Orlando Harmon
Ambetter Health is an affordable health insurance provider operating in Florida, Texas, and Washington State. Ambetter Health contracts with a full range of practitioners and providers, including specialty physicians such as cardiologists and neurologists. Ambetter Health does not regularly use specific clinical performance, member experience, patient safety, or cost-related measures to select its practitioners and facilities. The company provides resources for providers, such as easy access to eyewear and support services, to help them deliver the best quality of patient care.
| Characteristics | Values |
|---|---|
| Type of Insurance | Health Insurance |
| Provider | Ambetter |
| Provider Network | Sunshine Health (FL), Superior HealthPlan (TX), Coordinated Care (WA) |
| Provider Selection Criteria | Not based on specific clinical performance, member experience, patient safety, or cost-related measures |
| Provider Directory | Available online |
| Member Services Contact | Online Member Portal, [email protected], 1-877-687-1196 (Relay Texas/TTY 1-800-735-2989) |
| Eyewear Savings | Target Optical, LenCrafters, and For Eyes |
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What You'll Learn
- Ambetter Health provides affordable health insurance in Florida, Texas, and Washington State
- Ambetter Health offers a full range of specialty physicians, including cardiologists and neurologists
- Ambetter Health provides easy access to affordable eyewear through savings at select retailers
- Ambetter Health does not use clinical performance, member experience, or cost-related measures to select providers
- Ambetter Health offers resources and support to providers to ensure the best quality patient care
Ambetter Health provides affordable health insurance in Florida, Texas, and Washington State
Ambetter Health is a popular health insurance provider, offering affordable plans in 29 states across the country. Ambetter Health provides affordable health insurance in Florida, Texas, and Washington State, with plans varying by state and county.
In Florida, Ambetter Health offers HMO products underwritten by Centene Venture Company Florida and Sunshine State Health Plan, Inc., and EPO products underwritten by Celtic Insurance Company. Ambetter from Sunshine Health provides affordable health insurance in Florida, with savings on eyewear at Target Optical, LenCrafters, and For Eyes.
Ambetter Health serves residents of Texas, although the specific plans and providers available may differ from other states. Ambetter Health is a trusted health insurance provider in Texas, offering a range of affordable plans to meet the diverse needs of Texans.
In Washington State, Ambetter Health offers affordable insurance plans through Coordinated Care. Ambetter from Coordinated Care provides savings on eyewear and complies with the state's surprise billing rights, as outlined by the Washington State Office of the Insurance Commissioner.
Ambetter Health is known for its convenience and accessibility, offering a mobile app that allows users to manage their healthcare anytime, anywhere. Through the app, members can check their coverage, view claims, search for in-network care, and access their digital Member ID Card. Ambetter Health provides access to a national network of doctors and 24/7 telehealth services with a $0 copay, ensuring members receive the care they need when they need it.
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Ambetter Health offers a full range of specialty physicians, including cardiologists and neurologists
Ambetter Health is a health insurance provider that offers a range of affordable health insurance plans in several states, including Florida, Texas, and Washington State. Ambetter Health contracts with a full range of practitioners and providers, including specialty physicians such as cardiologists and neurologists.
Ambetter Health's network of specialty physicians ensures that members have access to the medical care they need. Specialty physicians are experts in their respective fields and offer advanced treatment options and comprehensive care for complex or rare conditions. This means that Ambetter Health members can feel confident that they are receiving the best possible care when they need it.
Cardiologists, for example, are specialists in the heart and vascular system. They diagnose and treat conditions such as heart disease, high blood pressure, and arrhythmias. Neurologists, on the other hand, specialize in the nervous system, including the brain, spine, and nerves. They treat conditions such as epilepsy, Parkinson's disease, and stroke.
Ambetter Health's comprehensive approach to healthcare is evident in their contracting with a diverse range of specialty physicians. This full range of specialty care ensures that members can access the specific expertise they require. Ambetter Health's priority is to make healthcare accessible and affordable, and their network of specialty physicians plays a vital role in delivering on this promise.
In addition to specialty physicians, Ambetter Health also offers a range of other healthcare providers and services, including eyewear savings at select optical stores. Ambetter Health does not use specific clinical performance, member experience, patient safety, or cost-related measures to select its practitioners and facilities, focusing instead on making quality healthcare accessible to its members.
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Ambetter Health provides easy access to affordable eyewear through savings at select retailers
Ambetter Health is a brand name used for products and services provided by one or more wholly-owned subsidiaries of Centene Corporation. Ambetter Health provides affordable health insurance plans for individuals and families. Ambetter Health does not provide medical care; instead, it offers a range of prices and coverage levels.
Ambetter Health makes it easy and affordable to get eyewear. You can access savings at select retailers, including Target Optical, LenCrafters, and For Eyes. Ambetter Health also offers a range of insurance plans with different levels of coverage, including Premier, Select, and Value plans. These plans are available in bronze, silver, and gold metal levels, with varying monthly premiums, deductibles, and out-of-pocket costs.
The Premier plans, for example, are designed for individuals with many healthcare needs who can afford higher monthly premiums in exchange for lower deductibles and more predictable overall healthcare costs. The Silver plans are tailored for diabetes care, offering $0 copays for preferred insulin and select medications, as well as coverage for certain diabetic supplies.
The Select plans provide access to an exclusive network of providers and hospitals recognized for quality healthcare outcomes. Meanwhile, the Value plans feature a network of specific healthcare providers and hospitals. Value plan members are assigned a primary care provider (PCP) within a medical group to coordinate their care. Referrals are typically required for care outside of what the PCP can provide, such as specialist visits.
In addition to these insurance plans, Ambetter Health also offers easy access to affordable eyewear through savings at select retailers. This option ensures that members can obtain the eyewear they need without incurring excessive costs. Ambetter Health is committed to making healthcare, including eyewear, accessible and affordable for its members.
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Ambetter Health does not use clinical performance, member experience, or cost-related measures to select providers
Ambetter Health is a health insurance provider that strives to provide access to a quality healthcare network while keeping premiums affordable and lowering costs for members. Ambetter Health contracts with a full range of practitioners and providers, including specialty physicians such as cardiologists and neurologists, as well as hospitals, pharmacies, and medical equipment companies.
Ambetter Health does not regularly use specific clinical performance, member experience, patient safety, or cost-related measures to select the practitioners and facilities in its network. Instead, Ambetter Health focuses on making providers available who have a history of better healthcare outcomes. This means that Ambetter Health prioritizes selecting providers with a track record of positive patient outcomes, rather than solely relying on cost-related or clinical performance metrics.
By prioritizing healthcare outcomes, Ambetter Health aims to ensure that its members receive quality care. To achieve this, Ambetter Health makes sure that a variety of practitioners and providers are accessible within a reasonable geographic distance from each member's home. This approach helps members access the care they need in a timely and convenient manner.
While Ambetter Health does not base its provider selection solely on clinical performance or cost-related measures, it is important to note that they still strive to contract with a diverse range of practitioners. This includes specialty physicians and other healthcare providers necessary to meet the Essential Health Benefits outlined in the Affordable Care Act. As a result, Ambetter Health members can have confidence in the quality and accessibility of the healthcare network available to them through their insurance plan.
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Ambetter Health offers resources and support to providers to ensure the best quality patient care
Ambetter Health is a health insurance provider that offers resources and support to its providers to ensure the best quality of patient care. Ambetter Health contracts with a full range of practitioners and providers, including specialty physicians such as cardiologists and neurologists.
One of the key benefits of partnering with Ambetter Health is the ease and affordability it provides to its members. For example, Ambetter Health offers savings on eyewear at retailers like Target Optical, LenCrafters, and For Eyes. This not only makes it more affordable for members to get the eyewear they need but also helps providers by reducing potential barriers to patient care.
Additionally, Ambetter Health provides an online provider directory, making it convenient for members to find and connect with providers. Providers can easily update their listings in the directory, ensuring that members have access to the most current information.
Ambetter Health also offers a range of member support services, such as the Online Member Portal, email, and telephone support, which can assist members in finding providers and navigating their insurance benefits. By offering these resources and support, Ambetter Health aims to make it easier for providers to focus on delivering quality patient care.
While Ambetter Health does not regularly use specific clinical performance, member experience, patient safety, or cost-related measures to select its practitioners and facilities, they are committed to ensuring that their members receive the best possible care. As a partner with Ambetter Health, providers can rely on the services and support they need to deliver the highest quality of patient care.
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Frequently asked questions
Ambetter Health is a health insurance provider that offers affordable health insurance in Florida, Texas and Washington State.
Ambetter Health does not regularly use specific clinical performance, member experience, patient safety, or cost-related measures to select its practitioners and facilities.
You can find a doctor in the Ambetter network by visiting the Ambetter website and searching for your name or NPI number to see your directory listing. Alternatively, you can contact Ambetter Member Services through the Online Member Portal, by email or by phone.
