Ambetter Health provider networks, plan by plan.
InPlan holds provider listings for more than 370 Ambetter Health marketplace (ACA) plans in Alabama, Arkansas, Arizona, Delaware, Florida, Iowa and 14 more. Together they hold more than 54 million provider-plan links, each with the date we read the directory.
InPlan is independent and not affiliated with Ambetter Health. Plan and insurer names appear as the plans publish them.
- PLANS WITH LISTINGS
- 370+
- STATES
- 20
- PLAN YEARS
- 2026
- LATEST READ
- 2026-10-29
What we hold for Ambetter Health.
Each plan below has a provider directory that lists providers in our data. The API answers from these listings, one provider and one plan at a time, and returns the source type and read date with every answer.
| MARKET | PLANS | STATES | PLAN YEARS | PROVIDER-PLAN LINKS | LATEST READ |
|---|---|---|---|---|---|
| Marketplace (ACA) | 378 | 20 | 2026 | 54,780,519 | 2026-10-29 |
- Ambetter Health
- Ambetter from Arkansas Health & Wellness
- Ambetter from Superior HealthPlan
- Ambetter of North Carolina
- Ambetter of Oklahoma
- Ambetter from NH Healthy Families
- Ambetter of Alabama
- Ambetter Health of Delaware
- Ambetter from Arizona Complete Health
- Ambetter from Buckeye Health Plan
- Ambetter from Home State Health
- Ambetter from Louisiana Healthcare Connections
- Ambetter from Sunflower Health Plan
- Ambetter of Tennessee
- Ambetter from Magnolia Health
- Ambetter from Absolute Total Care
- Ambetter from Meridian
How we count: a plan counts when its provider directory lists at least one provider in our data. A provider-plan link is one listing of one provider in one plan. For marketplace plans it counts each plan year and network tier the directory gives; for Medicare Advantage plans it counts each provider once per plan.
Where: 20 states.
Plans with provider listings in each state. A Medicare Advantage plan that serves several states counts in each of them.
| STATE | MARKETPLACE PLANS |
|---|---|
| Florida | 45 |
| Arkansas | 31 |
| Texas | 30 |
| North Carolina | 29 |
| Oklahoma | 20 |
| Alabama | 18 |
| New Hampshire | 18 |
| Delaware | 17 |
| Arizona | 16 |
| Iowa | 16 |
| Kansas | 16 |
| Louisiana | 16 |
| Missouri | 16 |
| Nebraska | 16 |
| Ohio | 16 |
| Tennessee | 16 |
| Mississippi | 14 |
| Indiana | 10 |
| Michigan | 9 |
| South Carolina | 9 |
Example Ambetter Health plans.
5 of the plans we hold, with the plan ID the API takes. Look any plan ID up for free with the plan ID lookup.
| PLAN | PLAN ID | YEAR | TYPE | STATE | PROVIDER-PLAN LINKS |
|---|---|---|---|---|---|
| Connected Silver (QualChoiceLife)Ambetter from Arkansas Health & Wellness | 37903AR0070025 | 2026 | Marketplace (ACA)Silver · PPO | Arkansas | 184,347 |
| Complete SilverAmbetter from Home State Health | 99723MO0090011 | 2026 | Marketplace (ACA)Silver · EPO | Missouri | 184,084 |
| Complete SilverAmbetter from Buckeye Health Plan | 41047OH0010025 | 2026 | Marketplace (ACA)Silver · HMO | Ohio | 183,606 |
| Enhanced Diabetes Care Silver with $0 Drug OptionsAmbetter of Tennessee | 70111TN0110018 | 2026 | Marketplace (ACA)Silver · EPO | Tennessee | 182,300 |
| Standard SilverAmbetter Health | 35065IN0040001 | 2026 | Marketplace (ACA)Silver · HMO | Indiana | 181,941 |
Is Ali I. Raja, MD in this Ambetter Health plan?
Yes. The directory for 37903AR0070025 lists Ali I. Raja, MD in Little Rock, AR. This is the answer the API gives today for that pair, with its source type and the date we read the listing.
curl -H "Authorization: Bearer $INPLAN_KEY" \ "https://api.inplan.io/v1/check?npi=1013131275&plan_id=37903AR0070025"
{
"npi": "1013131275",
"plan_id": "37903AR0070025",
"market": "aca",
"in_network": true,
"answer": "listed",
"plan_year": 2026,
"source": { "type": "insurer_directory", "as_of": null }
}Ali I. Raja, MD
Neurosurgery · Little Rock, AR
Listed
- PLAN
- Connected Silver (QualChoiceLife)
- INSURER
- Ambetter from Arkansas Health & Wellness
- MARKET
- Marketplace (ACA), plan year 2026
- PLAN TYPE
- Silver · PPO
- NETWORK TIER
- PREFERRED
- SOURCE
- insurer_directory
Check any provider against Ambetter Health plans.
Send an NPI and a plan ID, get an answer with its evidence. Or ask for every plan that lists a provider. A free key gives 500 calls a month.
Other insurers in the same states
- Devoted Health
- Blue Cross and Blue Shield of Texas
- Oscar Health
- UnitedHealthcare
- HealthSpring
- Cigna Healthcare
- Molina Healthcare
- BlueCross BlueShield of Tennessee
- All insurers
- All states
- Why network status is per plan
Figures counted 2026-10-30. Sources: provider directories published by insurers and plans; public plan and provider registries.