Ambetter Support | Ambetter from Western Sky Community Care

 

Find answers to top questions about Ambetter health insurance.

Get answers about billing and payments or learn about enrollment and benefits. Contact us if you still need help.

Watch our step-by-step guide on how to use your Ambetter Health online member account.**

Use your account at any time to manage your plan, find information about your coverage, access options for care, view your rewards and much more — all in one place.

Learn how to use the Ambetter Guide with this step-by-step instructional video.**

The Ambetter Guide is a useful online tool that helps you find in-network doctors, specialists, urgent care clinics, pharmacies and other healthcare providers. 

Questions About Your Bill and Payments

All Ambetter from Western Sky Community Care members now make their monthly premium payments through the New Mexico Health Insurance Exchange.  Go to www.bewellnm.com, or call 1-833-862-3935 to pay over the phone.

Questions About Enrollment and Renewal

Looking for more information about Ambetter Health enrollment and plan renewal? Learn more with the frequently asked questions below. If you don’t see your question, contact Ambetter Health Member Services at 1-833-945-2029 (TTY 711).

Open Enrollment is the time period when you can enroll in health insurance, or renew your Ambetter Health plan. It begins November 1st and ends on January 15th. Find out more about enrolling in Ambetter health insurance plans.

Visit our Become a Member page.

Open Enrollment is from November 1st through January 15th. During Open Enrollment, you can enroll in a plan on the Health Insurance Marketplace. Outside of Open Enrollment, you still may be able to enroll. To qualify, you would need to experience a Qualifying Life Event that causes a change in your insurance status. If you may be in this situation, call us today and we can help!

Learn more about enrolling and joining Ambetter Health. Visit Become a Member page.

Even if Open Enrollment is over, you may still be able to enroll in an Ambetter health insurance plan. You may qualify for insurance during a Special Enrollment period. This is a time outside the annual Open Enrollment period where you can sign up for health insurance (if you qualify anddon’t already have insurance coverage). To qualify, you would need to experience a Qualifying Life Event that causes a change in your insurance status. Visit our Get Covered page for a list of qualifying life events.

If you are eligible, then you can enroll or change your health insurance. Keep in mind that you’ll need to make changes within 60 days of your qualifying life event.

Learn more about joining Ambetter Health and Special Enrollment. Visit our Become a Member page.

If you are an Ambetter Health member, you will receive renewal information in the fall, with details for next year’s Ambetter Health coverage.

Review your renewal information closely. If you don’t need to make any plan changes, we will automatically renew your coverage. Then, your coverage will start on January 1 of the next year.

If you want to make changes, just call us and we’ll help you explore your options. 1-833-945-2029 (TTY 711)

If the number of people in your household has changed, you may qualify to add an additional person, or dependent, to your plan. Find out more about Special Enrollment on our Become a Member page.

If you have experienced a Qualifying Life Event, call us to get started. 1-833-945-2029 (TTY 711)

Ambetter Health offers affordable health insurance plans in 29 states. We may have plans available in the city and state where you live. You can check availability in your state today.

Questions About Plans and Benefits

Ambetter Health offers affordable health insurance plans in 29 states. Our plans have valuable benefits so our members can take charge of their health. Learn more about our plans and benefits below.

Marketplace insurance refers to health plans that meet the “minimum essential coverage” and other requirements of the Affordable Care Act (ACA). Each state has its own Health Insurance Marketplace where you can shop for and choose healthcare plans online. Or you can buy a plan directly from an insurance company like Ambetter. When you shop with Ambetter, we can help you find the best plan for you and your family.

Learn more about Ambetter plans.

You can change or renew your plan during the Open Enrollment time period, which begins on November 1st  and ends on January 15th.

If Open Enrollment is over, you may still be able to change your Ambetter plan. You may qualify for a Special Enrollment period. To qualify, you would need to experience a Qualifying Life Event that causes a change in your insurance status. Visit our Get Covered page for a list of qualifying life events.

If you are eligible for Special Enrollment, then you can change your health insurance today. Keep in mind that you’ll need to make changes within 60 days of your qualifying life event. Contact us for help making changes to our plan.

You can also learn more about Special Enrollment and joining Ambetter at our Become a Member page.

An in-network provider is a doctor or facility that's part of your Ambetter health insurance plan. They have a contract with your health insurance company for their services at a set cost. When you visit an in-network provider, the cost is less than visiting an out-of-network provider. You can search for and select Ambetter in-network doctors, facilities and pharmacies through our Find a Doctor tool.

Virtual 24/7 Care* provides members with 24/7 medical help from doctors via video and phone. Whenever you need help, you can have a video call with a provider. You can ask health questions or get a diagnosis for non-emergency health issues. Teladoc is our partner for Virtual 24/7 Care.

To set up a Virtual 24/7 Care call, log in to your online member account and follow the instructions.

What You Need to Know about Coronavirus or COVID-19

Ambetter Health is monitoring the ongoing COVID-19 situation. If you have questions about COVID-19 symptoms, treatment and more, read below.

We have created a separate page with what you need to know about Coronavirus and COVID-19. There you’ll find information about symptoms, testing and treatment, plus what your Ambetter Health plan will cover.


 

*Formerly known as Ambetter Telehealth. Cost sharing may apply when using Virtual 24/7 Care. Ambetter Health does not provide medical care. Medical care is provided by individual providers which are independent contractors and not agents of Ambetter Health.

**Ambetter from Western Sky Community Care is underwritten by Western Sky Community Care, Inc., which is a Qualified Health Plan issuer in the New Mexico Health Insurance Marketplace. This is a solicitation for insurance. ©2023 Western Sky Community Care, Inc., https://ambetter.westernskycommunitycare.com/. For information on your right to receive Ambetter from Western Sky Community Care free of discrimination, or your right to receive language, auditory and/or visual assistance services, please visit www.ambetterhealth.com and scroll to the bottom of the page.