Our Benefits

Better Coverage. Better Perks. Ambetter from Superior HealthPlan is on a Mission for Better, and that means better coverage and better perks for you. Beyond great everyday benefits like Virtual 24/7 Care*, members have access to exclusive programs like My Health Pays®** and Ambetter Perks. We’re adding value to your affordable health insurance plan. Members can access this and more, all just for being a member of Ambetter Health.

Member Programs and Perks

With your Ambetter Health insurance, you get access to exclusive savings on perks like gym memberships and mental wellness programs to help you be well, stay well, and save smart. Stay healthy with these member benefits:

Ambetter Perks Member Discount Program

As an Ambetter Health member, you can enjoy discounts and special rates on exciting products and services. With Ambetter Perks find exclusive deals on restaurants, travel, entertainment, technology, and more. You can also find health-focused discounts on products and services like gym memberships and healthy eating from brands like Anytime Fitness, Jazzercise, Blue Apron, Home Chef and more. Get Started.

My Health Pays®

A rewards program that pays you for staying healthy! With My Health Pays®, you can earn rewards just by doing things like going to your annual wellness exam, exercising more, and eating right. Rewards can be used to cover health-related costs and monthly bills like premium payments, utilities, and childcare. Get Rewards.

Plans to Fit Your Health Needs

Ambetter Guide

Learn how to use the Ambetter Guide*** with this step-by-step instructional video. The Ambetter Guide is a useful online tool that helps you find in-network providers, urgent care clinics, pharmacies, and more. 

Member Portal

Watch our step-by-step video on how to use your Ambetter Health online member account***. Use your account any time to manage your plan, find information about your coverage, access options for care, view your rewards, and much more — all in one place.

Everyday Benefits

Ambetter Health doesn’t just have great member perks; we also have everyday benefits for all our members. That’s how we became one of the biggest insurers on the health insurance marketplace — by giving our members the ability to take control of their health!

Affordable Dental and Vision Insurance

Pediatric vision for members younger than 19 is an essential health benefit in all Ambetter Health plans.Affordable adult vision and dental plans are also available in most states. Shop Ambetter Health plans to learn more.

Pharmacy Program

Maximize your pharmacy benefits! Save time and money by ordering medications through our mail-order pharmacy program. Or choose from convenient in-network retail locations listed in our Provider Directory. Want to check if your prescriptions are covered? Ambetter Health works closely with providers and pharmacists to ensure we cover a variety of medications for you and your family. Specialty medications for complex or chronic conditions are available, too.

Virtual 24/7 Care

Get medical help any time. Virtual 24/7 Care gives you access to medical professionals via phone or video for non-emergency health issues. Request a prescription or ask for medical advice 24 hours a day, seven days a week.

Care Management Services

Sometimes you need extra support for your mental and physical health. Our care managers can help you find the right providers and programs for you, coordinate services and locate local community resources. They’ll work with you and your providers to make a care plan just for you.

Start Smart For Your Baby®

A healthy baby starts with a healthy you. Our Start Smart for Your Baby® maternity health program connects you to information and resources to support you during every stage of your pregnancy and after your newborn arrives. 

Health Management Programs

Get personalized help managing your chronic health condition so you have fewer complications. Our health management programs offer telephone support, educational tools, and behavioral health services, including depression management programs.

24/7 Nurse Advice Line

Our 24/7 nurse advice line makes it easy to answer health questions any time. Talk to a registered nurse about your health or medications, or whether you should go to the emergency room, urgent care clinic, or wait to see your regular provider.

Trusted Provider Network

Ambetter Health offers a range of providers, medical facilities, and hospitals within our trusted provider network. Our plans also offer flexibility to suit your needs. Affordable healthcare designed for you — with the benefits, tools, and coverage you want. Learn more about Ambetter Health coverage.


Interested in signing up for high-quality, affordable health insurance? 

  

 

*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 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. Restrictions apply. Members must qualify for and complete all activities to receive $500 or more. Visit Member.AmbetterHealth.com for more details. Your health plan is committed to helping you achieve your best health. Rewards for participating in a wellness program are available to all members. If you think you might be unable to meet a standard for a reward under this wellness program, you might qualify for an opportunity to earn the same reward by different means. Contact us at 1-877-687-1196 (Relay Texas/TTY 1-800-735-2989) and we will work with you (and, if you wish, with your doctor) to find a wellness program with the same reward that is right for you in light of your health status.

***Ambetter from Superior HealthPlan includes EPO products that are underwritten by Celtic Insurance Company, and HMO products that are underwritten by Superior HealthPlan, Inc. These companies are each Qualified Health Plan issuers in the Texas Health Insurance Marketplace. This is a solicitation for insurance. ©2024 Celtic Insurance Company, ©2024 Superior HealthPlan, Inc. All rights reserved. Ambetter.SuperiorHealthPlan.com. If you, or someone you’re helping, have questions about Ambetter from Superior HealthPlan, 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 1-877-687-1196 (Relay Texas/TTY 1-800-735-2989). For more information on your right to receive Ambetter from Superior HealthPlan 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.