We regularly review the provider network and make decisions about which providers remain in the network and if additional providers are needed, based on relevant factors that could include: Providers, including hospitals, pharmacies, medical equipment companies, etc.Īmbetter makes sure practitioners and providers of all types are available within a certain geographic mileage or driving time from each of our members’ homes to ensure you receive quality care in a timely manner.Īmbetter contracts with providers who accept our contract terms, meet our credentialing criteria, and agree to our reimbursement terms.Specialty physicians, such as cardiologists, neurologists, etc.
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To accomplish these goals, Ambetter contracts with a full range of practitioners and providers such as: And more (refer to your Evidence of Coverage (EOC) for the full list of benefits).The Ambetter network includes healthcare providers to deliver all of the services that the Affordable Care Act describes as Essential Health Benefits. Focus on making providers available who have a history of better healthcare outcomes.Keep our premiums affordable and lowering costs for members.We want you to be and stay healthy! Ambetter strives to provide access to a quality healthcare network with the goals: Use your ZIP Code to find your personal plan.įind and enroll in a plan that's right for you.įind everything you need in the member online accountįind a Provider in your area Provider Network Design
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