Ambetter of North Carolina Inc. Expands Health Insurance Offering to 63 Counties Statewide, Offering More Residents Affordable, Accessible Coverage
Rhea-AI Summary
Ambetter of North Carolina Inc., a Centene (NYSE: CNC) product, is expanding its health insurance offering to 63 counties in North Carolina for plan year 2025. The open enrollment period runs from Nov. 1, 2024, through Jan. 15, 2025. Key features of Ambetter's 2025 plans include:
- Virtual 24/7 Care
- Comprehensive coverage for essential health benefits
- Convenient online enrollment
- My Health Pays® rewards program
- Specific plan design changes for members with diabetes
- Premier Network (formerly Bronze|Silver|Gold network)
Ambetter also announced an expanded partnership with the YMCA, offering gym memberships and YMCA360 online classes for members starting October 2024. The expansion aims to provide more North Carolina residents with affordable, accessible health coverage.
Positive
- Expansion of health insurance offering to 63 counties in North Carolina
- Introduction of Virtual 24/7 Care for convenient access to healthcare
- Expanded partnership with YMCA offering gym memberships and online classes
- Implementation of My Health Pays® rewards program for healthy lifestyle incentives
- Specific plan design changes for members with diabetes, potentially lowering out-of-pocket costs
Negative
- None.
News Market Reaction – CNC
In the trading session that priced this news, CNC declined 1.79%, reflecting a mild negative market reaction.
Data tracked by StockTitan Argus on the day of publication.
AI-generated analysis. How Rhea-AI works. Not financial advice.
"Ambetter is excited to continue to expand in
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- Virtual 24/7 Care
Virtual 24/7 Care offers members an Ambetter-designated 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.
- Affordable and Reliable Coverage
Ambetter of North Carolina Inc. 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 of North Carolina Inc. 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, earning rewards that 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.
- Specific Plan Design Changes for Members with Diabetes
Starting in 2025, some Ambetter Health Premier plans provide members managing diabetes with additional healthcare options and savings. Members on these plans may have lower out of pocket costs for certain medications, supplies, and clinical support. Members of these plans may also have access to$0 $0
- Premier Network
Beginning Jan. 1, 2025, the Ambetter Health Bronze|Silver|Gold network will become known as the Premier Network. Members can continue to rely on the same provider network with the doctors and hospitals they know and trust.
Below is the full list of counties in which Ambetter of North Carolina Inc. will be offered:
Alexander Alleghany Anson Avery Bladen Brunswick Buncombe Burke Cabarrus Caldwell Caswell Catawba Clay Cleveland Columbus Cumberland Davidson Davie Durham Forsyth Franklin Gaston Graham Granville Guilford Harnett Haywood Hoke Iredell Jackson Johnston Lee Lincoln Macon Madison McDowell Mecklenburg Mitchell Montgomery Moore New Hanover Orange Pender Person Polk Randolph Richmond Robeson Rowan Rutherford Sampson Scotland Stanly Stokes Swain Transylvania - Union
Vance Wake Warren Wilkes Yadkin Yancey
About Ambetter of North Carolina Inc.
Ambetter of North Carolina Inc. serves under-insured and uninsured populations through the federal Health Insurance Marketplace. Ambetter of North Carolina Inc. is underwritten by Ambetter of North Carolina Inc., which is a Qualified Health Plan issuer in
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