How Ambetter Coverage Works at EnnHealth
EnnHealth is an in-network provider with Ambetter, the Health Insurance Marketplace brand of Centene Corporation. Ambetter is one of the largest ACA marketplace insurers in the country, serving millions of individuals and families who purchase coverage through Healthcare.gov and state exchanges.
If you bought your health insurance through the ACA marketplace and selected an Ambetter plan, your telehealth psychiatry visits at EnnHealth are covered at in-network rates. This includes members who receive premium tax credits or cost-sharing reductions — your subsidies apply to mental health services just like any other covered care.
Understanding Your Ambetter Benefits
- Essential health benefits: All ACA plans must cover mental health services, including psychiatry
- Plan tiers: Ambetter offers Bronze, Silver, Gold, and sometimes Platinum tiers with different copays
- Subsidies apply: Premium tax credits and cost-sharing reductions lower your out-of-pocket costs
- Telehealth covered: Ambetter covers telehealth visits at in-network rates
Under the Affordable Care Act, mental health and substance use disorder services are one of the 10 essential health benefits that all marketplace plans must cover. Your Ambetter plan covers psychiatric evaluations, medication management, and telehealth visits as essential covered services.
Services Covered by Ambetter at EnnHealth
Psychiatric Evaluations
Comprehensive 60-minute initial assessments for diagnosis and treatment planning
Medication Management
Ongoing prescribing, dose optimization, and side effect monitoring
ADHD Treatment
Evaluation, stimulant and non-stimulant options, behavioral strategies
Anxiety & Panic Disorders
SSRIs, SNRIs, buspirone, hydroxyzine, and CBT-informed strategies
Depression Treatment
Evidence-based medication for MDD and persistent depression
PTSD & Trauma
Trauma-informed medication management and care coordination
Insomnia & Sleep Disorders
Non-addictive sleep medications and behavioral sleep strategies
Alcohol Use Disorder
Naltrexone, acamprosate, and medication-assisted treatment
What Your Ambetter Plan Typically Covers
- Initial psychiatric evaluation: Covered as a specialist visit. Bronze plans may apply deductible first.
- Medication management: Follow-up visits at in-network rates, typically 20-30 minutes.
- Telehealth visits: Covered at in-network rates with no additional facility fee.
- Prescription medications: Covered through Ambetter's pharmacy benefit with tiered formulary.
How to Get Started with Ambetter
Book Online
Select your appointment and enter your Ambetter member ID during booking
We Verify Benefits
Our team confirms your copay, deductible status, and plan tier
See Your Provider
60-minute video evaluation from home. Only pay your Ambetter copay
Begin Treatment
Prescriptions sent to your pharmacy, claims filed directly with Ambetter
If you selected a Silver-tier Ambetter plan and your income qualifies for cost-sharing reductions, your copays and deductible may be significantly lower than standard Silver plan rates. We verify your specific CSR benefits before your first visit.
We Also Accept These Insurance Plans
Ready to Use Your Ambetter Insurance?
Book a telehealth psychiatry appointment and we will verify your Ambetter benefits before your first visit. Most patients seen within 3-5 days.
Book with Ambetter →