Centene CorporationNYSE: CNC

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

· Issued by Centene Corporation via PR Newswire

Summary by 6ix AI

Ambetter Health, the Health Insurance Marketplace product of Centene Corporation, released its 2027 Marketplace offerings, including new and expanded plans for people with specific chronic conditions. Open Enrollment for 2027 Marketplace coverage begins November 1, 2026. The Marketplace is the insurance exchange set up under the Affordable Care Act.

Key details

  • 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.
  • New Enhanced Congestive Heart Failure Care plans in North Carolina and Ohio offer eligible members $0 copays for certain heart failure medications, $0 cardiologist visits (up to four per year), and covered cholesterol labs, EKGs (heart rhythm tests), cardiac education and nutritional counseling visits.
  • Enhanced Diabetes Care plans expand to Louisiana, Mississippi and Indiana, adding to Florida, Tennessee, Texas, Alabama and Oklahoma, with $0 preferred insulin, $0 select diabetic supplies and $0 routine A1C (blood sugar) lab services for eligible members.
  • Enhanced Asthma and COPD (chronic obstructive pulmonary disease, a lung condition) Care plans are added in Georgia, joining North Carolina, Oklahoma and Kentucky, with $0 copays for preferred medications including controller and rescue inhalers, and $0 pulmonologist visits.
  • Continuing benefits include My Health Pays rewards of up to $500 a year in participating states, 20% off Walgreens brand over the counter products in six states, and YMCA access at no additional cost in five states.

What’s still pending

  • Condition-specific plan benefits apply to eligible members.
  • My Health Pays reward amounts and eligibility vary by state.
  • The Walgreens discount is valid until December 31, 2027, for in-store purchases only, and Walgreens can discontinue the program at its discretion.

6ix AI wrote this summary from the release below and checked it against the release.

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 is on a mission to expand access to quality, affordable health insurance, helping more people connect to the care and support they deserve.
Ambetter Health is on a mission to expand access to quality, affordable health insurance, helping more people connect to the care and support they deserve.
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Ambetter Health Announces 2027 Marketplace Offerings, Including Enhanced Condition-Specific Coverage Options
Ambetter Health Announces 2027 Marketplace Offerings, Including Enhanced Condition-Specific Coverage Options

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.

SOURCE Centene Corporation

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