About Our Plans


About Our Plans

Ambetter offers Marketplace insurance plans with different coverage and premium levels. And in 2023, 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 Bronze, Silver, and Gold Plans

Ambetter offers Bronze, Silver and Gold 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.

 

Ambetter Select Plans

Our 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 Arizona, Florida and Georgia, and Tennessee.

 

Ambetter Value Plans

Ambetter’s 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. 

 

Ambetter Virtual Access Plans 

Our Ambetter Virtual Access plans provide you with a full virtual primary care experience. Ambetter Virtual Access members are assigned either a Teladoc or Babylon Primary Care Physician (PCP), depending on their state, and enjoy unlimited $0 visits with that PCP.  The Teladoc or Babylon PCP can order labs, imaging, write prescriptions, and make referrals for on-the-ground care as needed.  

Ambetter Virtual Access Plans are available in Florida, Georgia, Indiana,  Kansas, Michigan, Mississippi, Missouri, Nebraska, New Hampshire, North Carolina, Ohio, 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

SELECT YOUR STATE

 

 

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.