Client Letters for 2023

Here is a list of sample 2023 member renewal letters that we mailed to your clients.

Ambetter HSP member's plan closure

Ambetter HSP to Ambetter PPO plans

• CA IEX HSP to AMB PPO Plan Closure Letter - Keep PCP (PDF)
• CA IEX HSP to AMB PPO Plan Closure Letter - PCP Changing (PDF)
• CA IFP HSP to AMB PPO Plan Closure Letter - Keep PCP (PDF)
• CA IFP HSP to AMB PPO Plan Closure Letter - PCP Changing (PDF)
• CA IEX HSP to AMB PPO MIN COV AGE OFF Closure Letter - Keep PCP (PDF)
• CA IEX HSP to AMB PPO MIN COV AGE OFF Closure Letter - PCP Changing (PDF)
• CA IFP HSP to AMB PPO MIN COV AGE OFF Closure Letter - PCP Changing (PDF)

Ambetter HSP to Ambetter HMO plans - Kern County Only

• CA IEX HSP to AMB HMO Plan Closure Letter - Keep PCP KERN (PDF)
• CA IEX HSP to AMB HMO Plan Closure Letter - PCP Changing KERN (PDF)
• CA IFP HSP to AMB HMO Plan Closure Letter - PCP Changing KERN (PDF)
• CA IEX HSP to AMB HMO MIN COV AGE OFF Closure Letter - PCP Changing KERN (PDF)

Ambetter HMO member's renewal

Ambetter HMO letters

• IFP Off Exchange – Ambetter HMO Renewal (PDF)
• IFP On Exchange – Ambetter HMO Renewal (PDF)

Ambetter HMO Benefit Change Inserts

• HMO.01 Gold 80 Ambetter HMO, Gold 80 HMO AI-Ain, On-Exchange and Off-Exchange (PDF)
• HMO.02 Silver 70 Ambetter HMO, Silver 70 Ambetter HMO AI-AN and Silver 70 Off Exchange Ambetter HMO (PDF)
• HMO.03 Silver 73 Ambetter HMO (PDF)
• HMO.04 Silver 87 Ambetter HMO (PDF)
• HMO.05 Silver 94 Ambetter HMO (PDF)
• HMO.06 All Other (PDF)

Ambetter PPO member's informational

Ambetter PPO letters

• IFP On Exchange – Ambetter PPO Retention (PDF)
• IFP On Exchange – Ambetter PPO Minimum Coverage Aging Off (PDF)
• IFP Off Exchange – Ambetter PPO Minimum Coverage Aging Off/Hardship Exemption (PDF)
• IFP Off Exchange – Ambetter PPO Minimum Coverage Aging Off/Hardship Exemption with optional Adult Dental & Vision (PDF)
• IFP Off Exchange – Ambetter PPO Retention (PDF)
• IFP Off Exchange – Ambetter PPO with optional Adult Dental & Vision (PDF)
• IFP Off Exchange – Ambetter PPO Gold Value & Silver Value (PDF)
• IFP Off Exchange – Ambetter PPO Gold Value and & Silver Value with optional Adult Dental & Vision (PDF)

Ambetter PPO Benefit Change Inserts

• PPO.01 Gold 80 Ambetter PPO, On-Exchange and Off-Exchange (PDF)
• PPO.02 Silver 70 Ambetter PPO, On-Exchange and Off-Exchange; AI-AIN (PDF)
• PPO.03 Silver 73 Ambetter PPO (PDF)
• PPO.04 Silver 87 Ambetter PPO (PDF)
• PPO.05 Silver 94 Ambetter PPO (PDF)
• PPO.06 Minimum Coverage Ambetter PPO (PDF)
• PPO.07 All Other (PDF)
• PPO.08 Adult Dental (PDF)