Health Plans
Ambetter inopa zvirongwa zvitatu zvehutano hwehutano, iyo Gold , Silver uye Bronze zvirongwa. Sarudza hurongwa hwebhandi huchakupa iwe kuderedza mwedzi uchibhadhara asi uchatora mari yakawanda mune kunze kwehomwe. Chirongwa chegoridhe chinobhadhara zvikuru kunyanya kutarisira kwako asi chinouyawo nebhadharo yepamusoro. Sirivha chirongwa chinopa muganhu pakati peinishuwarenzi yebhadharo uye kunze kwemari yekushandisa mari. Chirongwa chehutano hwehutano hunokosha hunovharwa nezvirongwa zvose zvinosanganisira
- Emergency Services:
- Hospitalization
- Muchipatara kana Mishandirapamwe
- Kuchengetedza uye Kuchengetedza Utano
- Maternity neNewborn Care
- Zvirongwa zveMishonga
- Various Therapy Services (kureva Physical Therapy)
- Prescription Drugs
- Mazano ekurapa
- Mental Health uye Mishonga Inoshandiswa Kwezvinodhaka
Kuzviona kuonekwa kwekuona kunowanikwa kuburikidza nemamwe mapurogiramu (kubhechechedza vana vezvekuongorora kwemaziso, maziso ezvigadzirwa zvepamusoro.) Zvichida kukwegura kwevanhu vakuru kunowanikwa kuburikidza nezvimwe zvirongwa.)
Iwe unogona kutarisa mabhurocha aya nenzira dzakasiyana dzarongwa.
Kune zvakawanda zvakasiyana siyana zvinogona kuwanikwa kwauri uye iwe unogona kusarudza sarudzo zvichienderana ne federal paurombo huwandu, zvigadziriswa zvekudhonza, zvekunze-zve-mhepfenyuro mari, uye mari yekutengesa. Mupi wekupa zvinyorwa achakubatsira kuwana muwani wekunzvimbo yako.
Heano chiitiko cheGuridhe reGoid Level Coverage :
- Emergency Services: Hapana mutero
- Emergency transport / Ambulance (Air kana Ground): Hapana mutero
- Kutarisira Kukurumidza: Hapana mutero we-in-network providers
- Gore negore kushanyira zvakanaka / kuongorora / kuvhara / zvakanaka mwana: Hapana mutero
- Kuchengetedza kwepakutanga kunoshanyira kurapa chirwere kana kukuvara nekushanya kwekuberekwa: Hapana mutero
- Nyanzvi inoshanya (cardiology, podiatry, chiropractic): Hapana mutero
- Kufungidzira (CT / PET / MRI): Hapana mutero
- X-ray (Kuongororwa / Kufungidzira): Hapana mutero
- Inpatentient Facility Fee: Hapana mutero
- Inpatient Hospital Chipatara Nezvekuvhiya Mabasa: Hapana mutero
- Kunze kweUkuvhiya Chiremba / Surgical Services: Hapana mutero
- Bhuku Rezvepatientiti Nezvehupfumi: Hapana mutero
- Mental / behavioral health health & drug use disorder outpatient services: Hapana mutero
- Kudzokorora kwiso rekuongorora (1 kushanyira gore): 100 kubva muzana
- Makirasi (masimusi 1 pagore): 100 muzana kugoverwa
- Lens (peji imwe neimwe): 100 muzana kugoverwa
- Dhigirii mishonga: Hapana mhanho yemagetsi, inoshandiswa mishonga yemishonga, madhiragi asingashandisirwi mishonga kana kukodzwa kwemishonga.
Nhengo Kubatsira
- Purogiramu Yemibayiro: Unogona kuwana kusvika ku $ 250 pagore nekuda kwekudzivirira kuchengetedza matanho.
- 24/7 Murapi Mutsara Wechirevo: Mukoti akanyoreswa anowanikwa 24/7 kupindura mibvunzo uye kupa mazano ekurapa.
- Care Management: Iyi chirongwa chekushandisa rubatsiro rwekubatsira avo vane mararamiro ehupenyu kana hutano hwakaoma.
- Utano Hwakaronga Zvirongwa: Kutsigira kune avo vane zvirwere zvisingaperi
- Kutsigira kuberekwa kwevakadzi nevana: Kutsigirwa kwakanakira vanaamai vane pamuviri nevana.
- Video Library: Laibradhi yevhidhiyo inopa ruzivo kumalungu kuti avabatsire kuramba vachiziva. Vhidhiyo inowanika kuti inyore bhadha yebhadharo, kwaunofanira kuenda kunotarisira, nhengo dzekuchengeteka nhoroondo, kuchengetedzwa kwekuchengetedza uye nzira yekuwana iwe mukuru wekutarisira.
Nzira Yokunyora Nayo
Kana iwe uchida kunyora kugoverwa kuburikidza neAmbetter, iwe uchatanga kupa ruzivo rwemashoko (hutano hwemhuri, mari, nezvimwewo) kuti uwane kuti zvirongwa zvaunokodzera uye kana iwe ungakodzero yekubatsirwa. Iwe uchazogoverwa neurongwa hwezvirongwa zvekugadzirisa. Mushure mekufananidza iwe unogona kunyora kugovera. Iwe uchagamuchira mukana wekugamuchira nepakiti yechuwarisi mu-mail.
Mutengi weKateresi Mitsva / Kuongorora
Ambetter ane "B-" nhamba yeBusiness Business Bureau inowanikwa mumatambudziko makumi matatu nevatengi uye kuongororwa kwevatengi 15. Pasi pose, Ambetter akawana BBB muongorori wehuwandu hwe2,56 kubva kune 5 nyeredzi. Ambetter haisi BBB yakagamuchirwa. Kunyange zvazvo makambani ari pasi pekusungirwa kutsvaga kubvumirwa kweBBB, inobvumira vatengi kuti vaone kuti kambani yacho inotarisira sei uye inogadzirisa zvikwereti zvevatengi.
Pane musanganiswa wezvakanaka nezvakaipa kuongororwa fomu online Ambetter. Vamwe varwere vanonyunyuta pamusoro pekambani inoramba nzira dzisina tsanangudzo yakakodzera. Mhinduro dzakanaka dzinosanganisa zviri nyore mubhadharo dzekubhadhara paIndaneti uye basa rakanaka rekutengesa pamusoro pefoni
Summary
Ambetter kubva ku Coordinated Care ane makore anopfuura makumi matatu 'akawana ruzivo rwehutano hwehutano. Pane zvirongwa zvakawanda zvekubatsira kusarudza kubva pakufananidza chero chero mari yebhajeti uye mamiriro ekurapa. Kuti uwane zvakawanda pamusoro pezvirongwa zvehutano zvakakodzera iwe unokwanisa, unogona kushanyira web site yeAmbetter kana kuti taura nemumiririri wekambani pa 1-877-687-1197 (TTY / TDD 1-877-941-9238).