HAVE AN ENROLLMENT NEED? SHOP OUR PLANS
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Our Health Plans
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- About Our Plans
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- Coverage Area Map
- What is Ambetter Health?
- Find a Doctor
Use your ZIP Code to find your personal plan.
- 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.
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Join Ambetter Health
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- Four easy steps is all it takes
- What you need to enroll
- Special Enrollment Information
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For Members
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Find everything you need in the member online account
- View your claims
- Review your plan benefits
- Print your ID card
- View rewards points total
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HAVE AN ENROLLMENT NEED? SHOP OUR PLANS
Main Menu
-
Our Health Plans
show Our Health Plans menu
-
- About Our Plans
- Our Benefits
- My Health Pays Rewards®
- Coverage Area Map
- What is Ambetter Health?
- Find a Doctor
Use your ZIP Code to find your personal plan.
- 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.
-
-
Join Ambetter Health
show Join Ambetter Health menu
-
- Four easy steps is all it takes
- What you need to enroll
- Special Enrollment Information
-
-
For Members
show For Members menu
-
Find everything you need in the member online account
- View your claims
- Review your plan benefits
- Print your ID card
- View rewards points total
-
Quick Reference Guide & Forms for Members | Ambetter from Louisiana Healthcare Connections
Member Resources
Many of our member resources, such as the member handbook and forms, can be found by logging into your online member account. Click Login to create an account and access a wide array of resources!
Quick Reference Guide (QRG)
- 2023 Quick Reference Guide (QRG) (PDF)
- 2022 Quick Reference Guide (QRG) Essential, Balanced & Secure Care (PDF)
Reference Materials
- Balance Billing Disclosures
- 2023 Transparency Notice
- 2022 Transparency Notice
- Women's Health and Cancer Rights Act Annual Notice
- Statement of Non-Discrimination
- Preventive Services Guide (PDF)
- Cost Comparison Tool
- Wellness and Health Information
Forms
- Grievance and Appeals Forms (PDF)
- Member Reimbursement Medical Claim Form (PDF)
- Donor Transplant Travel Reimbursement Form (PDF)
- Recipient Transplant Travel Reimbursement Form (PDF)
- Authorization to Disclose Health Information Form (PDF)
- Revocation of Authorization Form (PDF)
- Member Transplant Travel Reimbursement Policy (PDF)
- Authorized Representative Designation Form (PDF)