Ambetter

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2020 Ambetter Provider Finder
2020 Ambetter Hospital List

Coverage Area: Cook County, DuPage County

Our Rating: Ambetter - Illinois Health Plans

Ambetter is one of 5 carriers in Illinois for 2020, and one of 3 who is covering Cook & DuPage counties. They are currently only offering Silver & Gold plans, which can only be enrolled on the exchange. They also offer plans bundled with optional vision & dental plans.

Ambetter is a good choice for anyone who qualifies for Cost Sharing reductions, as well as for people who are more concerned about their prescription drug coverage (more copays then similar Blue Cross plans) vs gaining access to a wide provider & hospital network.

Hospital List – Chicago Area

Hospital Address Phone Number
Kindred Chicago Lakeshore 6130 North Sheridan Road Chicago, IL 60677 (773) 381-1222
Mt Sinai Hospital 2750 W 15th Place Chicago, IL 60608 (773) 542-2000
Thorek Memorial Hospital 850 West Irving Park Chicago, IL 60613 (773) 525-6780
Louis A Weiss Memorial Hospital 4646 North Marine Drive Chicago, IL 60640 (773) 878-8700
Kindred Hospital Chicago North 2544 W Montrose Avenue Chicago, IL 60618 (773) 267-2622
Kindred Chicago Central Hospital 4058 W Melrose Street Chicago, IL 60677 (773) 736-7000
Saint Bernard Hospital 326 W 64th Street Chicago, IL 60621 (773) 962-3900
Swedish Covenant Hospital 5145 North California Avenue Chicago, IL 60625 (773) 878-8200
Holy Cross Hospital 2701 W 68th Street Chicago, IL 60629 (773) 884-1602

2020 Plan Comparison

Note: Silver plans on the exchange may qualify for Cost Sharing Reduction, meaning you may see different deductibles and copayments based on if you qualify based on your income level.

Plans Ambetter Balanced Care 11 (2020) Ambetter Balanced Care 2 (2020) Ambetter Balanced Care 1 (2020) Ambetter Balanced Care 12 Standardized (2020)

Ambetter Secure Care 1 (2020) with 3 Free PCP Visits

DEDUCTIBLE $0 $6,500 $5,500 $3,500 $1,000
MAX OUT OF POCKET $2,700 $6,500 $6,500 $7,350 $6,350
NETWORK HMO HMO HMO HMO HMO
METAL LEVEL Silver Silver Silver Silver Gold
COPAYS
PRIMARY CARE $8 $30 $30 $30

20% Coinsurance after deductible

SPECIALIST $15 $60 $60 $65

20% Coinsurance after deductible

GENERIC DRUGS $8 $15 $10 $15 $10
BRAND DRUGS $30 $50 $50 $50

$25 Copay after deductible

NON PREFERRED BRAND DRUGS 50% No Charge after Deductible 20% Coinsurance after deductible $100

$75 Copay after deductible

SPECIALTY DRUGS 50% No Charge after Deductible 20% Coinsurance after deductible 40% Coinsurance after deductible

30% Coinsurance after deductible

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