Haris Ashley
Amerigroup is an American health insurance and managed health care provider that offers various programs, including Medicare, the Children's Health Insurance Program (CHIP), and Medicaid. As of 2024, Amerigroup has been rebranded to Wellpoint in six states: Arizona, Iowa, New Jersey, Tennessee, Texas, and Washington. The company has stated that the rebranding will not impact members' benefits, coverage, or provider networks. Amerigroup covers 7.7 million people in 26 states, including seniors, people with disabilities, and low-income families.
| Characteristics | Values |
|---|---|
| Type of Insurance | Health Insurance |
| Coverage | Seniors, people with disabilities, low-income families, federal employees, children, mothers, pregnant women |
| Number of People Covered | 7.7 million |
| Number of States Covered | 26 |
| Parent Company | Elevance Health, Inc. (formerly Anthem Inc.) |
| Medicare Advantage Plans | HMO, PPO, SNP |
| Medicare Advantage Plan Availability | AZ, IA, NJ, TN, TX, WA, NM |
| Medicare Advantage Plan Costs | Vary depending on location and plan type |
| Medicare Advantage Plan Benefits | Prescription drug coverage, transportation services, dental, vision, hearing coverage, SilverSneakers fitness program, acupuncture, personal emergency response systems, etc. |
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What You'll Learn
Amerigroup's Medicare Advantage plans
Amerigroup is a health insurance provider that offers various programs, including Medicare, the Children's Health Insurance Program (CHIP), and Medicaid. The company began as Americaid Community Care in 1994, focusing on healthcare for children, mothers, and pregnant women enrolled in Medicaid. In 2006, Amerigroup entered the Medicare Advantage program, serving low-income individuals eligible for both Medicare and Medicaid through Special Needs Plans (SNPs).
Amerigroup Medicare Advantage plans are designed to help cover costs that Original Medicare (Parts A and B) does not. These plans include coverage for dental, vision, hearing, and usually prescription drugs. They also offer additional benefits, such as transportation services and personal emergency response systems, depending on the specific plan and location.
Amerigroup offers Health Maintenance Organization (HMO) plans, which require members to use in-network providers from their network of doctors, hospitals, and healthcare providers. These providers have agreed to accept certain payment amounts for their services. Amerigroup also provides HMO SNP options, which are Special Needs Plans for individuals with specific medical conditions or low incomes.
As of January 2024, Amerigroup transitioned to the name Wellpoint in six states: Arizona, Iowa, New Jersey, Tennessee, Texas, and Washington. However, Amerigroup continues to offer Medicare Advantage plans in certain states, including New Mexico. The availability of specific plans depends on factors such as state, county, and ZIP code.
Individuals can use online tools and the Medicare plan finder tool to compare the different Medicare Advantage plans available in their area, ensuring they select the most suitable option for their healthcare needs and budget.
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Amerigroup's Medicaid plans
Amerigroup is an American health insurance and managed healthcare provider. It offers healthcare services through three government programs targeting the country's low-income population: Medicaid, the Children's Health Insurance Program (CHIP), and Medicare.
Medicaid is a government program that provides health coverage to eligible individuals, including low-income adults, children, and families. Amerigroup, as a health insurance plan, serves people who receive Medicaid. Members can receive the care and services they need to become and stay healthy.
Amerigroup offers various Medicaid plans, including traditional Medicaid and Medicare-Medicaid combination plans. The specific plans available may vary by state. For example, in Texas, Amerigroup offers the Wellpoint Texas Medicaid plan, which focuses on the physical, social, and emotional needs of its members. This plan provides extra coverage beyond basic Medicaid and CHIP benefits, such as 24/7 video access to doctors or therapists at no additional cost.
Amerigroup also offers Medicare Advantage plans, which are a type of Medicare health plan. These plans serve low-income individuals who are eligible for both Medicare and Medicaid. Amerigroup's Medicare Advantage plans include Health Maintenance Organization (HMO) plans and Special Needs Plans (SNPs). SNPs are tailored for individuals with specific chronic conditions, such as heart disease or diabetes.
In addition to its Medicaid and Medicare plans, Amerigroup also provides low-cost coverage for children who are not eligible for Medicaid but do not have health insurance. This program ensures that uninsured children can access the healthcare they need.
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Amerigroup's Children's Health Insurance Program (CHIP)
Amerigroup is an American health insurance and managed healthcare provider that covers 7.7 million people in 26 states, including seniors, people with disabilities, low-income families, and federal employees. Amerigroup offers healthcare services through three government programs: Medicaid, the Children's Health Insurance Program (CHIP), and Medicare.
CHIP is designed for children in families with incomes too high to qualify for Medicaid but too low to afford private coverage. This program ensures that children from low-income families have access to the healthcare they need.
Amerigroup's Medicare Advantage plans are available in certain states, including New Mexico, where they continue to be offered under the Amerigroup brand name. These plans include Health Maintenance Organization (HMO) plans and Special Needs Plans (SNPs), with benefits such as prescription drug coverage, hearing care, and dental cover.
In addition to CHIP and Medicare, Amerigroup also provides Medicaid-managed healthcare products, including those designed for low-income children and their mothers, as well as uninsured adults and parents of CHIP- or Medicaid-eligible children.
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Amerigroup's Special Needs Plans (SNPs)
Amerigroup is a health insurance provider that offers various programs, including Medicare, the Children's Health Insurance Program (CHIP), and Medicaid. Amerigroup offers Special Needs Plans (SNPs) as part of its Medicare Advantage plans. These plans are designed for individuals with specific medical needs or qualifications, such as those with chronic conditions or those who are dually eligible for Medicare and Medicaid.
There are different types of Special Needs Plans (SNPs) offered by Amerigroup:
- Chronic Condition Special Needs Plans (C-SNPs): These plans are designed for individuals with severe or disabling chronic medical conditions, such as diabetes, cardiovascular disorders, chronic heart failure, chronic lung disorders, or end-stage renal disease. C-SNPs provide specialized care and coverage for individuals managing these conditions.
- Dual-Eligible Special Needs Plans (D-SNPs): D-SNPs are tailored for individuals who qualify for both Medicare and Medicaid. These plans address the unique needs of individuals who require coverage from both programs.
- Institutional Special Needs Plans (I-SNPs): I-SNPs are relevant for individuals who require long-term care in medical institutions, including nursing homes or skilled nursing facilities. These plans support individuals needing intermediate or skilled care for extended periods.
The availability of Amerigroup's Medicare Advantage plans, including SNPs, may vary by state and region. As of 2024, Amerigroup's Medicare Advantage plans are available in select states, such as New Mexico, while Wellpoint offers plans in multiple states.
Individuals interested in Amerigroup's Special Needs Plans (SNPs) can explore their eligibility and plan options by utilizing online tools and resources. These tools allow for comparisons of plan benefits, costs, and availability within specific areas, helping individuals make informed decisions about their healthcare coverage.
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Amerigroup's plans for low-income families
Amerigroup is an American health insurance and managed health care provider. It offers various programs, including those relating to Medicare, the Children's Health Insurance Program (CHIP), and Medicaid.
Amerigroup covers 7.7 million people, including seniors, people with disabilities, low-income families, and other state and federally-sponsored beneficiaries. It is the nation's largest provider of healthcare for public programs.
Amerigroup offers healthcare services through three government programs targeting different segments of the country's low-income population: Medicaid, CHIP, and Medicare.
Medicaid is a health insurance program for individuals who meet specific income and eligibility requirements. Most people pay very little, and some pay nothing at all. Individuals who are pregnant, children, adults, and people with disabilities may qualify for this type of health coverage. Medicaid insurance covers doctor visits, hospital stays, pregnancy care, labs, and X-rays. Other benefits, like prescriptions, vision, and dental care, may be covered, depending on where you live and your age.
Amerigroup offers Medicare Advantage plans in certain states. These plans include Health Maintenance Organization (HMO) plans and Special Needs Plans (SNPs). Every plan includes Medicare Part A and Part B, and some offer additional benefits such as prescription drug coverage, hearing care, and dental cover. Out-of-pocket costs for Medicare Advantage plans include deductibles, coinsurance, copayments, and premiums.
The Children's Health Insurance Program (CHIP) is a managed healthcare product for uninsured children not eligible for Medicaid. This product is designed for the SCHIP initiative.
Amerigroup also provides low-cost coverage for children, adults, and families who qualify for state-sponsored programs.
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Frequently asked questions
Amerigroup is a health insurance provider that offers various programs, including Medicare, the Children's Health Insurance Program (CHIP), and Medicaid.
Amerigroup offers Medicare Advantage (Part C) plans in multiple counties across 12 states. These plans include Health Maintenance Organization (HMO) plans and Special Needs Plans (SNPs). Every plan includes Medicare Part A and Part B, and some offer additional benefits such as prescription drug coverage, hearing care, dental cover, and more.
Amerigroup offers a Medicaid managed health care product for low-income children and their mothers. Medicaid insurance covers things like doctor visits, hospital stays, pregnancy care, labs and X-rays, and other benefits like prescriptions, vision, and dental care, depending on where you live and your age.
