Ambetter – Illinois Health Plans
2022 Ambetter Provider Finder
2022 Ambetter Hospital List
Coverage Area: Cook County, DuPage County
For 2024 Ambetter Info, please visit us here!
Ambetter – 2022
Our Rating:
Ambetter is one of 5 carriers in Illinois for 2022, 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 |
2022 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 (2022) | Ambetter Balanced Care 2 (2022) | Ambetter Balanced Care 1 (2022) | Ambetter Balanced Care 12 Standardized (2022) |
Ambetter Secure Care 1 (2022) 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
|