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Find answers to top questions about Ambetter health insurance.
Get answers about billing and payments or learn about enrollment and benefits. Contact us if you still need help.
Ambetter Takes Our Commitment To You Seriously, And Is Honored To Keep You Covered During This Unprecedented Health Situation.
For more details on COVID-19, Ambetter plan coverage, Telehealth, and prescription refills, please visit our FAQs page.
Questions About Your Bill and Payments
Have questions about your Ambetter payment and bill? Learn more here or contact Ambetter customer support if you cannot find the answer to your question.
Your payment is due the last day of each month. Remember to pay your premium each month to keep your Ambetter insurance coverage active.
Ambetter offers convenient, online bill payment options. Auto pay saves you time and is worry-free. You can set up recurring or automatic payments on the same day each month. That way you’ll always pay on time. You choose the payment method (debit or credit card or withdraw from your bank account). Then choose a date between the 15th and last day of the month to pay your bill. You can also make one-time online payments through your member account. Find instructions for Auto Pay or to make a one-time payment in your online member account.
Auto Pay saves you time and is worry-free. You can set up recurring payments each month so you’ll always pay on time. Choose your auto bill pay date between the 15th and last day of the month. Your bill will be charged to the payment method you select on the date that you choose.
There are a few things to remember about auto bill pay. It will charge the total amount due. So if you’ve fallen behind on payments for a few months, it will charge the entire amount due for the missed months. If there is a change in your payment method, update it in your member account or contact us. Otherwise your payment may not be processed.
Find instructions for signing up for Auto Pay in your online member account.
You will continue receiving your bill as a reminder that your monthly bill is due. If you want to stop receiving paper bills, you can sign up for paperless billing. Paperless billing lets you view your bill in your online member account. You can also view your bill through a link sent to your email. Sign up for paperless billing through your online member account under billing.
Paperless billing lets you view your bill in your online member account. It's convenient and easy, and it's free. Plus, it helps you reduce clutter and help the environment. It’s simple to sign up. Just visit your online member account and sign up for paperless billing under billing.
Open Enrollment is the time period when you can enroll in health insurance, or renew your Ambetter plan. It begins November 1st and ends on January 15th. Find out more about enrolling in Ambetter health insurance plans.
Visit our Become a Member page.
Open Enrollment is from November 1st through January 15th. During Open Enrollment, you can enroll in a plan on the Health Insurance Marketplace. Outside of Open Enrollment, you still may be able to enroll. To qualify, you would need to experience a Qualifying Life Event that causes a change in your insurance status. If you may be in this situation, call us today and we can help!
Learn more about enrolling and joining Ambetter. Visit Become a Member page.
Even if Open Enrollment is over, you may still be able to enroll in an Ambetter health insurance plan. You may qualify for insurance during a Special Enrollment period. This is a time outside the annual Open Enrollment period where you can sign up for health insurance (if you qualify anddon’t already have insurance coverage). To qualify, you would need to experience a Qualifying Life Event that causes a change in your insurance status. Visit our Get Covered page for a list of qualifying life events.
If you are eligible, then you can enroll or change your health insurance. Keep in mind that you’ll need to make changes within 60 days of your qualifying life event.
Learn more about joining Ambetter and Special Enrollment. Visit our Become a Member page.
If you are an Ambetter member, you will receive renewal information in the fall, with details for next year’s Ambetter coverage.
Review your renewal information closely. If you don’t need to make any plan changes, we will automatically renew your coverage. Then, your coverage will start on January 1 of the next year.
If the number of people in your household has changed, you may qualify to add an additional person, or dependent, to your plan. Find out more about Special Enrollment on our Become a Member page.
Questions About Plans and Benefits
Ambetter offers affordable health insurance plans in 25 states. Our plans have valuable benefits so our members can take charge of their health. Learn more about our plans and benefits below.
Marketplace insurance refers to health plans that meet the “minimum essential coverage” and other requirements of the Affordable Care Act (ACA). Each state has its own Health Insurance Marketplace where you can shop for and choose healthcare plans online. Or you can buy a plan directly from an insurance company like Ambetter. When you shop with Ambetter, we can help you find the best plan for you and your family.
You can change or renew your plan during the Open Enrollment time period, which begins on November 1st and ends on January 15th.
If Open Enrollment is over, you may still be able to change your Ambetter plan. You may qualify for a Special Enrollment period. To qualify, you would need to experience a Qualifying Life Event that causes a change in your insurance status. Visit our Get Covered page for a list of qualifying life events.
If you are eligible for Special Enrollment, then you can change your health insurance today. Keep in mind that you’ll need to make changes within 60 days of your qualifying life event. Contact us for help making changes to your plan.
You can also learn more about Special Enrollment and joining Ambetter at our Become a Member page.
An in-network provider is a doctor or facility that's part of your Ambetter health insurance plan. They have a contract with your health insurance company for their services at a set cost. When you visit an in-network provider, the cost is less than visiting an out-of-network provider. You can search for and select Ambetter in-network doctors, facilities and pharmacies through our Find a Doctor tool.
With our My Health Pays® Program, you can earn $500 in rewards* for completing healthy activities, such as eating right, moving more, saving smart and living well. The more activities you complete, the more My Health Pays® rewards you can earn to use towards healthcare-related costs!
If you’re a new member, activate your My Health Pays® account and start earning rewards now. Log in to your online member account to get started.
Ambetter Telehealth* provides members with 24/7 medical help from doctors via video and phone. Whenever you need help, you can have a video call with a provider. You can ask health questions or get a diagnosis for non-emergency health issues. Plus, there’s no copay when you use in-network telehealth providers. Teladoc is our partner for Ambetter Telehealth.
To set up an Ambetter Telehealth call, log in to your online member account and follow the instructions.
What You Need to Know about Coronavirus or COVID-19
Ambetter is monitoring the ongoing COVID-19 situation. If you have questions about COVID-19 symptoms, treatment and more, read below.
*Ambetter does not provide medical care. Medical care is provided by individual providers. $0 Telehealth copay does not apply to plans with HSA until the deductible is met.
*Restrictions apply. Members must qualify for and complete all activities to receive $500 or more. Visit Member.AmbetterHealth.com for more details.
Funds expire immediately upon termination of insurance coverage.
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 1-877-687-1197 (TTY/TDD 1-877-941-9238) 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.