Florida Healthcare Plans | Ambetter from Sunshine Health

About Our Plans

Ambetter offers Marketplace insurance plans with different coverage and benefit options, and premium levels. And in 2023, we have expanded our plans to help our members find more coverage options that best fit their needs and their budget!

Learn more about our plan options, including Ambetter Select, Ambetter Value, and NEW Ambetter Virtual Access plans!   

Find the Ambetter plan that works best for you.

  

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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'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.


 

Ambetter Select Plans are available in the following counties:

  • Broward
  • Miami-Dade

Ambetter Value Plans

Ambetter’s Value Plans are our lowest priced premium plans that have specific health care providers and hospitals in our network. Members on our Value Plans will select their Primary Care Provider using our Ambetter Guide. These plans require a referral to see specialists. Ambetter Value Plans are available in select counties in Florida and are in Bronze, Silver, and Gold plan metal levels.


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) and enjoy unlimited $0 visits with that 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. 

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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If you are shopping for Marketplace coverage in CA, NM or NY please visit the following:

Ambetter from HealthNet (CA) - ifp.healthnetcalifornia.com

Ambetter from Western Sky Community Care (NM) - BeWellnm.com

Fidelis Care (NY) - www.fideliscare.org

 For a full list of states where Ambetter is available, please visit select your state.

You are covered, sending you to Enrollment. 

Thank you for your interest in Ambetter from SilverSummit HealthPlan. In
Nevada, you will enroll in coverage through your state: Nevada Health Link.

Thank you for your interest in Ambetter from PA Health & Wellness. In Pennsylvania, you will enroll in coverage through your state: Pennie.

Thank you for your interest in Ambetter from Coordinated Care. In Washington, you will enroll in coverage through your state: Washington healthplanfinder.

  

 

View Summary of Benefits, Evidence of Coverage

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, 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.