Connected Silver + Vision + Adult Dental
Ambetter from Arkansas Health & Wellness · 2026 plan year
Silver
- Ind. medical deductible
- $7,350
- Rx deductible (separate)
- $1,000
- Family deductible
- $14,700
- Ind. OOP max
- $9,100
- Family OOP max
- $18,200
This plan sets a separate deductible for prescription drugs. The medical deductible shown does not cover prescriptions; they have their own.
Compare with other Silver plans in AR
Side by side: deductibles, out-of-pocket limits and copays.
Other cost-sharing reduction variants for this plan:
More Ambetter from Arkansas Health & Wellness plans in AR
Monthly premiums by age
The same in all 7 areas this plan covers.
| Age | Individual | Individual + tobacco |
|---|---|---|
| Under 15 | $526 | $526 |
| 21 | $688 | $826 |
| 30 | $781 | $937 |
| 40 | $879 | $1,055 |
| 50 | $1,229 | $1,475 |
| 60 | $1,868 | $2,241 |
| 64 and over | $2,064 | $2,477 |
Live premium estimate
Benefits & cost sharing
Primary Care
| Benefit | In-network |
|---|---|
| Preventive Care/Screening/Immunization | No charge |
| Primary Care Visit to Treat an Injury or Illness | $55.00 |
Specialist
| Benefit | In-network |
|---|---|
| Specialist Visit | $75.00 |
Hospital
| Benefit | In-network |
|---|---|
| Emergency Room Services | $250.00 Copay after deductible |
| Inpatient Hospital Services (e.g., Hospital Stay) | $1000.00 Copay per Day after deductible |
| Mental/Behavioral Health Emergency Room | $125.00 Copay after deductible |
| Mental/Behavioral Health Urgent Care | $50.00 |
| Outpatient Surgery Physician/Surgical Services | $100.00 Copay after deductible |
| Substance Use Disorder Emergency Room | $125.00 Copay after deductible |
| Substance Use Disorder Urgent Care | $50.00 |
| Urgent Care Centers or Facilities | $60.00 |
Pharmacy
| Benefit | In-network |
|---|---|
| Off Label Prescription Drugs | $250.00 Copay after deductible |
| Generic Drugs | $15.00 |
| Non-Preferred Brand Drugs | $100.00 Copay after deductible |
| Preferred Brand Drugs | $50.00 |
| Preventative Drugs | No charge |
| Specialty Drugs | $250.00 Copay after deductible |
| Tier 1b Generic Drugs | $15.00 |
Mental Health
| Benefit | In-network |
|---|---|
| Mental/Behavioral Health Emergency Transportation/Ambulance | $125.00 Copay after deductible |
| Mental/Behavioral Health ER Physician Fee | $125.00 Copay after deductible |
| Mental/Behavioral Health Inpatient Services | $1000.00 Copay per Day after deductible |
| Mental/Behavioral Health Outpatient Other Services | No charge |
| Mental/Behavioral Health Outpatient Services | $55.00 |
| Substance Use Disorder Emergency Transportation/Ambulance | $125.00 Copay after deductible |
| Substance Use Disorder ER Physician Fee | $125.00 Copay after deductible |
| Substance Use Disorder Outpatient Other Services | No charge |
Other
| Benefit | In-network |
|---|---|
| Orthodontia - Adult | Not covered |
| Orthodontia - Child | Not covered |
| Abortion for Which Public Funding is Prohibited | Not covered |
| Accidental Dental | $250.00 Copay after deductible |
| Acquired Brain Injury | $1000.00 Copay after deductible |
| Acupuncture | Not covered |
| Allergy Testing | $75.00 |
| Applied Behavior Analysis Based Therapies | $250.00 Copay after deductible |
| Bariatric Surgery | $1000.00 Copay after deductible |
| Basic Dental Care - Adult | 50.00% |
| Basic Dental Care - Child | Not covered |
| Biomarke | $60.00 |
| Cardiac Rehabilitation | $50.00 |
| Chemotherapy | $50.00 |
| Chiropractic Care | $75.00 |
| Cochlear Implants | No charge |
| Community Health Worke | $55.00 |
| Cosmetic Surgery | Not covered |
| Craniofacial Surgery | $1000.00 Copay after deductible |
| Delivery and All Inpatient Services for Maternity Care | $1000.00 Copay after deductible |
| Dental Anesthesia | $250.00 Copay after deductible |
| Dental Check-Up for Children | Not covered |
| Diabetes Care Management | $75.00 |
| Diabetes Education | $75.00 |
| Dialysis | $250.00 Copay after deductible |
| Doulas | $55.00 |
| Durable Medical Equipment | $50.00 |
| Emergency Transportation/Ambulance | $750.00 Copay after deductible |
| Eye Glasses for Children | No charge |
| Gastric Electrical Stimulation | $50.00 |
| Nutritional Counseling | $75.00 |
| Habilitation Services | $50.00 |
| Hearing Aids | No charge |
| Home Health Care Services | $50.00 |
| Hospice Services | $1000.00 Copay after deductible |
| Imaging (CT/PET Scans, MRIs) | $150.00 |
| Infertility Treatment | $250.00 Copay after deductible |
| Infusion Therapy | $250.00 Copay after deductible |
| Inherited Metabolic Disorder - PKU | $60.00 |
| Inpatient Physician and Surgical Services | No Charge after deductible |
| Laboratory Outpatient and Professional Services | $60.00 |
| Long-Term/Custodial Nursing Home Care | Not covered |
| Major Dental Care - Adult | 50.00% |
| Major Dental Care - Child | Not covered |
| Other Practitioner Office Visit (Nurse, Physician Assistant) | $55.00 |
| Outpatient Facility Fee (e.g., Ambulatory Surgery Center) | $250.00 Copay after deductible |
| Outpatient Rehabilitation Services | $50.00 |
| PANS-PANDA | $250.00 Copay after deductible |
| Prenatal and Postnatal Care | $55.00 |
| Private-Duty Nursing | Not covered |
| Prosthetic Devices | $50.00 |
| Radiation | $250.00 Copay after deductible |
| Reconstructive Surgery | $1000.00 Copay after deductible |
| Rehabilitative Occupational and Rehabilitative Physical Therapy | $50.00 |
| Rehabilitative Speech Therapy | $50.00 |
| Restorative Reproductive Treatment | $250.00 Copay after deductible |
| Routine Dental Services (Adult) | No charge |
| Routine Eye Exam (Adult) | No charge |
| Routine Eye Exam for Children | No charge |
| Routine Foot Care | $75.00 |
| Skilled Nursing Facility | $100.00 Copay per Day after deductible |
| Substance Abuse Disorder Inpatient Services | $1000.00 Copay per Day after deductible |
| Substance Abuse Disorder Outpatient Services | $55.00 |
| Transplant | $1000.00 Copay after deductible |
| Treatment for Temporomandibular Joint Disorders | $250.00 Copay after deductible |
| Weight Loss Programs | Not covered |
| Weight Loss Treatment | $1000.00 Copay after deductible |
| Well Baby Visits and Care | No charge |
| Well Child Care | No charge |
| X-rays and Diagnostic Imaging | $60.00 |
Plan rules
Service area
This plan covers 1 geographic area.
Open enrollment coming up?
Get notified when it opens — we'll remind you so you don't miss your window.