Your Texas Benefitsprovidesthe info on the next page. And as a partner with Ambetter, youll be able to count on us. Credentialing myStrength Pharmacy Prior Authorization Quick Reference Guides Training Resources Behavioral Health Toolkit ADHD Resources Alcohol Resources Anxiety Resources See coverage in your area; Find doctors and hospitals; View pharmacy program benefits; View essential health benefits; Find and enroll in a plan that's right for you. You can call 1-855-231-3716to ask for a printed copy of the health survey. National Imaging Associates (NIA)resources have moved. At the end of the day, our job is to make yours easier. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. Use your account to view your health plan benefits, check your My Health Pays account balance, request a replacement member ID card and more. Aetna Better Health provides the general info on the next page. Theyve always been able to count on you. Superior HealthPlan operates atoll-free nurse hotlinethat providers and members can call 24-hours-a-day, 7 days a week. Regardless of plan, Ambetter from Superior HealthPlan provides a variety of additional services and benefits to help members get the most out of their coverage: Superior HealthPlan has been serving Texas since 1999 and currently serves more than 1.7 million people across its Medicaid, CHIP, Medicare and Ambetter plans. Yes. If you dont want to leave our site, choose the X in the upper right corner to close this message. Youre dedicated to your patients, so were dedicated to you. *Statistical claims and the #1 Marketplace Insurance statement are in reference to national on-exchange marketplace membership and based on national Ambetter data in conjunction with findings from 2021 Rate Review data from CMS, 2021 State-Level Public Use File from CMS, state insurance regulatory filings, and public financial filings. Your area isn't covered? Shop and Compare Plans Find a Doctor Shop and Compare Plans Use your ZIP Code to find your personal plan. Login Welcome to the Login page. Contact Us for more information. All Rights Reserved. That way, you can focus on your patients. One concise view allows primary care providers to scan patient lists for Ambetter from Meridian member eligibility, care gaps, and much more. Login Log in Forgot your password? Or access MyActiveHealthwith your smartphone. Youre going to the provider website. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. For Ambetter from Superior HealthPlan provider resources, please visit Ambetter from Superior HealthPlan - Provider Resources. Use your account to view your health plan benefits, check your My Health Pays account balance, request a replacement member ID card and more. This includes Ambetter Value, a new specialized plan aligned witha select group of primary care providers, which can help guide and steer a members utilization through a referral process. Newsroom. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. Check out health resources, send us questions and more. For more complex questions or concerns, please use the NEW contact us form located on our public website, and you will receive a follow-up message within 48 hours. Please visit the PRIOR AUTHORIZATION RESOURCES dropdown on Superior's Prior Authorization webpage. Visit https://member.ambetterhealth.com for more details. Apple and the Apple logo are trademarks of Apple Inc., registered in the U.S. and other countries. Links to specific provider resources can be found by using the left navigation bar to access provider webpages or clicking the links within the sections below. Download the free version of Adobe Reader. Texas residents interested in learning more about Ambetter from Superior HealthPlan or enrolling in a health plan during the open enrollment period may visit https://ambetter.superiorhealthplan.com/. Simplify Prior Authorization Process Check Patient Care Gaps Additional Features to Streamline Office Operations Get Started Now! Behavioral Health Effective November 1, 2017, behavioral health functions transitioned from Cenpatico (a subsidiary of Envolve PeopleCare) to Superior HealthPlan. Click here to see a full list of counties in which Ambetter from Superior HealthPlan will be offered in 2022. Access your secure provider information any time. The nurses can respond to calls from providers and members seeking clinical information, guidance on specialty referrals or requests for specialty provider consultations. Find everything you need in the member online account, Select your state to visit the Ambetter site for your coverage area. . A carousel is a rotating set of images, rotation stops on keyboard focus on carousel tab controls or hovering the mouse pointer over images. Setting up your online member account is easier than ever it only takes a few minutes. Log in to your online member account to learn more about using Telehealth: Member.AmbetterHealth.com. Register your account today! Find everything you need in the member online account, Select your state to visit the Ambetter site for your coverage area. Non-discrimination notice and language assistance. The app lets you access all the benefits of your Member Portal anytime, anywhere. View our Preferred Drug List to see what drugs are covered. Its easy to set up and lets you manage your plan wherever you are on a computer or your smart phone. Secure messaging between provider & Ambetter from Magnolia Health. Or use your Aetna Better Healthapp to take your benefits on the go. You can also request any materials on this website in another format, such as large print, braille, CD or in another language. Interested in becoming an Ambetter provider? The fee displayed is the allowable rate for this service. I understand that my information will be used in accordance with my plan notice of privacy practices. Ambetter does not provide medical care. Your online member account is a powerful tool that puts you in control of your health coverage. And, as a partner with Ambetter, youll be able to count on us. Discover all the ways you can manage your coverage. ***$0 cost share applies for in-network telehealth services through Ambetter Telehealth. You can access a digital copy of your Member ID anytime by logging in to your online member account. Were dedicated to helping your practice run as efficiently as possible, which is why we always strive for prompt claims processing. Another group or vendor provides the info on the next page. Earn rewards for taking charge of your health. Aetna Better Health of Texas complies with applicable federal civil rights laws and does not discriminateon the basis ofrace, color, national origin, age, disability or sex. You will need Adobe Reader to open PDFs on this site. Find and enroll in a plan that's right for you. Effective July 15, 2021 through December 31, 2021: Temporary Relaxation of Prior Authorization . With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. Or choose Go on to move forwardtoYour Texas Benefits. Please visitSuperior's QI Program. Contact Ambetter from Meridian at 1-833-993-2426. There, you can view your digital ID, download it to your smartphone, or print a copy. What you need to know about the Coronavirus. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. Member Portal Start with your Member Portal Benefits at your fingertips You can do a lot inside your Member Portal. Make your first payment to access great benefits. One point of entry allows for quick and easy access to Ambetter from Meridian member information for multiple TINS/practices. Healthcare is essential. We're dedicated to helping your practice run as . Use your ZIP Code to find your personal plan. Your Ambetter online member account provides many ways to get care, including finding a Primary Care Provider (PCP), locating an in-network Urgent Care Center, or even accessing Telehealth services. 08/07/20. Our resources for Texas providers within the Superior network includes the tools and support you need to deliver the best quality of care. IMPORTANT ADDRESS CHANGE: As of 9/30/2022, Ambetter from Arizona Complete Health's new mailing address will be1850 W Rio Salado Parkway, Suite 211, Tempe, AZ 85281. All rights reserved. Protected, Convenient Access at Your Fingertips. That way, you can focus on your patients. Log in to your member account to enroll in automatic bill pay using your prepaid debit card, bank account or credit card. Youre dedicated to your patients, so were dedicated to you. Access Daily Patient Lists from One Screen. Please select Member in the dropdown menu to log in to or create your secure online member account. Billing Resources Electronic Visit Verification (EVV) Because protecting peoples health is why were here, and its what well always do. For Ambetter from Superior HealthPlan provider resources, please visit Ambetter from Superior HealthPlan - Provider Resources. Pay now to activate the health benefits you deserve. And, as a partner with Ambetter, youll be able to count on us. Learn More. Find and enroll in a plan that's right for you. All rights reserved. Use your ZIP Code to find your personal plan. For Providers show For Providers menu. The hotline is staffed with nurses who are knowledgeable about Medicaid and CHIP benefits and services. Quality Improvement resources have moved. Copyright 2023 Centene Corporation. Alabama Arizona Arkansas California Florida Georgia Illinois Indiana Kansas Kentucky Louisiana Michigan Mississippi Missouri Nebraska Nevada New Hampshire New Jersey New Mexico Ready to learn more? Your area isn't covered? Review clinical and payment policy information. Find and enroll in a plan that's right for you. Effective September 1, 2021: Benefit Changes to Total Disc Arthroplasty for Medicaid and CHIP. $0 Ambetter Telehealth cost share does not apply to HSA plans until the deductible is met. You can count on us to share helpful information about COVID, how to prevent it, and recognize its symptoms. Use Ambetter's tool to help you find an in-network doctor, specialist, or health care facility such as a hospital, urgent care clinic, or pharmacy. Then, you can: Your personal MyActiveHealth website can help you: Set health goals based on what you want toachieve. Additional Features to Streamline Office Operations: Protected, Convenient Access at Your Fingertips. Visibility of Multiple TINs. Update provider demographics. Effective 1/1: Electronic Prescribing of Controlled Substances Required. Copyright 2023 Celtic Insurance Company. A provider has thirty (30) calendar days from the date of the incident, such as the original Explanation of Payment date, to file a complaint/grievance. If you dont yet have a member account, visit Member.AmbetterHealth.comto set one up today. Use your ZIP Code to find your personal plan. If you dont yet have a member account, visit Member.AmbetterHealth.com to set one up. Use your ZIP Code to find your personal plan. Ambetter from Meridian is underwritten by Meridian Health Plan of Michigan, Inc. Additional Features to Streamline Office Operations, Secure messaging between provider & Ambetter from Meridian. Loading Find and enroll in a plan that's right for you. See what vision and dental coverage is available for you. https://provider.sunshinestatehealth.com/. You can do so much more with your health plan when you create an account in your Member Portal. You can also ask for info on health conditions and wellness topics in print. All rights reserved. All rights reserved. Find everything you need in the member online account, Date: If you dont want to leave our site, choose the X in the upper right corner to close this message. If you are a Medical Professional or Behavioral Provider, please select the appropriate option in the dropdown menu and log in to or register for your secure portal. You will need Adobe Reader to open PDFs on this site. Go to Member.AmbetterHealth.comand complete a few simple steps to register. Find and enroll in a plan that's right for you. View detailed Electronic Funds Transfer (EFT) payment history. Use the tabs or the previous and next buttons to change the displayed slide. Your area isn't covered? If you dont want to leave our site, choose the X in the upper right corner to close this message. If you dont want to leave the member site, choose the X in the upper right corner to close this message. You can access your plan information and pay your premium. Use your ZIP Code to find your personal plan. 11/15/21. Ambetter Washington Login | Manage Your Plan Online Please select Member in the dropdown menu to log in to or create your secure online member account. Were dedicated to helping your practice run as efficiently as possible, which is why we always strive for prompt claims processing. Log in to: Digital ID: Get your digital ID card anytime on your online member account. To find out more information, pleaseselect your state below. Find health tips, financial advice and more to build a healthier life. Use your account to view your health plan benefits, check your My Health Pays account balance, request a replacement member ID card and more. Copyright 2023 Arizona Complete Health. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. See coverage in your area; Find doctors and hospitals; View pharmacy program benefits; View essential health benefits; Find and enroll in a plan that's right for you. Download the free version of Adobe Reader. Find and enroll in a plan that's right for you. If you need help understanding the language being spoken, Superior has people who can help you on the phone or can go with you to a medical appointment. They've always been able to count on you. Provider Reminders: Claims Definitions. Submit and manage claims, including batch files, for free. Login Now Pre-Auth Check Use our tool to see if a pre-authorization is needed. Discover all the ways you can manage your coverage. Contact Us for more information. Copyright 2023 Centene Corporation. For Ambetter information, please visit our Ambetter website (links to state's Ambetter /provider-resources/manuals-and-forms.html). You're dedicated to your patients, so we're dedicated to you. You will need Adobe Reader to open PDFs on this site. You will need Adobe Reader to open PDFs on this site. Ambetter from Sunflower Health Plan is underwritten by Celtic Insurance Company. You will need Adobe Reader to open PDFs on this site. Copyright 2022 Aetna Better Health of Texas. Get medical help from doctors via video and phone. If you dont want to leave your state site, choose the X in the upper right corner to close this message. You're dedicated to your patients, so we're dedicated to you. You can get answers to medical questions and care advice even prescriptions. At the end of the day, our job is to make yours easier. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. Contact Us for more information. Then, you can: See your member ID card or ask for a new one Change your primary care physician (PCP) Update your contact info Find forms and materials See your health history Track your health goals **Restrictions apply. Or choose Go on to move forward to the provider website. Your Ambetter online member account puts you in control of your health plan. Next year, Ambetter from Superior HealthPlan will be offered to Texas residents in seven additional counties, making the program available in 145 counties in the state through the Health Insurance Marketplace. Aetnaprovides infoabout COVID-19on the next page. Find and enroll in a plan that's right for you. Be sure to have your member ID and email addresshandy. Ambetter Health Insurance Plans | Ambetter Home Shop Our Plans Select Your State Find your state below to see Ambetter health insurance plans available in your area.