Alyssa Lane
Ambetter Health is a health insurance company owned by Centene Corporation, which is the largest Medicaid managed care organization in the country. Ambetter offers an alternative to Medicaid for those who no longer qualify for it. Ambetter Health Insurance policies have exclusions, limitations, and reductions of benefits, and terms under which the policy may be continued, discontinued, renewed, or cancelled. Ambetter offers a range of health insurance plans, including Bronze, Silver, and Gold plans, which balance monthly premiums and out-of-pocket expenses based on health needs and budget. Ambetter is available in 15 states, including Florida, Georgia, and Texas, and select parishes in Louisiana.
| Characteristics | Values |
|---|---|
| Owner | Centene Corporation |
| States covered | Arizona, Arkansas, Florida, Georgia, Illinois, Indiana, Kansas, Mississippi, Missouri, New Hampshire, Nevada, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Washington, Louisiana |
| Benefits | Prescription drug coverage, mental and behavioral health services, maternity care, newborn care, pediatric services, 24/7 nurse advice line, optional vision and dental coverages, COVID-19 tests, telehealth, care management services, perks like healthy discounts |
| Cost | Varies by member and plan, free quotes available |
| Enrollment | 60 days to enroll during the "special enrollment period" |
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What You'll Learn
Ambetter's costs vary by member and plan
Ambetter is a health insurance company owned by Centene Corporation, which provides an alternative to Medicaid for those who no longer qualify. Ambetter is available in 15 states, including Arizona, Arkansas, Florida, Georgia, Illinois, Indiana, Kansas, Mississippi, Missouri, New Hampshire, Nevada, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, and Washington. The costs of Ambetter health insurance plans vary by member and the specific plan in which they are enrolled.
Ambetter offers a range of plans, including Bronze, Silver, and Gold, which balance monthly premiums and out-of-pocket expenses based on the member's health needs and budget. Ambetter Select plans, available in select counties, offer a lower monthly premium and the benefit of seeing providers from specific health systems. Ambetter Value Plans help members save on healthcare costs by offering discounted rates with specific providers and hospitals within their network.
Ambetter's costs can also vary based on factors such as household size, age, and smoker status. For example, Ambetter's plans may have different rates for individuals versus families. Additionally, premiums may be higher for older members or those who smoke. It is important to note that Ambetter Health Insurance policies have exclusions, limitations, and reductions of benefits, and terms under which the policy may be continued, discontinued, renewed, or cancelled.
To obtain specific cost information, individuals should contact their insurance producer or an Ambetter Health Insurance issuer. Ambetter also provides a platform where people can compare coverage options, determine their eligibility for financial subsidies, and directly enroll in a plan. Ambetter's website and mobile app allow individuals to access their health plan information and browse available options.
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Ambetter offers an alternative to Medicaid
Ambetter is a health insurance company owned by Centene Corporation, which is a multi-national company providing programs and services to under-insured and uninsured individuals. Centene is the largest Medicaid managed care organization in the country and serves Medicaid and Medicare members. Ambetter offers an alternative to Medicaid for those who no longer qualify for it. It is available in 15 states, including Arizona, Arkansas, Florida, Georgia, Illinois, Indiana, Kansas, Mississippi, Missouri, New Hampshire, Nevada, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, and Washington.
Ambetter from Sunflower Health Plan, for example, provides coverage for all essential health benefits, including preventive and wellness services, maternity and newborn care, pediatric services, mental health services, hospitalizations, and prescription drug coverage. Some plans also include dental and vision coverage. Ambetter's Care Management Services provide members with extra support for conditions to help coordinate services and find resources. Ambetter members also receive perks like healthy discounts to help them save on gym memberships, home gyms, healthy eating, and more.
Ambetter from Superior HealthPlan is a qualified health plan issuer in the Texas Insurance Marketplace. Ambetter has a program for pregnant women called "Start Smart for Your Baby." Ambetter is also available in select parishes in Louisiana. Ambetter's Marketplace insurance plans are available with different benefits to help members find the right amount of insurance for the right price. For instance, Ambetter's Bronze, Silver, and Gold Plans balance monthly premiums and out-of-pocket expenses based on health needs and budget.
For costs and complete details of coverage, a person should contact their insurance producer or an Ambetter Health Insurance issuer.
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$19.95
Ambetter is owned by Centene Corporation
Ambetter is a health insurance company that offers an alternative to Medicaid. It is owned by Centene Corporation, a multi-national, for-profit healthcare company that provides programs and services to under-insured and uninsured individuals. Centene is the largest Medicaid-managed care organization in the United States and the number one insurer on the Health Insurance Marketplace.
Centene has been offering Ambetter Health insurance plans across the US for nearly a decade. Ambetter Health currently serves approximately 5 million members, providing a range of plans and healthcare services. Ambetter Health plans are available in 15 states, including Arizona, Arkansas, Florida, Georgia, Illinois, Indiana, Kansas, Mississippi, Missouri, New Hampshire, Nevada, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, and Washington.
Each state works differently with Ambetter to provide health insurance marketplace plans, including Medicaid and Children's Health Insurance Programs (CHIP). Ambetter offers prescription drug coverage, mental and behavioral health services, maternity and newborn care, a 24/7 nurse advice line, and optional vision and dental coverage.
Ambetter Health products are offered by Centene Corporation, which has over 30 years of experience in the managed care industry. Centene provides affordable, high-quality products across all 50 states, including Medicaid and Medicare, as well as serving individuals and families through the TRICARE program.
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Ambetter offers prescription drug coverage
Ambetter is a health insurance company owned by Centene Corporation, a multi-national company that provides programs and services to under-insured and uninsured individuals. Centene is the largest Medicaid managed care organization in the country and the number one insurer on the Health Insurance Marketplace. Ambetter offers an alternative to Medicaid and is available in 15 states, including Arizona, Arkansas, Florida, Georgia, Illinois, Indiana, Kansas, Mississippi, Missouri, New Hampshire, Nevada, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, and Washington.
The cost of prescription medications under Ambetter can vary depending on the specific plan and the tier of prescription coverage. A copay is a set amount of money that members pay at the time of service, such as when picking up prescriptions. The copay amount for prescriptions may vary depending on the tier of prescription coverage. A deductible is a set dollar amount that members are responsible for before their health plan starts paying for health services. Drugs may or may not be subject to the deductible, and if they are, members will pay the deductible before paying the cost-share for that drug tier.
Ambetter provides a Preferred Drug List or Formulary/Prescription Drug List (PDL) that outlines the medications covered. Some drugs on the PDL may need prior authorization, which can be submitted by the physician or pharmacist to Centene Pharmacy Services. If the requested medication does not meet the coverage criteria, Ambetter will notify the member and their practitioner of alternatives and provide information on the appeal process. Ambetter reviews new drugs for safety and effectiveness before adding them to the PDL, and during this period, access to these medications can be considered through the prior authorization (PA) review process.
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Ambetter has a program for pregnant women
Ambetter Health Insurance is an alternative to Medicaid, suitable for those who no longer qualify for it. It is owned by Centene, which is the largest Medicaid managed care organization in the country. Ambetter offers health insurance in 15 states, including Arizona, Arkansas, Florida, Georgia, Illinois, Indiana, Kansas, Mississippi, Missouri, New Hampshire, Nevada, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, and Washington.
The cost of Ambetter Medicaid health insurance varies based on the member and the specific plan they choose. Ambetter offers affordable health insurance plans, and individuals can use their ZIP Code on their website to find a suitable personal plan. In Louisiana, for example, Ambetter is available in select parishes, and individuals can compare plans on Healthcare.gov. Financial assistance is often available, and some people find plans for $10 per month or less.
It is important to note that Ambetter Health does not directly provide medical care. Their website and app allow individuals to access their health plans, rewards, and other benefits. However, for specific cost details, individuals should contact their insurance producer or an Ambetter Health Insurance issuer.
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Frequently asked questions
Ambetter is a health insurance company owned by Centene Corporation, a multi-national company that provides programs and services to under-insured and uninsured individuals. Ambetter offers an alternative to Medicaid and is available in 15 states.
The cost of Ambetter health insurance varies depending on factors such as household size, age, smoker status, and coverage area. Ambetter offers a range of plans with different benefits and monthly premiums to cater to different health needs and budgets.
Ambetter health insurance plans provide essential health benefits, including preventive care, maternity and newborn care, pediatric services, mental health services, hospitalizations, and prescription drug coverage. Some plans also include optional dental and vision coverage, as well as perks like discounts on gym memberships and healthy eating options.
You can enroll in Ambetter health insurance by visiting their website or using the Ambetter Health App. You can browse and compare coverage options, check your eligibility for financial subsidies, and directly enroll in a plan that suits your needs.
Ambetter health insurance may be a good option for individuals and families who are looking for affordable health insurance with comprehensive benefits. It is especially suitable for those who are no longer eligible for Medicaid or are affected by job loss and need an alternative to COBRA.
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