Qualified Health Plan Survey

Date: 01/06/25

What is the Qualified Health Plan (QHP) survey?

The Qualified Health Plan (QHP) survey  was created to get feedback from members like you about the care you receive and your experience with your health plan. It was created by the U.S. Department of Health and Human Services.  

The survey asks questions like:

• How easy was it to get care when you needed it?  
• Did your doctor spend enough time with you and treat you with respect?
• Did you get the information you needed such as how much you would have to pay for your health care?

Your answers are private and will only be used for this survey. Your answers will be part of a pool of information. We will not share your name or answers with anyone, except as required by law.   

You can choose to take the survey, or not take the survey.  You do not have to answer any questions that you do not want to answer. If you choose not to answer, it will not affect your coverage.   

How do I take the survey?

Members like you are randomly selected to take the survey by our survey partner Qualtrics. You may or may not be randomly selected.  

If you are selected, the  survey will arrive by both email and mail in March. You can  also take it online by clicking a link in the email or visiting the webpage listed in the letter.    

The survey will take about 12 minutes to complete.  

Why should I take the survey and what will my health plan do with my responses?

Your participation in the survey will let us know how we can make your plan work  better for your personal needs.

Your survey answers help us to:

• understand how easy it is for you to get care.
• understand your experience with your health care providers.
• give you the healthcare services you need and want.

Your survey answers will also be used as a part of health plan quality ratings, which help people who are shopping for health insurance to compare plans on Healthcare.gov or their state’s Marketplace website.  

Your survey responses help us add value to your health plan.

Our goal is to provide you with quality, affordable healthcare coverage you deserve.   

Learn about your plan and how Ambetter Health supports your personal health needs.

Finding a Doctor and Managing your Health:

• Ambetter Guide: Use our easy online tool to find the right doctor for you. Ambetter Guide
• Healthcare Management Programs:  We can assist you with chronic condition management by providing ongoing support when you have complex or chronic conditions. More Information 

Pharmacy Needs:

Our Mail Order Pharmacy and Preferred Drug List (Formulary) can help guide you on getting the medications you need. 

The Preferred Drug List or Formulary is a document designed to help you understand the prescription drug benefits offered under your plan. 

Locating your Preferred Drug List:

• Visit AmbetterHealth.com
• Select your State at bottom of the page
• Select "Drug Coverage" from the "For Members" tab
• Click on the appropriate link for the Formulary and benefit year you would like to review

Here are some of the  important terms:

• Tiers  (0, 1A, 1B, 2, 3, 4): Drugs are covered under different copay tiers depending on your coverage: 
  • Tier 0 - No copayment for those drugs that are used for prevention and are mandated by the Affordable Care Act. 
  • Tier 1A- Lowest copayment for select drugs that offer the greatest value compared to other drugs used to treat similar conditions. 
  • Tier 1B- Low copayment for those drugs that offer great value compared to other drugs used to treat similar conditions. 
  • Tier 2 - Medium copayment covers brand name drugs that are generally more affordable, or may be preferred compared to other drugs to treat the same conditions.
  • Tier 3 -High copayment covers higher cost brand name and non-preferred generic drugs. 
  • Tier 4 - Highest copayment is for “specialty” drugs used to treat complex, chronic conditions that may require special handling, storage or clinical management. 
• Prior Authorization (PA): Some medications may require a pre-approval, also known as a prior authorization, where your provider will send a request to your health plan to review the prescription before it can be filled. This helps make sure the treatment is right for you and checks coverage. It is a way to keep you safe and avoid surprise costs. Talk to your provider if your prescription requires pre-approval so they can start the process as soon as possible.
• Non-Formulary (NF): This product is not covered unless you or your provider request an exception. Additionally, drugs not found on this formulary are considered non-formulary drugs.

Getting Care Quickly

Avoid healthcare emergencies by maintaining preventative care and routine personal doctor visits. 

Virtual 24/7 Care*: Get care anytime you need it, anywhere you are through Teladoc Health. More Information

Urgent Care Access: Get quick access to urgent care and tests when needed.  

24/7 Nurse Advice Line: Registered Nurse guidance 24/7. More Information

Resources for understanding your Benefits and Cost

My Health Pays® rewards program: Rewards program that pays you for healthy decisions. Earn up to $500 in reward**. More Information 

Online Member Account: Access to Digital Member ID Card, coverage details, and benefits to help you keep track of your health needs.  

Ambetter Health Mobile App: Online support tool to assist with getting information on your benefits and coverage. 

*Cost sharing may apply when using Virtual 24/7 Care or Virtual Primary Care. Virtual 24/7 Care cost share does not apply to HSA plans until the deductible is met and is only applicable when used through the Virtual 24/7 Care 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.

**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.

Restrictions apply. Members must qualify for and complete all activities to receive $500 or more. Visit My.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 1-833-993-2426 (TTY Relay 711). 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.

Ambetter from Meridian is underwritten by Meridian Health Plan of Michigan, Inc. which is a Qualified Health Plan issuer in the Michigan Health Insurance Marketplace. This is a solicitation for insurance. ©2025 Meridian Health Plan of Michigan, Inc., AmbetterHealth.com/en/mi. For information on your right to receive an Ambetter from Meridian 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.