Ambetter Health - New Jersey

Health Plan Overview

Insurance Company	Ambetter Health
State	New Jersey
Website	ambetterhealth.com
Number of Hospitals in Network	9
Number of Plans Offered	7

Network Hospital Locations

Hospitals in Network (9)

Holy NameMorristown Medical CenterChilton Medical CenterNewton Medical CenterOverlook Medical CenterBergen New Bridge Medical CenterAtlantiCare Regional Medical Center, Atlantic City CampusCentraState Medical CenterHackettstown Medical Center

Available Plans

Catastrophic

1 plan

EPO

1 plan

HMO

1 plan

Marketplace

2 plans

Medicaid

1 plan

PBM

1 plan

Plan Details

Plan Name	Plan Type
Ambetter from Sunflower Health Plan	HMO
Ambetter from Sunflower Health Plan	EPO
Ambetter from Sunflower Health Plan	Marketplace
Ambetter from Sunflower Health Plan	Catastrophic
Ambetter from Sunflower Health Plan	PBM
Ambetter from Sunflower Health Plan	Medicaid
Superior Ambetter Commercial Exchange	Marketplace

Recent News

05/06/2025

Ambetter from WellCare of New Jersey announced a new vendor, 6 Degrees Health, for Prepay Clean Claim Reviews.

05/01/2025

Effective July 1, 2025, certain codes will require prior authorization submission to Ambetter from WellCare of New Jersey.

04/25/2025

Ambetter from WellCare of New Jersey implemented a new policy regarding Newborn Inpatient Stays effective on or after January 1, 2025.

02/12/2025

Ambetter from WellCare of New Jersey posted an update regarding Routine Foot Care.

State Leadership

Ambetter

WellCare's Plan President and CEO in New Jersey

Quoted in relation to Ambetter's expansion into New Jersey in 2021, expressing pride in expanding affordable healthcare coverage options to residents. [3] WellCare of New Jersey has served New Jersey since 2008 and is a wholly owned subsidiary of Centene Corporation. [3]