Ambetter from PA Health & Wellness Expands Health Insurance Offerings to 30 Counties Across Pennsylvania in 2025

Rhea-AI Summary

Ambetter from PA Health & Wellness, a Centene (NYSE: CNC) product, is expanding its health insurance offerings to 30 counties across Pennsylvania for the 2025 plan year. The open enrollment period runs from Nov. 1, 2024, to Jan. 15, 2025. The expansion includes 11 new central and western Pennsylvania counties.

Key features of Ambetter's 2025 plans include:

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

The expansion aims to provide affordable and reliable coverage options to Pennsylvanians, with plans designed to fit various budgets and lifestyles.

Positive

• Expansion to 30 counties in Pennsylvania, including 11 new central and western counties
• Offering comprehensive health benefits including preventive care, maternity, and prescription drug coverage
• Virtual 24/7 Care telehealth services for convenient access to healthcare
• My Health Pays program allowing members to earn up to $500 in rewards for healthy behaviors
• Convenient online enrollment platform accessible via mobile devices

Negative

• None.

Insights

Healthcare Policy Analyst

The expansion of Ambetter from PA Health & Wellness to 30 counties in Pennsylvania for 2025 is a significant development in the state's health insurance landscape. This move by Centene 's subsidiary aims to increase access to affordable healthcare options for underinsured and uninsured populations.

Key points to consider:

• The expansion includes 11 new counties in central and western Pennsylvania, potentially reaching a larger rural population.
• The offering of various plan types (Bronze, Silver, Gold) through the Premier Network suggests a strategy to cater to different income levels and healthcare needs.
• The inclusion of virtual 24/7 care aligns with the growing trend of telehealth services, which can improve access and reduce costs.
• The My Health Pays program, offering up to $500 in rewards, represents an innovative approach to incentivize preventive care and healthy behaviors.

For investors, this expansion could signal potential revenue growth for Centene in the Pennsylvania market. However, profitability will depend on the risk pool and utilization rates in these new areas. The impact on Centene's overall financial performance may be given the company's national scale, but it demonstrates a commitment to market expansion and could serve as a model for growth in other states.

Pennsylvania residents will have access to a variety of affordable plans from Ambetter from PA Health & Wellness during Open Enrollment beginning Nov. 1

HARRISBURG, Pa., Oct. 2, 2024 /PRNewswire/ -- Ambetter from PA Health & Wellness, a product offered by a Centene Corporation (NYSE: CNC) company, which provides insurance to under-insured and uninsured populations through the Pennsylvania Health Insurance Exchange, will offer a variety of affordable health insurance plans to Pennsylvanians in 30 counties in plan year 2025. Open enrollment for the Health Insurance Marketplace for Pennsylvania runs from Nov. 1, 2024, through Jan. 15, 2025. Enroll by Dec. 15, 2024, for coverage starting Jan. 1, 2025.

Ambetter from PA Health & Wellness now will be available in 11 central and western Pennsylvania counties, with locations in Altoona, Clarion, Greensburg, Latrobe, State College and Uniontown.

"Ambetter from PA Health & Wellness has the high-quality healthcare coverage options and the providers you want and need," said Plan President and Chief Executive Officer of PA Health & Wellness, Justin Davis. "With plans designed to fit different budgets and lifestyles, Ambetter from PA Health & Wellness has you covered, and we're excited to bring these to the people of central and western Pennsylvania."

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

• Affordable and Reliable Coverage 
  Ambetter from PA Health & Wellness 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 PA Health & Wellness 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 a full list of counties in which Ambetter Health from PA Health & Wellness will be offered in 2025:

• Berks
• Blair
• Bradford
• Bucks
• Cambria
• Carbon
• Centre
• Chester
• Clarion
• Clearfield
• Delaware
• Elk
• Fayette
• Huntingdon
• Jefferson
• Lackawanna
• Lancaster
• Lehigh
• Luzerne
• Monroe
• Montgomery
• Northampton
• Philadelphia
• Schuylkill
• Somerset
• Sullivan
• Susquehanna
• Wayne
• Westmoreland
• Wyoming

Pennsylvania residents interested in learning more about Ambetter from PA Health & Wellness or enrolling in a health plan during the open enrollment period may visit ambetterhealth.com/en/pa/

About Ambetter from PA Health & Wellness
Ambetter from PA Health & Wellness serves under-insured and uninsured populations through the Pennsylvania State Based Exchange, Pennie. Ambetter from PA Health & Wellness is underwritten by Pennsylvania Health & Wellness, Inc., which is a Qualified Health Plan issuer in Pennsylvania. For more information, visit ambetterhealth.com/en/pa. This is a solicitation for insurance. For information on your right to receive an Ambetter from PA Health & Wellness plan free of 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-pa-health--wellness-expands-health-insurance-offerings-to-30-counties-across-pennsylvania-in-2025-302264747.html

SOURCE Ambetter from PA Health & Wellness

FAQ

When is the open enrollment period for Ambetter from PA Health & Wellness in 2025?

The open enrollment period for Ambetter from PA Health & Wellness in Pennsylvania 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 will Ambetter from PA Health & Wellness cover in Pennsylvania for 2025?

Ambetter from PA Health & Wellness will offer health insurance plans in 30 counties across Pennsylvania for the 2025 plan year, including an expansion to 11 new central and western Pennsylvania counties.

What is the My Health Pays program offered by Ambetter from PA Health & Wellness (CNC)?

The My Health Pays program is a rewards system 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.

What is the new name for Ambetter Health's provider network in 2025?

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