Ambetter Health Plans Review

3 min read
02 October 2022

Ambetter is a health insurance company that offers a variety of plans. Their plans are designed to be affordable and include vision, dental, and preventative care. Although there are few details about their plans on their website, they do provide basic information on how to enroll. Costs vary based on location, how many people are on the plan, and age.

Ambetter's Essential Care and Balanced Care plans offer varying levels of coverage. Basic Care plans are the least expensive and come with the highest deductibles, while Secure Care and Balanced Care plans offer a good balance of out-of-pocket costs and monthly premiums. The Secure Care plan has a higher monthly premium than Essential Care, but is an excellent choice for those who expect to visit the doctor frequently and need expensive prescriptions.

Ambetter's customer service is industry-leading. In a recent survey, a Forrester analysis of more than 160,000 consumer evaluations showed that the company's customer service was best among health insurance companies. According to the study, Ambetter provided the highest level of service among health insurance companies. They also provide members with access to a registered nurse 24 hours a day to answer their questions. And they offer members a rewards program, called My Health Pays, that allows them to earn points by performing healthy activities.

Ambetter Health Plans provide a range of benefits and features, making them an excellent value for money. They include Telehealth, rewards programs, integrated care management, and a 24-hour nurse advice line. The company, owned by Centene Healthcare Services, is a Fortune 500 company with 30 years of experience in the Managed Care industry. Their plans are offered through three levels of coverage: basic, mid-level, and high-end.

Ambetter also offers dental and vision coverage. Dental coverage is not available in every state, but it's worth checking. This coverage covers cleanings, exams, and vision screenings. Vision coverage is available in certain states, such as Texas. Depending on your plan, you may also be eligible for Health Savings Accounts.

Among the plans available from Ambetter, the Secure Care 5 plan offers a low deductible of $1,450. It also requires a low copay of just $100, with a maximum out-of-pocket limit of $6,350. During the deductible period, your insurance company pays up to 90% of your medical bills, but after that, you'll need to pay 20%.

Ambetter has a presence on the ACA exchange in Texas, where it has sold policies since 2014. The company is expanding into 12 new counties this year in the state. This makes it a good option for people who travel frequently, or have relatives in different states. For instance, an Ambetter customer in New Jersey can visit any doctor in the network in Illinois, without having to pay out-of-network costs.

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