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Ready to enroll in a health insurance plan? Shop Now
Main Menu
-
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
- Member News
- Health Savings Account
Find everything you need in the member online account
- View your claims
- Review your plan benefits
- Print your ID card
- View rewards points total
-
Pennsylvania Health Insurance Plans | Ambetter from PA Health & Wellness
About Our Health Insurance Plans
Ambetter Health offers reliable health insurance plans for individuals and families.
Choose from a range of prices and coverage levels.
Ambetter Health Premier
Available for 2025 coverage, Ambetter Health Premier insurance plans make it easy to find the right fit. Premier plans cover essential health services and give you access to the broadest network of care providers. You won’t even need referrals to see specialists.
Our Premier plans are available in bronze, silver and gold levels. Each metal level provides a balance of monthly premium payment and out-of-pocket expenses. Your total costs will depend on your specific plan and financial situation, but the information below represents the way plans work at each level.
PREMIER BRONZE
A Premier bronze plan can save you money if your healthcare needs are minimal, but if you get injured or sick, your out-of-pocket expenses can be higher than with other plans.
Monthly Premium Payment: Lower
Out-of-pocket costs: Higher
PREMIER SILVER
BEST VALUE
Premier plans at the silver level offer the most balanced cost sharing. This means you’ll have a higher monthly premium than at the bronze level, but the plan will pay more toward your medical bills if you need care. Unlike bronze and gold plans, silver plans offer the chance for additional savings if you are eligible for subsidies.
Monthly Premium Payment: Moderate
Out-of-pocket costs: Moderate
PREMIER GOLD
A Premier gold plan may be a good option for people with many healthcare needs who can afford higher monthly premiums in exchange for lower deductibles and more predictable healthcare costs overall.
Monthly Premium Payment: Highest
Out-of-pocket costs: Lowest
PREMIER BRONZE
A Premier bronze plan can save you money if your healthcare needs are minimal, but if you get injured or sick, your out-of-pocket expenses can be higher than with other plans.
Monthly Premium Payment: Lower
Out-of-pocket costs: Higher
PREMIER SILVER
BEST VALUE
Premier plans at the silver level offer the most balanced cost sharing. This means you’ll have a higher monthly premium than at the bronze level, but the plan will pay more toward your medical bills if you need care. Unlike bronze and gold plans, silver plans offer the chance for additional savings if you are eligible for subsidies.
Monthly Premium Payment: Moderate
Out-of-pocket costs: Moderate
PREMIER GOLD
A Premier gold plan may be a good option for people with many healthcare needs who can afford higher monthly premiums in exchange for lower deductibles and more predictable healthcare costs overall.
Monthly Premium Payment: Highest
Out-of-pocket costs: Lowest
To enroll in an Ambetter from PA Health & Wellness Plan, you will enroll in coverage through the PA state exchange: Pennie
Essential Health Benefits
With an Ambetter Health Marketplace health insurance plan, you have access to coverage on these essential medical and wellness services:
- Emergency Care
- Hospitalization
- Outpatient or Ambulatory Care
- Pregnancy, Maternity and Newborn Care
- Pediatric Care
- Mental Health and Substance Use Care
- Laboratory Services
- Prescription Drugs
- Rehabilitative Therapy Services and Devices
- Preventive and Wellness Care
Ambetter Health Member Exclusive Programs
As an Ambetter Health member, you have access to additional services to manage your health, no matter which plan you choose.*
*Programs and perks vary by market. Check your market’s availability to better understand the options in your area.