PissedConsumer1023305. When the clinic called to confirm coverage for the implant, Ambetter said it's covered but apparently what they really meant was that they only cover this one specific implant. You will need Adobe Reader to open PDFs on this site. Contact Review Author as Verified Representative, Business Solutions For Verified Company Representatives, Pissed Consumer © 2020 All Here’s how it works, how it compares to other methods, and more. They didn't even cover the insertion either. They only cover levonorgestrel, which my local clinics don't carry. Private messages do not impact your company rating. Great Comment! Find and enroll in a plan that's right for you. Write a private message as Ambetter verified representative. Some advertisers may pay us for this ad to appear on our website or provide us with a referral fee. These categories of services are called Essential Health Benefits. Your area isn't covered? Related: Ambetter is … The Affordable Care Act (ACA) covers one type of birth control from each of 18 FDA-approved categories of birth control for women without charging a co-payment or co-insurance even if you haven’t met your deductible. Dental Coverage: Benefits that help pay for the cost of visits to a dentist for basic or preventive services, like teeth cleaning, X-rays, and fillings. Some do, some don't. Every Ambetter insurance plan offers all of your Essential Health Benefits: Emergency services, outpatient or ambulatory services, preventive and wellness services, maternity and newborn care, pediatric services, mental health and substance abuse services, laboratory services, prescription drugs, therapy services (such as physical therapy) and devices, and hospitalization. They only cover levonorgestrel, which my local clinics don't carry. Every Ambetter insurance plan offers all of your Essential Health Benefits: Emergency services, outpatient or ambulatory services, preventive and wellness services, maternity and newborn care, pediatric services, mental health and substance abuse services, laboratory services, prescription drugs, therapy services (such as physical therapy) and devices, and hospitalization. You can try to reach review author by writing a comment to the review or try one of our business solutions. Comment the review as Ambetter verified representative. Get contact details that poster left for the company. Get insurance that is not Ambetter. Ambetter Health Insurance. AMBETTER VACCINE, IMMUNIZATIONS, AND IMPLANTABLE BIRTH CONTROL REIMBURSEMENT CHANGE Date: 08/24/17 Thank you for your participation in the Ambetter from Peach State Health Plan network. I chose Ambetter because I couldn't afford other healthcare.gov options but clearly I can't afford to be on Ambetter either. All health plans offered on the Health Insurance Marketplace include certain items and services. Don’t delay, choose an Ambetter plan today -- before Open Enrollment ends December 15th! Now I'm $1k out of pocket. Dependent Coverage: Insurance coverage for family members of the policyholder, such as spouses, children, or partners. All rights reserved. You may need special tests to check that the implant is in place or to help find the implant when it is time to take it out. You will be able to edit the text before publishing. Our content is free because we may earn a commission if you purchase products after clicking ads on our website. This coverage includes the arm implant, NEXPLANON. © Copyright 2020 Centene Corporation. You'll have to call the number on the back of your card and ask. Some information contained on this page was gathered from https://www.healthcare.gov/. I recently got a birth control implant - Nexplanon - and I had been assured by my health insurance company, Ambetter, that they would cover it at no out-of-pocket cost to me, as is the law under Section 1001 of the Affordable Care Act. As our health plan grows we continually evaluate and evolve our reimbursement methodologies to better support our providers. Would You Like to Convert It Into Review? Rights Reserved, You Are About to Contact PissedConsumer.com. I recently also had a yearly check-up and blood test. Use your ZIP Code to find your personal plan. Check your policy plan or plan document to see when the deductible starts over (usually, but not always, January 1st). A contraceptive implant is a hormonal birth control that’s put into the arm. Find everything you need in the member online account, Select your state to visit the Ambetter site for your coverage area. Don't make the same mistake I did. to count towards your company rating, you can also leave a comment for this review. Product or Service Mentioned: When the clinic called to confirm coverage for the implant, Ambetter said it's covered but apparently what they really meant was that they only cover this one specific implant. Ambetter won't follow ACA and cover birth control - any recourse? Review #1023305 is a subjective opinion of I'm probably going to end up paying for those too if this is any indication of how Ambetter works. You will be automatically registered on our site. I have read and agree to the Pissed Consumer. If you cannot feel the NEXPLANON implant, contact your health care provider immediately and use a non-hormonal birth control method (such as condoms) until your health care provider confirms that the implant is in place. If you wish that your prior post be removed, submit a notarized letter. Does not apply to preventive care and prescription drugs. Contact Us for more information. If you want your response Thank You for Your Reply! Enroll Now. Username and password will be sent to you via email. We are processing your message. You must pay all the costs up to the deductible amount before this plan begins to pay for covered services you use.