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In addition to providing coverage for all essential health benefits, including preventive and wellness services, maternity and newborn care, pediatric services, mental health services, hospitalizations, prescription drug coverage, and dental and vision in select states, Ambetter Health’s 2025 offerings include:
My Health Pays
Ambetter Health members have access to the My Health Pays® program, where they can earn points for practicing healthy eating habits and staying active. 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.
Walgreens Discounts**
In Florida, Georgia, Illinois and Mississippi, Ambetter Health and Walgreens are improving the affordability of health and wellness products for members. In 2025, members in those states 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.
Plan Design Changes for Members with Diabetes
Starting in 2025, some Ambetter Health Premier plans (formerly the Ambetter Health Bronze|Silver|Gold network) in Florida and Tennessee will provide members managing diabetes with additional healthcare options and savings. Members of these plans will have lower out of pocket costs for certain medications, supplies and clinical support. Members in 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.
Ambetter Health Solutions
Starting in 2025, Ambetter Health 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 South Carolina, Indiana, Mississippi, Ohio, Georgia, and Missouri, and will provide access to high quality providers with an additional benefit of acupuncture coverage. 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.
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