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Members choose a primary care provider to manage their care and arrange for services within the Ambetter from Sunshine Health network. Members can use our Find a Provider online search tool on our website, Ametter.SunshineHealth.com or call Member
Use the Pre-Auth Needed Tool on the website to quickly determine if a service or procedure requires prior authorization.
Sunshine Health Plan may perform readmission review of admissions to an acute, general, short-term hospital occurring less than 31 calendar days from the date of discharge from the same or another acute, general, short-
Locate an in-network urgent care center by using our online Ambetter Guide at Guide.AmbetterHealth.com, type in “Urgent Care” and your zip code, then click search. 2. Call our 24/7 nurse advice line at 1-877-687-1169 (Relay Florida 1-800-955-8770). A nurse will help you over the phone or direct you to other care.
Covered benefits will vary by state and are for in-network providers only. For comprehensive benefit detail, members should review their Evidence of Coverage and Schedule of Benefits prior to receiving services. Exclusions and limitations may apply. Ambetter from Sunshine Health is a Qualified Health Plan issuer in the Florida Health Insurance ...
Ambetter from Sunshine Health: 1-877-687-1169 (Relay Florida: 1-800-955-8770) | Ambetter.SunshineHealth.com | Thank you for choosing us as your health insurance plan. We’re excited to help you take charge of your health and to help you lead a healthier, more fulfilling life.
What does Ambetter offer? Complete coverage for all of your preventive care services. Preventive care services are regular healthcare services that are designed to keep you well: annual well-visits with your PCP, well-woman visits and more. Visit Ambetter.SunshineHealth.com for a full list. A select provider network, designed just for you.
You may also refer to your member handbook on Ambetter.SunshineHealth.com. Did you know? You receive a higher benefit if you use an Ambetter from Sunshine Health provider. This can be especially cost effective when receiving ongoing services like therapy services or when purchasing durable medical equipment. Who should I contact if I need help with
Welcome to Ambetter from Sunshine Health! We are happy to have you as a member. Use this member guide to help you take charge of your health and get the most out of your benefits. Create Your Online Member Account 1. Set up your secure Online Member Account to get the most out of your plan. 2. Do this by visiting the Login page on
Reimbursement will be sent to the Plan subscriber (see Help Sheet for definition) at the address Ambetter from Sunshine Health has on record (To view your address of record, please log on to Ambetter.SunshineHealth.com or call Member Services at 1-877-687-1169 (Relay Florida 1-800-955-8770).