Ambetter Health Offers Health Insurance in Pennsylvania in 2026
Rhea-AI Summary
Centene (NYSE: CNC) announced Ambetter Health will offer Pennie Marketplace plans in 39 Pennsylvania counties for plan year 2026, including expansion into nine additional central Pennsylvania counties. Pennie open enrollment runs Nov 1, 2025–Jan 31, 2026, with a Dec 15, 2025 deadline to start coverage on Jan 1, 2026. Ambetter plans include essential health benefits, some dental and vision options, virtual 24/7 care, and the My Health Pays program offering up to $500 in member rewards for healthy activities. Online mobile enrollment, subsidy eligibility checks, and a county coverage map are available at ambetterhealth.com/en/pa.
Positive
- Coverage in 39 counties for 2026
- Expansion into 9 central Pennsylvania counties
- $500 rewards available via My Health Pays program
- Pennie open enrollment window Nov 1, 2025–Jan 31, 2026
Negative
- Not statewide: offering limited to 39 counties
- Dec 15 cutoff required for Jan 1, 2026 coverage start
News Market Reaction – CNC
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During open enrollment, starting Nov. 1, residents can access affordable plans from Ambetter Health in 39 counties.
Pennie's Enrollment Period runs from Nov. 1, 2025, through Jan. 31, 2026. Enroll by Dec. 15, 2025, for coverage starting Jan. 1, 2026.
"Ambetter Health is pleased to offer its Pennie Marketplace plans for 2026," said Chief Executive Officer and Plan President of PA Health & Wellness, Marc Giordano. "We are also excited to expand into nine additional counties across central
Ambetter Health offers its members access to quality care and convenient services. 2026 benefits and offerings include:
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Affordable and Reliable Coverage:
Ambetter Health provides coverage for all essential health benefits, including preventive and wellness services, maternity and newborn care, pediatric services, mental health services, hospitalizations and prescription drug coverage. Some plans also include dental and vision coverage.
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Convenient Online Enrollment:
Through the Ambetter Health website, people can browse and compare coverage options, determine their eligibility for financial subsidies and directly enroll in coverage — all in one place. The platform is accessible through mobile devices, so people can enroll using smartphones. If a person is unable to complete enrollment all at once, the system will save progress and provide reminders to finish enrollment.
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My Health Pays*:
Members have access to the My Health Pays® program, where they can earn points for practicing healthy eating habits, staying active and leading a healthy lifestyle. Through the program, members can complete health-related activities and challenges to earn up to$500
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Virtual 24/7 Care**:
Virtual 24/7 Care offers members a licensed provider via telehealth for members to access care for illnesses such as flu, skin conditions, ear infections, fever and respiratory infections — all from the comfort of their home.
The full list of 39 counties in which Ambetter Health will be offered can be found at ambetterhealth.com/en/pa/health-plans/coverage-map.
Pennsylvania residents interested in learning more about Ambetter Health or enrolling in a health plan during the open enrollment period may visit ambetterhealth.com/en/pa.
About Ambetter Health
Ambetter Health serves under-insured and uninsured populations through the
*Healthcare-related costs will vary by member and the plan in which you are enrolled. Funds expire immediately upon termination of insurance coverage. My Health Pays® rewards cannot be used for pharmacy copays. Restrictions apply. Members must qualify for and complete all activities to receive
**Cost sharing may apply when using Virtual 24/7 Care or Virtual Primary Care. Virtual 24/7 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 program. Ambetter Health does not provide medical care. Medical care is provided by individual providers, which are independent contractors and not agents of Ambetter Health.
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SOURCE PA Health & Wellness