- Georgia residents will have access to a variety of affordable plans from Ambetter Health during open enrollment beginning Nov. 1
ATLANTA, Oct. 2, 2024 /PRNewswire/ -- Ambetter Health, a product offered by a Centene Corporation (NYSE: CNC) company, which provides insurance to under-insured and uninsured populations through the Georgia Health Insurance Exchange, will offer Georgians a variety of affordable health insurance plans in plan year 2025. Open enrollment for the Health Insurance Marketplace for Georgia runs from Nov. 1, 2024, through Jan. 15, 2025. Enroll by Dec. 15 for coverage starting Jan. 1, 2025.
"With Ambetter Health, we've designed a variety of coverage options to help individuals access viable health solutions designed to meet their unique needs," said Plan President of Peach State Health Plan, Clyde White. "Our commitment is not just to provide high-quality insurance, but to build a healthier Georgia for all, where every member feels valued, supported and equipped to thrive."
Ambetter Health offers its members access to quality care, convenient services and valuable rewards. 2025 benefits and offerings in Georgia include:
- Affordable and Reliable Coverage
Ambetter Health provides coverage of 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.
- Virtual 24/7 Care
Virtual 24/7 Care offers members an Ambetter-designated licensed provider via telehealth for members to access care for illnesses such as flu, skin conditions, ear infections, fever and respiratory infections – all from the comfort of their own home.
- Convenient Online Enrollment
Through the Ambetter Health website, people can browse and compare coverage options, determine their eligibility for financial subsidies and directly enroll in coverage – all in one place. The platform is accessible through mobile devices, so people can enroll using smartphones. If a person is unable to complete enrollment all at once, the system will save progress and provide reminders to finish enrollment.
- My Health Pays
Members have access to the My Health Pays® program, where they can earn points for practicing healthy eating habits, staying active, and leading a healthy lifestyle. 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 premiums, copays and deductibles (pharmacy copays are excluded). Rewards can also be used for everyday items and pharmacy copays at Walmart. 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.
- Ambetter Health Solutions
Starting in 2025, Ambetter 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 select states, including Georgia, 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.
- Walgreens Discounts*
Ambetter Health and Walgreens are improving the affordability of health and wellness products for members in Georgia. In 2025, members 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.
- 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.
Below is a full list of counties in which Ambetter Health will be offered in Georgia:
- Appling
- Atkinson
- Bacon
- Baker
- Baldwin
- Barrow
- Bartow
- Ben Hill
- Berrien
- Bibb
- Bleckley
- Brantley
- Brooks
- Bryan
- Bulloch
- Burke
- Butts
- Calhoun
- Camden
- Candler
- Catoosa
- Charlton
- Chatham
- Chattahoochee
- Chattooga
- Cherokee
- Clarke
- Clay
- Clayton
- Clinch
- Cobb
- Coffee
- Colquitt
- Columbia
- Cook
- Coweta
- Crawford
- Crisp
- Dade
- Decatur
- DeKalb
- Dodge
- Dooly
- Dougherty
- Douglas
- Early
- Echols
- Effingham
- Elbert
- Emanuel
- Evans
- Fannin
- Fayette
- Floyd
- Forsyth
- Franklin
- Fulton
- Gilmer
- Glascock
- Glynn
- Gordon
- Grady
- Greene
- Gwinnett
- Hancock
- Haralson
- Harris
- Hart
- Heard
- Henry
- Houston
- Irwin
- Jackson
- Jasper
- Jeff Davis
- Jefferson
- Jenkins
- Johnson
- Jones
- Lamar
- Lanier
- Laurens
- Lee
- Liberty
- Lincoln
- Long
- Lowndes
- Macon
- Madison
- Marion
- McDuffie
- McIntosh
- Meriwether
- Miller
- Mitchell
- Monroe
- Montgomery
- Morgan
- Murray
- Muscogee
- Newton
- Oconee
- Oglethorpe
- Paulding
- Peach
- Pickens
- Pierce
- Pike
- Polk
- Pulaski
- Putnam
- Quitman
- Randolph
- Richmond
- Rockdale
- Schley
- Screven
- Seminole
- Spalding
- Stephens
- Stewart
- Sumter
- Talbot
- Taliaferro
- Tattnall
- Taylor
- Telfair
- Terrell
- Thomas
- Tift
- Toombs
- Treutlen
- Troup
- Turner
- Twiggs
- Upson
- Walker
- Walton
- Ware
- Warren
- Washington
- Wayne
- Webster
- Wheeler
- Whitfield
- Wilcox
- Wilkes
- Wilkinson
- Worth
Georgia residents interested in learning more about Ambetter Health or enrolling in a health plan during the open enrollment period may visit Ambetter.pshpgeorgia.com.
About Ambetter from Peach State Health Plan
Ambetter from Peach State Health Plan serves under-insured and uninsured populations through Georgia Access. Ambetter from Peach State Health Plan is underwritten by Ambetter of Peach State, Inc., which is a Qualified Health Plan issuer in Georgia. Ambetter Health, offering the Ambetter Health Solutions product, is underwritten by Peach State Health Plan, Inc. For more information, visit ambetterhealth.com/en/ga/. This is a solicitation for insurance. For information on your right to receive an Ambetter from Peach State Health Plan free of discrimination, or your right to receive language, auditory and/or visual assistance services, please visit ambetterhealth.com/en/ and scroll to the bottom of the page.
*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.
