Ambetter from Coordinated Care Offers Health Insurance Statewide in Washington in 2025

Rhea-AI Summary

Ambetter from Coordinated Care, a product offered by a Centene (NYSE: CNC) company, will provide health insurance plans statewide in Washington for 2025. The open enrollment period runs from Nov. 1, 2024, through Jan. 15, 2025, with coverage starting Jan. 1, 2025, for those who enroll by Dec. 15, 2024.

Key offerings include:

• Affordable coverage for essential health benefits
• Virtual 24/7 Care for various illnesses
• Convenient online enrollment process
• My Health Pays program with up to $500 in rewards
• Premier Network (formerly Ambetter Health Bronze|Silver|Gold network)

Ambetter from Coordinated Care will be available in all 39 Washington counties, adding six new counties for the 2025 plan year: Clark, Cowlitz, Island, San Juan, Skagit, and Whatcom.

Positive

• Expansion of coverage to all 39 Washington counties, including 6 new counties
• Offering of affordable health insurance plans through the Washington State Based Exchange
• Comprehensive coverage including essential health benefits and some plans with dental and vision coverage
• Virtual 24/7 Care service for convenient access to healthcare
• My Health Pays program offering up to $500 in rewards for healthy behaviors

Negative

• None.

Insights

Market Research Analyst

Ambetter from Coordinated Care's expansion to all 39 Washington counties in 2025 represents a significant market penetration strategy for Centene This move aligns with the industry trend of increasing access to affordable healthcare options, particularly in underserved areas. The statewide coverage could potentially lead to:

• Increased market share in Washington's health insurance sector
• Higher revenue potential from a broader customer base
• Enhanced competitive positioning against other insurers in the state

The introduction of the Premier Network and the rebranding of existing networks suggest a focus on quality and brand recognition. The My Health Pays program, offering up to $500 in rewards, serves as a customer retention tool and promotes preventive care, which could lead to lower claim costs in the long term. While this expansion is positive for Centene's growth prospects, investors should monitor the financial impact of entering new markets and potential challenges in provider network development across the state.

Residents in all 39 Washington counties will have access to a variety of affordable plans from Ambetter from Coordinated Care during open enrollment beginning Nov. 1

TACOMA, Wash., Oct. 2, 2024 /PRNewswire/ -- Ambetter from Coordinated Care, a product offered by a Centene Corporation (NYSE: CNC) company which provides insurance to under-insured and uninsured populations through the Washington State Based Exchange, will offer Washingtonians a variety of affordable health insurance plans in plan year 2025. Open enrollment for the State Based Exchange runs from Nov. 1, 2024, through Jan. 15, 2025. Enroll by Dec. 15, 2024, for coverage starting Jan. 1, 2025.  

"Health insurance remains a critical need for all individuals, regardless of their circumstances, which is why we're excited to serve more people across Washington with affordable Ambetter plans available in every county," said President and Chief Executive Officer of Coordinated Care Beth Johnson. "Coordinated Care is committed to offering reliable coverage to more Washington communities."

Ambetter from Coordinated Care offers its members access to quality care, convenient services and valuable rewards. 2025 benefits and offerings include:

• Affordable and Reliable Coverage
  Ambetter from Coordinated Care provides coverage for all essential health benefits, including preventive and wellness services, maternity and newborn care, pediatric services, mental health services, hospitalizations and prescription drug coverage. Some plans also include dental and vision coverage.

• Virtual 24/7 Care
  Virtual 24/7 Care offers members an Ambetter-designated licensed provider via telehealth for members to access care for illnesses such as flu, skin conditions, ear infections, fever and respiratory infections – all within the comfort of their home.  

• Convenient Online Enrollment
  Through the Ambetter from Coordinated Care website, people can browse and compare coverage options, determine their eligibility for financial subsidies, and directly enroll in coverage – all in one place. The platform is accessible through mobile devices, so people can enroll using smartphones. If a person is unable to complete enrollment all at once, the system will save progress and provide reminders to finish enrollment. 

• My Health Pays
  Members have access to the My Health Pays® program, where they can earn points for practicing healthy eating habits, staying active, and leading a healthy lifestyle. Through the program, members can complete health-related activities and challenges and can earn up to $500 in rewards in 2025. These rewards can be used for health-related expenses such as premiums, copays and deductibles (pharmacy copays are excluded). My Health Pays also allows members to set and reach health goals at their own pace by providing seasonal suggestions for activities and guidance to help stay on track.

• Premier Network
  Beginning Jan. 1, 2025, the Ambetter Health Bronze|Silver|Gold network will become known as the Premier Network. Members can continue to rely on the same provider network with the doctors and hospitals they know and trust.

Ambetter from Coordinated Care will be available in all counties for plan year 2025. This adds six new counties (listed below), to our 2024 plan year offering.

• Clark
• Cowlitz
• Island
• San Juan
• Skagit
• Whatcom

Washington residents interested in learning more about Ambetter from Coordinated Care or enrolling in a health plan during the open enrollment period may visit Ambetter.CoordinatedCareHealth.com.

About Ambetter from Coordinated Care
Ambetter from Coordinated Care serves under-insured and uninsured populations through the Washington Health Benefit Exchange. Ambetter from Coordinated Care is underwritten by Coordinated Care Corporation, a Qualified Health Plan issuer in the Washington Health Benefit Exchange. Coordinated Care Corporation complies with applicable Federal and Washington State civil rights laws and does not discriminate on the basis of race, color, national origin (including limited English proficiency) including pregnancy, sexual orientation, gender identity, or sex characteristics). This is a solicitation for insurance. For more information visit ambetterhealth.com/en/wa/. For information on your right to receive an Ambetter from Coordinated Care plan free from discrimination, or your right to receive language, auditory and/or visual assistance services, please visit ambetterhealth.com/en/ and scroll to the bottom of the page.

View original content:https://www.prnewswire.com/news-releases/ambetter-from-coordinated-care-offers-health-insurance-statewide-in-washington-in-2025-302264568.html

SOURCE Ambetter from Coordinated Care

FAQ

When is the open enrollment period for Ambetter from Coordinated Care in Washington for 2025?

The open enrollment period for Ambetter from Coordinated Care in Washington for 2025 runs from November 1, 2024, through January 15, 2025. To have coverage start on January 1, 2025, individuals must enroll by December 15, 2024.

What new counties will Ambetter from Coordinated Care (CNC) cover in Washington for 2025?

Ambetter from Coordinated Care will add six new counties to its coverage area in Washington for 2025: Clark, Cowlitz, Island, San Juan, Skagit, and Whatcom. This expansion means Ambetter will be available in all 39 Washington counties.

What is the My Health Pays program offered by Ambetter from Coordinated Care (CNC)?

The My Health Pays program is a rewards program offered by Ambetter from Coordinated Care where members can earn up to $500 in rewards in 2025 for practicing healthy eating habits, staying active, and leading a healthy lifestyle. These rewards can be used for health-related expenses such as premiums, copays, and deductibles (excluding pharmacy copays).

What is changing about Ambetter from Coordinated Care's (CNC) provider network in 2025?

Beginning January 1, 2025, the Ambetter Health Bronze|Silver|Gold network will be renamed the Premier Network. Members will continue to have access to the same provider network with the doctors and hospitals they know and trust.