Ambetter Health Announces 2027 Marketplace Offerings, Including Enhanced Condition-Specific Coverage Options

Ambetter’s planned expansion will add 55 counties to its existing Marketplace coverage footprint.

Rhea-AI Summary

Centene (NYSE: CNC) announced Ambetter Health’s 2027 Marketplace offerings, including new heart failure coverage and expanded condition-specific insurance plans.

Ambetter will expand into 55 additional counties for 2027. New Enhanced Congestive Heart Failure Care plans will be offered in North Carolina and Ohio. Enhanced Diabetes Care plans will expand to Louisiana, Mississippi and Indiana, while Enhanced Asthma and COPD Care plans will expand to Georgia. The condition-specific plans include $0 costs for selected medications and services, with benefits varying by plan. Ambetter currently serves more than 3.5 million members across 27 states. Open enrollment begins Nov. 1, 2026.

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Hollow bars mark forward-looking points. How the balance works

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• Moderate point. Forward-looking: it has not happened yet and may not happen.Ambetter’s planned expansion into 55 additional counties for 2027 broadens its Marketplace coverage footprint.

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• None.

Key Figures

Member reach: More than 3.5 million members Additional counties: 55 counties Heart failure medication copays: $0 copays +3 more

Member reach

More than 3.5 million members

Currently across 27 states and more than 1,700 counties

Additional counties

55 counties

2027 Marketplace expansion

Heart failure medication copays

$0 copays

Certain medications in new North Carolina and Ohio plans

Cardiologist visits

Up to four per year

$0 copays in the new heart failure plans

Diabetes plan insulin copays

$0

Preferred insulin in expanded diabetes care plans

Marketplace enrollment begins

Nov. 1, 2026

Open Enrollment for 2027 coverage

Key Terms

copd, a1c, ekg

3 terms

copd medical

"Enhanced Asthma and COPD Care plans in Georgia."

Chronic obstructive pulmonary disease (COPD) is a long-term lung condition that progressively narrows airways and reduces the ability to breathe, causing persistent cough, shortness of breath and fatigue. It matters to investors because a large and growing patient population creates steady demand for drugs, medical devices and care services, influences healthcare spending and regulatory decisions, and offers clear market opportunities—similar to a leaking engine that requires ongoing fixes and replacement parts.

a1c medical

"$0 routine A1C lab services."

A1C is a blood test that reports average blood sugar over about three months by measuring how much glucose sticks to hemoglobin, a protein in red blood cells. For investors, A1C acts like a long-term scorecard for diabetes treatments, devices and diagnostics: meaningful changes in A1C in clinical studies can affect regulatory approval, insurance coverage and commercial prospects, and thus influence a company's market value.

ekg medical

"covered cholesterol labs, EKGs, cardiac education"

An EKG is a short test that records the heart’s electrical activity using sensors on the skin, producing a simple tracing like a road map of each heartbeat. Investors care because EKG results are used to spot heart-related side effects or safety signals in drug trials and medical devices, and clear or abnormal EKG findings can affect regulatory approval, trial continuation, product liability, and market value.

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Ambetter Health Introduces New Heart Failure Coverage and Expands Chronic Care Solutions in Nine States

ST. LOUIS, Oct. 20, 2026 /PRNewswire/ -- Ambetter Health, the Health Insurance Marketplace product of Centene Corporation (NYSE: CNC), today announced its 2027 Marketplace offerings, including new and enhanced condition-specific plans. Ambetter Health currently serves more than 3.5 million members across 27 states and more than 1,700 counties, and will expand into 55 additional counties for 2027.

Experience the full interactive Multichannel News Release here: https://www.multivu.com/ambetter_health/9420451-en-ambetter-health-open-enrollment-2027-marketplace-offerings 

Ambetter Health combines deep experience, innovative solutions, and strong local partnerships to help individuals and families take control of their health with confidence.

"We are committed to delivering coverage options that reflect the diverse healthcare needs of the communities we serve," said Katherine Kirby, President of Ambetter Health. "Our condition-specific plans have delivered strong member satisfaction and primary care engagement, demonstrating the value of more personalized approaches to coverage."

Designed Around Members' Needs
In 2027, Ambetter Health will introduce and expand a range of condition-specific Ambetter Health Premier plans designed to support better health, enhance the member experience, and help reduce or eliminate out-of-pocket costs for individuals managing chronic conditions.

• New Enhanced Congestive Heart Failure Care plans in North Carolina and Ohio. These plans offer eligible members $0 copays for certain heart failure medications, $0 select mental health medications, $0 nicotine replacement therapy, $0 cardiologist visits (up to four per year), plus covered cholesterol labs, EKGs, cardiac education and nutritional counseling visits.
• Expanding Enhanced Diabetes Care plans in Louisiana, Mississippi and Indiana. These plans, already available in Florida, Tennessee, Texas, Alabama and Oklahoma, offer eligible members $0 preferred insulin, $0 select medications used to manage diabetes, high blood pressure, high cholesterol and mental health conditions, as well as $0 select diabetic supplies and $0 routine A1C lab services.
• Enhanced Asthma and COPD Care plans in Georgia. Joining North Carolina, Oklahoma and Kentucky, these plans offer $0 copays for preferred Asthma/COPD medications, including controller and rescue inhalers and mental health medications, $0 pulmonologist visits, $0 allergy testing and $0 pulmonary rehabilitation services.

Coverage that Supports Whole-Person Health
In addition to expanded plan options, Ambetter Health will continue offering a range of programs and benefits designed to help members access care and manage their health more effectively.

• Virtual 24/7 Care. Members in all markets can reach an Ambetter-designated licensed provider by telehealth for conditions such as flu, fever, ear infections, skin conditions and respiratory infections, without leaving home. 
• My Health Pays®. Available in participating states, the My Health Pays program lets members earn rewards for completing health activities and challenges, with up to $500 in annual rewards that can be applied to copays, deductibles, and other health related expenses. Amounts and eligibility vary by state.
• Walgreens Smart Savings. In Florida, Georgia, Illinois, Mississippi, Nebraska and Tennessee, members receive 20% off Walgreens brand over the counter health and wellness products. *
• YMCA membership. In Arizona, Florida, Nevada, North Carolina and Oklahoma, members receive in-person YMCA access and YMCA360 virtual programming at no additional cost.

Open Enrollment for 2027 Marketplace coverage begins Nov. 1, 2026. Consumers can explore coverage options, compare plans, and learn more about available benefits by visiting AmbetterHealth.com.

About Ambetter Health
Ambetter Health is a health insurance offering that is available on the Health Insurance Marketplace, or exchange, established by the Affordable Care Act. It is one of the healthcare programs provided by Centene Corporation, a leading healthcare enterprise committed to helping people live healthier lives. Ambetter Health is made available through local health plans and covers a wide variety of healthcare services, including preventive and wellness services, maternity and newborn care, pediatric services, mental health and substance misuse services, prescription drug coverage and more.

*Walgreens discount valid until 12/31/27. Some restrictions apply. Discount valid only for in-store purchases of eligible Walgreens brand health and wellness products by current members eligible for the discount program. Discount cannot be used online. Walgreens can discontinue program at its discretion. For full list of Walgreens brand health and wellness products, please visit www.walgreens.com/smartsavings. Offer not valid on the following items: alcohol, charitable donations, dairy, prescription medication, durable medical equipment or supplies or services submitted by the pharmacy to insurance for reimbursement or where otherwise limited by law, liquor department items, lottery tickets, magazines, money orders/transfers, newspapers, phone/prepaid/gift cards, photo orders, prescriptions, pseudoephedrine or ephedrine products, stamps, tobacco and transportation passes.

 

 

View original content:https://www.prnewswire.com/news-releases/ambetter-health-announces-2027-marketplace-offerings-including-enhanced-condition-specific-coverage-options-302911490.html

SOURCE Centene Corporation

FAQ

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Where will Ambetter offer its new heart failure plans in 2027?

Ambetter’s new Enhanced Congestive Heart Failure Care plans will be available in North Carolina and Ohio in 2027. Eligible members will have $0 copays for certain heart failure medications and $0 cardiologist visits, up to four per year.