Ambetter Health Launches Essential Coverage During Marketplace Open Enrollment Period
Ambetter Health Launches Essential Coverage During Marketplace Open Enrollment Period
As the open enrollment for Marketplace begins on November 1, 2025, Ambetter Health, a premier health insurance offering from Centene Corporation, is excited to announce its plans for the upcoming year. With over 5.5 million members in 29 states, Ambetter Health has established a solid reputation for delivering affordable, quality insurance tailored to support the diverse needs of families across the nation. This year marks the company's 13th year providing health insurance through the Health Insurance Marketplace, and it plans to continue its legacy of success by offering comprehensive coverage to individuals and families.
Kevin Counihan, CEO of Ambetter Health stated, "Open enrollment is a critical time for millions of Americans to choose coverage that fits their life. With over a decade of experience in the Marketplace, we combine national reach with local expertise, ensuring our members can access plans that meet their needs, delivering the high-quality care they deserve."
What’s New for 2026?
Ambetter Health is ready to support a seamless enrollment experience, and to do so, the company has launched a suite of tools aimed at helping members understand their coverage options. These include extensive updates to the Online Member Account and guidance on the renewal process. Furthermore, the company has initiated an educational campaign focused on potential cost changes and the necessity for members to report income updates to maintain their financial support during the enrollment.
Coverage Benefits
Ambetter Health's 2026 offerings include essential health benefits that cover a wide range of services:
- - Preventive and wellness services
- - Maternity and newborn care
- - Pediatric services
- - Mental health services
- - Hospitalization and emergency care
- - Prescription drug coverage
Several plans will also present options for dental and vision coverage, enhancing the overall benefits for members.
Condition-Specific Plans
Starting in 2026, Ambetter Health will introduce condition-specific coverage options:
- - Diabetes Management: Certain Premier plans will facilitate lower out-of-pocket costs for diabetes management. Members may benefit from $0 copays for preferred insulin and medications, as well as certain supplies such as test strips and syringes.
- - Asthma/COPD: Members managing asthma or COPD can expect reduced out-of-pocket costs for essential medications, along with $0 copays for doctor visits related to their conditions.
Support for Employers
Ambetter Health also offers solutions for employers through its Individual Coverage Health Reimbursement Arrangement (ICHRA). This model enables employers to provide their employees with access to affordable and customizable health coverage. While not directly an ICHRA, Ambetter Health supports companies in adopting reimbursement models, available in various states, empowering individuals to select plans that best cater to their requirements.
Healthy Incentives Program
The My Health Pays® program rewards members for adopting healthier lifestyles. In 2026, eligible members can earn up to $500 in rewards that can be applied toward their health expenses. This program not only promotes healthy choices but also provides guidance, encouraging participants to achieve personal health goals.
Virtual Care 24/7
In today's fast-paced world, access to immediate medical attention is crucial. Ambetter Health's Virtual 24/7 Care initiative allows members to consult licensed providers via telehealth, making it easier to address common illnesses from the comfort of home.
For those interested in signing up for Ambetter Health coverage, the open enrollment runs from November 1, 2025, to January 2026, with specific deadlines varying by state. For more details regarding enrollment windows and available health plans, please visit www.ambetterhealth.com.
About Ambetter Health
Ambetter Health provides a wealth of healthcare services, ensuring members receive quality care through an extensive network established by Centene Corporation. Ambetter Health continues to advocate for healthier lives while improving access to reliable healthcare for its members.
Topics Health）
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