Ambetter Health of Delaware to Discontinue Marketplace Coverage in Delaware for 2027 Plan Year

Date: 09/02/26

Ambetter Health of Delaware will discontinue its Marketplace product offering for the 2027 plan year, effective Dec. 31, 2026.

This change applies only to Ambetter Health of Delaware. Delaware First Health (Medicaid), Wellcare (Medicare), and Dual Align plans will remain active.

What this Means for Providers

• Providers may continue to service members with Ambetter Health of Delaware through Dec. 31, 2026.
• There will be no changes to your Participating Provider Agreement (Agreement) as a result of this notice.
• Ambetter Health will notify enrolled members of this change and their available options. Providers should not proactively reach out to members regarding this notice.

Member Transition Information

• Ambetter Health of Delaware members will have access to covered services through Dec. 31, 2026.

• Impacted members can enroll in a new plan starting on Nov. 1 during Open Enrollment and must enroll by Dec. 15, 2026,to ensure Jan. 1 coverage.
• The Health Insurance Marketplace Open Enrollment period runs from Nov. 1, 2026, through Jan. 15, 2027.

Claims and Administration

• Claims for dates of service on or before December 31, 2026 will be processed by Ambetter Health of Delaware.
• Reminder: Be sure to submit claims according to the timely filing requirements within your Agreement.

Questions

If you have questions or need additional support, contact your Provider Engagement representative or call Provider Services at 1-877-687-1169. You may also visit https://www.ambetterhealth.com/en/de/.