Health Insurance Marketplace: The Basics
Ambetter Product Overview
Condition Specific Plans
Telehealth & Dental Savings Plan Pilot
100

How many Health Insurance Exchange models are there? 

Three 

100

How many states does Ambetter have a footprint in? 

29

100

True or False: 2025 was the first year condition-specific plans were offered.

True.

100

What days/hours do members have access to virtual care?

24/7

200

What are the names of the Health Insurance Exchange models?

Federally-Facilitated Exchange (FFE), State-based Exchange on the Federal Platform (SBE-FP), and State-based Exchange (SBE)

200

What was the new market entry in 2025? 

IA

200

How many states offer a condition-specific plan?

5. NC, GA, NJ, FL and TN.

200

Who are the virtual care providers?

Teladoc and MD Live 

300

How many Qualified Health Plan (QHP) categories are there and what are they? 

Four. Bronze, Silver, Gold and Platinum 

300

True or False: Ambetter Premier is our smallest network.

False. Premier is our broadest network. 

300

How many condition-specific designs are there?

2

300

What states is the Dental Savings Plan Pilot offered in?

OH, WA and NC.

400

What type of plan does a consumer have to select to qualify for cost-sharing reductions? 

Silver

400

How many distinct network partners does GA Select have? 

Four

400

What network do the condition-specific plans fall under?

Premier. 

400

True or False: A Dental Savings Plan is the same as Dental Insurance. 

False. 

500

True or False: Premium tax credits are the only available subsidy for a Marketplace consumer.

False

500

What states is Ambetter Health Solutions offered in (2025)?

GA, IN, OH, MO, MS and SC. 

500

True or False: There are plans to expand condition-specific plans in 2026.

True. 

500

Who is the Dental Savings Plan offered by?

Aspen Dental

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