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Ambetter Arizona

ambetter insuranceWith Ambetter from Arizona Complete Health, you have a wide network of primary care physicians, specialists, hospitals, and outpatient facilities to choose from
Ambetter plans are available in Arizona ObamaCare, Healthcare marketplace

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What benefits make up your new comprehensive health plan?

All health plans offered on the Health Insurance Marketplace include certain items and services. These categories of services are called Essential Health Benefits.
Every Ambetter insurance plan offers all of your Essential Health Benefits: Emergency services, outpatient or ambulatory services, preventive and wellness services, maternity and newborn care, pediatric services, mental health, and substance abuse services, laboratory services, prescription drugs, therapy services (such as physical therapy) and devices, and hospitalization

Ambetter health insurance plans offer prescription coverage, mental and behavioral health services, integrated care management, maternity and newborn care, 24/7 nurse advice line, Ambetter Telehealth, My Health Pays Rewards, and optional vision and dental coverage for adults.

Consult your Arizona health insurance consultant for free no-obligation quotes

Ambetter Telehealth
Your anytime, anywhere medical care service.
Ambetter Telehealth powered by Teladoc is your convenient, 24-hour access to in-network Ambetter healthcare providers for non-emergency health issues. It’s available for you to use when you’re at home, in the office, or even on vacation.

Get medical advice, a diagnosis, or a prescription by phone or video. Use Ambetter Telehealth when you need it or go ahead and schedule an appointment for a time that fits into your schedule

Health Management Programs

If you have a chronic condition, we work with our disease management company, to provide you with disease management services. We want to help you lead a healthier lifestyle, so we reach out over the phone, through educational tools, and with support. This way, you can control your condition better, understand it more, and have fewer complications.
We also provide behavioral health services, including depression management programs.

Ambetter Arizona offers a Health Management Program for these conditions:
• Asthma (Children and Adult).
• Coronary Artery Disease (Adult Only).
• Depression.
• Diabetes (Children and Adult).
• Hypertension (high blood pressure) & High Cholesterol.
• Low Back Pain.
• Tobacco Cessation.

As an Ambetter member, you can earn reward dollars for taking charge of your health. Our My Health Pays ™ program rewards you for completing healthy activities.
You will receive you My Health Pays ™ Visa ® Prepaid Card when you earn your first reward. If you already have your My Health Pays ™ Visa Prepaid Card, your reward dollars will be added to your existing card.
We’ll automatically add any new rewards you earn to your My Health Pays ™ Visa Prepaid Card. The more you do, the more reward dollars will be added to your card. It’s that simple!

The company has three plan options to choose from Ambetter Essential Care, Ambetter Balanced Care, and Ambetter Secure Care, which are classified as bronze, silver, and gold, respectively.
The Ambetter Essential Care offers lower monthly premium payments, but higher out-of-pocket expenses, the Ambetter Balanced Care offers the best balance between monthly premium payments and out-of-pocket expenses, and the Ambetter Secure Care has higher monthly premium payments but limits your out-of-pocket expenses.

Each plan has a different type of coverage and payment, but all of them include essential health benefits such as emergency services, hospitalization. outpatient or ambulatory services, preventive and wellness services, maternity and newborn care, pediatric services, mental health, and substance abuse services, and laboratory services, among others.

average health insurance cost per month
on average national monthly health insurance cost for one person on a benchmark, the plan is around $465, or $199 with a subsidy. * Monthly premiums for ACA Marketplace plans vary by state and can be reduced by subsidies. $1,152 or $399 with a subsidy for a family

When choosing a plan, it’s a good idea to think about your total health care costs, not just the bill (the “premium”) you pay to your insurance company every month.
Other amounts, sometimes called “out-of-pocket” costs, have a big impact on your total spending on health care– sometimes more than the premium itself.

Deductible and out-of-pocket costs
• Deductible: How much you have to spend for covered health services before your insurance company pays anything (except free preventive services).
• Co-payments and coinsurance: Payments you make each time you get a medical service after reaching your deductible.
• Out-of-pocket maximum: The most you have to spend for covered services in a year. After you reach this amount, the insurance company pays 100% for covered services.

As a result of the Affordable Care Act (ACA), people can purchase individual health insurance through a government exchange or marketplace (commonly referred to as ACA plans), or they can buy health insurance from private insurers.

For a particular health insurance plan, the cost of coverage is determined by a limited set of factors, which have been set by law. States can limit the degree to which these factors impact your rates– for instance, some states like California and New York don’t allow the cost of health insurance to differ based on tobacco use.

• Age: The health care cost per person covered by a policy will be set according to their age, with rates increasing as the individual gets older. Children up to the age of 14 will cost a flat rate to add to a health plan, but premiums typically increase annually beginning at age 15.

• Where you live: Health insurance companies determine the set of policies offered and the cost of coverage based on the state and county you live in. So a resident of Miami-Dede County in Florida, for instance, may pay cheaper rates for the same policy than a resident of Jackson County.

• Smoking/tobacco use: If you smoke, you can pay up to 50% higher rates for health insurance, though the maximum increase is determined by the state.

• Number of people insured: The total cost of a health plan is set according to the number of people covered by it, as well as each person’s age and tobacco use. For example, a family of three, with two adults and a child, would pay a much higher monthly health insurance premium than an individual.