Ambetter Health Offers Health Insurance to 63 Counties Across Florida in 2025

Rhea-AI Summary

Ambetter Health, a Centene (NYSE: CNC) product, will offer affordable health insurance plans to residents in 63 Florida counties for the 2025 plan year. The open enrollment period runs from Nov. 1, 2024, through Jan. 15, 2025. Ambetter Health provides coverage for all essential health benefits and offers additional features such as:

• Virtual 24/7 Care
• Convenient online enrollment
• My Health Pays rewards program
• Walgreens discounts on health products
• Specific plan design changes for members with diabetes
• Premier Network (formerly Bronze|Silver|Gold network)

The company aims to accommodate different budgets and provide access to services, benefits, and rewards tailored to Floridians' needs.

Positive

• Expansion of health insurance coverage to 63 Florida counties
• Offering of affordable health insurance plans with essential health benefits
• Introduction of Virtual 24/7 Care for convenient access to healthcare
• Implementation of My Health Pays program, allowing members to earn up to $500 in rewards
• 20% discount on Walgreens-branded health and wellness products for members
• Specific plan design changes for diabetic members, including $0 copays for certain medications and supplies

Negative

• None.

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

FORT LAUDERDALE, Fla., 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 through the federal Health Insurance Marketplace®, will offer a variety of affordable health insurance plans to Floridians in 63 counties in plan year 2025. Open enrollment for the Health Insurance Marketplace for Florida runs from Nov. 1, 2024, through Jan. 15, 2025.

"We recognize that it can be difficult for people to prioritize healthcare, especially with the increase in cost of living and expenses," said Sunshine Health Interim Plan President, Charlene Zein. "With Ambetter Health, we've designed a variety of health coverage plans to accommodate different budgets and provide access to services, benefits and rewards that fit Floridians' unique needs."

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 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 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.
  
  
• Walgreens Discounts*
  Ambetter Health and Walgreens are improving the affordability of health and wellness products for members in Florida. In 2025, members will receive a 20% discount on Walgreens-branded over-the-counter health and wellness products including, but not limited to: allergy, blood pressure and diagnostics, children's medications, cough/cold relief, dental, diabetes, diet aids and supplements, digestive health and nausea, first aid, foot care, hand sanitizer, healthcare appliances, hearing aid batteries, home healthcare solutions, humidifiers, pain relief, reader glasses, sanitary, sleep aids, smoking cessation, sun care, vaporizers, vitamins and supplements. 
  
  
• Specific Plan Design Changes for Members with Diabetes
  Starting in 2025, some Ambetter Health Premier plans provide members managing diabetes with additional healthcare options and savings. Members on these plans will have lower out of pocket costs for certain medications, supplies, and clinical support. Members of these plans may have access to $0 copays for preferred insulin and select medications used to manage diabetes, high blood pressure, high cholesterol, and mental health. These plans also include $0 copays on certain diabetic supplies and labs such as lancets, glucose test strips, ketone and urine test strips, insulin syringes, pen needles as well as routine A1c labs.
  
  
• 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 will be offered: 

• Alachua
• Baker
• Bay
• Bradford
• Brevard
• Broward
• Calhoun
• Charlotte
• Citrus
• Clay
• Collier
• Columbia
• Desoto
• Dixie
• Duval
• Escambia
• Franklin
• Gadsden
• Gilchrist
• Glades
• Gulf
• Hamilton
• Hardee
• Hernando
• Highlands
• Hillsborough
• Holmes
• Indian River
• Jackson
• Jefferson
• Lafayette
• Lake
• Lee
• Leon
• Levy
• Liberty
• Madison
• Manatee
• Marion
• Martin
• Miami-Dade
• Nassau
• Okaloosa
• Okeechobee
• Orange
• Osceola
• Palm Beach
• Pasco
• Pinellas
• Polk
• Putnam
• Santa Rosa
• Sarasota
• Seminole
• St. Johns
• St. Lucie
• Sumter
• Suwannee
• Union
• Volusia
• Wakulla
• Walton
• Washington

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

About Ambetter Health 
Ambetter Health serves under-insured and uninsured populations through the federal Health Insurance Marketplace. Ambetter Health is underwritten by Celtic Insurance Company and Sunshine State Health Plan, Inc. These companies are Qualified Health Plan issuers in Florida. For more information visit ambetterhealth.com/en/fl/. 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 and scroll to the bottom of the page.

*Discount valid only for in-store purchases of eligible Walgreens brand health and wellness products by current members eligible for the Ambetter Health discount program. Discount cannot be used online. For a full list of Walgreens brand health and wellness products, please visit Walgreens.com/SmartSavings. Offer not available on the following items: alcohol, charitable donations, dairy, home medical equipment and durable medical equipment products, items or services submitted to insurance for reimbursement or where otherwise limited by law, liquor departments, lottery tickets, magazines, money orders/transfers, newspapers, pharmacy items and services, phone/prepaid/gift cards, photo orders, prescriptions, Prescriptions Savings Club membership fee, pseudoephedrine or ephedrine products, stamps, tobacco and transportation passes. Walgreens reserves the right to discontinue the offer at its discretion.

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SOURCE Ambetter Health

FAQ

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

The open enrollment period for Ambetter Health in Florida for the 2025 plan year runs from November 1, 2024, through January 15, 2025.

How many Florida counties will Ambetter Health (CNC) offer insurance in for 2025?

Ambetter Health will offer health insurance plans in 63 counties across Florida for the 2025 plan year.

What new benefits does Ambetter Health offer for diabetic members in 2025?

In 2025, some Ambetter Health Premier plans offer diabetic members $0 copays for preferred insulin, select medications, certain diabetic supplies, and routine A1c labs.

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

My Health Pays is a rewards program where members can earn up to $500 in 2025 for practicing healthy habits, which can be used for health-related expenses like premiums, copays, and deductibles.