Ambetter’s Gold, Silver and Bronze Marketplace Insurance Plans feature the richest benefits and broadest network. It balances monthly premiums with out-of-pocket expenses while offering access to in-network providers.

• No referrals required.
• Most plans offer optional adult vision and dental coverage.
• Available in all Ambetter counties.
• This is our biggest network of healthcare providers.

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Ambetter Select features in-person care from a smaller network of providers. 

• Referrals are not required.
• Vision and dental buy ups are not available within this plan.
• Available only in Broward and Miami-Dade counties.

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Ambetter Value features in-person care from a smaller provider network. Members must select a PCP from a designated provider group. 

• A referral from a member’s PCP is needed for care beyond their PCP’s scope, such as seeing a specialist. 
• Referrals are not required for OB/GYN, mental health/substance abuse disorder, urgent care or emergent care.
• Members can only see PCPs within their assigned PCP group. Members must formally change their PCP group in the Member Portal or by calling member services before visiting a PCP group other than their assigned PCP group.
• Value is ONLY available in Broward, Clay, Duval, Hillsborough, Lake, Miami-Dade, Orange, Osceola, Palm Beach, Pasco and Seminole counties.

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Ambetter Virtual Access offers members a virtual primary care experience from a broad provider network. Teladoc is the exclusive virtual PCP group partnered with Ambetter from Sunshine Health.

• A referral from a member’s PCP is needed for care beyond their PCP’s scope, such as seeing a specialist. Referrals are not required for OB/GYN, mental health/substance abuse disorder, urgent care or emergent care.
• Members can visit a brick-and-mortar PCP but will be subject to applicable cost-sharing. Members will still need referrals from their brick-and-mortar PCP for care beyond their PCP's scope.  
• Vision and dental buy ups are not available within this plan.
• In order to see a brick-and-mortar PCP, members must formally change their PCP to a brick-and-mortar PCP in the Member Portal or by calling member services before visiting a PCP other than their assigned Teladoc PCP. 

ID Card Sample: