HAVE AN ENROLLMENT NEED? SHOP OUR PLANS
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 Select Plans
-
Ambetter Value Plans
-
Ambetter Virtual Access Plans
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.
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.