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Welcome to your Ambetter Health Solutions Plan.

Get started here to get the most out of your coverage and benefits.
 

  

With the Ambetter Health Solutions Plan, you have the tools and resources needed to manage your health.

Ambetter Health Solutions plans feature a broad network of healthcare providers and hospitals. This gives you more options to choose from when you need care.

After you enroll, you may be assigned a Primary Care Provider (PCP). Your PCP is your main health care professional and should be your first choice for:

  • Routine checkups 
  • Non-emergency medical care such as colds and fevers
  • Managing health conditions like allergies and asthma
  • Prescriptions
  • Lab tests 
  • Imaging services like x-rays, ultrasounds or CT scans 

You can view or change your PCP in your Online Member AccountExternal Link. 

Your Solutions plan offers balanced care for your whole health including great benefits such as: 

  • A trusted provider network
  • No referrals required to see a specialist
  • Healthcare benefits like $0 preventive care visits, Health Management programs for chronic conditions, Start Smart for Your  Baby® for maternity health, and more!
  • Access to providers around the clock with  our free Nurse Advice Line andVirtual 24/7 Care.**
  • Vision and dental plans that support your needs and budget.
  • and more! 

   

Get Started

You can easily manage your healthcare and get the most out of your Solutions plan. Here are some useful things you can start with:

Create Your Online Member Account

Access your health information 24/7. All members 18 years or older need to create their own Online Member AccountExternal Link.

To set up your account:

  1. Go to Member.AmbetterHealth.comExternal Link.
  2. Register with your member ID or Social Security number.
  3. Verify your account through email.

Your member account helps you:

  • Find in-network care
  • View or change your PCP
  • Manage your benefits
  • See the details of your plan
  • Access your digital ID Card
  • Set payment preferences


Download the Ambetter Health Mobile App

To access your health plan details on the go, download the Ambetter Health mobile app from the app page or search for “Ambetter Health” in your app store. To start using the app, sign in with your Online Member Account login and password. 

Your Ambetter Health app has all the useful features of the member account. Additionally, you can contact member support directly through the app, quickly open your digital ID Card in the app or save it to your device wallet.
 


Review Your Plan Documents

  • Member Welcome Packet. It includes your Member ID Card and helpful information about your plan and resources that are available. Your Welcome Packet is mailed to you after your coverage is activated.
  • Digital ID Card. Access your digital ID Card anytime. You can view and download your digital ID Card in your Online Member Account 24–48 hours after your coverage is activated. You can also find it in the Ambetter Health mobile app. 
  • Evidence of Coverage (EOC). This is your “member contract”. In it you can find all the details about your Ambetter Health plan benefits and covered services. Log in to your Online Member Account and select “Email” under “Communication Preferences” to access this document digitally.

Explore Your Ambetter Health Solutions Network

Find doctors, pharmacies and health services in your area that meet your needs. Search for in-network care using the Ambetter Guide: 

Schedule your Wellness Check

View your PCP and schedule your first appointment right away. Your PCP will be your first choice when you need medical care. You can change your PCP but check to make sure that the PCP is in-network to avoid additional costs.

A wellness check normally includes:

  • A comprehensive history appropriate for your age and gender
  • Physical examination
  • Counseling or anticipatory guidance
  • Interventions to reduce risk factors
  • Ordering of appropriate immunizations, labs and screenings

Watch this video on how to find a provider that meets your needs using the Ambetter Guide. 

  

Frequently Asked Questions

A PCP is your Primary Care Provider. It is where you go for checkups, vaccinations or if you have fever or cold. Your PCP also cares about your ongoing issues like allergies, diabetes or asthma.

Go to the Ambetter Guide and select the Solutions network. Use the search to find an in-network provider of your choice. Use the Ambetter GuideExternal Link to find urgent care near you. 

You can access urgent care virtually or in person without a referral. 

  • For a virtual visit: Go to your online member account and select “Virtual 24/7 Care” on the right side of the homepage to schedule your visit. 
  • For an in-person visit: Find a nearby urgent care clinic using the Ambetter Guide. Go to Guide.AmbetterHealth.comExternal Link, choose the Solutions network and search for “Urgent Care.” 

No. As a Solutions plan member, you can choose to see any in-network specialist. Your plan will cover this visit. To find a doctor in your network, use the Ambetter GuideExternal Link. Be sure to select your state, plan year and the Solutions network before searching. 

Your plan will cover the visit if the specialist is in your Solutions network. To check this, use the Ambetter Guide. Be sure to select your state, plan year and the Solutions network before searching. If the specialist is not in your network, choose another in-network specialist to avoid additional costs.

Most out-of-network services are not covered by your plan. You will have to pay in full for any out-of-network visits. The only exception is if you have a PPO Solutions plan. To choose a doctor in your network, use the Ambetter GuideExternal Link. Be sure to select your state, plan year and the Solutions network before searching. 


All Except GA: *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.

Georgia: *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, except at Walmart.

**Formerly known as Ambetter Telehealth. 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.

Ambetter Health is the brand name used for products and services provided by one or more of the wholly owned subsidiaries of Centene Corporation, who are issuers in the states indicated below. Health benefits and health insurance plans contain exclusions and limitations. Centene and its wholly owned subsidiaries comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, (including limited English proficiency and primary language), age, disability, or sex. The notice of nondiscrimination from Ambetter Health is available at AmbetterHealth.com. This is a solicitation for insurance. © Copyright 2025 Centene Corporation, centene.com. All rights reserved. Additional information is available in the Evidence of Coverage. If you believe that Centene Corporation or any of its wholly-owned subsidiaries has failed to provide language and/or auxiliary services, described below, or has discriminated in another way on the basis of race, color, national origin, (including limited English proficiency and primary language), age, disability, or sex, please contact the 1557 Coordinator by electronic mail to SM_Section1557Coord@centene.com, by postal mail to P.O. Box 31384, Tampa, FL 33631, by fax at 1-866-388-1769 or by phone at 1-855-577-8234 (TTY 711). You may file a civil rights complaint directly with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal at https://ocrportal.hhs.gov/ocr/smartscreen/main.jsfExternal Link, by postal mail at 200 Independence Avenue, SW, Room 509F, HHH Building, Washington, D.C. 20201, or by phone at 1-800-368-1019, 800-537-7697 (TDD). Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.htmlExternal Link.