Learn more and enroll today. Ambetter does not regularly use specific clinical performance, member experience, patient safety, or cost-related measures to select the practitioners and facilities in the network. Need health insurance? The Ambetter from Superior HealthPlan network includes all provider types to support your health care benefits, including local providers and pharmacies that you know and trust. Monitoring of the quality of care and service provided by individual practitioners and providers, which includes complaints from members and patient safety concerns. Download the free version of Adobe Reader. Specialty physicians, such as cardiologists, neurologists, etc. Ambetter Essential Care plans usually give lower monthly premium payments, but they have potentially higher out-of-pocket costs. Learn more about our Healthcare Marketplace plans and enroll in the plan that is best for you. See all Pain Medicine Specialist office locations in Miami that accept Ambetter Sunshine Balanced MRF and doctor ratings. As these are low-cost plans, you pay lower premiums each month. Ambetter from Arizona Complete Health offers affordable health insurance in Arizona on the state Health Insurance Marketplace. Ambetter contracts with providers who accept our contract terms, meet our credentialing criteria, and agree to our reimbursement terms. You can also contact Ambetter Member Services through the Online Member Portal, by email at SHPMSCONTACTUS@CENTENE.COM or by calling 1-877-687-1196 (Relay Texas/TTY 1-800-735-2989) from 8 a.m. to 8 p.m. CT, Monday through Friday. Need health insurance? Need health insurance? All appointment times are guaranteed by our Ambetter Eye Doctors & Providers. To ensure the safety of your PHI, please send us a message through the Secure Member or Provider portal. In an effort to promote ongoing patient health and wellness, we encourage all Ambetter members to choose a PCP for their care. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. Ambetter Balanced Care Balanced Care plans provide the best value and most balance between your monthly premium payments and out-of-pocket costs, especially if you're eligible for financial assistance. Learn more. Date: Member Services can help you: Find a provider in the Ambetter network today. We regularly review the provider network and make decisions about which providers remain in the network and if additional providers are needed, based on relevant factors that could include: Ambetter does not regularly use specific clinical performance, member experience, patient safety, or cost-related measures to select the practitioners and facilities in the network. Get Health Insurance plan info on Ambetter Balanced Care 29 (2021) from Ambetter from Sunshine Health. Ambetter offers a variety of marketplace health insurance plans with varying levels of coverage and premiums to meet the needs of a diverse community. Monitoring of the quality of care and service provided by individual practitioners and providers, which includes complaints from members and patient safety concerns. Find a Pain Medicine Specialist who accepts Ambetter Sunshine Balanced MRF near you in Miami, FL. Call us at 1-877-687-1197 (TTY/TDD 1-877-941-9238). Use this step-by-step guide (PDF) to search for Ambetter providers in your area. Use Ambetter’s Find a Provider tool to search the full list of providers available in the Ambetter network. Call us at 1-877-687-1197 (TTY/TDD 1-877-941-9238). Ambetter from Meridian offers affordable health insurance in Michigan on the Health Insurance Marketplace. Ambetter Balanced Care 29 (2021) by Celtic Insurance Company . Ambetter Balanced Care Balanced Care plans provide the best value and most balance between your monthly premium payments and out-of-pocket costs, especially if you're eligible for financial assistance. Find Ambetter Eye Doctors & Providers with verified reviews. To find our most up to date list of in-network providers, please visit our website at Ambetter.pshpgeorgia.com and select “Find a Provider” in the main menu. The Ambetter network is the group of providers and hospitals we partner with to provide care for you. 2021 Plan Details. We want you to be and stay healthy! All rights reserved. Ambetter Balanced Care 4 (2020) (Silver Level) Covered benefits are for In-network providers only. Ambetter Balanced Care Balanced Care plans provide the best value and most balance between your monthly premium payments and out-of-pocket costs, especially if you're eligible for financial assistance. Find the right Texas Ambetter health plan that best fits your budget and health needs by viewing the Ambetter plan and coverage brochures. Ambetter Balanced Care Balanced Care plans provide the best value and most balance between your monthly premium payments and out-of-pocket costs, especially if you're eligible for financial assistance. The ability of practitioners to meet our credentialing criteria, including a valid license to practice, applicable education and training, appropriate work history, etc. Find a Primary Care Physician who accepts Ambetter from Superior HealthPlan MRF near you in Houston, TX. See all Primary Care Physician office locations in Houston that accept Ambetter from Superior HealthPlan MRF and doctor ratings. The SBC shows you how you and the plan would share the cost for covered health care services. Ambetter strives to provide access to a quality healthcare network with the goals: The Ambetter network includes healthcare providers to deliver all of the services that the Affordable Care Act describes as Essential Health Benefits. A full list of doctors and hospitals is in progress and coming soon – check back often for updates. Ambetter from Superior HealthPlan: Ambetter Balanced Care 29 (2021) Coverage for: Individual/Family| Plan Type: EPO SBC-29418TX0140072-01 Underwritten by Celtic Insurance Company . It includes details like provider specialties, providers accepting new patients, languages spoken, office hours, contact information and directions to the provider’s location. Ambetter Claims address and Phone Number - Lists Payer ID Claims Address Ambetter Member and Provider Phone Number; Ambetter from Absolute Total Care - South Carolina: 68069: 1441 Main Street, Suite 900, Columbia, SC 29201: Ambetter from Absolute Total Care Member and Provider Services Phone Number: 833-270-5443: Ambetter from … BalladHealth and West Tennessee Healthcare providers will be In Network with Ambetter of Tennessee in 2021. Find and enroll in a plan that's right for you.Â, Find everything you need in the member online account, Select your state to visit the Ambetter site for your coverage area, Your area isn't covered? Don’t delay, choose an Ambetter plan today – before Open Enrollment ends May 15. If something is in our network, it is covered on your health insurance plan. It's free! Contact Us for more information.Â. Need health insurance? With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. If something is out-of-network, you may have to pay extra for services you receive. Ambetter offers customers affordable health care plans in 14 states including Arkansas, Arizona, Georgia, Florida, Indiana, and Nevada, among others. Learn more. Learn more. Keep our premiums affordable and lowering costs for members, Focus on making providers available who have a history of better healthcare outcomes, And more (refer to your Evidence of Coverage (EOC) for the full list of benefits). Use Ambetter’s Find a Provider tool to search the full list of providers available in the Ambetter network. There are multiple options to get low-cost health coverage, including Ambetter Secure Care, Ambetter Balanced Care and Ambetter Essential Care plans. Call us at 1-877-617-0390 (TTY/TDD 1-877-617-0392). 2020 Plan & Coverage Brochures | Ambetter from Superior HealthPlan The availability of certain types of practitioners or hospitals in your area. Medicare Eligibility Requirements | Ambetter from Superior HealthPlan, Health Insurance Marketplace Benefits | Ambetter from Superior HealthPlan, Health Insurance Provider Support | Ambetter from Superior HealthPlan, Coronavirus Information | Ambetter from Superior HealthPlan. Learn more and enroll today. Assessment of facilities such as hospitals, to ensure they are appropriately licensed and accredited. You’re dedicated to your patients, so we’re dedicated to you. Deductible (per individual) $5,450 /yr: Deductible (per family) $10,900 /yr: Max Out-of-Pocket (per individual) $8,400 /yr: Max Out-of-Pocket (per family) $16,800 /yr: Drug Deductible (per individual) Included in … Request a current non-electronic (paper) listing of all Ambetter in-network providers at no cost. Ambetter is also committed to disseminating comprehensive and timely information to its providers through this Provider Manual (“Manual”) regarding All rights reserved. Ambetter from PA Health & Wellness offers quality and affordable health insurance in Pennsylvania that fits your needs and budget. Call us at 1-855-745-5507 (TTY/TDD 1-844-517-3431. Learn more. Get 2021 health insurance plan info on Ambetter Balanced Care 29 (2021) + Vision + Adult Dental (None) from SilverSummit Healthplan, Inc. of NV - premiums, out-of-pocket maximums, prescriptions, and more. Provider Network Announcement. As you know, Primary Care Providers (PCPs) play a key role in helping patients stay current with their health. Use your ZIP Code to find your personal plan. You will need Adobe Reader to open PDFs on this site. © Copyright 2021 Celtic Insurance Company. The Ambetter from Superior HealthPlan network includes all provider types to support your health care benefits, including local providers and pharmacies that you know and trust. Learn more about plan monthly cost,premimum deductibles,prescription drug coverage, hospital services, accepted doctors and more. Learn more. Ambetter from MHS: Ambetter Balanced Care 29 (2021) + Vision + Adult Dental Coverage for: Individual/Family| Plan Type: EPO SBC -76179IN0130010 01 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The Summary of Benefits and Coverage (SBC) document will help you choose a … © Copyright 2021 Centene Corporation. Learn more about Ambetter and enroll today! However, since some members do not make a PCP selection, we will complete an auto-assignment process. 06/01/20. Make an appointment online instantly with Eye Doctors that accept Ambetter insurance. Providers, including hospitals, pharmacies, medical equipment companies, etc. Ambetter is committed to assisting its provider community by supporting their efforts to deliver well-coordinated and appropriate health care to our members. You will need Adobe Reader to open PDFs on this site. These include: To accomplish these goals, Ambetter contracts with a full range of practitioners and providers such as: Ambetter makes sure practitioners and providers of all types are available within a certain geographic mileage or driving time from each of our members’ homes to ensure you receive quality care in a timely manner. Ambetter of Tennessee does not accept responsibility or liability for any loss or damage arising from the use of email.