Ambetter and ICHRA

Ambetter Health Plans Designed for ICHRAs

Why Employees Love Ambetter Health Plans

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Plans for Different Needs & Budgets

Affordable coverage options for the whole family.

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24/7 Virtual Care

From virtual urgent care and primary care to mental health, speech therapy, and dermatology.

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Up to $500 in Rewards*

Earn rewards for healthy decisions and use them to pay for healthcare costs, premiums, rent, and utilities with My Health Pays®.

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Ambetter Perks Program

Discounts on travel, tech, food, and dining, plus exclusive offers on movie tickets, attractions, tours, and more.

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Broad & Trusted Provider Network

Access to doctors in their local community (no referrals needed), plus coverage across states where Solutions plans are offered.

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Prescription Drug Benefits

Brand names, generics, and delivery options.

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Start Smart for Your Baby®

Information and resources to support members during every stage of pregnancy and after their newborn arrives.

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Extra support for mental and physical health. Our care managers can help find the right providers, coordinate services and locate resources.

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Comprehensive Coverage

Doctor visits, urgent care, ER, hospitalization, 24/7 virtual care, and a free nurse advice line. Optional dental/vision add-ons.

$0 Check-ups & Screenings

Prevent health problems before they start or catch them early.

*Funds expire immediately upon termination of insurance coverage. Healthcare-related costs will vary by member and the plan in which you are enrolled. My Health Pays® rewards can be used for pharmacy cost share at Hy-Vee* and Walmart and at a mail order pharmacy (currently Express Scripts). *Hy-Vee is currently available in select states. Find a store at www.hy-vee.com/stores. Rewards cannot be used to purchase alcohol, tobacco, firearms products, lottery tickets, gift cards, or for cash.

NH: Consult a tax professional to understand any possible tax implications for the My Health Pays program.

AZ, NV: Rewards cannot be used to pay premiums.

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.

MI, TX - Cost sharing may apply when using Virtual Primary Care.

WA - Cost sharing does not apply when using Virtual 24/7 Care.

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

Talk With Our Team

Considering an ICHRA raises new questions. Our team is here to help.