Second Quarter 2025



Broker News

Advanced Premium Tax Credit & Earned Income Tax Credit

Federal Tax Filing Deadline is April 15!

View the NEW Advanced Premium Tax Credits and Tax Forms video to learn about Advanced Premium Tax Credits and tax forms!

Advanced Premium Tax Credit (APTC)

Be sure clients get the premium tax credit they deserve! Clients who received an Advanced Premium Tax Credit (APTC) in 2024 will receive their 1095-A Health Insurance Marketplace Statement in the mail.* Clients can also download their 1095-A through their HealthCare.gov account.

Clients need to use their 1095-A to file Form 8962 with their tax return. If they don't, they could lose their premium tax credit, resulting in higher premiums on their health plan.

It is important clients use these two forms to file their taxes correctly and on time. The 1095-A and Form 8962 determine the amount of their premium tax credit and both are required when clients are filing their taxes.

Earned Income Tax Credit

Clients may qualify for Earned Income Tax Credit. Claiming the credit could reduce the tax they owe and may also give them a larger refund. Use the EITC Assistant to check eligibility.

*Washington members will only receive a paper copy of their 1095-A in the mail if they’ve signed up for mail notification through their Washington Healthplanfinder account. Otherwise, a digital copy of their 1095-A is available in their Washington Healthplanfinder account. 

Centers for Medicare and Medicaid Services (CMS) mails 1095-A forms to on-exchange policyholders on January 31, 2025. Centene Corporation mails 1095-B forms to off-exchange policyholders on January 31, 2025.

Centene Corporation does not provide tax, investment or legal advice. Federal and state tax laws may change and are subject to interpretation. If tax, investment or legal advice is requested, members should seek the services of a licensed professional.

Ambetter Health App Enhancement

Members can now access My Health Pays through the App

My Health Pays is now available in the Ambetter Health App.*

Members can:

• Access Rewards: Members can now view and manage their My Health Pays rewards directly in the app.
• Track Points and Earnings: Members who have accepted the My Health Pays terms & conditions can see their total points and dollar balance at-a-glance.
• Enroll Seamlessly: Members new to My Health Pays will be directed to the My Health Pays website to review and accept the terms & conditions. Once enrolled, their rewards balance will be visible in the Ambetter Health App.
• Benefit from One-Click Access: Enjoy quick and secure single sign-on (SSO) access to the My Health Pays website for full program details including ways to earn points and redemption options.



Members can download the Ambetter Health App from Android Google Play and the iOS App Store.

*Excluding CA and NY.

Walgreens Smart Savings

For members in Florida, Georgia, Illinois and Mississippi.

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.

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.

Ambetter Health Partnership with the YMCA

Value-add program for Arizona and North Carolina members.

Arizona and North Carolina members can join their local participating YMCA and enjoy the YMCA360 virtual program at no cost to the member.

Broker News Poll

Share Your Thoughts With Us

2Q poll results will be shared in the next issue of Ambetter Health Broker News.

1Q Broker News Poll Results

Clients most often redeem their My Health Pays rewards to help cover costs for:

New My Health Pays Spend Option for Iowa Members

Iowa members can now use their My Health Pays debit card for everyday items and gas at Hy-Vee. Rewards cannot be used to buy alcohol, tobacco, firearms products, lottery tickets, gift cards or for cash.

Ambetter Health Community Relations Team

In the Community: Memphis Hustle's Education Days and the 5th Annual Women's Expo

Memphis Hustle’s Education Days

The Ambetter Health Community Relations team and Ambetter of Tennessee continued their support of the Memphis Hustle’s Education Days. The Memphis Hustle’s Education Days is an annual event which provides students the opportunity to experience professional basketball while integrating educational themes into the festivities including the Hustle Cubs Reading Club, Honor Roll rewards, and the opportunity for students to perform the National Anthem at center court and youth basketball teams’ halftime performances.

The Memphis Hustle’s educational programs support over 500 students in over 40 local community schools. Memphis Hustle is the NBA G-League affiliate of the Memphis Grizzlies.

5th Annual Women’s Expo - Huntsville, AL

Ambetter Health is continuing as a sponsor of the 5th Annual Women's Expo on March 27-30, 2025, at the Von Braun Civic Center in Huntsville, Alabama. 

This empowering event aims to bring together women from all walks of life to connect, learn and celebrate their journeys. Ambetter Health supports the event’s efforts in workforce development, education, entrepreneurship and physical and mental wellness. 

Expo events include workshops and seminars, keynote speeches and panel discussions, networking opportunities and a marketplace of products and services from women-owned business supporting local entrepreneurs.

AMBETTER HEALTH FEATURED BROKER

Norma Edith Garcia

State you live in: Texas

States you write in: Texas, Florida

Years in the insurance business: 14 years

How long have you been working with us? 11 years

Personal secret to success: I believe that one of the things that helps me be successful is my confidence in the Ambetter Health products.  I feel peace of mind when my customers choose an Ambetter Health plan because I know that they will get the care they need. Another key is listening to my customers’ needs and concerns in order to best give them the guidance they need to pick the plan that’s best for them.

Favorite quote? "Success in not final; failure is not fatal. It is the courage to continue that counts.” - Winston Churchill (British Prime Minister)

"The key to success is action, and the essential in action is perseverance." - Sun Yat-sen (President of the Republic of China-Taiwan)

What tips would you offer a new broker interested in selling Affordable Care Act (ACA) plans?

Listen, Listen, Listen to your customers’ needs. It is important for new agents to take the trainings courses that are available to them. This way they can learn as much as possible about the different plans and benefits. This will give the agent the confidence to guide their customers to the plan that best suits their needs.

What do you like best about Ambetter Health's plans? I like the plan benefits and plan designs of the silver and gold plan. These plans allow my customers to find a plan with the out-of-pocket expenses that they can afford. I also like that the Ambetter Health broker portal allow us to download our customers ID cards, which makes servicing our customers much easier. 

What Ambetter Health plan features resonate best with your clients? My Health Pays a is phenomenal program. I always encourage my clients to create an account. I help them set up their account, teach them how to use the website, and watch the videos and questionaries. My clients always tell me they love this program and how much they learned from watching the video and reading the information

How do you generate new leads? After enrolling my clients, I inquire if they know anyone who may need or is seeking insurance services and encourage them to refer such individuals to me. This referral system is the primary way I acquire new clients, which is gratifying as it indicates that I am providing satisfactory service, prompting my clients to recommend me.

How do you ensure your clients make their binder payment? I contact my clients via phone call or text to remind them about their upcoming payments. Additionally, I offer assistance in setting up automatic payments and encourage them to use their My Health Pays account to help cover their premiums.

What would you like to see more issuers do in the ACA market or add to the market for the next open enrollment season? I would love to have the option to let us as brokers choose and set the clients’ PCP on the Ambetter Health portal. This will streamline the current process and avoid placing this responsibility on the client.

Better Is: Continuing to grow your membership with Ambetter Health!

Tell us what Better Is for you! Better is: Better is to have more people and health providers fall in love with Ambetter Health every day.

FEATURED SALES REPRESENTATIVE

Jared Roussell

What is your title: Account Executive II

How long have you worked for Centene? 1 year and 7 months

Hobbies and activities: My hobbies and activities include spending quality time with my family and passionately supporting my favorite teams: the New Orleans Saints, LSU Tigers and New Orleans Pelicans. I also have a strong appreciation for the outdoors, particularly fishing and hosting cookouts. Mardi Gras would be my favorite holiday.  In addition, I am an active member of Kappa Alpha Psi, where I engage in a variety of community service initiatives.

What makes a successful Ambetter Health broker? A successful Ambetter Health broker possesses a unique combination of skills and qualities that enable them to effectively serve clients while delivering strong results for the company. Key attributes that contribute to their success include a deep knowledge of products, excellent communication skills, problem-solving abilities, strong organizational skills, and a keen attention to detail. These essential elements empower agents to provide exceptional service, drive client satisfaction, and achieve business objectives.

What do you enjoy most about the ACA, your job, Centene, etc.? What I enjoy most about my role at Centene is the opportunity to make a direct impact on individuals' lives by helping them access affordable healthcare coverage. Centene's strong commitment to community-focused care, along with its inclusive and innovative approach to healthcare, creates a highly rewarding work environment. It is truly fulfilling to be part of an organization that prioritizes both the well-being of its clients and the growth and development of its employees.

What makes Norma Edith Garcia a great Ambetter Health partner? Norma consistently goes above and beyond for all her members, setting the standard for exceptional customer service. She not only provides outstanding support but also demonstrates a genuine care for the well-being of each of her clients. This commitment is what sets her apart from other agents and makes a significant difference in her work. Her clients trust her deeply, and during my visit to her office, I was truly impressed by her thoroughness in every process. Norma ensures that each client fully understands their policy, and she is supported by an amazing staff that works seamlessly together. Her clients know they can always rely on her. Additionally, Norma still takes the time to send handwritten Christmas and birthday cards to all her members. Despite her busy schedule, she consistently exceeds expectations as an Ambetter Health broker.

Reset Your Broker Portal Password

Go to https://broker.ambetterhealth.com:

• Click Forgot your password?
• Enter your Username- Username field is generally your email address plus .centene (Example johndoe@gmail.com.centene)
• Click Send Password Reset Email.
• Follow directions in Password Reset Email.

Need help? Call our Broker Sales Support team at 1-855-700-7985, option 2.

Reset Your Enhanced Direct Enrollment Tool (EDE) Password From Your Broker Portal

Follow the steps in the EDE Password Reset Guide to reset your EDE password. The guide is also available in the Training section of your broker portal.

Need help? Call our Broker Sales Support team at 1-855-700-7985, option 2.

Communication for broker internal use only. Not for client distribution. © 2025 Ambetter Health. All rights reserved. AMB25-BK-C-00001-40