Ambetter from Superior HealthPlan Insurance Coverage Available in 145 Texas Counties
"The COVID-19 pandemic emphasized that affordable and comprehensive health insurance is needed more than ever," said
Ambetter offers a variety of plans for all budgets and needs. This includes Ambetter Value, a new specialized plan aligned with a select group of primary care providers, which can help guide and steer a member's utilization through a referral process. Another new plan is Ambetter Virtual Access, which provides members with full virtual primary care access, powered by Teladoc. This plan includes access to licensed virtual primary care providers in addition to Ambetter's core network of health care providers and hospitals.
Regardless of plan, Ambetter from
- $0 Copay for Telehealth: Ambetter Telehealth provides convenient, 24-hour access to in-network Ambetter providers for non-emergency health issues. With a $0 copay, members can get medical advice, a diagnosis, or a prescription via phone or video, without having to leave their homes. The service also allows them to upload images that can support their doctor consultation, and a summary of the visit can be shared with their primary care provider.
- Affordable and Reliable Coverage: Ambetter from
Superior HealthPlan 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. Amid the ongoing COVID-19 pandemic, Ambetter fromSuperior HealthPlan also covers the cost of COVID-19 tests and the associated physician's visit when medically appropriate. - Online Enrollment Assistance: Through the Ambetter from Superior HealthPlan website, people can browse and compare coverage options, determine their eligibility for financial subsidies, and directly enroll in coverage – all from one place. The platform is built for mobile access as well, so people can enroll using their smartphones. If a person is unable to complete enrollment all at once, the system will save their progress and provide reminders to finish enrollment at their convenience.
- My Health Pays: Members have access to the My Health Pays® program, where they can earn points for practicing healthy eating habits, staying active, saving smart, and being well. Through the program, members can complete health-related activities and challenges, and can earn up to $500 in rewards** in 2022. 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.
*Statistical claims and the #1
**Restrictions apply. Members must qualify for and complete all activities to receive
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