For costs and complete details of the coverage, call or write your insurance producer or the company, whichever is applicable.Īmbetter from Magnolia Health is underwritten by Ambetter of Magnolia, Inc., which is a Qualified Health Plan issuer in the Mississippi Health Insurance Marketplace. This policy has provisions relating to renewability, cancellability, and termination, and may include provisions for modification of benefits, losses covered or premiums because of age or for other reasons. This policy has exclusions, limitations, reduction of benefits, and terms under which the policy may be continued in force or discontinued. A person cannot obtain coverage under the health benefit plan until the person completes an application for coverage. A person should not send money to the issuer of the health benefit plan in response to the advertisement. The benefits, rates and costs listed in these advertisements are illustrative and are based on a specific household size, specific age, smoker status, and in a specific coverage area in Mississippi. This makes Ambetter less appealing for those looking for prompt and accurate claim processing and a good customer experience.Use your ZIP Code to find your personal plan.įind and enroll in a plan that's right for you.įind everything you need in the member online account However, members did express frustration with Ambetter's handling of claims and customer service. Ambetter is also good for those who would use member perks like the 24/7 nurse advice line, rewards dollars for everyday expenses and Ambetter's Wellframe app, which scored very highly with users. If you are looking for cheap rates for health coverage, then Ambetter health insurance is a great option. There, you can log in to your account, pay any premiums, view your health care plan benefits and print or download your policy ID card. Agents are available at any time to help schedule a virtual health appointment, give guidance on stress management and more.Īll member benefits can be accessed through the Ambetter online portal. For example, if you are having back issues, you could call the nurse, explain the issue and then get an answer on whether you should visit a chiropractor.Īmbetter's free Wellframe mobile app connects members with an advocate to help with health care needs and insurance questions. The experienced nurse can listen to your issue and provide advice about the next steps you should take. The nurse advice line is a 24/7 phone service that you can use to ask questions or voice any concerns about your health. The rewards dollars can be used for a variety of expenses such as:Ĭosts you pay toward your health care like doctor copays, deductibles and coinsurance Some of these activities include completing the Ambetter Wellbeing Survey, getting an annual wellness exam from your primary care provider or receiving an annual flu vaccine. As you complete activities, the rewards are automatically added to your My Health Pays card. Ambetter's My Health Pays rewards program allows you to earn rewards dollars by completing wellness goals and activities. If you are a policyholder with Ambetter, you will have access to added member benefits like a rewards program and nurse advice line. You would pay $1,450 to meet the Ambetter Secure Care 5 deductible, then 20% of the remaining $50, or $10, with Ambetter paying the remaining balance. Once you meet the deductible, you pay 20% of the cost for most of your care.įor instance, say you had a medical expense of $1,500. Except for prescriptions and primary care and specialist visits, you pay 100% of your care until you meet your deductible. The Secure Care 5 has a deductible of $1,450 and an out-of-pocket maximum of $6,300. For this reason, the Ambetter Secure Care Gold plan is best if you have high medical costs - like a drug prescription that would need to be filled monthly.Īmbetter offers one Gold plan: the Ambetter Secure Care 5, with an option to add vision and dental.įor a single 40-year-old in Florida, Ambetter's Gold plan without vision and dental costs $418 per month. These lower levels for deductibles allow you to take advantage of your plan benefits quickly. Gold plans sometimes have expensive monthly costs but also more affordable deductibles and out-of-pocket maximums. The Ambetter Secure Care products are Gold metal tier policies. Once you meet the Balanced Care 30 deductible, most of your health care is free. Monthly cost reflects the average for a single 40-year-old in Florida.įor some Ambetter Balanced Care policies, like the Balanced Care 30 plan, you pay 100% for your health care until you meet the deductible.
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