Florida Healthcare Plans | Ambetter from Sunshine Health

About Our Plans

Ambetter Health offers Marketplace insurance plans with different coverage and benefit options, and premium levels. Learn more about our plan options, including Ambetter Select, Ambetter Value and Ambetter Virtual Access plans!   

Find the Ambetter Health plan that works best for you.

Ambetter Bronze, Silver, and Gold Plans

Ambetter offers Bronze, Silver, and Gold plans. Each metal level provides a balance on monthly premium payment and out-of-pocket expenses, as well as access to Ambetter Health's in-network providers.

Ambetter Select Plans

Ambetter’s Select plans offer a lower monthly premium cost, and the benefit of seeing doctors from HCA, Memorial, Steward, and Trinity Health System. These plan options are only offered within certain areas of Florida. Ambetter Select Plans are available in Bronze, Gold, and Silver plan metal levels. Learn more about Ambetter Select Plan.

Ambetter Select Plans are available in the following counties:

  • Broward
  • Miami-Dade

Ambetter Value Plans

Ambetter's Value Plans are affordably priced plans that feature specific health care providers and hospitals. Members on our Value plans will be assigned to a PCP within a Medical Group who will coordinate their care. These plans require referrals for most care outside of what the PCP can provide, such as seeing a specialist. Ambetter Value Plans are available in select counties in Florida and are in Bronze, Silver, and Gold plan metal levels. Learn more about Ambetter Value Plan.

 

Ambetter Value plan options are offered in the following areas:

  • Broward
  • Clay
  • Duval
  • Hillsborough
  • Lake
  • Miami-Dade
  • Orange
  • Osceola
  • Palm Beach
  • Pasco
  • Seminole

Ambetter Virtual Access Plans

Our Ambetter Virtual Access plans provide you with a full virtual primary care experience. Ambetter Virtual Access members are assigned a Teladoc Primary Care Physician (PCP). The Teladoc PCP can order labs, imaging, write prescriptions, and make referrals for on-the-ground care as needed. To see a specialist, members will simply request a referral from their Virtual Access PCP. Learn more about Ambetter Virtual Access Plan.

The information above represents the way typical plans at each level work. How much you will pay will depend on your specific plan.

   

Find the affordable plan that's right for you. 
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You're Covered on Essential Benefits

All the health plans offered on the Health Insurance Marketplace include certain items or services, or Essential Health Benefits (EHBs). When you choose Ambetter Health, you're covered on these essential medical care and wellness services:

  • Emergency Care
  • Outpatient or Ambulatory Care
  • Preventive & Wellness Care
  • Maternity & Newborn Care
  • Pediatric Care

 

  • Mental Health & Substance Abuse Care
  • Laboratory Services
  • Prescription Drugs
  • Therapy Services
  • Hospitalization 

 

  

   

  

See how choosing a health insurance plan that has balanced out-of-pocket costs and monthly premium payments, like an Ambetter Silver Plan, can help you save.

Watch to find the plan that’s right for you.