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Have an enrollment need? Shop our plans.
-
Our Health Plans
show Our Health Plans menu
-
- About Our Plans
- Our Benefits
- My Health Pays Rewards®
- Coverage Area Map
- Ways to Save
- What is Ambetter Health?
- Find a Doctor
Use your ZIP Code to find your personal plan.
- See coverage in your area
- Find doctors and hospitals
- View pharmacy program benefits
- View essential health benefits
Find and enroll in a plan that's right for you.
-
-
Join Ambetter Health
show Join Ambetter Health menu
-
- Four easy steps is all it takes
- What you need to enroll
- Special Enrollment Information
-
-
For Members
show For Members menu
-
Find everything you need in the member online account
- View your claims
- Review your plan benefits
- Print your ID card
- View rewards points total
-
Your Better Health Center
The Place for Healthy Living News
Finding a healthcare plan that meets a person’s medical and financial needs can be overwhelming. This is especially true for those who lost employer-sponsored health insurance during the COVID-19 outbreak. The Health Insurance Marketplace (HIM or Marketplace) offers many levels of coverage, provider networks and prices to meet a wide range of preferences.
What is the Health Insurance Marketplace?
The Marketplace was established in 2010 as part of the Affordable Care Act, or Obamacare, to connect individuals to affordable health insurance. It provides Americans with the resources to purchase federally regulated and subsidized healthcare coverage.
What do Marketplace plans include?
Each health insurance plan covers a list of essential benefits:
- Emergency care
- Outpatient care
- Doctor visits and wellness checks
- Maternity and newborn care
- Substance abuse care
- Mental health care
- Laboratory services
- Prescription coverage
- Therapy
- Hospitalizations
- Pediatric care
- Vision and dental (some plans)
Telehealth services are also available under certain plans to connect members to a network of doctors over the phone or internet.
What is subsidized healthcare?
Subsidized healthcare provides qualified individuals with coverage at reduced rates. These government credits, or subsidies, result in lower monthly payments so coverage is more affordable.
What is “in-network”?
It is important to know which doctors and hospitals are available within each network. If an enrollee has a preferred doctor or hospital, they should ensure these care providers are included in the provider network of the plan they choose. If not, care may not be covered by insurance and the plan holder may have to pay out-of-pocket costs.
When can I enroll?
Open enrollment is available starting November 1 and ending December 15, 2020. Individuals can also enroll during special enrollment periods, which take place due to qualifying life events such as getting married, having a baby or losing a job.