Orlando Harmon
Amerigroup is a managed healthcare company that offers health insurance and care services to millions of seniors, people with disabilities, low-income families, and other state and federally sponsored beneficiaries in the United States. The company focuses on serving people who receive healthcare benefits through publicly sponsored programs, including Medicaid, the Children's Health Insurance Program (CHIP), and Medicare Advantage. With a range of plan options, Amerigroup provides comprehensive Medicare Advantage plans, Medicare Supplement Insurance (Medigap) Plans, and Stand-Alone Prescription Drug Plans. While the company has recently rebranded to Wellpoint in select markets, it continues to provide the same comprehensive care and services to its members.
| Characteristics | Values |
|---|---|
| Type of Company | Multi-state managed healthcare company |
| Focus | Publicly sponsored programs including Medicaid, Children's Health Insurance Program (CHIP), Medicare Advantage |
| Number of People Covered | 7.7 million |
| Types of People Covered | Seniors, people with disabilities, low-income families, federal employees |
| Number of States Covered | 26 |
| Parent Company | Elevance Health (formerly Anthem) |
| Previous Name | AMERICAID Community Care |
| Year Established | 1994 |
| Medicare Advantage Plans | HMO plans, Special Needs Plans (SNP), Prescription Drug Plans |
| Medicare Supplement Insurance Plans | Medigap |
| Customer Service Options | Telephone, online, in-person seminar |
What You'll Learn
Amerigroup's Medicare plans
Amerigroup is a multi-state managed healthcare company that offers Medicare Advantage plans (also called Medicare Part C). These plans go beyond what Original Medicare offers by combining Medicare Part A (hospital care) and Part B (physician services) with additional benefits such as prescription drug coverage, dental and vision care, and hearing tests and aids.
Amerigroup's Medicare Advantage plans are available to anyone who has Original Medicare and can be tailored to fit your budget and healthcare needs. The company offers a range of options, including monthly payments as low as $0 and money-saving programs for those with low incomes.
In addition to their Medicare Advantage plans, Amerigroup also provides Special Needs Plans (SNPs) for individuals who qualify for both Medicare and Medicaid. These plans offer comprehensive coverage for those with specific needs, ensuring they receive the necessary care.
Amerigroup is committed to serving people who receive healthcare benefits through publicly sponsored programs. As of 2009, the company provided services to approximately 1,788,000 members across multiple states, including Texas, Georgia, Florida, and Tennessee.
Recently, Amerigroup has undergone a rebranding, becoming Wellpoint in select markets: AZ, IA, NJ, TN, TX, and WA. This change does not impact the coverage, comprehensive care, or providers available to members.
To learn more about Amerigroup's Medicare plans and find the right one for your needs, you can speak to a licensed agent or explore their website for further details on their range of Medicare Advantage plans.
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Amerigroup's history
Amerigroup is an American health insurance and managed health care provider. It covers 7.7 million seniors, people with disabilities, low-income families, and other state and federally sponsored beneficiaries in 26 states, making it the largest provider of health care for public programs in the nation.
Amerigroup was founded in 1994 as AMERICAID Community Care, initially focusing on the health care problems of children, mothers, and pregnant women enrolled in Medicaid. In November 2001, Amerigroup became a publicly traded corporation. In 2006, Amerigroup entered the Medicare Advantage program, serving low-income people eligible for both Medicare and Medicaid through special needs plans. The following year, they began operating traditional Medicare Advantage plans.
As of 2012, Amerigroup offered healthcare services through three government programs targeting different segments of the country's low-income population: Medicaid, the Children's Health Insurance Program (CHIP), and Medicare. That year, they also developed the National Advisory Board (NAB) to focus on meeting the needs of seniors and people with disabilities, who constitute a significant proportion of their clients.
In July 2012, Anthem Inc. (then known as WellPoint) acquired Amerigroup Corporation for $4.9 billion. Subsequently, Anthem re-branded to Elevance Health, Inc. In July 2023, it was announced that Amerigroup would change its name to Wellpoint in six states, including AZ, IA, NJ, TN, TX, and WA, starting in January 2024. This name change will not impact the coverage provided by Amerigroup.
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Amerigroup's ratings
Amerigroup is a managed healthcare company that offers Medicare Advantage plans, Medicare Supplement Insurance (Medigap) Plans, and Stand-Alone Prescription Drug Plans. Its Medicare plans are available in Arizona, Iowa, New Jersey, New Mexico, Tennessee, Texas, and Washington. The company has recently been rebranded as Wellpoint in select markets, including AZ, IA, NJ, TN, TX, and WA.
Amerigroup's plans have received average ratings of just above 3 out of 5 stars from the Centers for Medicare and Medicaid Services (CMS). While these ratings are not poor, there may be higher-rated alternatives available. The National Association of Insurance Commissioners (NAIC) calculates a complaint index that measures customer satisfaction relative to an insurer's market share. Amerigroup's plan in Arizona and Texas had a complaint index of 0 with no complaints in 2021 and 2022, while its New Jersey plan also had no complaints in 2020, 2021, or 2022.
Credit rating agency AM Best evaluates insurance companies on their financial strength and has assigned Amerigroup's plans a rating of A (Excellent). In December 2022, AM Best affirmed this rating as part of its assessment of Elevance Health and its subsidiaries. Elevance Health, Amerigroup's parent company, received an A (Excellent) rating as well.
The National Committee for Quality Assurance (NCQA), a national health insurance accrediting body, rates Amerigroup's Medicaid plans but did not include its Medicare plans in the 2022 ratings. Amerigroup's parent company, Elevance Health (formerly Anthem), ranked seventh in the J.D. Power 2022 U.S. Medicare Advantage Study's overall customer satisfaction index.
In summary, Amerigroup's ratings are average when compared to other Medicare plans, with room for improvement in terms of quality. However, its strong financial backing from Elevance Health and positive complaint indices in certain states are notable strengths.
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Amerigroup's customer service
Amerigroup is a managed healthcare company that offers a range of health insurance products. The company focuses on serving individuals who receive healthcare benefits through publicly-sponsored programs such as Medicaid, the Children's Health Insurance Program (CHIP), and Medicare Advantage.
For Medicare Prescription Drug Plans, members need to call their state-specific member services lines. The phone numbers for these lines vary by state, with the following numbers provided for specific states:
- Arizona: 888-816-2790
- New Jersey: 844-765-5160
- Tennessee: 877-411-0929
- Washington: 844-812-2275
Amerigroup also offers Medicare Prescription Drug Plans for members in HMO-POS or Chronic Special Needs Plans. The following phone numbers are provided for these plans in specific states:
New Jersey: 844-887-6350
In addition to these phone-based services, Amerigroup provides online resources and a mobile app called Sydney Health. The app allows users to find a doctor, access their ID card, and chat with a live representative.
Amerigroup has undergone several name changes and acquisitions over the years. It began as AMERICAID Community Care in 1994, focusing on the healthcare needs of children, mothers, and pregnant women enrolled in Medicaid. The company became a publicly-traded corporation in 2001 and expanded its programs over the years. In 2012, Amerigroup was acquired by WellPoint (now Elevance Health, Inc.), and in select markets, the company has been renamed from Amerigroup to Wellpoint. Despite these changes, Amerigroup continues to provide comprehensive care and services to its members.
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Amerigroup's parent company
Amerigroup is an American health insurance and managed health care provider. It covers 7.7 million seniors, people with disabilities, low-income families, and other state and federally sponsored beneficiaries in 26 states. This makes Amerigroup the nation's largest provider of healthcare for public programs.
Amerigroup was founded as AMERICAID Community Care in 1994, initially focusing on the healthcare needs of children, mothers, and pregnant women enrolled in Medicaid. In November 2001, Amerigroup became a publicly traded corporation. In 2006, the company entered the Medicare Advantage program, serving low-income people eligible for both Medicare and Medicaid through special needs plans. The following year, Amerigroup began operating traditional Medicare Advantage plans.
On July 9, 2012, Anthem Inc. (then known as WellPoint) entered into an agreement to acquire Amerigroup Corporation for $4.9 billion. This deal was one of the largest all-cash transactions in the health insurance sector at the time. Since the acquisition, Anthem has rebranded to Elevance Health, Inc.
As of 2024, Amerigroup is in the process of changing its name to Wellpoint in select markets, including AZ, IA, NJ, TN, TX, and WA. This rebranding will not impact the coverage provided by the company.
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Frequently asked questions
Amerigroup is an American health insurance and managed health care provider. It is now a subsidiary of Elevance Health (formerly Anthem).
Amerigroup covers 7.7 million seniors, people with disabilities, low-income families, federal employees, and other state and federally sponsored beneficiaries in 26 states.
Amerigroup was originally formed in 1994 as AMERICAID Community Care to serve children, mothers, and pregnant women enrolled in Medicaid. In 2001, it became a publicly traded corporation. In 2006, Amerigroup entered the Medicare Advantage program, and in 2007, it began operating traditional Medicare Advantage plans.
Amerigroup offers Medicare Advantage HMO plans, Medicare Supplement (Medigap) Insurance Plans, and Stand-Alone Prescription Drug Plans. They also offer Special Needs Plans (SNPs) for people with specific conditions or lower incomes who qualify for Medicaid and Medicare.
No, Amerigroup does not appear to offer life insurance. They focus on providing health insurance and managed health care services through programs like Medicaid, the Children's Health Insurance Program (CHIP), and Medicare.
