#USA #St. Louis #Centene Corporation #Health Insurance #Ambetter Health

Ambetter Health Launches Open Enrollment for 2026

As of November 1, 2025, Ambetter Health is officially kicking off its open enrollment period, continuing its legacy of providing affordable health insurance to millions of Americans. Under the umbrella of Centene Corporation, which is recognized for its commitment to enhancing healthcare access, Ambetter serves approximately 5.8 million members across 29 states, covering over 1,700 counties.

Kevin Counihan, the CEO of Ambetter Health, emphasizes the importance of this enrollment season. He stated, "The open enrollment period is a critical time for millions of Americans to secure the health insurance that best fits their lives." Having over a decade of experience in this sector, Ambetter Health is adept at combining national reach with local expertise, ensuring members have access to tailored healthcare plans that cater to their individual needs.

Enrollment Highlights

To ease the enrollment process, Ambetter Health offers a comprehensive suite of tools and resources designed to assist members in understanding their insurance options and renewing their coverage with confidence. Enhancements include upgrades to the online member account, detailed guidance on renewal processes, and an educational campaign aimed at clarifying potential changes in costs and the significance of updating income details for financial support.

Ambetter Health actively collaborates with brokers, providing both virtual and in-person sessions to equip consumers with knowledge and resources for navigating the open enrollment period effectively.

Key Features of 2026 Plans

Ambetter Health's offerings for 2026 consist of:

• - Comprehensive Coverage: Members will have access to essential health benefits that include preventive services, maternal and neonatal care, pediatric services, mental health services, inpatient care, and prescription drug coverage. Additionally, some plans will provide dental and vision coverage.
• - Disease-Specific Plans:

- Diabetes Care: Certain Premier plans tailored for diabetics will feature additional healthcare options and savings, including lower out-of-pocket costs for select medications, clinical assistance, and $0 copays for preferred insulin and diabetes management supplies.
- Asthma and COPD: For members suffering from asthma or Chronic Obstructive Pulmonary Disease (COPD), specific Premier plans will offer enhanced care options with minimized out-of-pocket expenses, $0 copays for essential medications, and coverage for specialist visits and allergy testing.

• - Individual Coverage Health Reimbursement Arrangement (ICHRA): Ambetter Health Solutions is branching into individual insurance plans compatible with ICHRA, giving employers solutions for customizable and affordable employee coverage in several states. This initiative aims to help employers manage costs while providing their staff with flexible options.
• - My Health Pays® Program: Eligible members can earn up to $500 in rewards for adopting healthy lifestyle habits, which can be used for health-related expenses or everyday living costs, depending on state regulations.
• - 24/7 Virtual Care Access: Members will have 24/7 access to authorized healthcare providers through telehealth services for routine medical issues, ensuring that they can receive care anytime and anywhere.

The open enrollment window for marketplace health insurance spans from November 1, 2025, until January 2026, with varying end dates by state. Interested individuals can find more detailed information about enrollment and coverage options at www.ambetterhealth.com.

Conclusion

In conclusion, Ambetter Health remains dedicated to making healthcare accessible and affordable for all. With a range of benefits and the support provided during the open enrollment period, Ambetter assures its members that they are on the path to obtaining quality health coverage tailored to meet their unique needs.