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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?
- Shop and Compare Plans
- 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
-
- Pay Now
- Find a Doctor
- Drug Coverage
- Forms and Materials
- Ways to Pay
- New Members
- Renew Your Plan
- Better Health Center
- The Better Bulletin
- Member News
- Health Savings Account
- Medicare Eligible
Find everything you need in the member online account
- View your claims
- Review your plan benefits
- Print your ID card
- View rewards points total
-
Balance Billing: Out of Network Covered Emergency Services
Member Responsibility
If the Procedure Code Description for any claims says “Non-Network”, this means the provider is not in our network. Your in-network doctor or hospital may use an out-of-network provider for some services; however, you should not be billed by out-of-network providers for emergency services any amount over your cost share amount (including deductible, copay and/or coinsurance). If you are billed by an out-of-network provider for covered emergency services in an amount greater than your cost share amount, then contact our member services team at 1-877-687-1189 (TTY/TDD 1-877-941-9236).
The “Out of Pocket Costs” and “Member Cost Share” represent your deductible, copay and/or coinsurance, but not any charges denied as member responsibility. In cases where a claim line is denied for a reason that is your responsibility, such as not being eligible on the date of service, or obtaining non-emergent services at a non-network provider without proper authorization, you may be billed for such denials.