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SAVE TIME FOR THE THINGS YOU LOVE. ENROLL IN AUTO PAY TODAY.
Main Menu
-
Our Health Plans
show Our Health Plans menu
-
- About Our Plans
- Programs & Perks
- 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
-
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- Provider Resources
- Prior Authorization Requirements for Health Insurance Marketplace
- No Surprises Act
- Provider News
- effective-october-30-2020--clinical-policies
- Effective January 18 2021 Pharmacy and Biopharmacy Policies
- Effective September 23 2021 Pharmacy and Biopharmacy Policies
- Pharmacy and Biopharmacy Policies August
- September Clinical Policies
- November Clinical Policies
- Effective December Pharmacy and Biopharmacy Policies
- Ambetter Clinician-Administered Drug Prior Authorization Update
- Risk Adjustment Documentation and Coding
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- Ambetter Plan Benefits Resume for Applicable COVID-19 Services
- November 2023 Pharmacy and Biopharmacy Policies
- Express Scripts Transition Frequently Asked Questions
- FAP Directory
- Effective January 31, 2024: Clinical Policies
- notice to physicians and providers 01042024
- Effective August 1, 2024: Clinical Policies
- Elimination of Certain Laboratory Services Payment Policies
- Clinical Payment Policies and Code Editing Payment Policy
- Ambetter Transitions to Availity Essentials
- Effective July 2025: New Payment Policy: Inpatient Claim Billing/Coding Reviews
- Effective July 1, 2025: Revised Payment Policy: Genetic and Molecular Testing Services
- Effective August 1, 2025: Genetic Testing PLA Expansion
- Cardiology Procedures: Transition of Utilization Review from TurningPoint to Evolent Effective for Service Dates beginning July 1, 2025
- Effective July 15, 2025: Pharmacy and Biopharmacy Policies
- Effective July 31, 2025: Clinical Policies
- Effective May 20, 2025: Clinical Policies
- Effective August 1, 2025: Pharmacy and Biopharmacy Policies
- Effective June 1, 2025: Pharmacy and Biopharmacy Policies
- NEW RESOURCE: Quality Rating System (QRS) Behavioral Health Measure Toolkit
- REMINDER: Ambetter Health Solutions Now Available
- Effective June 1, 2025: Ambetter Telehealth Update
- Effective October 1, 2025: New Prior Authorization Requirement for Certain Genetic and Molecular Testing
- Effective September 15, 2025: Clinical Policies