How to Get Started with Your Plan

Make Your First Payment

The easiest time to make your first payment is when you enroll. If you’ve already made your first payment, great! If not, here are your premium payment options.

Payment Options:

Activate Your Online Member Account

For easy access to care and coverage info, activate your Online Member Account

You can use your Online Member Account to:

  • Set up video doctor visits (Virtual 24/7 Care*)
  • Set up My Health Pays® rewards**
  • Download and save your digital ID card
  • Set up Autopay or make payments
  • Change your Primary Care Physician
  • View the status of claims and out-of-pocket costs
  • Review health plan and pharmacy benefits
  • Review your Evidence of Coverage and go paperless
  • Send secure emails
  • And much more

Download Your Digital Member ID

You can access your Digital Member ID Card under “coverage” in your Online Member Account. Your digital card is available online between 24 and 48 hours after your insurance is active. 

Your Digital Member ID Card is also available in the Ambetter Health mobile app. 

Your printed ID Card will be included in your Welcome Packet. 

Download the Ambetter Health App

The Ambetter Health app enables you to access your Online Member Account and manage your healthcare benefits wherever you are.

With the Ambetter Health app you can:

  • View, save, or share your Member ID Card
  • Find in-network doctors, specialists, hospitals, and clinics
  • Pay your premium and see your payment history
  • Get answers to questions
  • View covered services and benefits usage (including deductible and maximum out-of-pocket amounts)

Download the Ambetter Health app

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Understanding Plan Types

To better understand your plan, it helps to know that Ambetter Health offers four different types of health plans, Premier, Select, Value, and Solutions. Each type offers bronze, silver, and gold level plans. Ambetter Health also offers specialty plans for asthma/chronic obstructive pulmonary disease (COPD) and diabetes. The plans we offer can vary by location, so you may not see all plan types in your area. This quick overview can help you understand the type of plan you have compared to others that we offer. It can also help you understand types of plans you might be interested in switching to during the next enrollment. 

Premier

Premier plans feature Ambetter Health’s broadest network of healthcare providers and hospitals. This gives you more options to choose from when you need care. With this plan, you choose your Primary Care Physician and you don’t need referrals to see a specialist.

Solutions

Solutions plans are plans designed for Individual Coverage Health Reimbursement Arrangements (ICHRAs). A variety of plan options and features enable employees to pick the health plan that’s right for them, with financial support from their employer. 

Premier plans with extra support for Diabetes

Diabetes Premier plans feature Ambetter Health’s broadest network to healthcare providers and hospitals along with special coverage for members who have diabetes. You can choose your own doctors without referral. 

Diabetes care plans are available in Alabama, Florida, Georgia, New Jersey, North Carolina, Oklahoma, Tennessee and Texas.

Enhanced Asthma/COPD Premier

Enhanced Asthma/COPD Premier plans feature Ambetter Health’s broadest network of healthcare providers and hospitals along with special coverage for members who have Asthma or OCPD. (This includes $0 copays** for preferred medications, including controller and rescue inhalers). You can choose your own doctors without a referral. 

Asthma/COPD care plans are available in Kentucky, North Carolina and Oklahoma.

Select

Select plans provide you with in-person care that starts with the Select provider network. You can choose your own doctors within the Select network and you don’t need referrals. 

Select plans are offered in certain counties in Georgia.

Value

Value plans are designed to give you more affordable coverage and one convenient go-to resources for all your care: your Medical Group. With Value plans, a Primary Care Physician is assigned to you and a referral is required to see other doctors. 

Value plans are offered in certain counties in Florida and Texas.

 

*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. Healthcare-related costs will vary by member and the plan in which you are enrolled. My Health Pays® rewards can be used for pharmacy cost share at Hy-Vee* and Walmart and at a mail order pharmacy (currently Express Scripts). *Hy-Vee is currently available in select states. Find a store at www.hy-vee.com/stores. Rewards cannot be used to purchase alcohol, tobacco, firearms products, lottery tickets, gift cards, or for cash.

NH: Consult a tax professional to understand any possible tax implications for the My Health Pays program.

AZ, NV: Rewards cannot be used to pay premiums.

Restrictions apply. Members must qualify for and complete all activities to receive $500 or more. Visit My.AmbetterHealth.com for more details. 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.

***The benefits, rates and costs listed in these advertisements are illustrative and are based on a specific household size, specific age, smoker status, and in a specific Ambetter coverage area. No person should send money to an issuer of Ambetter Health Insurance in response to this national advertisement. Likewise, no person can obtain coverage under Ambetter Health Insurance until an application for coverage is completed. It should be noted that Ambetter Health Insurance policies have exclusions, limitations, reduction of benefits, and terms under which the policy may be continued in force or discontinued. Ambetter Health Insurance policies also contain provisions relating to renewability, cancellability, and termination, and may include provisions for modification of benefits, losses covered or premiums because of age or for other reasons. For costs and complete details of coverage, call or write your insurance producer or the company, whichever is applicable. Additional information is available in the Evidence of Coverage, please visit AmbetterHealth.com and scroll to appropriate state.

Ambetter Health is the brand name used for products and services provided by one or more of the wholly owned subsidiaries of Centene Corporation, who are Qualified Health Plan issuers in the states indicated at AmbetterHealth.com. Health benefits and health insurance plans contain exclusions and limitations. This is a solicitation for insurance. © Copyright 2026 Centene Corporation, centene.com. All rights reserved. All rights reserved. If you, or someone you’re helping, have questions about any of the Ambetter Health Insurance Marketplace offerings, 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 Member Services for your specific Health Plan by electronic mail or by phone by referencing the Health Plan Contact Information located at the state-specific link on ambetterhealth.com. For more information on your right to receive an Ambetter Health 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.