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Key Steps to Take Charge of Your Health 

From making payments to getting care, here are the key steps you should take this year to get the most from your coverage.

Your Checklist

  1. Make your first payment
  2. Activate your Online Member Account
  3. Download your Member ID Card
  4. Download the Ambetter Health Mobile app
  5. Understand plan types
  6. Start using your benefits
  7. Know where to get care

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 Member 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 or Major Medical Expense Policy and go paperless
  • Send secure emails
  • And much more

Download Your Digital Member ID Card

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 Member 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

This overview is meant to help you understand the plan you have today. Ambetter Health offers several types of health plans, which can include different metal levels (Silver and Gold). It may also help you think about what types of plans could meet your needs during a future Open Enrollment period.

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.

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. 

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. 

Ambetter Health 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. 

Need Help? We’re with you.

Get Answers to Your Questions.

Talk to our team: 1-877-687-1196 (Relay Texas/TTY 1-800-735-2989) 8 a.m. to 8 p.m. local time, Monday through Friday.
Or call your broker.

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*Cost sharing may apply when using Virtual 24/7 Care or Virtual Primary 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.

Ambetter from Superior HealthPlan includes EPO products that are underwritten by Celtic Insurance Company, and HMO products that are underwritten by Superior HealthPlan, Inc. These companies are each Qualified Health Plan issuers in the Texas Health Insurance Marketplace. This is a solicitation for insurance. ©2026 Celtic Insurance Company, ©2026 Superior HealthPlan, Inc. All rights reserved. AmbetterHealth.com/en/tx. If you, or someone you’re helping, have questions about Ambetter from Superior HealthPlan, 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 at 1-877-687-1196 (Relay Texas/TTY 1-800-735-2989).For more information on your right to receive Ambetter from Superior HealthPlan 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.