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Superior HealthPlan provides the tools and support you need to deliver the best quality of care. Copyright 2023 Centene Corporation. You can call 1-855-231-3716to ask for a printed copy of the health survey. Submit and manage claims, including batch files, for free. Our resources for Texas providers within the Superior network includes the tools and support you need to deliver the best quality of care. 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. A carousel is a rotating set of images, rotation stops on keyboard focus on carousel tab controls or hovering the mouse pointer over images. Plus, its no cost for members. I understand that my information will be used in accordance with my plan notice of privacy practices. National Imaging Associates (NIA)resources have moved. Discover all the ways you can manage your coverage. Or choose Go on tomove forward to Aetna.com. There, you can find information about your Ambetter coverage, access options for care and much more all in one place. Your Ambetter coverage includes no-cost in-network Telehealth services. Use your ZIP Code to find your personal plan. The hotline is staffed with nurses who are knowledgeable about Medicaid and CHIP benefits and services. Ambetter. Protected, Convenient Access at Your Fingertips. 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 When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. Have your tax ID number ready during sign up. 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. Just log in to manage your plan benefits and health goals from anywhere. Visit Provider.ambettermeridian.com and click Create an Account. 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. Ambetter logs and tracks all complaints/grievances whether received verbally or in writing. And, as a partner with Ambetter, youll be able to count on us. Manage Batch Claims for Free. *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. Effective September 1, 2021: Benefit Changes to Total Disc Arthroplasty for Medicaid and CHIP. Contact Us for more information. Or choose Go on to move forward to the main Aetna Medicaid website. Youre dedicated to your patients, so were dedicated to you. You can also request any materials on this website in another format, such as large print, braille, CD or in another language. Download the free version of Adobe Reader. Join Ambetter show Join Ambetter menu Discover all the ways you can manage your coverage. . Your Ambetter online member account puts you in control of your health plan. Go to Member.AmbetterHealth.comand complete a few simple steps to register. Visit Provider.ambettermeridian.com and click Create an Account. To find out more information, pleaseselect your state below. App Store is a service mark of Apple Inc. Google Playis atrademarkof GoogleLLC. Find and enroll in a plan that's right for you. Find and enroll in a plan that's right for you. Its easy to set up and lets you manage your plan wherever you are on a computer or your smart phone. Copyright 2023 Meridian Health Plan of Michigan, Inc. All rights reserved. Smart Sheets feature prompts for required clinical information when submitting prior authorization requests. Your online member account is a powerful tool that puts you in control of your health coverage. Copyright 2022 Aetna Better Health of Texas. It has info for health care providers. Don't miss out on your affordable health plan! Youre going to the provider website. What is Ambetter? If you dont yet have a member account, visit Member.AmbetterHealth.com to set one up. 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. No problem. Access Daily Patient Lists from One Screen. 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. Find health tips, financial advice and more to build a healthier life. Just log in. At the end of the day, our job is to make yours easier. Print or download it to your smart phone so you always have it with you. All rights reserved. See what vision and dental coverage is available for you. Contact Us for more information. At the end of the day, our job is to make yours easier. Ambetter from Sunflower Health Plan is underwritten by Celtic Insurance Company. And you can access Telehealth on your computer or smart phone anywhere and anytime. Since September 1, 2011, the Online Fee Lookup (OFL) and static fee schedules include a column titled "Adjusted Fee." The Adjusted Fee column displays the fee with all of the percentage reductions applied. Or use your Aetna Better Healthapp to take your benefits on the go. You will need Adobe Reader to open PDFs on this site. 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. You can access your plan information and pay your premium. You can do a lot inside your Member Portal. Learn More. That way, you can focus on your patients. Medicaid for children, newborns, pregnant women and some families, Medicaid for children and adults 20 or younger who have disabilities, A program for families and mother-to-be that dont qualify for Medicaid. Register your account today! Make your first payment to access great benefits. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. You will need Adobe Reader to open PDFs on this site. 1 Marketplace insurer*, Ambetter from Superior HealthPlan has the experience and resources to help people when it matters most, and were proud to provide reliable coverage to more people throughout Texas.. All rights reserved. Log in Search without logging in Choose one of these options: Your home state Don't have a plan? Login to Your Account Access your secure provider information any time. You can also ask for info on health conditions and wellness topics in print. https://provider.sunshinestatehealth.com/. Billing Resources Electronic Visit Verification (EVV) 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. 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. Or access MyActiveHealthwith your smartphone. Were dedicated to helping your practice run as efficiently as possible, which is why we always strive for prompt claims processing. Behavioral Health Effective November 1, 2017, behavioral health functions transitioned from Cenpatico (a subsidiary of Envolve PeopleCare) to Superior HealthPlan. Be sure to have your member ID and email addresshandy. Find and enroll in a plan that's right for you. Log in to your online member account to learn more about using Telehealth: Member.AmbetterHealth.com. Simply call Superior Member Services. Use your ZIP Code to find your personal plan. Give us a call if you have any questions as you shop and explore . 1-844-518-9505 ( TTY 711) For general and routine questions, please use the provider portal secure messaging feature. Have your tax ID number ready during sign up. You will need Adobe Reader to open PDFs on this site. Another group or vendor provides the info on the next page. Log in to: Digital ID: Get your digital ID card anytime on your online member account. Find everything you need in the member online account. Provider Login; Drug Coverage; Pre-Auth Check; Provider Resources; Clinical and Payment Policies; Provider News; Provider Toolkits; Find everything you need in the member online account, Select your state to visit the Ambetter site for your coverage area. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. ***$0 cost share applies for in-network telehealth services through Ambetter Telehealth. Ambetter does not provide medical care. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. Login Welcome to the Login page. Visit https://member.ambetterhealth.com for more details. https://www.ambetterhealth.com/select-your-state-enroll/coverage-area.html. Use our tool to see if a pre-authorization is needed. Additional Features to Streamline Office Operations: Protected, Convenient Access at Your Fingertips. Simplify Prior Authorization Process Check Patient Care Gaps Additional Features to Streamline Office Operations Get Started Now! Healthcare designed for you. 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. Date: 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. Because protecting peoples health is why were here, and its what well always do. Infographic Description. One point of entry allows for quick and easy access to Ambetter from Meridian member information for multiple TINS/practices. If you dont want to leave your state site, choose the X in the upper right corner to close this message. Just log in. You will need Adobe Reader to open PDFs on this site. Superior HealthPlan News. Then, you can: Your personal MyActiveHealth website can help you: Set health goals based on what you want toachieve. IMPORTANT ADDRESS CHANGE: As of 9/30/2022, Ambetter from Arizona Complete Health's new mailing address will be 1850 W Rio Salado Parkway, Suite 211, Tempe, AZ 85281. Yes. Non-discrimination notice and language assistance. Please select Member in the dropdown menu to log in to or create your secure online member account. If you dont want to leave the member site, choose the X in the upper right corner to close this message. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. Join Ambetter show Join Ambetter menu Provider Reminders: Claims Definitions. The fee displayed is the allowable rate for this service. Get medical help from doctors via video and phone. *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 withfindings from 2019 Issuer Level Enrollment Data from CMS,2019 State-Level Public Use File from CMS,2019 Covered California ActiveMember Profile data,state insurance regulatory filings, and public financial filings. Click here to see a full list of counties in which Ambetter from Superior HealthPlan will be offered in 2022. Ambetter from Arizona Complete Health can help. You can get answers to medical questions and care advice even prescriptions. Use your ZIP Code to find your personal plan. All rights reserved. Theyve always been able to count on you. AUSTIN, Texas (Nov. 15, 2021) - Open Enrollment for the Health Insurance Marketplace in Texas runs through January 15, 2022. Manage patient administrative tasks quickly and easily. Find and enroll in a plan that's right for you. Find your health info and healthnumbers. What is Ambetter from Arizona Complete Health? Ambetter from Superior Health Plan Health Insurance Marketplace plans for individuals and families who may not qualify for Medicaid or other government coverage + optional dental coverage for subscribers Provider Services for Ambetter 833-260-3625 Members: call the number on the back of your ID card or go to the plan site. That way, you can focus on your patients. Update provider demographics. Youre dedicated to your patients, so were dedicated to you. Please select your state. Ambetter Health has your back every step of the way on your personal health and wellness journey. Use your member account anytime to conveniently do things like: If you dont yet have a member account, visit Member.AmbetterHealth.com to set one up today. A flu shot protects you and those you love. Shop and Compare Plans Find a Doctor Shop and Compare Plans Use your ZIP Code to find your personal plan. Use your ZIP Code to find your personal plan. Simply call Superior Member Services. Were here foryouMonday through Friday, 8 AM to 5 PM. Aetnaprovides infoabout COVID-19on the next page. Please visit the PRIOR AUTHORIZATION RESOURCES dropdown on Superior's Prior Authorization webpage. Connect your fitness devices and track yourprogress. Your area isn't covered? Nurses also have access to an on-call licensed behavioral health clinician 24-hours-a-day who can assist with crisis calls. It's why more Marketplace consumers choose Ambetter HealthTM than any other health insurance. Stay up to date with the latest news and announcements. Use your ZIP Code to find your personal plan. The app lets you access all the benefits of your Member Portal anytime, anywhere. Use this tool to help you verify member eligibility, check and submit claims, submit and confirm authorizations and more. What is Ambetter? Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. Join Ambetter show Join Ambetter menu You can access a digital copy of your Member ID anytime by logging in to your online member account. We would love to hear from you! 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. All Rights Reserved. Log in to your member account to enroll in automatic bill pay using your prepaid debit card, bank account or credit card. 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. Ready to learn more? Quality Improvement resources have moved. Find everything you need in the member online account, Select your state to visit the Ambetter site for your coverage area. Contact Ambetter from Meridian at 1-833-993-2426. AUSTIN, Texas (Nov. 15, 2021) Open Enrollment for the Health Insurance Marketplace in Texas runs through January 15, 2022. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. Please view our listing on the left, or below, that covers forms, guidelines, helpful links, and training. Credentialing myStrength Pharmacy Prior Authorization Quick Reference Guides Training Resources Behavioral Health Toolkit ADHD Resources Alcohol Resources Anxiety Resources Pay now to activate the health benefits you deserve. Secure messaging between provider & Ambetter from Magnolia Health. To use a general fee schedule, Medicaid providers can click Static Fee Schedules. Check out health resources, send us questions and more. What you need to know about the Coronavirus. Please select Member in the dropdown menu to log in to or create your secure online member account. Find everything you need in the member online account. Check Now Provider Resources View patient demographics & history. Youre dedicated to your patients, so were dedicated to you. One concise view allows primary care providers to scan patient lists for Ambetter from Meridian member eligibility, care gaps, and much more. The Ambetter from Peach State Health Plan login portal is where you manage your account. Take care of you and your baby with our maternity health programs. All rights reserved. And, as a partner with Ambetter, youll be able to count on us. For Providers show For Providers menu. Use your ZIP Code to find your personal plan. Apple and the Apple logo are trademarks of Apple Inc., registered in the U.S. and other countries. All rights reserved. Review clinical and payment policy information. Earn rewards for taking charge of your health. Use your ZIP Code to find your personal plan. Get personalized help managing diabetes, asthma and other chronic conditions. Use your ZIP Code to find your personal plan. 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. Questions? You cansign uponlineorcontact us. Or choose Go on to move forward to the provider website. 11/15/21. If you dont yet have a member account, visit Member.AmbetterHealth.comto set one up today. $0 Ambetter Telehealth cost share does not apply to HSA plans until the deductible is met. All Rights Reserved. Register your account today! The COVID-19 pandemic emphasized that affordable and comprehensive health insurance is needed more than ever, said Mark Sanders, President and CEO of Superior HealthPlan. Use your account to view your health plan benefits, check your My Health Pays account balance, request a replacement member ID card and more. At the end of the day, our job is to make yours easier. If you dont want to leave our site, choose the X in the upper right corner to close this message. Always on the go? Use your ZIP Code to find your personal plan. Discover all the ways you can manage your coverage. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. For Ambetter information, please visit our Ambetter website (links to state's Ambetter /provider-resources/manuals-and-forms.html). Loading Download the free version of Adobe Reader. Contact Ambetter from Meridian at 1-833-993-2426 show Join Ambetter from AZ Complete Health menu. Your area isn't covered? You will need Adobe Reader to open PDFs on this site. Use our helpful resources to deliver the best quality of care. That way, you can focus on your patients. Alabama Arizona Arkansas California Florida Georgia Illinois Indiana Kansas Kentucky Louisiana Michigan Mississippi Missouri Nebraska Nevada New Hampshire New Jersey New Mexico That way, you can focus on your patients. You will need Adobe Reader to open PDFs on this site. Copyright 2023 Arizona Complete Health. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. 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. Superior HealthPlan equips each of our providers with the most up-to-date resources available for Texas Medicaid (STAR, STAR+PLUS, STAR Kids, STAR Health), CHIP, STAR+PLUS Medicare-Medicaid Plan (MMP), Medicare (Wellcare By Allwell) and Health Insurance Marketplace (Ambetter from Superior HealthPlan). Healthcare is essential. 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. Newsroom. Be sure to have either your Member ID number or the last four digits of your Social Security Number ready. 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. Find everything you need in the member online account. 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. Find and enroll in a plan that's right for you. And, as a partner with Ambetter, you'll be able to count on us. What you need to know about the Coronavirus. Superior HealthPlan operates atoll-free nurse hotlinethat providers and members can call 24-hours-a-day, 7 days a week. Theyve always been able to count on you. You can do so much more with your health plan when you create an account in your Member Portal. Interested in becoming an Ambetter provider? Explore STAR Kids benefits and added services, Explore CHIP and CHIP Perinatal benefits and added services, STAR (Medicaid) Member Handbook - English (PDF), STAR (Medicaid) Member Handbook - Spanish (PDF), STAR Kids Member Handbook - English (PDF), STAR Kids Member Handbook - Spanish (PDF), CHIP and CHIP Perinatal Member Handbook - English (PDF), CHIP and CHIP Perinatal Member Handbook - Spanish (PDF), Seeyour member ID cardor ask for a newone, Connect with your care team if you take part in care management. Use your account to view your health plan benefits, check your My Health Pays account balance, request a replacement member ID card and more. Here are the ways our provider community can contact us: For general and routine questions or concerns, please contact customer service at: For general and routine questions, please use the provider portal secure messaging feature. Just download the app from the AppleApp Store or the Google Playstore. Login Log in Forgot your password? Your Texas Benefitsprovidesthe info on the next page. If you dont want to leave our site, choose the X in the upper right corner to close this message. You will need Adobe Reader to open PDFs on this site. 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. This plan includes access to licensed virtual primary care providers in addition to Ambetters core network of health care providers and hospitals. Access Daily Patient Lists from One Screen. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. What is Ambetter? Find and enroll in a plan that's right for you. View detailed Electronic Funds Transfer (EFT) payment history. Access your secure provider information any time. https://www.ambetterhealth.com/select-your-state-enroll/coverage-area.html. Use your ZIP Code to find your personal plan. Receiving calls and/or text messages from Aetna Better Health of Texas that are informational and relate to my health and benefits. Copyright 2023 Centene Corporation. 08/07/20. If you dont want to leave our site, choose the X in the upper right corner to close this message. Effective July 15, 2021 through December 31, 2021: Temporary Relaxation of Prior Authorization . 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. 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. Effective 1/1: Electronic Prescribing of Controlled Substances Required. Use your ZIP Code to find your personal plan. Copyright 2023 Centene Corporation. Find and enroll in a plan that's right for you. You're dedicated to your patients, so we're dedicated to you. 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/. Just visit your MemberPortal. Use the tabs or the previous and next buttons to change the displayed slide. Access your digital ID card and download it to your smart phone or print it, Choose or change your Primary Care Physician (PCP), Get what you need to manage your coverage. You will need Adobe Reader to open PDFs on this site. The nurses can respond to calls from providers and members seeking clinical information, guidance on specialty referrals or requests for specialty provider consultations. Find and enroll in a plan that's right for you. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. What is Ambetter? Your area isn't covered? Your Ambetter online member account puts you in control of your health plan. All rights reserved. Aetna Better Health provides the general info on the next page. Find everything you need in the member online account, Date: You have many convenient ways to make your payment. Join Ambetter show Join Ambetter menu Log in today to find the care option thats right for you. At the end of the day, our job is to make yours easier. You can also request any materials on this website in another format, such as large print, braille, CD or in another language. Make your first payment to access great benefits. Copyright 2023 Celtic Insurance Company. You can count on us to share helpful information about COVID, how to prevent it, and recognize its symptoms. Were dedicated to helping your practice run as efficiently as possible, which is why we always strive for prompt claims processing. Get coaching on funnew ways to improve yourhealth. All rights reserved. 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. They've always been able to count on you. Contact Us for more information. As part of the nations No. Use your ZIP Code to find your personal plan. Member Portal Start with your Member Portal Benefits at your fingertips You can do a lot inside your Member Portal. Or choose Go on to move forward. Visibility of Multiple TINs. Theyve always been able to count on you. What is Ambetter? 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. Please visitSuperior's QI Program. Copyright 2023 Celtic Insurance Company. Shop and Compare Plans; Find a Doctor; Shop and Compare Plans. Or choose Go on to move forwardtoYour Texas Benefits. View our Preferred Drug List to see what drugs are covered.