Amerigroup Insurance: Private Or Public?

Amerigroup is a private insurance company that offers Medicare Advantage (Part C) plans in 12 states. It began as AMERICAID Community Care in 1994, focusing on the healthcare needs of children, mothers, and pregnant women enrolled in Medicaid. Over the years, Amerigroup expanded its services to include Medicare Advantage plans, serving low-income individuals eligible for both Medicare and Medicaid. In 2023, it was announced that Amerigroup would change its name to Wellpoint in six states, including Arizona, Iowa, New Jersey, Tennessee, Texas, and Washington. Despite the name change, Amerigroup remains the nation's largest provider of healthcare for public programs, covering 7.7 million seniors, people with disabilities, and low-income families.

Amerigroup is now Wellpoint in select markets

Amerigroup was founded in 1994 as AMERICAID Community Care, initially aimed at providing healthcare for children, mothers, and pregnant women enrolled in Medicaid. Over the years, Amerigroup expanded its operations to include Medicare Advantage programs, serving low-income individuals eligible for both Medicare and Medicaid through special needs plans. The company also offers traditional Medicare Advantage plans, Medicare Part C plans, and Medicare Part D plans.

Amerigroup's Medicare Advantage plans are available in many counties within 12 states, providing various benefits such as prescription drug coverage, over-the-counter medication coverage, and coverage for vision, dental, and hearing services. They also offer Special Needs Plans (SNPs) tailored to specific needs, such as chronic conditions or institutional care.

The company's decision to rebrand as Wellpoint in select markets reflects its commitment to providing accessible and comprehensive healthcare to its members. This change ensures that customers continue to receive the same quality of care and services they have come to expect from Amerigroup, now under the Wellpoint name.

Amerigroup offers Medicare Advantage plans

Amerigroup is a private insurance company that offers Medicare Advantage (Part C) plans in multiple counties within 12 states. These plans are referred to as Amerivantage plans, Anthem plans, Blue Cross plans, Blue plans, and others.

Amerigroup offers two types of Medicare Advantage plans: Health Maintenance Organization (HMO) plans and HMO Special Needs Plans (SNPs). HMO plans allow you to choose a doctor from the Amerigroup network, who can then coordinate your care with specialists when needed.

Amerigroup's HMO plans include benefits such as prescription drug coverage, over-the-counter medication coverage, the SilverSneakers fitness program, coverage for vision, dental, and hearing services, non-emergency medical transportation services, and a personal emergency response system.

The SNP plans are available for those who qualify for both Medicaid and Medicare. There are several types of SNP plans, including:

• HMO Dual Eligible Special Needs Plans (D-SNPs): for those who qualify for dual eligibility in Medicare and Medicaid.
• HMO Institutional Special Needs Plans (I-SNPs): for those who have had or are expected to need long-term care of at least 90 days in a skilled nursing facility.
• HMO Chronic Condition Special Needs Plans (C-SNPs): designed for people with chronic special needs.
• HMO Institutional-Equivalent Special Needs Plans (IE-SNPs): for people who live at home or in an assisted living facility but need the level of care given in a skilled nursing facility.

Amerigroup's SNP plans cover everything that original Medicare covers, plus over-the-counter medications, the SilverSneakers fitness program, and a personal emergency response system. Some SNP plans also offer Everyday Extras, which include coverage for services such as personal home helpers, transportation, food delivery, pest control, and service dog support.

Amerigroup's Special Needs plans

Amerigroup is an American health insurance and managed healthcare provider. It offers Special Needs Plans (SNPs) as part of its Medicare Advantage (Part C) plans. These plans are designed for people with specific medical conditions or financial needs. Amerigroup's SNPs include:

Dual-Eligible Special Needs Plans (D-SNPs)

D-SNPs are available to individuals who qualify for both Medicare and Medicaid. Qualification for Medicare is dependent on age or specific health conditions, while qualification for Medicaid is based on income levels. D-SNPs typically include prescription drug coverage, routine dental, vision, and hearing coverage, and a Benefits Prepaid Card for over-the-counter items, utilities, and groceries.

Chronic Conditions Special Needs Plans (C-SNPs)

C-SNPs are tailored to support individuals living with chronic conditions, such as end-stage renal disease or diabetes. These plans typically include additional benefits customised to the individual's healthcare needs, enhanced care management, prescription drug coverage, routine dental, vision, and hearing coverage, and lower out-of-pocket costs.

Institutional Special Needs Plans (I-SNPs)

I-SNPs are designed for individuals requiring long-term care in a skilled nursing facility or an assisted living community. To enrol in an I-SNP, individuals must have Original Medicare and reside in a network nursing home or assisted living community approved by the plan. I-SNPs offer coverage for Original Medicare Part A (hospital) and Part B (medical), as well as Part D (prescription drug).

HMO Dual Eligible Special Needs Plans (HMO D-SNPs)

HMO D-SNPs are available to those who qualify for dual eligibility in Medicare and Medicaid.

HMO Institutional Special Needs Plans (HMO I-SNPs)

HMO I-SNPs are designed for individuals who have or are expected to need long-term care of at least 90 days or longer in a skilled nursing facility.

HMO Chronic Condition Special Needs Plans (HMO C-SNPs)

HMO C-SNPs are tailored to meet the needs of individuals with chronic special needs.

HMO Institutional-Equivalent Special Needs Plans (HMO IE-SNPs)

HMO IE-SNPs are available to people who require a level of care typically provided in a skilled nursing facility but choose to reside at home or in an assisted living facility.

Amerigroup's Part D plans

Amerigroup is a private insurance company that offers Medicare Advantage (Part C) plans in multiple counties across 12 states. These plans are referred to as Amerivantage, Anthem, Blue Cross, and Blue plans. Each plan is either a Health Maintenance Organization (HMO) plan or an HMO Special Needs Plan (SNP).

Amerigroup offers several Part D plans in the same seven states where you may be able to buy a Part C plan. These plans cover prescription drugs at most major U.S. pharmacies. They have a network of more than 66,000 pharmacies and a preferred network of 24,000 pharmacies nationwide, where your copays may be less expensive.

Amerigroup's Medicare Advantage plans earned 3.3 stars overall. This is the result of combined data from across 40 measurements about the plans' medical and prescription drug coverage.

Amerigroup Part D Options

Medicare Part D is prescription drug coverage that Medicare beneficiaries are entitled to buy. It is included in many Part C plans but can also be purchased from private insurers as a standalone plan.

Amerigroup offers several Part D plans in the same seven states where you may be able to buy a Part C plan. These include:

• Arizona
• Iowa
• New Jersey
• New Mexico
• Tennessee
• Texas
• Washington

These plans cover prescription drugs at most major U.S. pharmacies. They have a network of more than 66,000 pharmacies and a preferred network of 24,000 pharmacies nationwide, where your copays may be less expensive.

Amerigroup Medicare Advantage Plans

Amerigroup Medicare Advantage plans are available in many counties within 12 different states. These plans are referred to as Amerivantage plans, as well as various Blue Cross plans, Blue plans, and Anthem plans. Each plan is either an HMO or an HMO SNP.

Amerigroup has several HMO and HMO SNP options. Depending on your location, these may vary in plan name, costs, and benefits.

Amerigroup HMO Plans

Like all HMOs, these plans require you to use in-network providers. Some of the benefits that may be included in this plan are:

• Prescription drug coverage
• Over-the-counter medication coverage
• SilverSneakers fitness program
• Coverage for vision, dental, and hearing services
• Non-emergency medical transportation services
• Personal emergency response system

Amerigroup HMO SNP Options

There are several types of SNPs available:

• HMO Dual Eligible Special Needs Plans (D-SNPs): available to those who qualify for dual eligibility in Medicare and Medicaid
• HMO Institutional Special Needs Plans (I-SNPs): open to those who’ve had or are expected to need long-term care of at least 90 days or longer in a skilled nursing facility
• HMO Chronic Condition Special Needs Plans (C-SNPs): designed for people with chronic special needs
• HMO Institutional-Equivalent Special Needs Plans (IE-SNPs): available to people who live at home or in an assisted living facility but need a level of care given in a skilled nursing facility

Amerigroup's Medicare Supplement plans

Amerigroup is an American health insurance and managed healthcare provider. It offers Medicare Advantage (Part C) plans in multiple counties within 12 states. These are referred to as Amerivantage plans, as well as various Blue Cross plans, Blue plans, and Anthem plans. Each plan is either a Health Maintenance Organization (HMO) plan or an HMO Special Needs Plan (SNP).

Amerigroup's Medicare Advantage plans cover everything that Original Medicare (Parts A and B) covers, plus some extras. This includes inpatient hospital stays, limited skilled nursing facility care, limited home healthcare, and medically necessary outpatient services such as preventive care, wellness visits, durable medical equipment, emergency ambulance transportation, and mental health services.

Amerigroup's Medicare Advantage plans also offer additional benefits, such as:

• Over-the-counter medication coverage
• SilverSneakers fitness program
• Personal emergency response system
• Dental, vision, and hearing coverage
• Acupuncture, depending on the plan
• Transportation services
• Prescription drug coverage

Amerigroup offers several HMO and HMO SNP options, which may vary in plan name, costs, and benefits depending on the location. The different types of SNPs available include:

• HMO Dual Eligible Special Needs Plans (D-SNPs): Available to those who qualify for dual eligibility in Medicare and Medicaid.
• HMO Institutional Special Needs Plans (I-SNPs): For those who have had or are expected to need long-term care of at least 90 days in a skilled nursing facility.
• HMO Chronic Condition Special Needs Plans (C-SNPs): Designed for people with chronic special needs.
• HMO Institutional-Equivalent Special Needs Plans (IE-SNPs): Available to people who live at home or in an assisted living facility but need the level of care given in a skilled nursing facility.

Amerigroup also offers stand-alone Medicare Part D prescription drug plans in seven states. These plans cover prescription drugs at most major U.S. pharmacies and have a network of more than 66,000 pharmacies nationwide, with lower copays at 24,000 preferred pharmacies.

Frequently asked questions