Ambetter Health Offers Health Insurance Statewide in Indiana in 2025

Rhea-AI Summary

Ambetter Health, a Centene product, will offer health insurance plans to residents in all 92 Indiana counties for plan year 2025. Open enrollment runs from Nov. 1, 2024, through Jan. 15, 2025. The 2025 benefits include:

• Coverage of all essential health benefits
• Virtual 24/7 Care
• Convenient online enrollment
• My Health Pays rewards program
• New Ambetter Health Solutions product for ICHRA
• Premier Network (formerly Bronze|Silver|Gold network)

Ambetter Health aims to provide comprehensive, quality care to under-insured and uninsured populations in Indiana through the federal Health Insurance Marketplace.

Positive

• Expansion of coverage to all 92 counties in Indiana
• Introduction of new Ambetter Health Solutions product for ICHRA
• My Health Pays program offering up to $500 in rewards for healthy activities
• Virtual 24/7 Care for convenient access to healthcare

Negative

• None.

Insights

Insurance Industry Analyst

The expansion of Ambetter Health to all 92 counties in Indiana for 2025 represents a significant market penetration strategy by Centene This move could potentially increase CNC's market share and revenue in the state's health insurance marketplace. The introduction of the new Ambetter Health Solutions product, designed for ICHRA arrangements, shows adaptability to emerging employer-sponsored health coverage trends.

Key points to consider:

• Statewide coverage expansion may lead to increased enrollment and premium revenue
• The ICHRA-focused product could capture a growing segment of the market
• Enhanced benefits like Virtual 24/7 Care and My Health Pays program may improve member retention and satisfaction
• Rebranding of the provider network to "Premier Network" suggests a focus on quality perception

While this expansion is positive for CNC's growth prospects in Indiana, investors should monitor enrollment figures and profitability metrics in future quarters to assess the impact on overall company performance. The success of this expansion could influence similar strategies in other states.

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

INDIANAPOLIS, Oct. 2, 2024 /PRNewswire/ -- Ambetter Health, a product offered by a Centene Corporation (NYSE: CNC) company, which provides insurance to under-insured and uninsured populations in Indiana through the federal Health Insurance Marketplace®, will offer Indianans a variety of affordable health insurance plans to residents in all 92 counties for plan year 2025. Open enrollment for the Health Insurance Marketplace for Indiana runs from Nov. 1, 2024, through Jan. 15, 2025. Enroll by Dec. 15, 2024, for coverage starting Jan. 1, 2025.  

"Ambetter Health has the experience and resources to provide comprehensive, quality care to people when it matters most," said MHS Plan President and Chief Executive Officer, Kevin O'Toole. "We're pleased to offer coverage options that provide peace of mind during this enrollment period."

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

• Affordable and Reliable Coverage 
  Ambetter Health 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 Health 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.
   
• Ambetter Health Solutions
  Starting in 2025, Ambetter is introducing a new product, Ambetter Health Solutions, which is designed for individuals purchasing Marketplace coverage through an ICHRA (Individual Coverage Health Reimbursement Arrangement). This product will be available in select states, including Indiana, and will provide access to high quality providers, with an additional benefit of acupuncture coverage. Ambetter will offer PPO plans, inclusive of out-of-network coverage benefits. ICHRA allows employers of all sizes to directly reimburse employees for individual health insurance premiums and qualifying medical expenses tax free, while allowing employees greater choice to shop and enroll in whatever available plan works best for them and receive reimbursements for coverage. Employers can learn more at: https://www.ambetterhealth.com/employers.html. 
   
• 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.

Indiana residents interested in learning more about Ambetter Health or enrolling in a health plan during the open enrollment period may visit ambetterhealth.com/en/in/. Ambetter Health was formerly known in Indiana as Ambetter from MHS.

About Ambetter Health
Ambetter Health serves under-insured and uninsured populations through the federal Health Insurance Marketplace. Ambetter Health is underwritten by Coordinated Care Corporation and Celtic Insurance Company. Coordinated Care Corporation is a Qualified Health Plan issuer in Indiana. For more information, visit ambetterhealth.com/en/. This is a solicitation for insurance. For information on your right to receive an Ambetter Health 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-health-offers-health-insurance-statewide-in-indiana-in-2025-302264748.html

SOURCE Ambetter Health

FAQ

When is the open enrollment period for Ambetter Health in Indiana for 2025?

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

What new product is Ambetter Health (CNC) introducing in Indiana for 2025?

Ambetter Health is introducing a new product called Ambetter Health Solutions in Indiana for 2025. This product is designed for individuals purchasing Marketplace coverage through an Individual Coverage Health Reimbursement Arrangement (ICHRA) and will provide access to high-quality providers with additional acupuncture coverage.

How much can Ambetter Health members earn through the My Health Pays program in 2025?

Through the My Health Pays program, Ambetter Health members can earn up to $500 in rewards in 2025 for practicing healthy eating habits, staying active, and leading a healthy lifestyle.

What is changing about Ambetter Health's network in Indiana for 2025?

Beginning January 1, 2025, the Ambetter Health Bronze|Silver|Gold network in Indiana 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.