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Marketplace Insurance Plans by Ambetter - Call 855.436.8413
About Our Health Insurance Plans
Ambetter Health offers reliable health insurance plans for individuals and families.
Choose from a range of prices and coverage levels.
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Ambetter Health Premier -
Ambetter Health Select -
Ambetter Health Value -
Ambetter Health Solutions
Ambetter Health Premier
Available for 2025 coverage, Ambetter Health Premier insurance plans make it easy to find the right fit. Premier plans cover essential health services and give you access to the broadest network of care providers. You won’t even need referrals to see specialists.
Our Premier plans are grouped according to the bronze, silver and gold levels established through the Affordable Care Act. The difference between them is the monthly cost and the amount you pay for care. Generally, plans with higher monthly premiums have lower out-of-pocket costs, and those with lower premiums have higher out-of-pocket costs. Your total costs will depend on your specific plan and financial situation, but the information below represents the way plans work at each level.
Premier Silver Comprehensive Diabetes Care Plans
We understand the unique challenges people face when managing diabetes. That's why we’re proud to introduce our specialized Premier Silver plans tailored specifically for diabetes care.
Plans include some insulins at $0 copay, plus a free glucometer. In addition, some plans may provide coverage for certain diabetic supplies, including lancets and glucose test strips. Select medications used to manage diabetes and diabetes-related concerns, such as high blood pressure and high cholesterol, may also be available for $0.
Diabetes care plans will be available for 2025 coverage in Florida, Georgia, New Jersey, North Carolina and Tennessee.
*Ambetter Health Premier, Select, Value, Solutions and Virtual plans are offered in select states and select counties.
The information above represents the way typical plans at each level work. How much you will pay will depend on your specific plan.
2025 Ambetter Health Insurance Plans
| Premier (Previously Bronze | Silver | Gold) | Select | Value | Solutions 2025 Off-exchange and ICHRA / QSEHRA |
|---|---|---|---|---|
Available in These States | AL, AR, AZ, DE, FL, GA, IA, IL, IN, KS, KY, LA, MI, MO, MS, NC, NE, NH, NJ, NV, OH, OK, PA, SC, TN, TX | GA | FL, TX | GA, IN, MO, MS, OH, SC |
Network Size | Broadest network of care providers | Smaller network of care providers than Premier | Smallest network; limited to specific care providers | Broad network of care providers |
Referral Requirement | No referral required | No referral required | Referral required* | No referral required |
Specialized Plans for Diabetes Care | FL, GA, NC, NJ, TN Some Premier plans have comprehensive diabetes care options tailored especially for diabetic needs. | Not available with Select plans | Not available with Value plans | Not available with Solutions plans |
*Referrals are required for all medically necessary healthcare services not provided by a member’s PCP, excluding emergency care, urgent care, mental health, substance use disorders, OB/GYN and any state-mandated exemptions
Find the affordable plan that's right for you.
Essential Health Benefits
With an Ambetter Health Marketplace health insurance plan, you have access to coverage on these essential medical and wellness services:
- Emergency Care
- Hospitalization
- Outpatient or Ambulatory Care
- Pregnancy, Maternity and Newborn Care
- Pediatric Care
- Mental Health and Substance Use Care
- Laboratory Services
- Prescription Drugs
- Rehabilitative Therapy Services and Devices
- Preventive and Wellness Care
Ambetter Health Member Exclusive Programs
As an Ambetter Health member, you have access to additional services to manage your health, no matter which plan you choose. These include:
- Mail-Order Pharmacy Program
- 24/7 Nurse Advice Line
- Health Management Programs for Chronic Conditions
- Care Management Services for Complex Health Needs
- Walgreens Smart Savings*
- Start Smart for Your Baby® Pregnancy Program
- Ambetter Perks Member Discount Program
- My Health Pays®**
- DispatchHealth*
- Stay Healthy Zone*
- Virtual 24/7 Care***
*Programs and perks vary by market. Check your market’s availability to better understand the options in your area.
Choosing a health insurance plan that has balanced out-of-pocket costs and monthly premium payments, like a silver Premier plan, can help you save.
Watch this short video to learn more.
**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.
***Cost sharing may apply when using Virtual 24/7 Care. Ambetter Health does not provide medical care. Medical care is provided by individual providers which are independent contractors and not agents of Ambetter Health.