What is the Qualified Health Plan (QHP) survey?

Date: 01/01/26

The Qualified Health Plan (QHP) survey was created by the U.S. Department of Health and Human Services to get feedback from members like you about the care you receive and your experience with your health plan.

The survey asks questions like:

• How easy was it to get care when you needed it?
• Did your doctor spend enough time with you and treat you with respect?
• Did you get the information you needed such as how much you would have to pay for your health care?

Not all members are invited to take the survey. If you are, it’s a special opportunity to share your experience and help us understand what’s most important to you. Your answers are completely private from us as your health plan. The survey results are shared as a whole from all respondents, so your information and opinions will stay protected.*

You do not have to answer any questions that you do not want to answer. If you choose not to answer, it will not affect your coverage.   

How do I take the survey?

If you are selected to take the survey, it will arrive by both email and mail from our survey partner Qualtrics in March.

The survey will take about 12 minutes to complete and can be submitted via mail, email, or phone.

Why should I take the survey and what will my health plan do with my responses?

Your answers in the survey help us learn what you need, so we can keep making your health plan stronger. Feedback from members like you has helped us shape the tools and resources you benefit from today such as the Find a Provider tool, Ambetter Health Mobile App, and Online Member Account. 

Your survey answers help us to:

• understand how easy it is for you to get care.
• understand your experience with your health care providers.
• give you the healthcare services you need and want.

Your survey answers will also be used as a part of health plan quality ratings, which help people who are shopping for health insurance to compare plans on Healthcare.gov or their state’s Marketplace website.  

Your survey responses help us add value to your health plan.

Our goal is to provide you with quality, affordable healthcare coverage.   

Every response helps us understand what matters most, leading to improvements and resources like the ones you benefit from today:

Finding a Doctor and Managing your Health:

• Find a Provider: Use our easy online tool to find the right doctor for you. Find a Provider
• Healthcare Management Programs: We can assist you with chronic condition management by providing ongoing support when you have complex or chronic conditions. More Information

Pharmacy Needs:

Our Mail Order Pharmacy and Preferred Drug List (Formulary) can help guide you on getting the medications you need. 

The Preferred Drug List or Formulary is a document designed to help you understand the prescription drug benefits offered under your plan. 

Locating your Preferred Drug List:

• Visit AmbetterHealth.com
• Select your State at bottom of the page
• Select "Drug Coverage" from the "For Members" tab
• Click on the appropriate link for the Formulary and benefit year you would like to review

Here are some of the important terms:

• Tiers (0, 1A, 1B, 2, 3, 4): Drugs are covered under different copay tiers depending on your coverage: 
  • Tier 0 - No copayment for those drugs that are used for prevention and are mandated by the Affordable Care Act. 
  • Tier 1A- Lowest copayment for select drugs that offer the greatest value compared to other drugs used to treat similar conditions. 
  • Tier 1B- Low copayment for those drugs that offer great value compared to other drugs used to treat similar conditions. 
  • Tier 2 - Medium copayment covers brand name drugs that are generally more affordable, or may be preferred compared to other drugs to treat the same conditions.
  • Tier 3 -High copayment covers higher cost brand name and non-preferred generic drugs. 
  • Tier 4 - Highest copayment is for “specialty” drugs used to treat complex, chronic conditions that may require special handling, storage or clinical management. 
• Prior Authorization (PA): Some medications may require a pre-approval, also known as a prior authorization, where your provider will send a request to your health plan to review the prescription before it can be filled. This helps make sure the treatment is right for you and checks coverage. It is a way to keep you safe and avoid surprise costs. Talk to your provider if your prescription requires pre-approval so they can start the process as soon as possible.
• Non-Formulary (NF): This product is not covered unless you or your provider request an exception. Additionally, drugs not found on this formulary are considered non-formulary drugs.

Getting Care Quickly

Avoid healthcare emergencies by maintaining preventive care and routine personal doctor visits. 

Virtual 24/7 Care**: Get care whenever and wherever you need it with Teladoc Health. More information

Urgent Care Access: Get quick access to urgent care and tests when needed.

24/7 Nurse Advice Line: Registered Nurse guidance 24/7. More Information

Resources for Understanding your Benefits and Cost

My Health Pays® rewards program***:  Rewards program that pays you for healthy decisions. More Information

Online Member Account: Access to Digital Member ID Card, coverage details, and benefits to help you keep track of your health needs. My.AmbetterHealth.com

Ambetter Health Mobile App: Online support tool to assist with getting information on your benefits and coverage. 

*Your name and survey responses will not be shared with anyone, except as required by law.

Ambetter from Absolute Total Care is underwritten by Absolute Total Care, Inc., which is a Qualified Health Plan issuer in the South Carolina Health Insurance Marketplace. This is a solicitation for insurance. ©2025 Absolute Total Care, Inc., AmbetterHealth.com/en/sc/. . For information on your right to receive an Ambetter from Absolute Total Care 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.

**Cost sharing may apply when using Virtual 24/7 Care. Ambetter Health does not provide medical care. Medical care is provided by individual providers which are independent contractors and not agents of Ambetter Health.

***Healthcare-related costs will vary by member and the plan in which you are enrolled. Funds expire immediately upon termination of insurance coverage. 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.