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Our Benefits
Better Coverage. Better Perks. Ambetter Health is on a Mission for Better, and that means better coverage and better perks for you. Beyond great everyday benefits like Virtual 24/7 Care*, members have access to exclusive programs like My Health Pays®** and Ambetter Perks. We’re adding value to your affordable health insurance plan. Members can access this and more, all just for being a member of Ambetter Health.
Member Programs and Perks
With your Ambetter Health insurance, you get access to exclusive savings on perks like gym memberships and mental wellness programs to help you be well, stay well, and save smart. Stay healthy with these member benefits:
Ambetter Perks Member Discount Program
As an Ambetter Health member, you can enjoy discounts and special rates on exciting products and services. With Ambetter Perks find exclusive deals on restaurants, travel, entertainment, technology, and more. You can also find health-focused discounts on products and services like gym memberships and healthy eating from brands like Anytime Fitness, Jazzercise, Blue Apron, Home Chef and more. Get Started.
My Health Pays®
A rewards program that pays you for staying healthy! With My Health Pays®, you can earn rewards just by doing things like going to your annual wellness exam, exercising more, and eating right. Rewards can be used to cover health-related costs and monthly bills like utilities and childcare. Get Rewards.
Plans to Fit Your Health Needs
Ambetter Value
The Ambetter Value Plan is designed to give you a convenient resource for all your care: your medical group. This assigned group of providers includes a primary care provider (PCP) who can refer you to specialists in the group if needed. Being in a medical group helps ensure that the services you get will be covered by your plan.
Ambetter Guide
Learn how to use the Ambetter Guide*** with this step-by-step instructional video. The Ambetter Guide is a useful online tool that helps you find in-network providers, urgent care clinics, pharmacies, and more.
Member Portal
Watch our step-by-step video on how to use your Ambetter Health online member account***. Use your account any time to manage your plan, find information about your coverage, access options for care, view your rewards, and much more — all in one place.
Everyday Benefits
Ambetter Health doesn’t just have great member perks; we also have everyday benefits for all our members. That’s how we became one of the biggest insurers on the health insurance marketplace — by giving our members the ability to take control of their health!
Affordable Dental and Vision Insurance
Pediatric vision for members younger than 19 is an essential health benefit in all Ambetter Health plans. Affordable adult vision and dental plans are also available in most states. Shop Ambetter Health plans to learn more.
Pharmacy Program
Maximize your pharmacy benefits! Save time and money by ordering medications through our mail-order pharmacy program. Or choose from convenient in-network retail locations listed in our Provider Directory. Want to check if your prescriptions are covered? Ambetter Health works closely with providers and pharmacists to ensure we cover a variety of medications for you and your family. Specialty medications for complex or chronic conditions are available, too.
Virtual 24/7 Care
Get medical help any time. Virtual 24/7 Care gives you access to medical professionals via phone or video for non-emergency health issues. Request a prescription or ask for medical advice 24 hours a day, seven days a week.
Care Management Services
Sometimes you need extra support for your mental and physical health. Our care managers can help you find the right providers and programs for you, coordinate services and locate local community resources. They’ll work with you and your providers to make a care plan just for you.
Start Smart For Your Baby®
A healthy baby starts with a healthy you. Our Start Smart for Your Baby® maternity health program connects you to information and resources to support you during every stage of your pregnancy and after your newborn arrives.
Health Management Programs
Get personalized help managing your chronic health condition so you have fewer complications. Our health management programs offer telephone support, educational tools, and behavioral health services, including depression management programs.
24/7 Nurse Advice Line
Our 24/7 nurse advice line makes it easy to answer health questions any time. Talk to a registered nurse about your health or medications, or whether you should go to the emergency room, urgent care clinic, or wait to see your regular provider.
Trusted Provider Network
Ambetter Health offers a range of providers, medical facilities, and hospitals within our trusted provider network. Our plans also offer flexibility to suit your needs. Choose from Ambetter Bronze, Silver, or Gold Care plans, as well as the Ambetter Value plan. Affordable healthcare designed for you — with the benefits, tools, and coverage you want. Learn more about Ambetter Health coverage.
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* Formerly known as Ambetter Telehealth. Cost sharing may apply when using Virtual 24/7 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.
**Funds expire immediately upon termination of insurance coverage. 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 your Ambetter health plan 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. My Health Pays® rewards cannot be used for pharmacy copays. Rewards cannot be used for premium payments.
***Ambetter from SilverSummit Healthplan is underwritten by SilverSummit Healthplan, Inc. which is a Qualified Health Plan issuer in the Nevada Health Insurance Marketplace. This is a solicitation for insurance. ©2024 SilverSummit Healthplan, Inc., https://ambetter.silversummithealthplan.com/. If you, or someone you’re helping, have questions about Ambetter from SilverSummit Healthplan, 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 the Member Services at 1-866-263-8134 (TTY 1-855-868-4945). For more information on your right to receive Ambetter from SilverSummit Healthplan free of discrimination, or your right to receive language, auditory and/or visual assistance services, please visit www.ambetterhealth.com and scroll to the bottom of the page.