NEED HEALTH INSURANCE? SHOP OUR PLANS.External Link
Quick Reference Guide: Ambetter Virtual Access
Welcome to Ambetter from Magnolia Health! We are happy to have you as a member. Use this member guide to help you take charge of your health and get the most out of your benefits.
-
About Your Plan -
Account Information -
Benefit Information -
Where To Go For Care -
Additional Resources
Ambetter Virtual Access Member Plan
Our Ambetter Virtual Access plans provide you with a full virtual primary care experience* through your Virtual Primary Care Physician. Ambetter Virtual Access members are assigned a Teladoc Health Primary Care Physician (PCP). You will use your Virtual Primary Care Physician if you need**:
- Your annual wellness checkup & vaccinations.
- Treatments for an ongoing health issue like asthma or diabetes.
- Advice about your overall health.
- Help with medical problems such as a cold, the flu and fevers.
- A referral for any medically necessary care not provided by your PCP.
You do have the option to change your PCP to an in-network provider to see them in person but here are a few important things to note:
- Members must change their Virtual Primary Care PCP to an in-person PCP via their Ambetter member account or by calling member services prior to scheduling an appointment.
- A copay will apply for an in-person PCP visit.
- A referral from your in-person PCP is still required for any medically necessary care not provided by your PCP.
- If you choose a nurse practitioner or physician assistant as your PCP, your benefit coverage and copay amounts are the same as they would be for services from other participating providers. Review your Schedule of Benefits for more information.
Check out our Ambetter Guide for a full list of your options and their contact information. It’s on the Find a Doctor page of guide.ambetterhealth.comExternal Link. Refer to your Evidence of Coverage (EOC) for more information on your Provider Directory.
In-network or network provider means a physician or provider who is identified in the most current list for the network shown on your Member ID Card. Services received from an out-of-network provider are not covered, except as specifically stated in your EOC.
Learn about how to get the most out of your plan. Refer to your Evidence of Coverage (EOC) for more information by visiting:
Ambetter from Magnolia Health is underwritten by Ambetter of Magnolia, Inc., which is a Qualified Health Plan issuer in the Mississippi Health Insurance Marketplace. This is a solicitation for insurance. © 2023 Ambetter of Magnolia Inc. All rights reserved. *Members 17 and under will be assigned a primary care provider (PCP) with a physical office location. Use our online Ambetter Guide to find an in-network provider in your area. ** A referral from your Virtual Primary Care doctor is required for any medically necessary care not provided by your PCP. Ambetter from Magnolia Health is underwritten by Ambetter of Magnolia, Inc., which is a Qualified Health Plan issuer in the Mississippi Health Insurance Marketplace. This is a solicitation for insurance. © 2023 Ambetter of Magnolia Inc. All rights reserved. ***Formerly known as Ambetter Telehealth. Cost sharing may apply when using Virtual 24/7 Care or Virtual Primary 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. ****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.