Ambetter Illinois 2025 Guide

Ambetter of Illinois offers its members access to quality care, convenient services and valuable rewards. 2025 benefits and offerings include:

• Affordable and Reliable Coverage
  Ambetter of Illinois provides coverage of all essential health benefits, including preventive and wellness services, maternity and newborn care, pediatric services, mental health services, hospitalizations and prescription drug coverage. Some plans also include dental and vision coverage. 
• Virtual 24/7 Care
  Virtual 24/7 Care offers members an Ambetter-designated licensed provider via telehealth for members to access care for illnesses such as flu, skin conditions, ear infections, fever and respiratory infections – all from the comfort of their home.
• Convenient Online Enrollment
  Through the Ambetter of Illinois website, people can browse and compare coverage options, determine their eligibility for financial subsidies and directly enroll in coverage – all in one place. The platform is accessible through mobile devices, so people can enroll using smartphones. If a person is unable to complete enrollment all at once, the system will save progress and provide reminders to finish enrollment.
• My Health Pays®* 
  Members have access to the My Health Pays® program, where they can earn points for practicing healthy eating habits, staying active and leading a healthy lifestyle. Through the program, members can complete health-related activities and challenges and can earn up to $500 in rewards in 2025. These rewards can be used for health-related expenses such as premiums, copays and deductibles (pharmacy copays are excluded). My Health Pays also allows members to set and reach health goals at their own pace by providing seasonal suggestions for activities and guidance to help stay on track. 
• Walgreens Discounts**
  Ambetter of Illinois and Walgreens are improving the affordability of health and wellness products for members in Illinois. In 2025, members will receive a 20% discount on Walgreens-branded over-the-counter health and wellness products including, but not limited to: allergy, blood pressure and diagnostics, children’s medications, cough/cold relief, dental, diabetes, diet aids and supplements, digestive health and nausea, first aid, foot care, hand sanitizer, healthcare appliances, hearing aid batteries, home healthcare solutions, humidifiers, pain relief, reader glasses, sanitary, sleep aids, smoking cessation, sun care, vaporizers, vitamins and supplements.
• Premier Network 
  Beginning Jan. 1, 2025, the Ambetter Health Bronze|Silver|Gold network will become known as the Premier Network. Members can continue to rely on the same provider network with the doctors and hospitals they know and trust. 

Below is the full list of Illinois counties in which Ambetter of Illinois will be offered:  

• Bond 
• Calhoun
• Clinton
• Cook
• DuPag
• Greene
• Grundy
• Henderson
• Henry
• Jersey
• Kane
• Kankakee
• Kendall
• Lake
• Macoupin
• Madison
• Mercer
• Monroe
• Montgomery
• Randolph
• Rock Island
• St. Clair
• Washington
• Whiteside
• Will

Illinois residents interested in learning more about Ambetter of Illinois or enrolling in a health plan during the open enrollment period can visit https://www.ambetterofillinois.com/.

About Ambetter of Illinois 

Ambetter of Illinois serves under-insured and uninsured populations through the federal Health Insurance Marketplace. Ambetter of Illinois is underwritten by Celtic Insurance CompanyExternal Link, which is a Qualified Health Plan issuer in Illinois. For more information, please visit ambetterhealth.com/en/il/. If you need help understanding these plans, our agents are available to help.

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