Ambetter Health, the marketplace health insurance offered by subsidiaries of Centene Corporation, has officially announced the decision to expand its geographic footprint, marking an entry into 60 new counties across 10 states in 2025. Hence, moving forward, Ambetter Health will be available in 29 states across the U.S.
In these areas, the company will provide coverage for all essential health benefits, including preventive and wellness services, maternity and newborn care, pediatric services, mental health services, hospitalizations, prescription drug coverage, dental care, and vision care.
Apart from that, Ambetter Health will bring forth offerings like its My Health Pays program. You see, in select states, members can bank upon the stated My Health Pays® program to earn points for practicing healthy eating habits and staying active. Talk about this program on a slightly deeper level, it allows for members to have access of complete health-related activities and challenges, while simultaneously enjoying the chance to earn upto $500 in rewards in 2025. These rewards, on their part, can be used for health-related expenses such as copays and deductibles. Not just that, My Health Pays also makes it possible for members to set and reach health goals at their own pace by providing seasonal suggestions for activities and guidance to help stay on track.
“Our continued geographic and product expansion provides us with a unique opportunity to deliver comprehensive, affordable health insurance solutions to more members for the 2025 plan year,” said Kevin Counihan, Chief Executive Officer of Ambetter Health. “This ensures even greater access to high quality health care in the communities we serve across the country.”
Next up, Ambetter will bring Walgreens discount offers to the table. This comes as a part of Ambetter and Walgreens’ joint-drive to improve affordability of health and wellness products for members living in Florida, Georgia, Illinois and Mississippi. Hence, during the year 2025, members in those states will receive a 20% discount on Walgreens-branded over-the-counter health and wellness products including, but not limited to: allergy, blood pressure and diagnostics, children’s medications, cough/cold relief, dental, diabetes, diet aids and supplements, digestive health and nausea, first aid, foot care, hand sanitizer, healthcare appliances, hearing aid batteries, home healthcare solutions, humidifiers, pain relief, reader glasses, sanitary, sleep aids, smoking cessation, sun care, vaporizers, vitamins, and other supplements.
Moving on, Ambetter is also planning to make changes to its plan for members who are suffering from diabetes. Hence, starting in 2025, some Ambetter Health Premier plans in Florida and Tennessee will provide members managing diabetes with additional healthcare options and savings. Furthermore, members of these plans may have access to $0 copays for preferred insulin and select medications used to manage diabetes, high blood pressure, high cholesterol, and mental health. In case that wasn’t enough, the stated plans now also include $0 copays on certain diabetic supplies and labs, such as lancets, glucose test strips, ketone and urine test strips, insulin syringes, pen needles as well as routine A1c labs.
Another detail worth a mention here is rooted in the introduction of a whole new product called Ambetter Health Solutions. Going by the available details, Ambetter Health Solutions is specifically designed for individuals purchasing Marketplace coverage through an ICHRA (Individual Coverage Health Reimbursement Arrangement). In essence, this product will be available in South Carolina, Indiana, Mississippi, Ohio, Georgia, and Missouri, areas where it will provide access to high quality providers with an augmented benefit of acupuncture coverage. To give you some context, ICHRA allows employers of all sizes to directly reimburse employees for individual health insurance premiums and qualifying medical expenses tax free, while simultaneously allowing employees greater choice to shop and enroll in whatever available plan works best for them and receive reimbursements for coverage.
Finally, our last piece of highlight is rooted in the arrival of a Premier Network. Beginning Jan. 1, 2025, the Ambetter Health Bronze | Silver| Gold network will become known as the Premier Network. The idea here is to let members rely on the same provider network with the doctors and hospitals they know and trust.
