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.

 

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 Select

Ambetter Health Select plans feature affordable monthly premiums and give you access to an exclusive network of providers and hospitals that are recognized for quality healthcare outcomes. Select plans are often available in bronze, silver and gold metal levels. For 2025 coverage, Select plans will be available only in certain counties in Georgia.

 

Ambetter Health Value

Ambetter Health Value plans are affordable plans that feature a network of specific healthcare providers and hospitals. Value plan members are assigned to a primary care provider (PCP) within a medical group to coordinate care. Referrals are required for most care outside of what the PCP can provide, such as seeing a specialist.

Value plans are often available in bronze, silver and gold metal levels. For 2025 coverage, Value plans are offered in certain counties in Florida and Texas.

 

Ambetter Health Solutions

Ambetter Health Solutions plans are “off-exchange” options for individuals purchasing health insurance through defined contributions or health reimbursement arrangements, such as an individual coverage health reimbursement arrangement (ICHRA) or qualified small employer health reimbursement arrangement (QSHERA). Plans are available in the bronze, silver and gold levels.

Ambetter Health Solutions plans are available for 2025 coverage in Georgia, Indiana, Mississippi, Missouri, Ohio and South Carolina.


 

Learn More


 

*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. 

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If you are shopping for Marketplace coverage in CA or NY please visit the following:

Ambetter from HealthNet (CA) - ifp.healthnetcalifornia.com

Fidelis Care (NY) - www.fideliscare.org

 For a full list of states where Ambetter is available, please visit select your state.

You are covered, sending you to Enrollment. 

Thank you for your interest in Ambetter from SilverSummit HealthPlan. In
Nevada, you will enroll in coverage through your state: Nevada Health Link.

Thank you for your interest in Ambetter from PA Health & Wellness. In Pennsylvania, you will enroll in coverage through your state: Pennie.

Thank you for your interest in Ambetter from Coordinated Care. In Washington, you will enroll in coverage through your state: Washington healthplanfinder.

View Summary of Benefits, Evidence of Coverage

 

 

SELECT YOUR STATE

 

 


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***

 

 

Learn More

 

 

*Programs and perks vary by market. Check your market’s availability to better understand the options in your area.

 

Ambetter Virtual Access Plans 

Our Virtual Access plans provide a virtual primary care experience. With this plan, you can enjoy the convenience of a primary care provider (PCP) no matter where you are. The PCP can order labs, imaging, write prescriptions and make referrals for on-the-ground care as needed.

Virtual Access plans are available through the end of 2024 in Florida, Michigan, Mississippi, North Carolina, South Carolina and Texas.

   

  

  

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.