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

During open enrollment, starting Nov. 1, residents can access affordable plans from Ambetter Health in 39 counties.   

HARRISBURG, Pa., Nov. 3, 2025 /PRNewswire/ -- Ambetter Health, a product offered by a Centene Corporation (NYSE: CNC) company, a leading healthcare enterprise that provides insurance to under-insured and uninsured populations through Pennie, Pennsylvania's Health Insurance Marketplace, Ambetter Health will offer a variety of affordable health insurance plans to Pennsylvania residents in 39 counties for plan year 2026, including expansion in nine central Pennsylvania 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 Pennsylvania through our new partnership with Geisinger Health System."

Ambetter Health offers its members access to quality care and convenient services. 2026 benefits and offerings include: 

• 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.
   
• 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.
   
• 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 in rewards in 2026. These rewards can be used for health-related expenses such as premiums, copays and deductibles (pharmacy copays are excluded). My Health Pays also allows members to set and reach health goals at their own pace by providing seasonal suggestions for activities and guidance to help stay on track.
   
• 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 Pennsylvania state-based Exchange, Pennie. Ambetter Health is underwritten by Ambetter Health of Pennsylvania, Inc., which is a Qualified Health Plan issuer in Pennsylvania. For more information, visit ambetterhealth.com/en/pa. This is a solicitation for insurance. For information on your right to receive an Ambetter Health plan free of discrimination, or your right to receive language, auditory and/or visual assistance services, please visit ambetterhealth.com/en/ and scroll to the bottom of the page.

*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 $500 or more. Visit Member.AmbetterHealth.com for more details. Your health plan is committed to helping you achieve your best health. Rewards for participating in a wellness program are available to all members. If you think you might be unable to meet a standard for a reward under this wellness program, you might qualify for an opportunity to earn the same reward by different means.

**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

FAQ

What counties will Ambetter Health (CNC) serve in Pennsylvania for 2026?

Ambetter Health will serve 39 counties in Pennsylvania for plan year 2026; the full county list is on ambetterhealth.com/en/pa/health-plans/coverage-map.

When is Pennie open enrollment for Ambetter Health plans (CNC) for 2026?

Pennie open enrollment runs Nov 1, 2025–Jan 31, 2026, and you must enroll by Dec 15, 2025 for coverage effective Jan 1, 2026.

How much can members earn with Ambetter Health's My Health Pays program in 2026 (CNC)?

Members can earn up to $500 in rewards in 2026 through the My Health Pays program for completing health activities.

Does Ambetter Health (CNC) offer telehealth services in Pennsylvania for 2026 plans?

Yes. Ambetter Health includes virtual 24/7 care via telehealth for common illnesses and minor conditions.

Can I check subsidy eligibility and enroll online for Ambetter Health (CNC) in Pennsylvania?

Yes. The Ambetter Health website allows browsing plans, checking subsidy eligibility, and direct online enrollment, including mobile access.