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AmbetterExchange · Coverage · Medical Policy · NHMedium impact

Ambetter from NH Healthy Families to Discontinue Marketplace Coverage in New Hampshire For 2027 Plan Year

Act
by Dec 31, 2026
Effective date
Dec 31, 2026
Identified
Sep 3, 2026
Replaced. This version was replaced by Ambetter from NH Healthy Families to Discontinue Marketplace Coverage Effective December 31, 2026 (effective Dec 31, 2026).

Summary

Ambetter from NH Healthy Families is discontinuing its Marketplace (ACA Exchange) product in New Hampshire effective December 31, 2026. The practice may continue servicing members through this date; however, no new enrollments will occur after this discontinuation. Affected members must re-enroll in alternative plans during the November 1 - December 15, 2026 window to maintain January 1, 2027 coverage.

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What to do

by Dec 31, 2026 · 5 steps
01Billing team must continue processing claims normally for Ambetter from NH Healthy Families members with dates of service on or before 12/31/26.
02Ensure all claims are submitted according to timely filing requirements in the Participating Provider Agreement.
03After January 1, 2027, Ambetter Marketplace coverage will no longer be active in New Hampshire—verify member coverage status before providing services.
04No changes to the Provider Agreement are required.
05Front desk staff should update member eligibility verification systems to reflect the plan discontinuation after 12/31/26 to prevent billing errors.

Original notice

Ambetter from NH Healthy Families to Discontinue Marketplace Coverage in New Hampshire For 2027 Plan Year
ambetterhealth.com · Always check the source before changing claims.
View original ↗

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