, Age 21 718
Couple+1 child, Age 30 788
Couple+1 child, Age 40 862
Couple+1 child, Age 50 1,126
Couple+2 children, Age 21 917
Couple+2 children, Age 30 987
Couple+2 children, Age 40 1,061
Couple+2 children, Age 50 1,325
Couple+3 or more Children, Age 21 1,115
Couple+3 or more Children, Age 30 1,185
Couple+3 or more Children, Age 40 1,260
Couple+3 or more Children, Age 50 1,524
Individual+1 child, Age 21 458
Individual+1 child, Age 30 493
Individual+1 child, Age 40 530
Individual+1 child, Age 50 662
Individual+2 children, Age 21 657
Individual+2 children, Age 30 692
Individual+2 children, Age 40 729
Individual+2 children, Age 50 861
Individual+3 or more children, Age 21 856
Individual+3 or more children, Age 30 891
Individual+3 or more children, Age 40 928
Individual+3 or more children, Age 50 1,060
Reference
Back to Top

  • HealthCare.gov. U.S. Centers for Medicare and Medicaid. Accessed June 11, 2019. https://www.healthcare.gov
  • The 'metal' categories: Bronze, Silver, Gold & Platinum. U.S. Centers for Medicare and Medicaid. Accessed June 11, 2019. https://www.healthcare.gov/choose-a-plan/plans-categories
  • Health insurance plan & network types: HMOs, PPOs, and more. U.S. Centers for Medicare and Medicaid. Accessed June 11, 2019. https://www.healthcare.gov/choose-a-plan/plan-types