Member Renewal Information | Ambetter from Peach State Health Plan

Open enrollment begins November 1, 2024.


Open enrollment begins November 1st, 2024. Ambetter Health is on a Mission for Better and that means better coverage and better benefits for you. Keep your Ambetter Health coverage for 2025 and enjoy special savings and member perks.

 To Do: 

 

 Helpful Renewal Tips 

  • Visit your Online Member Account to review your current coverage. While you are there, sign up for Auto Pay so you never miss a payment! 
  • Please review your new monthly premium information. Even if you currently have no monthly payment due, you may now have a monthly payment due in 2025. Remember, payment is required to keep your coverage active.
  • Remember to check Ambetter Health's 2025 Preferred Drug List for all covered drug updates
  • You will receive your 2025 ID card(s) in the mail by the end of January. While you wait, you have access to your card within your Online Member Account and the Ambetter Health app. You can continue to use your current card, even if your plan changed. 

 


Need Assistance or Have Questions about your 2025 Coverage?

Call us at 1-877-815-1563 (TTY 711) or contact your broker directly. 


Great coverage and benefits just for you. As an Ambetter Health member, you have access to a variety of benefits.

Find all these details in your Online Member Account.
View your Summary of Benefits and Coverage.
 

Check out our Frequently Asked Questions for important dates and enrollment information. 

Your Ambetter Health renewal letter will provide the details for your Ambetter Health coverage. You’ll receive this in the mail, and it will also be available in your Online Member Account. Be sure to review your plan details closely. If you don’t make any changes, we will automatically renew your coverage.

If you want to make changes, including enrolling in a different Ambetter Health plan, you can call us at 1-877-815-1563 (TTY 711), and we’ll help you explore other options. Open Enrollment is November 1, 2024 – December 15, 2024 for 1/1/2025 coverage. Open Enrollment for 2/1/2025 coverage is December 16, 2024- January 15, 2025.

When Open Enrollment starts on November 1, you can call us at 1-877-815-1563 (TTY 711) and we can help you re-confirm your tax credit information. You’ll want to do this whether or not you received a tax credit last year. This will ensure you save as much as possible on your coverage. You can also go to Georgia Access.

It depends on your tax information. Whether you received a tax credit last year or not, call us and we can help you update your information. You can also visit Georgia Access. Be sure to do this to ensure your tax credit amount is up-to-date for your coverage.

Yes. If you’re pleased with the details on your renewal letter and don’t want or need to make any changes, your Ambetter Health plan will automatically renew. Please be sure to visit your Online Member Account to review any changes to your plan for 2024 as there are many factors that may have caused your plan to change. Your coverage will start on January 1. 

Just give us a call at 1-877-687-1180 (TTY 1-877-941-9231).  We’ll help you explore other Ambetter Health plan options and benefits that work best for you and your family.

Your monthly premium amount may adjust for your new plan year coverage. When you receive your renewal letter, be sure to review this closely. We have other plans that can offer you different monthly premium amounts and other out-of-pocket cost savings. 

Just give us a call at 1-877-815-1563 (TTY 711). We’ll see if you have ways to save or explore other Ambetter Health plan options that may fit your needs and budget.

If the number of people in your household has changed, you may qualify for Special Enrollment. That means you can change your plan now. Give us a call today at 1-877-815-1563 (TTY 711).

When Open Enrollment is closed, you may still be able to enroll in a health insurance plan. To do so, you have to qualify for a Special Enrollment period. This happens when you experience a Qualifying Life Event. Give us a call at 1-877-815-1563 (TTY 711) and we can walk through your options.

If your current plan is not being offered in 2025, we have automatically enrolled you into a new plan. Please note, this plan may have a different network and different referral requirements than your 2024 plan. Review the specifics of your new plan on your Online Member Account to make sure it fits your needs. If not, visit enroll.ambetterhealth.com to view other plan options or call 1-877-815-1563 (TTY 711).

The Bronze/Silver/Gold network is now called the Premier network. This is our broadest network of trusted providers. If you have a Bronze/Silver/Gold plan, look for the new "Premier" network name on your ID card or in the Ambetter Guide.

Your network name is highlighted on your ID Card. You can view our comprehensive list of in-network providers by visiting the Ambetter Guide. To learn more about how to use the Ambetter Guide, watch this video.


*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. Rewards may not be used to buy alcohol, tobacco, or firearms products.

**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 from Peach State Health Plan is underwritten by Ambetter of Peach State Inc., which is a Qualified Health Plan issuer in the Georgia Health Insurance Marketplace. This is a solicitation for insurance. ©2024 Ambetter of Peach State Inc., Ambetter.pshpgeorgia.com. If you, or someone you’re helping, have questions about Ambetter from Peach State Health Plan, and are not proficient in English, you have the right to get help and information in your language at no cost and in a timely manner. If you, or someone you’re helping, have an auditory and/or visual condition that impedes communication, you have the right to receive auxiliary aids and services at no cost and in a timely manner. To receive translation or auxiliary services, please contact Member Services at 1-877-687-1180 (TTY 1-877-941-9231). For more information on your right to receive an Ambetter from Peach State Health Plan free of discrimination, or your right to receive language, auditory and/or visual assistance services, please visit AmbetterHealth.com and scroll to the bottom of the page.