Ambetter Customer Service

Frequently Asked Questions

How to find Ambetter coverage in my state?

You can track see the coverage of Ambetter policies in your state by clicking the link below. After you clicking there, you should scroll down and see the that part of the page:

• Ambetter Coverage Search

You can also directly click on here to see the ”Select your state” part.

• Ambetter Select Your State Part

How can i find a doctor work with Ambetter that is nearest to me?

You can use Ambetter Find A Doctor tool to see a list of professionals work with Ambetter who are nearest to you.

• Ambetter Find A Doctor Tool

How to pay my bill immediately with Premium system today?

You can click the following link in order to keep your health insurance affordable and benefit from premium payment online. 

• Ambetter Paying My Bill

What is the Federal Poverty Level (FPL) stated by Ambetter?

One of Ambetter’s main goals is to ensure that each individual will reach the living standards they need throughout their lives. In order to achieve this, they use the Federal Poverty Level limit stated on their website. FDL means the minimum financial resources a family may need to survive and meet their food, clothing, transportation and shelter needs.

What is an Ambetter Online Member Account and what can I do with it?

Ambetter has a very rich platform in terms of online services. It can be accessed via the online member account, smart phone or computer, which allows you to easily make your settings and follow-up related to health coverage. When you wish, this online account will be very valuable for you in order to complete the necessary transactions without going to the branch. Here are some of the things you can do:

1. You can easily access your digital ID card and download it. In this way, you can print this card at any time.
2. You can make your selection or changes regarding Primary Care Physicial (PCP).

You can easily find the nearest facility or healtcare professional.
If you want to create a profile or use the profile you have, you can click here.

Can I change my Ambetter due date? 

Ambetter has extremely flexible solutions for payment plans, but changing due dates is not one of them. The reason for this is that each payment must be made within the last day of the month in question. Because at the end of each month, the next month’s coverage process starts and you must pay to benefit from this coverage without any interruption. You can make your payment with premium advantages by clicking here. 

What is Paperless Billing in Ambetter? 

Ambetter sends e-invoices via e-mail in order to protect natural life and to make the bill payment process more advantageous / practical for you. In this way, you can always have invoices that you can followe easily without interruption instead of waiting and lost your invoices in front of your home’s door. For this, just create a statement on the online member portal account. In this way, you will switch to online billing system instead of physical billing.

What is the refund policy of Ambetter?

The insurance policy also has a refund process. In order to provide valid refund conditions, the policy you use must be marked as ”refundable” by Ambetter. In this way, you can quickly get a refund for the policy that you are not satisfied with or that you want to change. The Billing Department will complete this process for you. A refund can be sent to your bank account within approximately 7 to 10 days. Whichever method you pay with, the same method is used in the refund process. You may also need to wait a few days for your bank to approve the payment.

Can I place an automatic payment order for my Ambetter payments?

Yes. If you want to keep your payment in Ambetter without delay and always want to benefit from full coverage, you can take advantage of the Autopay option. This instruction is provided completely free of charge. Your payment will be made between the 15th of each month and the last day of the month, depending on the date the money is in your account. You can also determine the day of the payment within this interval.

Note 1: But let’s have a little warning: Autopayment system pays all your current debt. Therefore, if you have debt from the past month and you are following the invoices after one payment, the system will draw two payments at once. So you need to pay attention to this.

Note 2: Another warning is about the payment method. If you no longer use the payment method you have registered in the automatic payment system, be sure to inform Ambetter. Otherwise, your insurance membership may be canceled.

Can I take advantage of benefits on the day I pay in?

If you make your payment before the last day of the month, there won’t be a single day that you don’t benefit from coverage benefits. However, if you make your payment on the last day, eCheck or ACH payments systems will notify the system after a few days. This period can last between 48 hours and 78 hours. If you have made with a credit or debit card, you don’t have to worry because these payments are processed directly into the system.

What should I do if I lose my Ambetter Member ID Card?

Member ID Card is extremely necessary to take action on your Ambetter policy. If you have lost your card, log into your online member portal account through the official website. On this page, there is a section where your digital ID is located. After downloading this ID to your phone or computer, you can print it. If you don’t have a membership account, create one now.
You can click here to log in to the online portal account.

What is Special Enrollement offered by Ambetter? 

As long as you review the Health Insurance Marketplace to find the most suitable insurance policy for you, it is called open enrollement. In the period when Open Enrollement is closed, you will still be free to choose health insurance plans. Because the Special Enrollement Period is for that. The times when this situation occurs are the times when Qualifying Life Event occurs. For example, you may lost your job had another really taugh event that you could not control. If you want to learn more about Special Enrollement, you can click here.