Specialized Health Insurance for Heart Care
Managing a heart condition can be challenging. Our Specialized Heart Care Coverage Silver insurance plans for heart conditions like congestive heart failure include essential health benefits, along with added services to help you manage ongoing health needs.
Want to learn more? Browse our affordable Marketplace plans or give us a call at 844-992-0466 (TTY: 711) from 8 a.m. to 9 p.m. ET.
Specialized Heart Care Silver $0 Rx Options
Our Specialized Heart Care Coverage Silver insurance plans in North Carolina and Ohio offer comprehensive coverage for medications, clinical services, and condition management support. Members can pay as little as $0* for:
- Certain medications used to treat heart failure
- Select mental health medications
- Nicotine replacement therapy** to support smoking cessation
- 4 cardiologist visits per year, including cholesterol lab testing and EKGs performed at the cardiologist visit
- 12 visits per year of cardiac education and nutritional counseling
- Care Management to guide your care and support your health goals
View the 2027 $0 Rx Benefit for Specialized Heart Care Plans document for medications available at a $0 copay.*
More Ways Ambetter Health Supports You
Whether you are a member of our heart care plan or one of our other Ambetter Health plans, our members have access to plenty of additional support for managing their health.
- We provide Care Management services that are centered around you, your family and your cultural background. We recognize the unique challenges involved in managing your diabetes effectively. Our Care Managers will work closely with you, your primary care physician and other managing providers to create a comprehensive care plan that addresses both your needs and those of your caregivers.
- Get paid for the healthy decisions you’re already making with My Health Pays®. Stay well and earn reward points for every positive step you take. By eating right, moving more and taking control of your health, you’ll accumulate reward points that you can convert to dollars or use to shop for special items at the My Health Pays® Rewards Store.**
- Access exclusive discounts and offers with Ambetter Perks. Enhance your mental wellness with services like Calm, Talkspace, and BetterHelp, and stay fit with local gym memberships or online fitness programs from the comfort of your home. Whether you’re planning a family vacation, need a car repair, or just want to treat yourself to a night out, Ambetter Perks have you covered.
Ready to find a plan to help better manage your heart health? Shop our plans or give us a call at 844-992-0466 (TTY: 711) from 8 a.m. to 9 p.m. ET.
FAQs About Ambetter Health's Specialized Heart Care Coverage Insurance Plans
Where are these plans available?
Our Specialized Heart Care Coverage Silver insurance plans are currently available in North Carolina and Ohio.
Are these plans really tailored to provide optimal coverage for people with heart conditions?
Yes, our Specialized Heart Care Coverage Silver insurance plans are designed specifically to meet the needs of individuals who manage conditions like Congestive Heart Failure. Ambetter Health relies on our deep clinical expertise to support you with tailored coverage for certain medications, clinical services, and condition management support.
Do I have to have a heart condition to select this plan?
No, we offer it to people who can benefit from extra savings and support for these medications and services, whether or not you have a heart condition diagnosis.
How can I tell which specific medications and services are covered?
Check your plan’s formulary to find out the exact brand names and quantities of the medications and supplies covered by your plan. You can also view the 2027 $0 Rx Benefit for Specialized Heart Care Plans document for a list of medications available at $0 copay.
Find the affordable plan that's right for you.
Are you ready to find an affordable plan that includes the healthcare benefits you need when you need them?
Give us a call at 844-992-0466 (TTY: 711) from 8 a.m. to 9 p.m. ET, or shop our plans today.
*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 Ambetter coverage area. No person should send money to an issuer of Ambetter Health Insurance in response to this national advertisement. Likewise, no person can obtain coverage under Ambetter Health Insurance until an application for coverage is completed. It should be noted that Ambetter Health Insurance policies have exclusions, limitations, reduction of benefits, and terms under which the policy may be continued in force or discontinued. Ambetter Health Insurance policies also contain 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 coverage, call or write your insurance producer or the company, whichever is applicable. Additional information is available in the Evidence of Coverage, please visit AmbetterHealth.com and scroll to appropriate state.
**This benefit is included with all plans.
***Funds expire immediately upon termination of insurance coverage. Healthcare-related costs will vary by member and the plan in which you are enrolled. My Health Pays® rewards can be used for pharmacy cost share at Hy-Vee* and Walmart and at a mail order pharmacy (currently Express Scripts). *Hy-Vee is currently available in select states. Find a store at www.hy-vee.com/stores. Rewards cannot be used to purchase alcohol, tobacco, firearms products, lottery tickets, gift cards, or for cash.
NH: Consult a tax professional to understand any possible tax implications for the My Health Pays program.
AZ, NV: Rewards cannot be used to pay premiums.