Ambetter from Health Net Offers Health Insurance to 10 Counties Across California in 2025

Rhea-AI Summary

Ambetter from Health Net, a Centene (NYSE: CNC) product, will offer affordable health insurance plans in 10 California counties for the 2025 plan year. The open enrollment period runs from Nov. 1, 2024, to Jan. 31, 2025, with coverage starting Jan. 1 or Feb. 1, 2025, depending on enrollment date.

Key offerings include:

• Comprehensive coverage of essential health benefits
• Virtual 24/7 Care for telehealth services
• Convenient online enrollment process
• My Health Pays® rewards program

Ambetter from Health Net will be available in Imperial, Kern, Los Angeles, Orange, Placer, Riverside, Sacramento, San Bernardino, San Diego, and Yolo counties, with partial coverage in some areas.

Positive

• Expansion of affordable health insurance options to 10 California counties
• Comprehensive coverage including essential health benefits
• Virtual 24/7 Care telehealth services
• My Health Pays® rewards program offering up to $422 per calendar year

Negative

• None.

Insights

Healthcare Policy Analyst

Ambetter from Health Net's expansion to 10 California counties in 2025 represents a significant move in the state's health insurance landscape. This expansion aligns with the broader trend of increasing access to affordable healthcare options, particularly for under-insured and uninsured populations.

Key points to consider:

• The expansion covers major population centers like Los Angeles and San Diego, potentially impacting a large number of Californians.
• The offering of both HMO and PPO options provides flexibility for consumers with different healthcare needs and preferences.
• The inclusion of virtual care services and rewards programs like My Health Pays® reflects the industry's move towards more consumer-centric, tech-enabled health plans.

For Centene , this expansion could lead to increased market share and revenue in California's competitive health insurance market. However, the impact on profitability will depend on factors such as risk pool composition and operational efficiency in these new markets.

Financial Analyst

This expansion by Centene's Ambetter from Health Net into 10 California counties is a strategic move that could significantly impact the company's financial performance. Key financial implications include:

• Potential for revenue growth by tapping into new markets, especially in populous areas like Los Angeles and Orange County.
• Increased market share in California's health insurance sector, which could strengthen Centene's competitive position.
• Possible economies of scale in operations and risk management across a broader geographic area.

However, investors should also consider:

• Initial costs associated with expansion, including marketing and infrastructure setup.
• Potential margin pressure due to competitive pricing in new markets.
• The need for effective risk management in newly entered regions to maintain profitability.

Overall, this expansion aligns with Centene's growth strategy and could positively impact long-term financial performance, subject to successful execution and market dynamics.

California residents will have access to a variety of affordable plans from Ambetter from Health Net during open enrollment beginning Nov. 1

SACRAMENTO, Calif., Oct. 2, 2024 /PRNewswire/ -- Ambetter from Health Net, a product offered by a Centene Corporation (NYSE: CNC) company which provides insurance to under-insured and uninsured populations through Covered California, the State Based Exchange, will offer Californians a variety of affordable health insurance plans in plan year 2025. Open enrollment for Covered California runs from Nov. 1, 2024, through Jan. 31, 2025. Enroll by Dec. 31, 2024, for coverage starting Jan. 1, 2025, and Jan. 31, 2025, for coverage starting Feb. 1, 2025.   

"Health Net is committed to making quality, affordable health insurance accessible to all Californians," said Plan President and Chief Executive Officer of Health Net Brian Ternan. "By offering a diverse range of Ambetter from Health Net HMO and PPO options, we continue our dedication to providing comprehensive coverage that supports healthier lives for everyone."

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

• Affordable and Reliable Coverage
  Ambetter from Health Net provides coverage of 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 from the comfort of their home.  

• Convenient Online Enrollment
  Through the Ambetter from Health Net 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
  My Health Pays® is available to Ambetter from Health Net and Health Net members, age 18 and older, who can earn up to a maximum of $422 per calendar year. Points can be redeemed at the My Health Pays® Online Rewards Store. The reward dollars can only be used for utilities, telecommunications, transportation, education, rent and childcare. My Health Pays rewards cannot be used to pay health premiums or cost shares. Points and funds will be forfeited if a member's account is terminated or if the member is no longer enrolled in the Ambetter Plan.

Below is the full list of counties in which Ambetter from Health Net will be offered: 

• Imperial
• Kern*
• Los Angeles
• Orange
• Placer *
• Riverside*
• Sacramento
• San Bernardino*
• San Diego
• Yolo

*Partial region coverage in Placer, Kern, Riverside and San Bernardino Counties.

California residents interested in learning more about Ambetter from Health Net or enrolling in a health plan during the open enrollment period may visit https://ifp.healthnetcalifornia.com/.

About Health Net, Inc.
Ambetter Health health maintenance organization (HMO) and preferred provider organization (PPO) plans are offered by Health Net of California, Inc. (Health Net). Health Net of California, Inc. is a subsidiary of Health Net, LLC. and Centene Corporation. Health Net is a registered service mark of Health Net, LLC. All rights reserved. This is a solicitation for insurance. For information on your right to receive Ambetter from Health Net plans free of discrimination, or your right to receive language, auditory and/or visual assistance services, please visit  https://www.healthnet.com/content/healthnet/en_us/disclaimers/legal/non-discrimination-notice.html and scroll to the bottom of the page.

View original content:https://www.prnewswire.com/news-releases/ambetter-from-health-net-offers-health-insurance-to-10-counties-across-california-in-2025-302264585.html

SOURCE Ambetter from Health Net

FAQ

When is the open enrollment period for Ambetter from Health Net in California for 2025?

The open enrollment period for Ambetter from Health Net in California for 2025 runs from November 1, 2024, through January 31, 2025.

What counties in California will Ambetter from Health Net (CNC) cover in 2025?

Ambetter from Health Net will cover 10 counties in California in 2025: Imperial, Kern, Los Angeles, Orange, Placer, Riverside, Sacramento, San Bernardino, San Diego, and Yolo. Some counties have partial coverage.

What benefits does Ambetter from Health Net offer in its 2025 plans?

Ambetter from Health Net's 2025 plans offer coverage for essential health benefits, Virtual 24/7 Care telehealth services, convenient online enrollment, and the My Health Pays® rewards program.

How much can members earn through the My Health Pays® program with Ambetter from Health Net (CNC)?

Members aged 18 and older can earn up to a maximum of $422 per calendar year through the My Health Pays® program with Ambetter from Health Net.