Name: Ambetter
Rating: 1.4

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Bidut Snellville, GA

Ambetter has the worst website. I even checked with my insurance agent and he has the same impression. The log in process NEVER works. It always says: "Your Login information has been locked out". Even though I am using the same information. I have it written down in a folder. There is not even an option as 'Forget Password' and/or 'Forget Username'....even if I wanted to utilize it. Then one has to call them, be on hold for 20 minutes, and then they will reset it to the same one. Next time, the same thing will happen again. It happens EVERY time. Thank you.

7 years ago

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Bruce S Seattle, WA

They won’t listen to the doctors. Will always deny to save $. I am having an issue with my leg that is not explainable. Dr requested an MRI which was denied. Ambetter recommends 6 weeks of physical therapy. In other words Ambetter does not want to know what’s wrong before someone starts working on you. VERY concerning! Their recommendation was to use pain pills and booze to dull the pain!!! Great medical advice

7 years ago

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Buffy Mesa, AZ

I cancelled my health insurance with Ambetter.They sent me a letter saying my portion for health insurance would be 75.00 a month . Ha Ha what a great Xmas i received 260.00 a month for Insurance. not the 75.00 they said it would be in the letter they sent me. So i have no insurance now trying to get on my husbands policy please wish me luck. Do not recommend them at all.Also i have a ongoing bill the they have not paid.

7 years ago

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Cecilia Dallas, TX

I cannot find any GYN within 200 miles. When I searched the availability pre-12/15/18 there were plenty of good ones. I guess that was to entice ACA enrollees to select their plan, because here on 12/24/18 there are none listed. One of the doctors they had listed earlier this month, Dr. Lauren M, hasn't excepted Ambetter in years. Do they really expect travel of 3 or more hours for appointments? $718 a month for what? I have 0 health issues. I just want the normal exams.

7 years ago

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Pha Port Saint Lucie, FL

They are the worst, and so glad I am going to another insurance company. First they refuse to pay for medication and were acting as doctor for my father which they thought that could slide...but our family is well aware of what most insurance and health system is capable of ... they're bound to receive a lawsuit...

7 years ago

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Pam Mesa, AZ

I am native American and the marketplace suggested this is the best insurance for natives that have health benefits from the IHS services. However after a year of having the insurance and it's coming to an end on December 31, not once did Ambetter assist in any payment of any service I received in the last year. All i ever received this past year was denial after denial I would never recommend this insurance to anyone, nor would I suggest any Native American to take this insurance. It was a money pit and not worth the cost I paid.

7 years ago

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Dave The Colony, TX

They don’t care about you in the least. I had them last year. My bank card number was stolen and used for $12,000 in phony charges. I stopped the card and ordered a new one. Visa said my bills would transfer. Ambetter didn’t. It skipped 1 payment and they cancelled my policy. I called and asked if I could back pay them they said NO. I asked if there was anything I could do. They said, NO. I said this sucks. They said, I know it’s compam policy, it happens all the time. Goodbye.

7 years ago

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Vince Hollywood, FL

Having Ambetter has been really frustrating. I can't do a number of things that they say we can easily do. Some of these include...1. getting a hold of them on the phone when needed. 2. finding a provider online. Whenever I search it says that there is no one in our area even though there is. What I liked about Florida BlueCross was that it was the exact opposite and they were very reliable.

7 years ago

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Jen Austin, TX

No urgent care providers in-network withing 50 miles. Run!!! Better off putting the money paid in premiums in the bank. They'll deny your claims. Denied MRI for my hip (that was fractured) and wanted pain meds and PT for 8 weeks first. Because I was unable to access care, I requested a refund of premiums. They agreed and then kept my money. Reported them for consumer fraud in TX, but they lied and I would have had to fight the determination and by then, I was worn out. They are the WORST! So bad, that I didn't get coverage this year because I felt so scammed.

7 years ago

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Patricia Fort Lauderdale, FL

This is the worst insurance company! Invest your money somewhere else. Horrible costumer service, they laugh at you, and they won’t resolve anything, and won’t leave you speak to the manager or supervisor. They deny claims , and would also take money from your bank account to renew your policy without your authorization. Run away from this company!!!

7 years ago

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Karen Winter Springs, FL

Ambetter told me to have a mammogram for prevented health maintenance. They said it’s free to me. I got it done by a provider in Ambetter network but Ambetter has yet to pay the provider and it’s been eight months. The provider said they have thousands of Ambetter patients that have not been paid on. I’m switching to Oscar Insurance.

7 years ago

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Kira The Colony, TX

My daughter had emergency situation and joined her in the near by emergency room, ambetter have contract with emergency which is more than 100 miles. We have called ambetter for pre-approval since its out of network and more than 100 miles, she is agreed. Later I was by customer rep that I need to pay deductible then rest of them they will cover. After hundreds of followups (almost 2 years) surprisingly they don't cover anything with strange disclaimers. AMBETTER IS A FRAUD.

7 years ago

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Monique Bridgewater

Why aren’t the specialists or all participating providers not updated? Why is old information still in the out of date system ? Why are there different tier systems for the member vs Ambetter locater ? Why don’t I have access to the same information in the member system? Why do I have to call to find a provider When it takes a minute on line if updated ? Why do I have to work so hard to find a provider and continue to pay for this insurance ? I answered my own question.....

7 years ago

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Esther Kansas City, KS

I have a medical professional within their network and they keep denying she's in their network. When I first called, they said she was in the network, so I went to see her. Then I got a letter from Ambetter saying she's not in my network and they denied the claims. So I called again and they said she is in my network and refiled the claims. Then I got another letter saying they denied again, not in network. It is now the end of the year, the plan is expiring and they still deny these claims.

7 years ago

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noemi Hickory Hills, IL

This is the worst insurance You can find I live in the suburbs & they sent me to Doctors in the south side of Chicago (the hood ) 11/2 hr from my house just to see a doctor then a problem to pay the providers then when I go get my medicine the card isn’t active I’m not in the system .the list of there providers when I call them none of them take ambetter. This is the most sleezy insurance I have ever come across if u want an insurance that doesn’t pay that u have to call then also call the market place over and over again and fight all the time this is the insurance for you

7 years ago

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Olivia C. Loganville, GA

Ambetter insures me and I went to an in network hospital emergency room. Problem is the ER Dr. was out of network. Even though I have 2 separate copies of my plan and my insurance card issued by Ambetter, all stating zero$$ after deductible with exceptions =-NONE- for IN and OUT of network they are refusing to pay the full bill. I would give Ambetter — stars if I could because they are deceptive and DO NOT pay legitimate claims that are supposed to be covered as found in writing in black and white. I would never recommend this company to anyone.

7 years ago

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Venous Chicago, IL

The worst insurance company of all time. Everything I read here is true. No one takes it, even if they say that do on their website when I call them, they say they do not take the plan. I am paying an insane amount for my premium each month and they don't cover anything. I just gave birth to my baby, and if I had gone through the hospital without insurance I would have paid 1/2 the amount that I owe now. This insurance company is a fraud.

7 years ago

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PAMELA J CARTER Litchfield Park, AZ

Run Don't Walk this is the WORST HEALTH INS EVER, THEY DON'T PAY CLAIMS EVER, 1 DAY YOU TALKED TO SOMEONE ABOUT HEALTH COVERAGE & THE NEXT DAY YOU TALK TO SOMEONE ELSE & THEY TELL YOU SOMETHING TOTALLY DIFFERENT!!!!!!! I'VE WORKED IN THE HEALTH CARE FIELD FOR MANY YEARS AND RETIRED I CANNOT WAIT UNTIL I AM 65 TO GET MEDICARE!! THIS COMPANY IS HORRIBLE!!! THE WORST!!!! I ONLY GAVE THEM 1 STAR BECAUSE I AM FORCED TO GIVE AT LEAST ONE STAR TO PROCEED WITH THIS REVIEW

8 years ago

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Michael North Las Vegas, NV

Great if you don't need anything. I'd have been better off not having insurance and using my VISA card. Seems like they pay providers for 100 tests and visits and then do nothing when you actually have a diagnosis. I'd check ratings before I use another primary from their list!

8 years ago

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Jane Nixon Springfield, MO

They don't even deserve 1 star but that is the lowest available. They want you to pay but never want you to use it regardless of what your Doctor and Specialists recommend. Deny, Deny, Deny. Doctors get very frustrated because Ambetter approves nothing, not just for me but for everyone. Ambetter should not even be considered insurance. Like my Drs say, It's called insurance and you pay for that. They just don't want you to use it.

8 years ago

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Moe Snellville, GA

This company doesn't cover our surgery or anesthesia or wellness checkup, they make us pay for every thing and they escape when you call them they don't solve any problem and supervisor always is not available , lie after lie , I think they have to close Ambetter and Market Place because is just SCAM . and Scam from the government of USA and i'm wondering why they still force people to have insurance

8 years ago

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Mark Polo, MO

Horrible insurance. Customer care is incompetent. On their website they list a provider as being in their network then they deny benefits with a code of "not in network". Deductibles and co-pays are costing me a fortune. Explanation of benefits included a lung transplant and a vasectomy. I've had neither!!! Only choice where I live in Missouri.

8 years ago

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LINDA BUSICK Little Rock, AR

DON'T EVER CHOOSE THIS COMPANY THEY STEAL YOUR MONTHLY PREMIUM THEN THEY SUSPEND YOUR INSURANCE AND THEN THEY DON'T GIVE YOUR MONEY BACK, THEY LIE AND WHY WOULD HUMAN BEINGS TREAT OTHER THIS WAY, THEY WON'T TELL YOU HOW TO CALL ANYONE BUT THE CUSTOMER SERVICE AND THEY DON'T TELL YOU WHERE THEY ARE LOCATED AT. WHAT IS WRONG WITH THIS COMPANY????????? WHY DOES THE MARKET PLACE RECOMMEND THIS COMPANY WHY DOESN'T THE STATE HELP US WITH THIS??????BEWARE OF THIS COMPANY!!!!!!

8 years ago

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Catherine Kissimmee, FL

This health plan sucks so bad like nothing I have ever experienced in my life. I will private pay my own doctors rather than go to the quacks that take this health plan. Why is it that because I don't speak Spanish that I am not entitled to the same quality of care than these people do. The doctors around here speak no English. Don't EVER SIGN UP FOR THIS SHIP OF FOOLS!!

8 years ago

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Laurie

Most of the doctors in my area won't take this insurance. Some of my doctors that did carry it have dropped it, and I have had to find new doctors farther away. Many of the doctors that I checked on their site actually do NOT take the insurance. Every year the prices for this insurance has gone up by huge amounts. They have also decline a surgery that I needed. This is a sad excuse for medical insurance.

8 years ago

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Ozzie Miami, FL

If I can give him a negative star I would . I was admitted to the hospital on a Wednesday on Saturday all I needed was an approval for home health care. 5 days later I was still waiting for the approval meanwhile bills are going up and no income coming in all I can assume is that they just want me to get frustrated and walk out of the hospital so they wouldn't have to pay for the home health care. I guess I'll just put them on the Evening News to show how incompetent and what kind of garbage they really are.

8 years ago

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Mark Evans Olathe, KS

I started my insurance in Jan. of 2018 and set up auto pay for them to take out my premium every month. They decided not to take my April 28th premium out and canceled my insurance on May 1st. Every time I call them and ask them why they refused to take the premium out of my bank account they have no idea. Now I'm in the process of appeal. It would be nice to have health insurance in case I ever needed it. Horrible company! Only one left in KS.

8 years ago

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David IIsrael Hale, MO

Slow paying providers, no in network specialists in our area such as dermatologists, copays for meds makes it cheaper to pay cash and am getting dnned freom them even though I have autopay set up on web site, customer service sucks, they can't seem to do ANYTHING competently. What a scam health insurance and much of the healthcare industry itself has become and Amworst is leading the pack.

8 years ago

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Laura Pearland, TX

Signed up in 2018 for Health Insurance. Used website to contact a specialist for a well woman annual check up. Called the specialist to make sure they accepted Ambetter because several of the Doctors from the website did not take Ambetter insurance. Went for check up and Ambetter would not pay the bill because the doctor is no longer in network. Had to pay full bill. Terrible insurance and a big racket looking into cancelling this insurance and WILL NOT use this company again next year.

8 years ago

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John linerode Pioche, NV

My husband had to choose a different Ins. Co. But these was only one! Since we had one last year that was fair pricing he Signed up! First bill was NO PAYMENT DUE...send month the same. Now we get a bill for $3,000 sent in paper work to investigate still get bill for $3.000 my husband collects his social security next month and only earned $4.000 last year. Seems apples don’t fall from the tree and we are all more or less in the same boat

8 years ago

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Mei

Ambetter is Medicaid. If you have Medicaid you are concidered poor/ low class. Many low income clinics will say “accepting new patients but not taking Medicaid/Medicare payment”. Health insurance is a great USA scam. Ambetter is a peepoor excuse but a good revenue for Big Pharma. It costs a clinics door $3000 an hour to stay open and Medicare makes us probono patients. No one wants us and Ambetter is just another Medicaid symbol we wear on our arms so medical staff can judge and deny us. Remember: Medicaid/Medicare is to label who is worth saving and who is worth dying.

8 years ago

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Drew Hirsty Henderson, NV

Here in NV, this company is very inefficient. Materials are never sent timely, the website does not function properly, the medical network is very weak, the provider search feature is innacurate, the EOB are not posted timely, the communication portal is not followed up upon timely or with solutions, the advice from the help center is inaccurate and the prior approval process is lethargic at best. Other than those things, they don't seem to care too much to fix any of it - and oh boy don't point it out to them. And we get the priviledge of paying ~$1,400 a month. Lucky us.

8 years ago

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Allen Campbell Greenfield, IN

I started coverage with Ambetter on 5/1/18. Since then, I have had to call them 3 times. Each time, the representatives I have spoken to have been unable to assist me with questions. I requested a supervisor and had to wait in excess of 15 minutes to speak to them and then they could not assist me either. All they did was refer me to my bank where the payment was made.

8 years ago

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Linda Busick Little Rock, AR

Beware this is the worst company, can't talk to anyone but a dumb customer service who doesn't help at all. paid my premiums on time and they said I have never paid a premium my bank has called and faxed over proof still they won't help they suspended my Insurance, I call everyday and get told the same crap. STAY AWAY DON"T WASTE YOUR MONEY AND TIME!!!! THIS IS A NIGHTMARE

8 years ago

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Mike New London, NH

I paid one month in advance and they sent money back. My son had been in hospital for a couple of weeks and I wasn't paying attention to bills. Six weeks later, my policy got cancelled as they said I couldn't pay in advance. .Then, I found out my policy doubled because of a mistake. I called the company because I was out of meds. One day they said I owed a certain amount. Then I ended up calling back three times and every time they said I owed a different amount. Today, I can't afford it and will most likely die because I can't afford to get them money.

8 years ago

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LELU DALLAS Cleveland, OH

I wish I could choose NEGATIVE stars. This is the worst coverage I have EVER HAD! I had traveled to Massachusetts for Valentine's Day. Wound up getting violently ill, A BLEEDING EMERGENCY that I had to call 911 and get an ambulance for....THEN, I get A HUGE BILL from the ambulance company as WELL AS the hospital...TURNS OUT AMBETTER (SCHMUCKS) DOESNT COVER OUT OF STATE EMERGENCIES AT ALL AND NEVER PAYS FOR AMBULANCE NEEDS EVEN IN THE STATE OF OHIO! WTF! I GUESS IT WOULD HAVE BEEN CHEAPER TO JUST DIE FROM MY INJURIES!

8 years ago

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Nk Missouri City, TX

I was enrolled in auto pay. But they told me I wasn’t and did not even inform me before cancelling my service when I was willing to pay. When I complained about it the customer service representative got rude. Now, I cannot reenroll the clinics of this health plan sucks everything sucks about this health plan. The clinics look like a typical third worls countries clinic. I only chose this plan because it was cheaper. Had I known earlier about the poor state and shape of this sorry health plan I would have invested in a better plan even if it costed more.

8 years ago

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David Harrison Cincinnati, OH

Impossible to actually order glasses. Cannot order anything online, and when I was told I could order at Walmart, I spent an hour and a half on the phone trying to get guidance on how they could actually implement the $130 off. My insurance expired before I could ever use benefits. 10/10 would never ever use this company. I'd imagine if you had a serious health issue, you'd die prior to receiving any sort of decision on whether they would cover.

8 years ago

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Diana E Chicago, IL

I wish I could give zero stars. They are complete liars. They list doctors on their website, which consumers use to select carriers, who are not in their network. Once you have selected Ambetter, you find out the truth and you are stuck with sub par doctors. I am stuck with them until open enrollment even though they used a bait and switch to get me as a customers. They are liars and not reputable.

8 years ago

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Vicki Buckeye, AZ

They are hopelessly messed up. They continally deny my claims as out of network when I find the providers on their network website! I keep getting the same bills over and over from a Dr I went to and when I call Ambetter to ask why they are not being paid they say they never got the bill. So I call the Dr office and they say they have submitted and resubmitted bills over and over. It's like they don't want to pay the bills. I cannot believe they call this health CARE because it is NOT.

8 years ago

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Ansley Atlanta, GA

They should call themselves Amworse because if you need any specialty medication, you’re pretty much SOL. I’ve been on a medication for nearly a decade and have appealed their rejection of it without success. An ok health insurance company if you don’t actually need anything to benefit your health.

8 years ago

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jay Fort Myers, FL

Do not use this company. They will put profit above your health every time. I need a once a week infusion for a complicated genetic disease. I sent the info to Ambetter a week before my policy began. 30 days later I still don't have the drug. They also denied the nursing service to infuse the drug. I filed a complaint with Fl Insurance commissioner. Stay away. This company will kill you.

8 years ago

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James Nelson Hobart, IN

WORST INSURANCE COMPANY IN THE USA. Ambetter continues to deny their lies. Don't use this company you will be very sorry. I have not found one person who is satisfied with Ambetter. Most all have the same response "Ambetter lied to me about benefits" All they want to discuss is payment methods. Even the supervisors lie over and over. They refuse to release transcripts of your phone calls because they are full of lies. WORST INSURANCE COMPANY IN THE USA.

8 years ago

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Never again Ambetter Orlando, FL

Fake list of providers. Many providers are not accepting Ambetter. Needed many hours on the phone to finally get approval to a provider for my colonoscopy . Was told free colonoscopy screening was covered . That anesthesia was free as well. Now I get my bill and told that the anesthesia actually was done by an OUT OF NETWORK provider and was NOT covered . Got a bill for $500 .. PLEASE KNOW you can file a complaint with the Office of your states Insurance Consumer Advocate !!!!! I certainly will- this is just wild what this Ambetter is trying to pull off .

8 years ago

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Ganna B Highland, IN

HORRIBLE THIS MARKETPLACE OBAMACARE IS TERRIBLE!! they told me to get the plan I wanted in indiana to keep my deductible at 3500 I had to go up to paying 225/ month so I did because I was pregnant. Then after I had complications and I was in the hospital for a week and my baby in the NICU they told me I did not have a 3500 deductible that they SPECIFICALLY WENT OVER AND TOLD ME TO GET THIS PLAN FOR THE $3500 DEDUCTIBLE. They told me i had a $5500 deductible instead!!! How can these ppl get away with this it's robbery

8 years ago

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Emily Davidson Mission, KS

I'd rather give it NO stars. So far: They have no record of my first payment. However, they sent a card. With an incorrect ID. I called them and also sent a screenshot of my first payment and they said, essentially, "Oh well, don't know what might have happened to that." The P.O. box address on the email they sent me (saying they had not been paid) turned out to be incorrect. They did find that I had an account, but I was enrolled in a more expensive one I had not chosen. They have frozen my ability to obtain needed prescriptions. I call them Amworse.

8 years ago

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Tess Theisen Chicago, IL

if i could give them zero stars, i would. this is the worst company i have ever dealt with in my entire life. avoid ambetter at all costs. you honestly couldn't PAY me to work with them ever again. all they do is transfer you from person to person, no one can help, ever. honestly if i could call the CEO of this trash company, i would. even better, i would physically go to the CEO personally and tell them what a terrible company they have. it's absolutely incredible how unhelpful they are. i've been paying them monthly for three years now with nothing in return. DO NOT INSURE WITH AMBETTER.

8 years ago

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Roger D Albert Austin, TX

My Experience was that their provider network was so small, even in a large metropolitan area, that I sometimes has as few as one, or even no provider option, and in fact in the last quarter of 2017, was unable to find any care in two needed specialties. Several they show in their network were either no longer taking ambetter, or scheduling out until the next year, or not actually in their listed specialty, or otherwise unavailable. They also failed to provide their listed rewards 4 times throughout the year, two of which they acknowledge, and all of which they now refuse to offer.

8 years ago

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Shelby Opa-locka, FL

Trust me this is not the company to use for health coverage. Only if your visits to the doctors are sparse and non existent and your monthly premium is 0.00. This company doesn’t value their employees or members. They don’t provide quality training or good response times. Please only use them as a last resort and still don’t consider them even then.

8 years ago

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Sarah Festus, MO

I would like to give no stars!!! I have spent DAYS trying to fix our plan. There was a data entry error and it took 9 days to get the prescription drug side of the insurance correct....all while my 4 hear old asthmatic had to go without meds for 9 days. There was no urgency in fixing the problem. They r a confused company..refuse to call them a provider as they only provide headaches They did not even know they were no longer on contract with walgreens I have been paying for a service I was not even showing active for....

8 years ago