About Our Plans

About Our Plans

Ambetter offers Marketplace insurance plans with different coverage and premium levels. And in 2022, we have expanded our plans in certain states and counties to help our members find more coverage options that best fit their needs and their budget!


Find the Ambetter plan that works best for you.

 

 

 

Ambetter Essential, Balanced and Secure Care Plans

Ambetter offers Essential, Balanced and Secure Care plans. Each metal level provides a balance on monthly premium payment and out-of-pocket expenses, as well as access to Ambetter's in-network providers.

 

 

 

NEW! Ambetter Select Plans

Our NEW Ambetter Select Plans offer a low and affordable monthly premium, with a selective network of healthcare providers and hospitals. The selective network ensures you have access to providers that have a history of better healthcare outcomes. 

Ambetter Select Plans are offered in select counties in Florida and Georgia.

 

NEW! Ambetter Value Plans

Ambetter’s NEW Value Plans are our lowest priced premium plans that have specific health care providers and hospitals. Members on our Value Plans will select their Primary Care Provider using our Ambetter Guide. These plans require a referral to see specialists.

Ambetter Value Plans are offered in select counties in Florida, Nevada and Texas

 

NEW! Ambetter Virtual Access Plans 

Our NEW Virtual Access plans provide you with a full virtual primary care experience – powered by Teladoc! These plans include access to licensed virtual primary care providers in addition to our Ambetter network of health care providers and hospitals in your area. Our Ambetter Virtual Access Plan Members can see any virtual Primary Care Physician (PCP) within Teladoc's virtual network for a $0 copay*!

To see a specialist, members will simply request a referral from their Virtual Access PCP.  

Ambetter Virtual Access Plans are available in Michigan, Mississippi, South Carolina and Texas.

*Ambetter Select, Ambetter Value and Ambetter Virtual Access are offered in select states and select counties.

*$0 cost share applies for in-network telehealth services through Ambetter Telehealth. $0 Ambetter Telehealth cost share does not apply to HSA plans until the deductible is met. Ambetter does not provide medical care.

The information above represents the way typical plans at each level work. How much you will pay will depend on your specific plan.

 

 

Find the affordable plan that's right for you. 

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If you are shopping for Marketplace coverage in CA, NM or NY please visit the following:

Ambetter from HealthNet (CA) - ifp.healthnetcalifornia.com

Ambetter from Western Sky Community Care (NM) - BeWellnm.com

Fidelis Care (NY) - www.fideliscare.org

 For a full list of states where Ambetter is available, please visit select your state.

You are covered, sending you to Enrollment. 

Thank you for your interest in Ambetter from SilverSummit HealthPlan. In
Nevada, you will enroll in coverage through your state: Nevada Health Link.

Thank you for your interest in Ambetter from PA Health & Wellness. In Pennsylvania, you will enroll in coverage through your state: Pennie.

Thank you for your interest in Ambetter from Coordinated Care. In Washington, you will enroll in coverage through your state: Washington healthplanfinder.

 

 

 

 

View Summary of Benefits, Evidence of Coverage

 

 

You're Covered on Essential Benefits

All the health plans offered on the Health Insurance Marketplace include certain items or services, or Essential Health Benefits (EHBs). When you choose Ambetter, you're covered on these essential medical care and wellness services:

       

  • Emergency Care
  • Outpatient or Ambulatory Care
  • Preventive & Wellness Care
  • Maternity & Newborn Care
  • Pediatric Care

 

  • Mental Health & Substance Abuse Care
  • Laboratory Services
  • Prescription Drugs
  • Therapy Services
  • Hospitalization 

 

            

See how choosing a health insurance plan that has balanced out-of-pocket costs and monthly premium payments, like an Ambetter Silver Plan, can help you save.

Watch to find the plan that’s right for you.