Disclaimers

Ambetter from Peach State Health Plan is underwritten by Ambetter of Peach State Inc., which is a Qualified Health Plan issuer in the Georgia Health Insurance Marketplace. This is a solicitation for insurance. ©2024 Ambetter of Peach State Inc., Ambetter.pshpgeorgia.com. If you, or someone you’re helping, have questions about Ambetter from Peach State Health Plan, and are not proficient in English, you have the right to get help and information in your language at no cost and in a timely manner. If you, or someone you’re helping, have an auditory and/or visual condition that impedes communication, you have the right to receive auxiliary aids and services at no cost and in a timely manner. To receive translation or auxiliary services, please contact Member Services at 1-877-687-1180 (TTY 1-877-941-9231). For more information on your right to receive an Ambetter from Peach State Health Plan free of discrimination, or your right to receive language, auditory and/or visual assistance services, please visit AmbetterHealth.com and scroll to the bottom of the page.

The benefits, rates and costs listed in these advertisements are illustrative and are based on a specific household size, specific age, smoker status, and in a specific coverage area in Georgia. A person should not send money to the issuer of the health benefit plan in response to the advertisement. A person cannot obtain coverage under the health benefit plan until the person completes an application for coverage. This policy has exclusions, limitations, reduction of benefits, and terms under which the policy may be continued in force or discontinued. This policy has provisions relating to renewability, cancellability, and termination, and may include provisions for modification of benefits, losses covered or premiums because of age or for other reasons. For costs and complete details of the coverage, call or write your insurance producer or the company, whichever is applicable.

Additional information is available in the Evidence of Coverage.

Healthcare-related costs will vary by member and the plan in which you are enrolled. Funds expire immediately upon termination of insurance coverage. My Health Pays® rewards cannot be used for pharmacy copays, except at Walmart. Rewards may not be used to buy alcohol, tobacco, or firearms products.

Restrictions apply. Members must qualify for and complete all activities to receive $500 or more. Visit Member.AmbetterHealth.com for more details. Your health plan is committed to helping you achieve your best health. Rewards for participating in a wellness program are available to all members. If you think you might be unable to meet a standard for a reward under this wellness program, you might qualify for an opportunity to earn the same reward by different means. Contact us at 1-877-687-1180 (TTY 1-877-941-9231) and we will work with you (and, if you wish, with your doctor) to find a wellness program with the same reward that is right for you in light of your health status.

You will only be able to purchase public transportation directly from the agency either in-person or online. Passes can not be purchased through retail locations such as grocery or convenience stores.

Additional information is available in the Evidence of Coverage.

For some plans.

Cost sharing may apply when using Virtual 24/7 Care. Virtual 24/7 cost share does not apply to HSA plans until the deductible is met and is only applicable when used through the Virtual 24/7 program. Ambetter Health does not provide medical care. Medical care is provided by individual providers which are independent contractors and not agents of Ambetter Health.

Ambetter Health does not provide tax advice. Please consult your tax advisor for additional information. Health Savings Accounts (HSAs) are individual brokerage accounts and the taxpayer is responsible for use of the account.

Ambetter is committed to keeping your race, ethnicity, and language (REL), and sexual orientation and gender identity (SOGI) information confidential. We use some of the following methods to protect your information:

• Maintaining paper documents in locked file cabinets
• Requiring that all electronic information remain on physically secure media
• Maintaining your electronic information in password-protected files
  

We may use or disclose your REL and SOGI information to perform our operations. These activities may include:

• Designing intervention programs
• Designing and directing outreach materials
• Informing health care practitioners and providers about your language needs
• Assessing health care disparities

We will never use your REL and SOGI information for underwriting, rate setting or benefit determinations or disclose your REL or SOGI information to unauthorized individuals.

Language Services and Resources Interpreter and translation services are provided for free. For an interpreter for a medical visit, contact Member Services at 1-877-687-1180 (TTY 1-877-941-9231). If you need something translated into a language other than English, call us. We can also provide other formats, such as Braille, CD, or large print.

Statistical claims and the #1 Marketplace Insurance statement are in reference to national on-exchange marketplace membership and based on national Ambetter data in conjunction with findings from 2024 Rate Review data from CMS, 2024 State-Level Public Use File from CMS, state insurance regulatory filings, and public financial filings.