For nearly 10 years Ambetter Health has been committed to offering affordable health insurance to members like you. We are excited that you are covered with Ambetter Health for the 2023 plan year! We understand transitions can be challenging and are sure you have a lot of questions. Learn more about our benefits, plans, and how to get started.
Get the most from your Ambetter Health insurance with our health and wellness benefits. Choose optional, affordable vision and dental insurance plans, enroll in our mail-order pharmacy, or find extra support through Ambetter telehealth or care management programs. We’re adding value to your affordable health insurance plan with the benefits you need to take control of your health today.
Enroll in our mail-order pharmacy program for convenient delivery. Or, you can choose from in-network retail locations nearby. Search for pharmacies in our Provider Directory.
Want to check if your prescriptions are covered? Ambetter Health works closely with doctors and pharmacists to ensure we cover a variety of medications for you and your family. View Ambetter Health’s pharmacy coverage in your state.
24/7 medical help from doctors via video and phone, with $0 co-pay**.
Ambetter Telehealth** gives you access to doctors for non-emergency health issues or questions. Request a prescription or ask for medical advice by video or phone, 24/7. Plus, there’s no co-pay when you use in-network telehealth providers. Visit your state page for details.
Our My Health Pays® *** program is available to Ambetter Health members. It’s a rewards program that pays you for the healthy decisions you’re already making each and every day. Completed your annual wellness screening? You get points for that. Want to learn new ways to be healthy? You can get rewards for that, too.
Visit the My Health Pays page to learn more.
Our 24/7 nurse advice line makes it easy to get answers to health questions via phone, anytime. Talk to a registered nurse for answers about your health or medications, or whether you should go to the emergency room or see your regular doctor.
Pediatric vision is an essential health benefit available in all Ambetter Health plans. Pediatric dental care plans are also available and can be purchased separately. And, adult vision and dental insurance plans are available in some states. Explore our plans.
If you need extra support for other health needs or conditions, our care managers can help you coordinate services or find community resources. They’ll work with you and your doctors to develop care plans to help you better manage your health. Choose your state to get started.
Take care of yourself and your baby with our maternity health program. Start Smart for Your Baby® is our pregnancy program that’s designed with you and your baby in mind. Through this program, you receive resources and support to help you during the stages of pregnancy and infancy.
Find personalized help managing your chronic health condition so you have fewer complications. Through our health management programs, we offer telephone support, educational tools and behavioral health services, including depression management programs.
Ambetter Health offers Marketplace insurance plans with different coverage and premium levels. As part of our mission for better we are continually expanding our plan options and coverage to help members find the best fit for their needs and their budget!
Select your state to learn more about our plans
Take charge of your health – you can get started today!
Your Ambetter Health Coverage begins January 1, 2023. In early November you will receive a letter with your member ID. Once you receive this letter you will need to finalize your coverage selection.
The easiest way to make your first payment is to pay when you first enroll in your Ambetter Health plan. Otherwise, you can use our easy payment options.
Remember that you need to keep making your premium payments monthly to keep your insurance active. Choose an online payment option to take the hassle out of paying.
Auto Pay lets you set up recurring payments each month so you’ll always pay on time! Or make an online, secure monthly bill payment. It’s easy to set up these online payment options through your new Ambetter Health member account. Or you can pay by phone or mail.
Learn more about ways to pay your bill.
Stay connected to your Ambetter Health insurance through your online member account. It’s always available, 24/7 on your computer or smartphone. It’s your one-stop-shop for managing your Ambetter Health insurance plan.
Use your member account for convenient, fast online help:
What else can you do in your member account? Log in to:
* $0 cost share applies for in-network telehealth services through Ambetter Telehealth. $0 Ambetter Telehealth cost share does not apply to HSA plans until the deductible is met. Ambetter does not provide medical care.
We’re proud to offer our quality service. Our local provider network is the group of doctors, hospitals and other healthcare providers who have agreed to provide you with your healthcare services.
To search our online Provider Directory, visit guide.ambetterhealth.com and use our Ambetter Guide- the Ambetter Health provider search tool. This guide will have the most up-to-date information about our provider network, including information such as name, address, telephone numbers, hours of operation, professional qualifications, specialty, and board certification. It can help you find a primary care provider (PCP), pharmacy, lab, hospital or specialist. You can narrow your search by:
Recently you received communication alerting you of a change to your current coverage and assigning you to Ambetter Health. We are very excited you are insured as part of the 2023 Ambetter Health Family.
Coverage beings January 1, 2023. In November you will receive a letter with your member ID. Once you receive this letter you will be able to:
Sign up for Autopay to automatically make your payment the same time each month
We recommend reviewing our Ambetter Guide to see if your doctor is in network. The guide will have the most up to date information about our provider network, including information such as name, address, telephone numbers, hours of operation, professional qualifications, specialty, and board certification. It can help you find a primary care provider (PCP), pharmacy, lab, hospital, or specialist.
Your prior healthcare insurance carrier will continue to manage your plan for the remainder of 2022 unless you have changed carriers or have unpaid premiums with them.
If you were assigned to Ambetter Health and continue as an Ambetter Health member, your insurance will be through Ambetter effective January 1, 2023.
Your prior healthcare insurance carrier will handle all 2022 premium payments up until January 1, 2023. 2023 premium payments will be handled by Ambetter.
Your premium beginning January 1, 2023 is based on the Ambetter plan you have been assigned to in your market, you age, zip code, family size, and income information in the Marketplace.
If you have any questions, please call us at 1-800-731-3954 (TTY 711).
* Statistical claims and the #1 Marketplace Insurance statement are in reference to national on-exchange marketplace membership and based on national Ambetter data in conjunction with findings from 2021 Rate Review data from CMS, 2021 State-Level Public Use File from CMS, state insurance regulatory filings, and public financial filings.
** $0 cost share applies for in-network telehealth services through Ambetter Telehealth. $0 Ambetter Telehealth cost share does not apply to HSA plans until the deductible is met. Ambetter does not provide medical care. Ambetter Telehealth is not available to members enrolled in Arkansas plans.
*** Funds expire immediately upon termination of insurance coverage. My Health Pays® rewards cannot be used for pharmacy copays. Restrictions apply. Members must qualify for and complete all activities to receive $500 or more. Visit Member.AmbetterHealth.com for more details. Your health plan is committed to helping you achieve your best health. Rewards for participating in a wellness program are available to all members. If you think you might be unable to meet a standard for a reward under this wellness program, you might qualify for an opportunity to earn the same reward by different means. Call Member Services and we will work with you (and, if you wish, with your doctor) to find a wellness program that offers the same reward and is right for you in light of your health status. Find the Member Services phone number for your state at ambetterhealth.com. Healthcare-related costs will vary by member and the plan in which you are enrolled. My Health Pays® rewards cannot be used to pay premiums in Arizona, California or Nevada. My Health Pays® rewards cannot be used to pay premiums or for cost sharing purposes in New Mexico. My Health Pays® rewards in Georgia cannot be used for pharmacy copays, except at Walmart. Consult a tax professional to understand any possible tax implications for the My Health Pays® program.
