Sunshine health insurance customer service

Sun Life is proud to take a leadership role in the awareness, prevention, education and care of diabetes. Over the past five years, we have donated $24 million to the prevention of diabetes. Learn more about our corporate and employee …

Sunshine Health is a Florida Medicaid health plan and a wholly-owned subsidiary of Centene Corporation, a leading multi-line healthcare enterprise offering both core Medicaid and specialty services. Centene Corporation is a leading healthcare enterprise committed to helping people live healthier lives. The Company takes a local approach ...And if you have a severe medical condition, our Care Managers will work with you, your PCP and managing providers to develop a plan of care that meets your needs and your caregiver’s needs. Call us at 1-877-687-1169 ( Relay Florida 1-800-955-8770 ). Ambetter from Sunshine Health's care management services can help you better manage your ...The new form is designed to help providers quickly share patient medical information with our contracting team to expedite the SCA process. Sunshine Health offers free online accounts for providers. Create yours and access the secure tools you need today. Virtual 24/7 Care. Get medical help from doctors via video and phone. Healthcare is essential. Ambetter Health can help. You can count on us to share helpful information about COVID, how to prevent it, and recognize its symptoms. Because protecting peoples’ health is why we’re here, and it’s what we’ll always do. A session will be held on June 27, 2024, from 1:30 to 4 p.m. Eastern. Sunshine Health offers affordable Florida Medicaid, Medicare Plans and our Health Insurance Marketplace product, Ambetter. Get covered with Sunshine Health today.Insurance-negotiated prices can often be higher than self-pay. Sometimes even insured people are better off paying out of pocket. This might seem counterintuitive for policyholders...Your dentist is an important health partner, helping ensure that you maintain good oral health. Finding a dentist that accepts your insurance will help you choose a provider that g...Healthy Activities Eligible For Rewards (As of July 1, 2023) $20: Tobacco Cessation Health Coaching Sessions. Ages 10 and up. Must submit a consent form, verbally pledge to stop tobacco use and complete all four sessions within six months of the first session. $5 reward after each completed session. $20: Weight Loss Health Coaching Sessions.

Offering a wide range of health insurance ... Health Month, Sunshine Health participated in a health ... We are proud to support this initiative to improve health ...Sunshine Health operates Children's Medical Services Health Plan on behalf of the Florida Department of Health, serving children and adolescents with special healthcare needs. The plan provides a comprehensive system of care centered around each child’s unique needs.Sunshine Health is a managed care plan with a Florida Medicaid contract. The benefit information provided is a brief summary, not a complete description of benefits. Limitations, co-payments and restrictions may apply.Sunshine Health; Language Assistance. A A A. Search. Enter Keyword Search. ... The amount you owe for covered healthcare services before your health …Sunshine Health has contracted with the following vendors for service: Access Behavioral Health. External Link. (Medicaid, Child Welfare Specialty Plan, Long Term Care, Serious Mental Illness, Children's Medical Services Health Plan) 1-866-477-6725. [email protected] | From Sunshine Health 5 | Ambetter from Sunshine Health: 1-877-687-1169; (Relay Florida 1-800-955-8770) | Ambetter.SunshineHealth.com This Member Handbook contains an overview of your healthcare benefits and is designed to make it easy for you to understand your new health plan benefits and services. Your118 total complaints in the last 3 years. 61. View customer complaints of Ambetter from Sunshine Health, BBB helps resolve disputes with the services or products a business provides.

Skip to main content The average annual Sunshine Health Salary for Customer Service Representative is estimated to be approximately $35,690 per year. ... * Dental insurance * Health insurance * Paid time off * Vision insurance * Work from home * Salary: $16.00 - $19.00 per hour Customer Service Reps (CSR) Core Responsibilities: ...As an Ambetter member, you have access to the helpful tools and resources you need to manage your plan - all in one place, 24/7. Pay Your Premium. Quickly and securely pay your monthly premium. Pay Now. Login to Your Account. Access your secure member account information any time. Login Now. My Health Pays Rewards. Your Ambetter Onli. ne Member Account. Your Ambetter online member account is a powerful tool you can use anytime to manage your insurance plan. There, you can find information about your Ambetter coverage, access options for care and much more — all in one place. Your Ambetter online member account puts you in control of your health plan. Sunshine Health is pleased to partner with PaySpan Health to provide an innovative web based solution for Electronic Funds Transfers (EFTs) and Electronic Remittance Advices (ERAs). This service is provided at no cost to providers and allows online enrollment. Benefits include: Maintain control over bank accounts – You keep TOTAL control over ... To find out about these benefits, call the Agency Medicaid Help Line at 1-877-254-1055. If you need a ride to any of these services, we can help you. You can call 1-877-659-8420 to schedule a ride. If there are changes in covered services or other changes that will affect you, we will notify you in writing at least 30 days before the effective ...

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Recertify your Medicaid coverage every 12 months to keep your benefits. Visit the Florida Department of Children and Families to sign up for email reminders. Learn how to enroll in Medicaid health plans through Sunshine Health online and sign up for Medicaid in Florida with Sunshine Health.Sun Life is proud to take a leadership role in the awareness, prevention, education and care of diabetes. Over the past five years, we have donated $24 million to the prevention of diabetes. Learn more about our corporate and employee …Read 292 customer reviews of Sunshine State Health Plan, one of the best Insurance businesses at 1301 International Pkwy # 400, Sunrise, FL 33323 United States. Find reviews, ratings, directions, business hours, and book appointments online. Right Here. With Ambetter from Sunshine Health it's easy to take charge of your health. As an Ambetter member, you have access to the helpful tools and resources you need to manage your plan - all in one place, 24/7. Sunshine Health MMA (Medicaid) Sunshine Health Managed Medical Assistance is a managed care plan providing Medicaid and enhanced benefits to Florida residents of all ages who qualify for Medicaid. Provider Services for Medicaid. 866-921-6769. Members: call the number on the back of your ID card or go to the plan site.

Broker Contact. Thank you for your interest in becoming a broker for Ambetter from Sunshine Health. Please contact the sales department at 1-855-700-7985 to schedule an appointment, or complete the form below and a sales representative will contact you. Required fields are marked with an asterisk (*) The form fields are loading, please wait.As an Ambetter member, you have access to the helpful tools and resources you need to manage your plan - all in one place, 24/7. Pay Your Premium. Quickly and securely pay your monthly premium. Pay Now. Login to Your Account. Access your secure member account information any time. Login Now. My Health Pays Rewards.Use the Find A Doctor Tool to search for in-network Medicare doctors, hospitals, pharmacies, and other providers. Consider choosing a doctor or provider that’s in-network. This will help keep your healthcare costs affordable. If you need help finding an in-network doctor or provider, give us a call. We’re here to help. Find A Doctor Or ...Services must be medically necessary in order for us to pay for them. CMS Health Plan might not cover some services, but Medicaid might still cover them. To find out about these benefits, call the Agency Medicaid Help Line at 1-877-254-1055. If your child needs a ride to any of these services, we can help. Please call MTM at 1-844-399-9469 to ...Billing and Claims. Please see the Provider Billing Manual and Billing Quick Reference Guides (QRGs). The QRGs include targeted claims and authorization instructions per provider type. The guides detail billing guidelines, duplicate billing, corrected claims processes and many more topics. Ancillary MMA/SMI/CW Including Home Health, PDN …Earn rewards for attending an outpatient follow up appointment with a behavioral health provider within seven days after discharge from an inpatient facility. $20: Notification of Pregnancy Form (First trimester) Age 12-20 years. Complete and sign a Notification of Pregnancy form within first trimester. $50: Prenatal Care. Your Ambetter Onli. ne Member Account. Your Ambetter online member account is a powerful tool you can use anytime to manage your insurance plan. There, you can find information about your Ambetter coverage, access options for care and much more — all in one place. Your Ambetter online member account puts you in control of your health plan. Forms. Authorization to Disclose Health Information Form. Revocation of Authorization Form. Grievance and Appeals Form. Member Reimbursement Medical Claim Form. Prescription Claim Reimbursement Form. Donor Transplant Travel Reimbursement Form. Recipient Transplant Travel Reimbursement Form. Member Transplant Travel …Go Now. It’s simple to take charge of your health when you have access to member resources provided by Ambetter from Sunshine Health. Learn more!LOAP/Practitioner Roster Form (Excel). Additions only. Please do not submit a full roster. Disclosure of Ownership Form (PDF) Disclosure of Ownership Form (PDF) - facilities. Call Provider Services at 1-844-477-8313 or Fax 1-866-614-4955 with questions about claims, credentialing or network status.

There are several ways to enroll in a plan with Ambetter from Sunshine Health. You can go directly through their website. 7 You can also call Ambetter at (877) 687-1169 or through Relay at (800) 955-8770 if you have hearing issues. If you’d like more help, a licensed broker or insurance agent can help you through the signup process.

Ohio. Oklahoma. Pennsylvania. South Carolina. Tennessee. Texas. Washington. If you have questions about your health insurance coverage, we'd love to hear from you. Select your state to contact an Ambetter representative in your area. Claim Form. Per the Florida Agency for Health Care Administration (AHCA), Home Health Service providers must bill claims on a CMS-1500 form. Any claims for Home Health Services received on a UB 04 (CMS-1450 form) or other will result in a claim denial. Paper claims must be submitted on the original form, free of any handwritten or stamped verbiage.Your Ambetter online member account is a powerful tool you can use anytime to manage your insurance plan. There, you can find information about your Ambetter Health coverage, access options for care and much more — all in one place. Your Ambetter online member account puts you in control of your health plan. Discover all the ways you can ...Member Services: Sunshine Health and CMS Member Services are open as usual from 8 a.m. to 8 p.m. Monday-Friday. Members call any time to reach our 24-hour Nurse Advice Line. Sunshine Health MMA: 1-866-796-0530 (TTY 1-800-955-8770) Sunshine Health Child Welfare Specialty Plan: 1-855-463-4100 (TTY 1-800-955-8770)Ambetter by Sunshine Health. With quality healthcare solutions, Sunshine Health helps residents of Florida live better. And now, it’s easier to stay covered with our …In today’s fast-paced world, having access to reliable customer service is essential. When it comes to insurance companies, being able to reach them quickly and easily can make all...Your Ambetter online member account is a powerful tool you can use anytime to manage your insurance plan. There, you can find information about your Ambetter coverage, access options for care and much more — all in one place. Your Ambetter online member account puts you in control of your health plan. Discover all the ways you can manage your ...You can call 1-866-799-5321 (TTY 1-800-955-8770) Monday through Friday 8 a.m. to 8 p.m. Eastern. We look forward to serving you. Children’s Medical Services Health Plan is a plan for children and youth less than 21 with serious, chronic conditions.Insurance Plans. Medicare Coverage for those 65+ or eligible due to certain health conditions. ... Contact our customer care team by phone or chat. Medicaid help and support options. ... Please do not include any personal health information. Humana mailing address. Humana, Inc. 500 W. Main St. Louisville, KY 40202 .Medibank Private Limited, ABN 47 080 890 259, an Authorised Representative, AR 286089, of Travel Insurance Partners Pty Limited, ABN 73 144 049 230 AFSL 360138 arranges the insurance on behalf of the insurer. The insurer is Zurich Australian Insurance Limited ABN 13 000 296 640, AFSL 232507. Please consider your own needs and the Combined FSG ...

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Authorization Call Center Phone Numbers. If you wish to contact Evolent (formerly National Imaging Associates, Inc.) directly, please use the appropriate toll-free number for the respective health plan. Click here for a complete list of telephone numbers.Health insurance plays a crucial role in ensuring that individuals have access to quality healthcare services. With the advancement of technology, managing your health insurance ha...Telehealth. Connect to a provider virtually with Telehealth. Your child can get easy access to a provider when he or she needs to see one. This information is available for free in other languages and formats. Contact Member Services at 1-866-799-5321 (TTY 1-800-955-8770) Monday-Friday, 8 a.m. to 8 p.m. Esta información está disponible en ... We would like to show you a description here but the site won’t allow us. And if you have a severe medical condition, our Care Managers will work with you, your PCP and managing providers to develop a plan of care that meets your needs and your caregiver’s needs. Call us at 1-877-687-1169 ( Relay Florida 1-800-955-8770 ). Ambetter from Sunshine Health's care management services can help you better manage your ...Behavioral Health/Substance Abuse need to be verified by Sunshine Health. Oncology Biopharmacy, Radiation Oncology drugs, and administration of Radiation Oncology need to be verified by Evolent. Drug authorizations need to be verified by Envolve Pharmacy Solutions; for assistance call 866-399-0928. Post-acute facility (SNF, IRF, and LTAC) …To schedule a routine ride, call Alivi reservations at 1-888-863-0248 (TTY 711) between 8 a.m. and 5 p.m. Eastern Monday through Friday.Trip requests must be made 24 hours in advance.We want to ensure that your child is receiving the services required to keep them safe in your home. Please contact Sunshine Health right away when a Private Duty Nursing shift is missed. Learn how to reach us: Medicaid (MMA) Long Term Care (LTC) Serious Mental Illness (SMI) Specialty Plan. Child Welfare Specialty Plan (CWSP)WellCare and Sunshine Health are joining health plans. In Florida, WellCare of Florida* and Sunshine Health are bringing our health plans together to better serve our members, providers, partners and communities. This joining of our organizations will allow us to become a more robust health plan and enhance the delivery of best-in …Find answers to questions about benefits, claims, prescriptions, and more. Find FAQs By State. Contact Customer Support by phone or Live Chat. Log in to find contact information specific to your area and plan. Choose one of these options: Your home state. Ambetter member ID number. Last 6 digits of your SSN. Use Ambetter's tool to help you find an in-network doctor, specialist, or health care facility such as a hospital, urgent care clinic, or pharmacy. ….

Member Resources. Sunshine Health provides our members with the resources they need to get the best care possible. In this section, we provide information, education and resources, including your Member Handbook. If you need help with any of the information, please call us at 1-866-796-0530 (TTY 1-800-955-8770 ). Founded in 2014, Ambetter from Sunshine Health Care offers Marketplace insurance plans with varying coverage levels and premiums to more than 2 million members. Plans are offered at Bronze, Silver, and Gold levels, with additional plans available in some locations. Ambetter from Sunshine Health providers are local to …Sunshine Health offers many convenient and secure tools to assist you. You also have access to your healthcare information. To enter our secure portal, click on the login button. Recertify your Medicaid coverage every 12 months to keep your benefits. Visit the Florida Department of Children and Families to sign up for email reminders. Learn how to enroll in Medicaid health plans through Sunshine Health online and sign up for Medicaid in Florida with Sunshine Health. Call us at 1-877-687-1169 ( Relay Florida 1-800-955-8770 ). Our nurse advice line helps you and your family receive the care you need, when you need it. It’s staffed with …Attention Members: New ID Card Effective January 1, 2024. We are sending members a new card for 2024 because the Pharmacy Benefit Manager (PBM) is changing to Express Scripts.Customer Service Manager jobs ... Sunshine Health is a wholly owned subsidiary of Centene Corporation, ... Medicare and Florida’s Health Insurance Marketplace.Search without logging in. Choose one of these options: Your home state. Ambetter member ID number. Last 6 digits of your SSN. Use Ambetter's tool to help you find an in-network doctor, specialist, or health care facility such as a …Sunshine Health Insurance contact info: Phone number: (386) 693-6517 Website: www.sunshinehealthinsurance.com What does Sunshine Health Insurance do? SHI is committed to provide you quality health insurance at an affordable price. Sunshine health insurance customer service, Claim Form. Per the Florida Agency for Health Care Administration (AHCA), Home Health Service providers must bill claims on a CMS-1500 form. Any claims for Home Health Services received on a UB 04 (CMS-1450 form) or other will result in a claim denial. Paper claims must be submitted on the original form, free of any handwritten or stamped verbiage., Recertify your Medicaid coverage every 12 months to keep your benefits. Visit the Florida Department of Children and Families to sign up for email reminders. Learn how to enroll in Medicaid health plans through Sunshine Health online and sign up for Medicaid in Florida with Sunshine Health., Your Ambetter Onli. ne Member Account. Your Ambetter online member account is a powerful tool you can use anytime to manage your insurance plan. There, you can find information about your Ambetter coverage, access options for care and much more — all in one place. Your Ambetter online member account puts you in control of your health plan. , Member Resources. Sunshine Health provides our members with the resources they need to get the best care possible. In this section, we provide information, education and resources, including your Member Handbook. If you need help with any of the information, please call us at 1-866-796-0530 (TTY 1-800-955-8770 ). , And if you have a severe medical condition, our Care Managers will work with you, your PCP and managing providers to develop a plan of care that meets your needs and your caregiver’s needs. Call us at 1-877-687-1169 ( Relay Florida 1-800-955-8770 ). Ambetter from Sunshine Health's care management services can help you better manage your ..., If you have services such as adult companion care, attendant nursing care, homemaker services or personal care, Participant Direction Option (PDO) may be an option for you. With this Long-Term Care benefit, you’ll be able to self-direct your services by: If you have questions, we’re here to help Monday through Friday, 8 a.m. to 8 p.m., Discover Ambetter's health insurance, available in 26 states. Pros include competitive rates, PPO options, and a rewards program. Learn about limitations in our detailed review., Aug 26, 2022 · The amount you owe for covered healthcare services before your health insurance plan begins to pay. For example, if your deductible is $200 your plan won’t pay anything until you’ve paid $200 for covered services. , LOAP/Practitioner Roster Form (Excel). Additions only. Please do not submit a full roster. Disclosure of Ownership Form (PDF) Disclosure of Ownership Form (PDF) - facilities. Call Provider Services at 1-844-477-8313 or Fax 1-866-614-4955 with questions about claims, credentialing or network status., A session will be held on June 27, 2024, from 1:30 to 4 p.m. Eastern. Sunshine Health offers affordable Florida Medicaid, Medicare Plans and our Health Insurance Marketplace product, Ambetter. Get covered with Sunshine Health today., Skip to main content, Skip to main content, Authorization Call Center Phone Numbers. If you wish to contact Evolent (formerly National Imaging Associates, Inc.) directly, please use the appropriate toll-free number for the respective health plan. Click here for a complete list of telephone numbers., Member Resources. Sunshine Health provides our members with the resources they need to get the best care possible. In this section, we provide information, education and resources, including your Member Handbook. If you need help with any of the information, please call us at 1-866-796-0530 (TTY 1-800-955-8770 )., Virtual 24/7 Care. Get medical help from doctors via video and phone. Healthcare is essential. Ambetter Health can help. You can count on us to share helpful information about COVID, how to prevent it, and recognize its symptoms. Because protecting peoples' health is why we're here, and it's what we'll always do., The following transportation services are offered at no cost to Sunshine Health members: Outside the county in which they live as long as it is within the state of Florida. Outside the state of Florida to contiguous states or more than 100 miles one way when authorized by Sunshine Health., Mar 31, 2024 · Sunshine Health is among the largest comprehensive healthcare plans in Florida. We provide quality healthcare coverage with expanded benefits to individuals and families to help them get well and stay well through through our Medicaid, Long Term Care and specialty plans. , Sunshine Health is pleased to partner with PaySpan Health to provide an innovative web based solution for Electronic Funds Transfers (EFTs) and Electronic Remittance Advices (ERAs). This service is provided at no cost to providers and allows online enrollment. Benefits include: Maintain control over bank accounts – You keep TOTAL control over ... , Write us or call us at any time. 1-866-796-0530 (phone) or TTY at 1-800-955-8770. Call us to ask for more time to solve your grievance if you think more time will help. You can contact us at: Fax: 1-866-534-5972. Email: [email protected]., Wendy Garcia. Bilingual Insurance Agent for Medicare Plans, ACA, Life. TX Notary Public. San Antonio, TX. Five Stars Insurance, +2 more. University of the Incarnate Word, +1 more., Dec 5, 2022 · Member Services: Sunshine Health and CMS Member Services are open as usual from 8 a.m. to 8 p.m. Monday-Friday. Members call any time to reach our 24-hour Nurse Advice Line. Sunshine Health MMA: 1-866-796-0530 (TTY 1-800-955-8770) Sunshine Health Child Welfare Specialty Plan: 1-855-463-4100 (TTY 1-800-955-8770) , Choose one of these options: Your home state. Ambetter member ID number. Last 6 digits of your SSN. Use Ambetter's tool to help you find an in-network doctor, specialist, or health care facility such as a hospital, urgent care clinic, or pharmacy., Sunshine Health does not accept responsibility or liability for any loss or damage arising from the use of email. To ensure the safety of your protected health information (PHI), please send us a message through the Secure Member Portal or Provider Portal, or you can call us at 1-866-796-0530 to speak directly to a customer service representative., A session will be held on June 27, 2024, from 1:30 to 4 p.m. Eastern. Sunshine Health offers affordable Florida Medicaid, Medicare Plans and our Health Insurance Marketplace product, Ambetter. Get covered with Sunshine Health today., When I wrote about calculating the total out-of-pocket cost of your health insurance plan earlier this week, some of you asked why we should bother with health insurance in the fir..., Your Ambetter online member account is a powerful tool you can use anytime to manage your insurance plan. There, you can find information about your Ambetter coverage, access options for care and much more — all in one place. Your Ambetter online member account puts you in control of your health plan. Discover all the ways you can manage …, You can call 1-866-799-5321 (TTY 1-800-955-8770) Monday through Friday 8 a.m. to 8 p.m. Eastern. We look forward to serving you. Children’s Medical Services Health Plan is a plan for children and youth less than 21 with serious, chronic conditions., We want to ensure that your child is receiving the services required to keep them safe in your home. Please contact Sunshine Health right away when a Private Duty Nursing shift is missed. Learn how to reach us: Medicaid (MMA) Long Term Care (LTC) Serious Mental Illness (SMI) Specialty Plan. Child Welfare Specialty Plan (CWSP), Right Here. With Ambetter from Sunshine Health it's easy to take charge of your health. As an Ambetter member, you have access to the helpful tools and resources you need to manage your plan - all in one place, 24/7., Contact Us If you have questions, please call 1-877-711-3662, TDD 1-866-467-4970, Monday through Thursday from 8 a.m. to 8 p.m.; Friday from 8 a.m. to 7 p.m., Contact us at 1-877-687-1169 ( Relay Florida 1-800-955-8770) and we will work with you (and, if you wish, with your doctor) to find a wellness program with the same reward that is right for you in light of your health status. **Formerly known as Ambetter Telehealth. Cost sharing may apply when using Virtual 24/7 Care or Virtual Primary Care., Call Express Scripts at 1-833-750-4300 (TTY 1- 800-899-2114 ). Express Scripts can contact your doctor for a new prescription to be filled at mail order. Mail a home delivery order form. To get a copy of the form, register or log in. Go to the Benefit Menu, click Forms, and download the Home Delivery Order Form., Disability Customer Support Medical Care Best Sellers Amazon Basics Music New Releases Prime Customer Service Today's Deals Amazon Home Registry Books Pharmacy Gift Cards Smart Home Fashion Luxury Stores Sell Toys & Games Find a Gift Automotive Computers Coupons Video Games Home Improvement Beauty & Personal …