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Ambetter Secure Care 1 (2019) with 3 Free PCP Visits
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Ambetter Secure Care 1 (2019) with 3 Free PCP Visits

Overview
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Ambetter Secure Care 1 (2019) with 3 Free PCP Visits 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 Hamilton county, Tennessee.

What Type of Health Plan Is This?

This plan is an EPO plan, which is also known as an "Exclusive Provider Organization." An EPO is a managed care plan where services are covered so long as the the hospitals, dentists, and other health providers in the plan's network are used.

Where Can I Buy This Plan?

You can purchase this plan at HealthCare.gov.

About
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Issuer
Celtic Insurance Company
Plan ID
70111TN0110001
Coverage area
Hamilton County, Tennessee
Phone
Local Phone: 1-312-332-5401
Toll-Free: 1-800-779-7989
TTY:
Plan type
EPO
Coverage type
Medical deductible
$1,000
Out-of-pocket maximum
$6,350
Generic drug co-pay
$10
Preferred brand drug co-pay
$25 Copay after deductible
Primary care physician visit cost
20% Coinsurance after deductible
Specialist doctor visit cost
20% Coinsurance after deductible
Doctor Visits
Primary Care Visit 20% Coinsurance after deductible
Specialist Visit 20% Coinsurance after deductible
Emergency Room Visit $250 Copay after deductible
Inpatient Facility Visit 20% Coinsurance after deductible
Inpatient Physician Visit 20% Coinsurance after deductible
Prescription Drugs
Generic Drugs $10
Preferred Brand Drugs $25 Copay after deductible
Non-preferred Brand Drugs $75 Copay after deductible
Specialty Drugs 30% Coinsurance after deductible
Medical Deductible
Medical Deductible (Individual) $1,000
Medical Maximum Out Of Pocket (Individual) $6,350
Medical Deductible (Family) $2,000
Medical Maximum Out Of Pocket (Family) $12,700
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 99.95%
Premium Child Age 0-14 361.52
Premium Child Age 18 431.46
Premium Adult Individual Age 21 472.59
Premium Adult Individual Age 27 495.26
Premium Adult Individual Age 30 536.38
Premium Adult Individual Age 40 603.95
Premium Adult Individual Age 50 844.02
Premium Adult Individual Age 60 1,282.58
Premium Couple 21 945.18
Premium Couple 30 1,072.76
Premium Couple 40 1,207.9
Premium Couple 50 1,688.04
Premium Couple 60 2,565.16
Couple+1 child, Age 21 1,306.7
Couple+1 child, Age 30 1,434.28
Couple+1 child, Age 40 1,569.42
Couple+1 child, Age 50 2,049.56
Couple+2 children, Age 21 1,668.22
Couple+2 children, Age 30 1,795.8
Couple+2 children, Age 40 1,930.94
Couple+2 children, Age 50 2,411.08
Couple+3 or more Children, Age 21 2,029.74
Couple+3 or more Children, Age 30 2,157.32
Couple+3 or more Children, Age 40 2,292.46
Couple+3 or more Children, Age 50 2,772.6
Individual+1 child, Age 21 834.11
Individual+1 child, Age 30 897.9
Individual+1 child, Age 40 965.47
Individual+1 child, Age 50 1,205.54
Individual+2 children, Age 21 1,195.63
Individual+2 children, Age 30 1,259.42
Individual+2 children, Age 40 1,326.99
Individual+2 children, Age 50 1,567.06
Individual+3 or more children, Age 21 1,557.15
Individual+3 or more children, Age 30 1,620.94
Individual+3 or more children, Age 40 1,688.51
Individual+3 or more children, Age 50 1,928.58
Reference
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  • 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