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You have healthcare needs. We have doctors close to home.
Welcome to the Ambetter Select Plan
Ambetter Select Plan Information
Where to go for care
We built the Ambetter Select Plan to provide you with in-person care that starts with the Select provider network. You can choose your own doctors within the Select network — and you don’t need referrals. You can search providers on the Ambetter Guide, just be sure to select the correct state, plan year and the SELECT network before searching.
Always start with an in-network doctor. This will ensure that the care you receive will be covered by your plan. Your in-network doctors can help you with:
- Wellness and sick visits
- Lab tests
- Imaging services, like X-rays, ultrasounds or CT scans
Ambetter Select Plan Information
As a member on Select Plan, your care is coordinated through your Primary Care Provider (PCP) within the Select network.
Ambetter Select Plan options are offered in the following areas:
Essential Benefits and So Much More
You're Covered on Essential Benefits. All health plans offered on the Health Insurance Marketplace include certain items or services. These are called 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
Virtual 24/7 Care
Virtual 24/7 Care* is a great option for urgent care around the clock. If there is a need after your PCP's hours or you have an urgent need but cannot get in with your PCP fast enough, Ambetter Health's Virtual 24/7 Care is here to help. It is available to use whenever and wherever works best for you.
Before you start using Virtual 24/7 Care, you will need to set up your account at AmbetterTelehealthFL.com.
Virtual 24/7 Care providers can be reached by phone or video when you need medical care, a diagnosis or a prescription. Choose to receive immediate care or schedule an appointment for a time that fits your schedule.
Contact Virtual 24/7 Care for illnesses such as: Colds, flu and fevers, rash, skin conditions, sinus problems, allergies, upper respiratory infections, bronchitis, pink eye.
24/7 Nurse Advice Line
Our free 24/7 nurse advice line makes it easy to get answers to your health questions. You don’t even have to leave home! Staffed by licensed nurses, our nurse advice line runs 24 hours a day, 7 days a week. Call 1-877-687-1169 (Relay Florida 1-800-955-8770) if you have questions about:
- Your health, medications, or a chronic condition
- Whether you should go to the emergency room (ER) or see your PCP
- What to do for a sick child
- How to handle a condition in the middle of the night
- Accessing our online health information library
- Urgent care
Want to check if your prescriptions are covered? Ambetter Health works closely with doctors and pharmacists to make sure we cover a variety of medications for you and your family.
My Health Pays Rewards Program
Our My Health Pays® ** program is available to Ambetter Health members. It’s a rewards program that pays you for the healthy decisions you’re already making each and every day. Completed your annual wellness screening? You get points for that. Want to learn new ways to be healthy? You can get rewards for that, too. And the best part, you can turn those rewards into dollars for your everyday needs like utilities, groceries, and your monthly premium.
Visit the My Health Pays page to learn more.
Ambetter Health Member Perks
The Ambetter Health Member Perks Program is available exclusively to Ambetter Health Members. The program is brought to you by Abenity. As an Ambetter Health member, you can now enjoy healthy discounts to help you be well, stay well, and save smart. Start enjoying all the discounts available to you including restaurants, computers, hotels, retailers, and more! Ambetter Health Member Perks. The Benefits You Deserve!
Where to go for care
With Ambetter from Sunshine Health, you have many options to support your physical and mental health. If your injury is minor and not life threatening (like a sprain or a cold), your first choice should be to call your Primary Care Provider (PCP). If you can’t wait for an appointment with your PCP, consider one of the options below. Have a question about your prescriptions, refills, over-the-counter medicine, or side effects? Your local pharmacist also can help you at no cost over the phone or in person.
Virtual 24/7 Care*
Virtual 24/7 Care gives you easy access to care for non-emergency issues. You can get medical advice, a diagnosis or a prescription using your mobile phone, tablet or computer. With 24-hour access, you can choose to receive immediate care or schedule an appointment that fits in your schedule. Virtual 24/7 Care is like a PCP and treats things like cold, flu, fever, respiratory infections, pink eye, anxiety, depression, and medication or refills. Before you start using Virtual 24/7 Care, you will need to set up your account at member.teladoc.com/ambetter.html.
24/7 Nurse Advice Line
Not sure where to go for care? Call our 24-hour nurse advice line at 1-877-687-1169 (Relay Florida 1-800-955-8770). It is a cost-free service connecting you to a registered nurse who can help you find a doctor or learn where to go for care. They can help answer health questions including what to do for a sick child and whether you should go to the ER or see your PCP.
Urgent Care is for when you have an injury or illness that must be treated within 24 to 72 hours and is not life threatening. Go to an Urgent Care Clinic if you need care and your PCP is unable to see you and you want to receive in-person care. You do not need an appointment to be seen. Consider Urgent Care for small wounds, simple sprains and broken bones, ear infections, and urinary tract infections.
Be sure to choose an in-network urgent care center to save on costs. Use the Ambetter Guide to find an urgent care near you.
Emergency Room (ER)
If you have a life-threatening injury or illness, do not wait! Call 911 or go directly to the ER. A medical emergency is a sudden illness or condition that could result in serious harm to you and needs care right away. For example, bleeding that will not stop, severe pain, chemical poisoning, drug overdose or thoughts of harming yourself or others. Choose other care options if your injury is minor to maximize your benefits and lower your costs. Consider all your options before going to the ER.
Watch the video to learn more about your choices for care when you’re sick or hurt. View video.
988 Suicide and Crisis Lifeline
The 988 Lifeline provides confidential help for mental health, drug use, or suicidal concerns when you need it quickly. To connect:
- Call 988 to talk (available in many languages) or
- Text 988 (English only) or
- Chat via https://suicidepreventionlifeline.org/ (English only)
988 can help you or a family member if you are thinking about suicide or have anxiety, depression or concerns about alcohol or drug use. It can also help for thoughts of hurting yourself or others.
Frequently Asked Questions
A PCP is a Primary Care Provider. This doctor will be able to take care of most of your health care needs.
You can access urgent care virtually or in-person without a referral. For Virtual 24/7 Care*, visit your Online Member Account and select “Virtual 24/7 Care” on the right side of the homepage to schedule your visit. For in-person urgent care, visit the Ambetter Guide, remember to choose the Select network, and search for “Urgent Care” to find nearby in-network urgent care facilities.
No. As an Ambetter Select member, you can choose to see any in-network provider. As long as you stay in the Select network, your visits to providers will be covered. To find a doctor in your network, you can search providers on the Ambetter Guide - just be sure to select the correct state, plan year and the SELECT network before searching.
Possibly. You will need to make sure that the specialist is in the Select network for the visit to be covered. To do this, you can search providers on the Ambetter Guide - just be sure to select the correct state, plan year and the SELECT network before searching. If your specialist is listed in-network, your visit will be covered. If not, you can choose a different specialist from within the Select network.
Your Select Plan covers only in-network providers, so the visit would not be covered. To find a doctor in your network, you can search providers on the Ambetter Guide - just be sure to select the correct state, plan year and the SELECT network before searching.
Ambetter Select Plan is available in the following counties in Florida: Broward and Miami-Dade.
*Formerly known as Ambetter Telehealth. Cost sharing may apply when using Virtual 24/7 Care or Virtual Primary Care. Virtual 24/7 Care and Virtual Primary Care cost share does not apply to HSA plans until the deductible is met and is only applicable when used through the Virtual 24/7 Care or Virtual Primary Care programs. Ambetter Health does not provide medical care. Medical care is provided by individual providers which are independent contractors and not agents of Ambetter Health.
**Funds expire immediately upon termination of insurance coverage. My Health Pays® rewards cannot be used for pharmacy copays.