ExchangeCoverageMedium impact
Ambetter Health of Delaware to Discontinue Marketplace Coverage in Delaware for 2027 Plan Year
Ambetter·DE·Medical Policy
Effective date
Dec 31, 2026
We identified it
Sep 3, 2026
Summary
Ambetter Health of Delaware is discontinuing its Marketplace (ACA Exchange) product effective December 31, 2026. Providers may continue servicing members through this date with no changes to provider agreements. Claims for services through December 31, 2026 will be processed normally; providers must ensure timely claim submission per their agreement.
Action Required
By December 31, 2026: Billing team must ensure all Ambetter Health of Delaware Marketplace claims for dates of service through this date are submitted within the timely filing requirements specified in your Participating Provider Agreement. After December 31, 2026, no new claims will be accepted for this plan. No system changes are required. Verify member eligibility through December 31, 2026 to avoid processing claims for ineligible dates. No proactive member outreach is needed—Ambetter will notify members directly of plan discontinuation and enrollment options.