Our Health Plans
Ambetter health insurance plans offer several levels of plan options, each one representing a different type of coverage and payment. However, no matter which Ambetter plan you choose, you can always count on access to high quality, comprehensive care that delivers services, support and all of your Essential Health Benefits.
Ambetter Essential Care (Bronze)
Lower monthly premium payments, but potentially higher out-of-pocket costs.
Ambetter Balanced Care (Silver)
Best balance on monthly premium payments and out-of-pocket costs.
Ambetter Secure Care (Gold)
Higher monthly premium payments to help limit your out-of-pocket costs.
Plan Comparison Chart
| Comparison | Bronze | Silver | Gold |
|---|---|---|---|
| Monthly Cost | $ | $$ | $$$ |
| Out-of-Pocket Costs | $$$ | $$ | $ |
| Actuarial Value* | 60% | 70% | 80% |
*Actuarial Value is the percentage of average total costs for covered benefits that a plan will cover.
Get more value with Ambetter
We offer quality, affordable care with the benefits you deserve. Our health plan options fit your needs and your budget with complete medical coverage, preventive care and emergency services, as well as other programs and services.
All Ambetter plans include:
My Health Pays™ Rewards
Now with Walmart!
Earn reward dollars by completing healthy activities. Shop Walmart with your rewards beginning in 2019.*
Ambetter Telehealth
Convenient, 24-hour phone or video access to in-network providers for non-emergency health issues.
Prescription Coverage
Ambetter covers prescription medications and certain over-the-counter medications when ordered by an Ambetter provider.
24/7 Nurse Advice Line
Call to talk to a medical professional for answers to health questions - anytime day or night.
Maternity and Newborn Care
Health Services and programs for pregnant and new moms.
Mental and Behavioral Health Services
Care that includes psychotherapy and counseling, inpatient care and substance abuse treatment.
Integrated Care Management
Use coordinated health services to help you get and stay well.
Vision Coverage**
Pediatric coverage for services such as eye exams and prescription eyewear. Optional adult vision coverage only offered on some plans.
Optional Adult Dental Coverage**
Coverage for services such as teeth cleanings, screenings and exams. Only offered on some plans.
*Rewards may not be used to buy alcohol, tobacco, or firearms products
**For some plans