You May Receive a Premium Rebate This Year

Date: 10/08/26

Some Ambetter Health members may receive a premium rebate this year. This rebate is based on a federal requirement called the Medical Loss Ratio (MLR). The MLR rule helps make sure health plans spend most premium dollars on medical care and quality improvements. If certain plans do not meet this requirement, members may get money back.

Why You May Get a Rebate

• The Affordable Care Act (ACA) sets rules for how health plans use premium dollars. These rules help ensure you get value from your coverage.
• If a health plan spends less than required on medical care, it must return part of the premium to members. This is called a rebate.

Who Will Receive a Rebate

Not all members will receive a rebate.

• Rebates are based on your specific health plan and state.
• You must have been enrolled during the applicable year.
• Some active and former members may qualify.

Important: Receiving a rebate is not guaranteed for all members.

When to Expect Your Letter

• Rebate letters will be mailed by September 30.
• Please allow time for mail delivery.
• If you qualify, you should receive your letter by October 15.

How You Will Receive Your Rebate

• If you qualify, you will receive a check by mail.
• Please cash or deposit it as soon as possible.

What You Should Do Next

• Watch your mail for a rebate letter.
• If you receive a check, cash it promptly.

Have Questions?

If you have questions or need help, contact Member Services using the phone number on your member ID card.

Learn More About Medical Loss Ratio

This rebate is required by federal law under the Medical Loss Ratio (MLR) standard, also known as the 80/20 rule.

The loss ratio refund, as set forth in the Loss Ratio Report, was issued by Ambetter from WellCare of New Jersey to all policy or contract holders eligible for reimbursement with refund checks mailed, or premiums credited, on September 30, 2026.

Ambetter from WellCare of New Jersey is underwritten by WellCare Health Insurance Company of New Jersey, Inc. which is a Qualified Health Plan issuer in the New Jersey Health Insurance Marketplace. This is a solicitation for insurance. ©2026 WellCare Health Insurance Company of New Jersey, Inc., AmbetterHealth.com/en/nj. For information on your right to receive an Ambetter from WellCare of New Jersey 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.