Marketplace Insurance Plans by Ambetter - Call 855.436.8413

About Our Health Insurance Plans

Ambetter Health offers reliable health insurance plans for individuals and families.

Choose from a range of prices and coverage levels.

 

Ambetter Health Premier

Available for 2026 coverage, Ambetter Health Premier insurance plans make it easy to find the right fit. Premier plans cover essential health services and give you access to the broadest network of care providers. You won’t even need referrals to see specialists.

Our Premier plans are grouped according to the bronze, silver and gold levels established through the Affordable Care Act. The difference between them is the monthly cost and the amount you pay for care. Generally, plans with higher monthly premiums have lower out-of-pocket costs, and those with lower premiums have higher out-of-pocket costs. Your total costs will depend on your specific plan and financial situation, but the information below represents the way plans work at each level.


 

Premier Silver Comprehensive Diabetes Care Plans

We understand the unique challenges people face when managing diabetes. That’s why we’re proud to offer Premier Silver plans tailored specifically for diabetes care.

These plans offer $0 copays**** for preferred insulin and select medications. Some plans may also provide coverage for certain diabetic supplies, including lancets, test strips and glucometers.

Diabetes care plans are available in Alabama, Florida, Georgia, New Jersey, North Carolina, Oklahmona, Tennessee and Texas.

Learn more about Diabetes Plans

Premier Silver Comprehensive Asthma/COPD Care Plans

An asthma or COPD diagnosis comes with complex care needs and additional stress when it comes to finding the right health insurance. That’s where we come in. We offer Premier Silver plans tailored for individuals with asthma or COPD.

These plans offer $0 copays for preferred medications, pulmonologist visits, pulmonary rehabilitation and disease management.

Asthma/COPD care plans will be available for 2026 coverage in Kentucky, North Carolina and Oklahoma.

Learn more about Asthma/COPD Plans

 

Ambetter Health Select

Ambetter Health Select plans feature affordable monthly premiums and give you access to an exclusive network of providers and hospitals that are recognized for quality healthcare outcomes. Select plans are often available in bronze, silver and gold metal levels. For 2026 coverage, Select plans will be available only in certain counties in Georgia.

 

Ambetter Health Value

Ambetter Health Value plans are affordable plans that feature a network of specific healthcare providers and hospitals. Value plan members are assigned to a primary care provider (PCP) within a medical group to coordinate care. Referrals are required for most care outside of what the PCP can provide, such as seeing a specialist.

Value plans are often available in bronze, silver and gold metal levels. For 2026 coverage, Value plans are offered in certain counties in Florida and Texas.

 

Ambetter Health Solutions

Ambetter Health Solutions plans are “off-exchange” options for individuals purchasing health insurance through defined contributions or health reimbursement arrangements, such as an individual coverage health reimbursement arrangement (ICHRA) or qualified small employer health reimbursement arrangement (QSEHRA). Plans are available in the bronze, silver, gold and platinum levels.

Ambetter Health Solutions plans are available for 2026 coverage in Arizona, Florida, Georgia, Indiana, Kansas, Mississippi, Missouri, Ohio, Oklahoma, South Carolina, Tennessee, and Texas.


 

Learn More


 

View Summary of Benefits, Evidence of Coverage

*Ambetter Health Premier, Select, Value, and Solutions plans are offered in select states and select counties.

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

2026 Ambetter Health Insurance Plans

 

Premier

Select

Value

Solutions 2026
Off-exchange and ICHRA / QSEHRA

Available in These States

AL, AR, AZ, DE, FL, GA, IA, IL, IN, KS, KY, LA,MI, MO, MS, NC, NE, NH, NJ, NV, OH, OK, PA, SC, TN, TX, WA (refered to as Cascade)

GA

FL, TX

AZ, FL, GA, IN, KS,
MO, MS, NE, OH, OK, SC, TN, TX

Network Size

Broadest network of care providers

Exclusive network of care providers than Premier



Exclusive network; limited to specific care providers

Broad network of care providers

Referral Requirement

No referral required

No referral required

Referral required*

No referral required

Specialized Plans for Diabetes Care

AL, FL, GA, NC, NJ, OK, TN, TX

Some Premier plans have comprehensive diabetes care options tailored especially for diabetic needs.

Not available with Select plans

Not available with Value plans

Not available with Solutions plans

Specialized plan for Asthma/COPD 

KY, NC, OK

Some Premier plans have comprehensive
asthma/COPD care options that offer extra support to help manage asthma/COPD.

Not available with Select plans

Not available with Value plans

Not available with Solutions plans

*Referrals are required for all medically necessary healthcare services not provided by a member’s PCP, excluding emergency care, urgent care, mental health, substance use disorders, OB/GYN and any state-mandated exemptions.

  


Find the affordable plan that's right for you. 

Please enter a valid 5 digit Zip code

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

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

 

 

SELECT YOUR STATE

 

 


Essential Health Benefits

With an Ambetter Health Marketplace health insurance plan, you have access to coverage on these essential medical and wellness services:

  • Emergency Care
  • Hospitalization
  • Outpatient or Ambulatory Care
  • Pregnancy, Maternity and Newborn Care
  • Pediatric Care

  • Mental Health and Substance Use Care
  • Laboratory Services
  • Prescription Drugs
  • Rehabilitative Therapy Services and Devices
  • Preventive and Wellness Care

Ambetter Health Member Exclusive Programs

As an Ambetter Health member, you have access to additional services to manage your health, no matter which plan you choose. These include:

  • Mail-Order Pharmacy Program
  • 24/7 Nurse Advice Line
  • Health Management Programs for Chronic Conditions
  • Care Management Services for Complex Health Needs
  • Walgreens Smart Savings*
  • Start Smart for Your Baby® Pregnancy Program
  • Ambetter Perks Member Discount Program
  • My Health Pays®**
  • DispatchHealth*
  • Stay Healthy Zone*
  • Virtual 24/7 Care***

 

 

Learn More

 

 

*Programs and perks vary by market. Check your market’s availability to better understand the options in your area.

   

  

  

Choosing a health insurance plan that has balanced out-of-pocket costs and monthly premium payments, like a silver Premier plan, can help you save.

Watch this short video to learn more.

 

  

  

   

  

**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 cannot be used for pharmacy copays.

***Cost sharing may apply when using Virtual 24/7 Care. Virtual 24/7 Care cost share does not apply to HSA plans until the deductible is met and is only applicable when used through the Virtual 24/7 Care program. Ambetter Health does not provide medical care. Medical care is provided by individual providers which are independent contractors and not agents of Ambetter Health.

****The benefits, rates and costs listed in these advertisements are illustrative and are based on a specific household size, specific age, smoker status, and in a specific Ambetter coverage area. No person should send money to an issuer of Ambetter Health Insurance in response to this national advertisement. Likewise, no person can obtain coverage under Ambetter Health Insurance until an application for coverage is completed. It should be noted that Ambetter Health Insurance policies have exclusions, limitations, reduction of benefits, and terms under which the policy may be continued in force or discontinued. Ambetter Health Insurance policies also contain provisions relating to renewability, cancellability, and termination, and may include provisions for modification of benefits, losses covered or premiums because of age or for other reasons. For costs and complete details of coverage, call or write your insurance producer or the company, whichever is applicable. Additional information is available in the Evidence of Coverage, please visit AmbetterHealth.com and scroll to appropriate state.

Ambetter Health Insurance is only offered in the following states and costs and benefits may vary by state and county: AL (Ambetter of Alabama underwritten by Celtic Insurance Company); AR (Ambetter from Arkansas Health & Wellness includes PPO underwritten by Celtic Insurance Company (dba Arkansas Health and Wellness Solutions), POS products that are underwritten by QCA Health Plan, Inc. and PPO products that are underwritten by Qualchoice Life & Health Insurance Company, Inc.); AZ (Ambetter from Arizona Complete Health); CA (Ambetter from Health Net of California, Inc.); DE (Ambetter Health of Delaware underwritten by Celtic Insurance Company); FL (Ambetter Health includes HMO products that are underwritten by Centene Venture Company Florida and Sunshine Health Plan, Inc., and EPO products underwritten by Celtic Insurance Company); GA (Ambetter of Peach State Inc.); IL (Ambetter of Illinois insured by Celtic Insurance Company); IN (Ambetter Health underwritten by Coordinated Care Corporation); IA (Ambetter Health underwritten by Iowa Total Care), KS (Ambetter from Sunflower Health Plan Insured by Celtic Insurance Company); KY (Ambetter from WellCare of Kentucky); LA (Ambetter Health of Louisiana Inc.); MI (Ambetter from Meridian); MO (Ambetter from Home State Health underwritten by Celtic Insurance Company); MS (Ambetter of Magnolia Inc.); NC (Ambetter of North Carolina Inc.); NE (Ambetter from Nebraska Total Care); NH (Ambetter from NH Healthy Families underwritten by Celtic Insurance Company); NJ (Ambetter from WellCare of New Jersey); NM (Ambetter from Western Sky Community Care); NV (Ambetter from SilverSummit Healthplan); NY (Ambetter from Fidelis Care); OH (Ambetter from Buckeye Health Plan); OK (Ambetter of Oklahoma underwritten by Celtic Insurance Company); PA (Ambetter from PA Health & Wellness); SC (Ambetter from Absolute Total Care); TN (Ambetter of Tennessee underwritten by Celtic Insurance Company); TX (Ambetter from Superior HealthPlan includes EPO products that are underwritten by Celtic Insurance Company and HMO products that are underwritten by Superior HealthPlan, Inc.); and WA (Ambetter from Coordinated Care Corporation).