Ambetter from Meridian Expands Health Insurance Offering to 34 Counties Across Michigan

Rhea-AI Summary

Ambetter from Meridian, a Centene (NYSE: CNC) product, is expanding its health insurance offering to 34 counties across Michigan for the 2025 plan year. The open enrollment period runs from Nov. 1, 2024, through Jan. 15, 2025. The company aims to provide affordable, comprehensive health coverage to under-insured and uninsured populations through the federal Health Insurance Marketplace®.

Key features of Ambetter from Meridian plans include:

• Coverage of all essential health benefits
• Virtual 24/7 Care for telehealth services
• Convenient online enrollment process
• My Health Pays® program offering up to $500 in rewards for healthy behaviors
• Premier Network (formerly Ambetter Health Bronze|Silver|Gold network)

The expansion covers various counties, including Allegan, Barry, Berrien, Calhoun, and Wayne, among others. Interested Michigan residents can visit ambetterhealth.com/en/mi/ for more information and enrollment.

Positive

• Expansion of health insurance offering to 34 counties in Michigan
• Comprehensive coverage including essential health benefits
• Virtual 24/7 Care telehealth services
• My Health Pays® program offering up to $500 in rewards
• Convenient online enrollment process

Negative

• None.

Insights

Health Insurance Analyst

Ambetter from Meridian's expansion to 34 counties in Michigan for the 2025 plan year is a strategic move by Centene to increase its market presence. This expansion could potentially lead to revenue growth and market share gains in the state's Health Insurance Marketplace.

The offering of affordable plans with comprehensive coverage, including essential health benefits and additional services like Virtual 24/7 Care, positions Ambetter competitively in a cost-sensitive market. The My Health Pays program, offering up to $500 in rewards, serves as a customer retention tool and promotes preventive care, which could reduce long-term healthcare costs for the insurer.

The rebranding of the provider network to "Premier Network" suggests a focus on quality and continuity of care, which may help in attracting and retaining members. However, the impact on Centene's financials will depend on enrollment numbers and the cost structure of these plans, which are not disclosed in the article.

Michigan residents will have access to a variety of affordable plans from Ambetter from Meridian during open enrollment beginning Nov. 1

DETROIT, Oct. 2, 2024 /PRNewswire/ -- Ambetter from Meridian, a product offered by a Centene Corporation (NYSE: CNC) company, which provides insurance to under-insured and uninsured populations through the federal Health Insurance Marketplace®, will offer a variety of affordable health insurance plans to Michiganders in 34 counties in plan year 2025. Open enrollment for the Health Insurance Marketplace for Michigan runs from Nov. 1, 2024, through Jan. 15, 2025. Enroll by Dec. 15, 2024, for coverage starting Jan. 1, 2025.  

"With food, gas, utility and housing costs continuing to rise throughout Michigan, many individuals and families are looking for ways to save money and meet their basic needs," said Plan President and Chief Executive Officer Patty Graham. "That's why we are proud to offer Ambetter from Meridian, a budget-friendly, high-quality, comprehensive coverage health plan that fits all ages and stages of life."

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

• Affordable and Reliable Coverage
  Ambetter from Meridian 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 Meridian 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 copays and deductibles. 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.

Below is the full list of counties in which Ambetter from Meridian will be offered in 2025:  

• Allegan
• Barry
• Berrien
• Calhoun
• Cass
• Genesee
• Hillsdale
• Ingham
• Jackson
• Kalamazoo
• Kent
• Lake
• Lapeer
• Macomb
• Mason
• Mecosta
• Monroe
• Montcalm
• Muskegon
• Newaygo
• Oakland
• Oceana
• Ogemaw
• Osceola
• Oscoda
• Ottawa
• Roscommon
• Sanilac
• St. Clair
• St. Joseph
• Tuscola
• Van Buren
• Washtenaw
• Wayne

Michigan residents interested in learning more about Ambetter from Meridian or enrolling in a health plan during the open enrollment period may visit ambetterhealth.com/en/mi/.

About Ambetter from Meridian
Ambetter from Meridian serves under-insured and uninsured populations through the federal Health Insurance Marketplace®. Ambetter from Meridian is underwritten by Meridian Health Plan of Michigan, Inc., which is a Qualified Health Plan issuer in Michigan. For more information, visit ambetterhealth.com/en/mi/. This is a solicitation for insurance. For information on your right to receive an Ambetter from Meridian plan free of discrimination, or your right to receive language, auditory and/or visual assistance services, please visit ambetterhalth.com/en/ and scroll to the bottom of the page.

 

View original content:https://www.prnewswire.com/news-releases/ambetter-from-meridian-expands-health-insurance-offering-to-34-counties-across-michigan-302264760.html

SOURCE Ambetter from Meridian

FAQ

When is the open enrollment period for Ambetter from Meridian in Michigan for 2025?

The open enrollment period for Ambetter from Meridian in Michigan runs from November 1, 2024, through January 15, 2025. To have coverage starting January 1, 2025, enrollment must be completed by December 15, 2024.

How many counties in Michigan will Ambetter from Meridian cover in 2025?

Ambetter from Meridian will offer health insurance plans in 34 counties across Michigan for the 2025 plan year.

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

My Health Pays® is a rewards program where members can earn up to $500 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 copays and deductibles.

Does Ambetter from Meridian offer virtual healthcare services?

Yes, Ambetter from Meridian offers Virtual 24/7 Care, which provides members access to Ambetter-designated licensed providers via telehealth for various illnesses such as flu, skin conditions, ear infections, fever, and respiratory infections.

What is the new name for Ambetter Health Bronze|Silver|Gold network in 2025?

Beginning January 1, 2025, the Ambetter Health Bronze|Silver|Gold network will be known as the Premier Network. Members can continue to access the same provider network with familiar doctors and hospitals.