Ambetter
1.4
5.1
Overall Score
Joshua A Deen Sumrall, MS
It takes a LOT to anger my wife.... but they managed! One of the few times I've heard her voice raised. Trying to simply get a letter confirming my cancellation so I can be put on her insurance, but they cannot send a letter because I am no longer a member.....??? Hmmm.... Another commenter put it best: "Ambetter is a maze of confused people"
Staff was polite and friendly when they eventually did answer.
8 years ago
candace Ormond Beach, FL
company dr directory is predominantly outdated and incorrect. They do not pay their drs therefor the drs on their list stop taking their insurance. i live in daytona beach fl so i don't live in the sticks yet i call doctors on their list upto 85 miles away and still no one will take their insurance!! (for an ultra sound or a dexa scan....run of the mill tests)
8 years ago
Merideth Dunedin, FL
The worst marketplace insurance. Total scam. I’ve called about 15 times to update my kids primary care physicians and have been told 15 times they are updated and correct but they arent. I’m paying for a health insurance I can’t use. We pay $1400 a month for a plan that people get for free since it is a Medicaid company. Doctors don’t take it. Do not use or buy this insurance. It is awful and they should be ashamed of themselves for the company they are running.
8 years ago
Kimberly Mcfall Strongsville, OH
I have not seen my rewards for the gym. I called they say someone else takes care of it. I called them and got no where. My reward card didn't work. They were supposed to send me new ones and never did. Finding a provider is harder than you expect. Even the brand new updated book they sent me half the doctors offices I called said they don't except buckeye. Don't waste your time here.
8 years ago
Powell Temple, TX
This Company is bad no Doctor will be in the network and the Doctors that are or the one Doctor I found was rude. Like my problems and time were beneath him. Ambetter service center there nice people, but my claims have been denied due to them. Overall I spent a year with no doctor and afraid to see someone because of it. I certainly can not afford 3-4hundred dollars a visit. In short use another insurance. provider if at all possible. I give no star if I could. But you wouldn't see if I didn't.
8 years ago
Juliet Tucson, AZ
If I could give a no star I would. I was on vacation, got a sinus infection, went to a Doctor in a clinic, got a bill for $424. 00 NONE will be paid because I was on vacation. I said to them, so if I went to the ER it would of been covered? They said Yes. So they would rather pay $2500.00 for an ER visit, then for a clinic visit. No wonder this country is in the mess it is. WHAT A JOKE.
8 years ago
Ranjita Ridgeland, MS
I am liable to pay for the mistake made by their so-called customer service representative who was supposed to cancel my insurance from October 31st but entered November 31st on the system. Never been enrolled in such a shit Insurance Company and I warn everyone to be aware of this kind of scam they running.Now when asked for the insurance termination confirmation, they are coming up with many clauses and conditions which was never told to me when I called for the cancellation.
I recommend everyone to get any other Insurance but not this one.
8 years ago
Rob Hardy Liberty Hill, TX
Quite possibly the biggest scam insurance company out there. Constantly misrepresenting that they have providers that they don't, no customer service, providers hate them because they are not paying their claims - you pick it. Don't count on the Texas Department of Insurance helping you with problems - the singularly most do-nothing agency in Texas.
9 years ago
Pablo
We called to ask a question and the lady changed the policy without our concent. We are paying 7 times more now..
And they refuse to go back to the previous plan.
It indeed ruined my 15th anniversary celebration...
I hate companies that get rich through dishonest gain.
9 years ago
Tyshonda Thomas Covington, GA
I recently moved from CT to GA and I was looking for health insurrance an a friend told me look at Ambetter health insurance but when I called in march they told me i had to wait until October for opening enrollement but when i called today they told me I had to wait until Novemeber to see if i can be enrolled and I will not be calling them back because I've waited long enough time for health insurance to be turn down
9 years ago
Terry M. Smith
This has to be the most ghettoest company that I have ever had to deal with. All of their customer service reps all appear to be lost, uneducated and totally uninformed about any thing remotely related to AMBETTER. They all read from scipted prepared responses meant to frustrate their policy holders. If you are considering Ambetter for insurance,do yourself a favor and don't!!!!!!!!
9 years ago
GW
I find that there website for listings of providers is deceptive. They show numerous facilities/doctors but yet when you call they no longer accept this insurance. When you do find a provider that still takes Ambetter, then as a new patient your wait time to get an appointment can be 3 months.
In addition when you call their customer service they tell you they are sorry, but can't help in any way, just the way things are. Very frustrating!
9 years ago
Ralf L
Neidorff is the highest paid CEO in MO. Good reason. They weasel out of claims by saying the preapproval wasn't done right. And going to in network ER, but they won't pay the doctor. Then you get a surprise Bill, which is still legal in WA. The vision center listed on their URL said you have to prepay cause Ambetter won't pay them.
Our healthcare system is so messed up. Thinking about going to Costa Rica and getting out of this train wreck of a country. Friends love the health care there. And they don't spend any money on wars!
9 years ago
Amalia
This is by far the most negligent and incompetent insurance company ever. They have the worst IT system and are lousy with customer service. Never return calls, often have glitches in the system that will cancel your service and they offer no warranty to fix their mistakes in a timely manner. Meantime, you are left spending 1-hour phone calls with useless agents that cannot fix a damn thing. I regret this choice so much, as soon as I can I will change the insurance company for a decent and respectful one one.
9 years ago
Deborah Neatherton
Worst insurance ever. Medication shown as covered before enrollment was reason I chose them. As soon as enrollment was over they changed the med to pre-approval only and then denied it even after doctor did everything they required. I had heart attack years ago. Heart doc wants ultrasound done to review my heart condition now as I am having symptoms, but Ambetter won't approve. Ambetter Peach State healthcare.gov has been worthless to me and has been a huge financial burden each month with the hefty premium I pay.
9 years ago
Alan Reynolds
This Company is the 'Lowest Denominator' in the Health Insurance and Obamacare industries. They have a very thin network of the worst Physicians, horrible Customer Service with long hold times, and they are very stingy in authorizing expensive procedures and medications. This is NOT a carrier which I recommend at all,,,one should not be insured with them for any kind of major illness or care. If you are given a choice to pay more for a slightly better carrier, do so! This company is even bad at collecting premiums, and has a high cancellation rate. Much of their service is outsourced.
9 years ago
Dusty Roop Plano, TX
You have to be brain dead to buy this insurance. I needed a cardiologist while in the hospital. All of Dallas FtWorth had 3doctors in their Network. 3! And not a single one worked in a hospital in their network. You ate forced to pay either a doctor bill or a hospital bill. The insurance is an Obama care joke! Its rediculous!!! The Democrats that forced this crap on us need to be lined up and shot! Thank you Ezekiel Emmanuel. You need to be drawn and quartered for what you have done to health care in this country. I cannot believe that an insurance plan like this can even exist! Stupid#!!
9 years ago
Mike Kinald Round Rock, TX
They charge you $400 a month and practically NO doctors in my area take this insurance, or the ones that do are not accepting new patients. Their provider directory is outdated and incorrect, and even when you call and speak to a live person, they give you names that will not take you as a patient.
Poor service, poor plans and piss-poor benefits for the price.
9 years ago
Mindy Miamisburg, OH
Worst company ever. They are here to get the premiums from the government for Obamacare but do not provide any coverage. Their list of providers is fake. None of them accept Ambetter. I spoke to a few doctors on the list and every provider has refused to work with them. They are a pain even for the providers. Not worth even for free. The providers who do accept this insurance are shady themselves.
9 years ago
Joan stiva Grapevine, TX
The worst company I have ever dealt with. Tried to cancel and they told me 14 day process. Then they took away my tax credit which raised my bill from $108 to $678. Now they need 30 days to review the notes. In the meantime they are charging me a late fee for a month of charges I should have never been charged for. Do yourself a favor and go with another insurance company cause Ambetter should be Amworst!
9 years ago
Katie Biloxi, MS
I am absolutely fed up with Ambetter! They are the the worse insurance company you will come across! I live in MS zip code 39507. They only have 1 dermatologist within network in my area and he only come in MS one Friday a month. He works out of FL. For a OBGYN they offer no women doctors that are in network. If you ever call Ambetter the reps will be rude to you and give you incorrect information. I do not recommend Ambetter and I will be getting rid of this insurance asap! Very disappointed with the lack of help and service.
9 years ago
Dessie Lane
poor service- does not help customers..not granted access to online acct for over 4 months-can not pay except by phone...each call only is repeated by the next online rep as to what actions they are taking to address problem...
30 min+ wait to talk to someone each time for help with current site issues/finding a doctor etc
very frustrating to deal with or to inquire about services -
2nd year member
9 years ago
katelynn allen
This is the worst health insurance ever if that's what you even want to call it. They steal your money and never actually help you... no one answers the phones so the 24/7 help is a lie, most doctors won't take this insurance and they pretty much refuse to give you an approval unless your dying. They have doctors on their website that aren't part of their program and you go to the doctor and get charged thousands of dollars
9 years ago
Densie Webb
I've had several insurance policies over my lifetime and this is, without a doubt, the worst. However, because I purchased it through the Marketplace, I'm stuck with it until the end of the year. Each time I try to choose a doctor from the list provided online or call Customer Service, it always ends up that the doctor doesn't take Ambetter for new patients. They don't cover 2 meds that I need. And that's not to mention the $6,850 deductible per person. Insane. None of this is revealed when you're buying the policy of course. Stay away!!!
9 years ago
Peter Cappello Spring Hill, FL
Ambetter is absolutely terrible. They offer rewards for doing things like taking Nutrition quizzes and visiting your PCP, only problem is that it's near impossible to use the money.. I received my 'debit card' that is supposed to be how to use the money you earn and I tried it several time with no success. Called literally 3 times and emailed back and forth a few times and got nowhere. Nobody knew anything about it and nobody knew how to fix it. Then after a few months it just magically worked.
Next month it wouldn't work again.. unbelievable.
9 years ago
William R. E. Jackson
Never, ever do business with Ambetter! They took a payment in November of 16 then didn't provide member packet. When filing tax return I find they didn't issue a 1095A Called on 3/16 to learn that policy was canceled and they would not issue 1095A. Suggested I call back on 3/20 to inquire about refund. THEY TOOK MY MONEY, DIDN'T PROVIDE COVERAGE AND THEN MAKE YOU JUMB THROUGH HOOPS FOR A REFUND!
9 years ago
Joyce Swope Champ Temple, TX
I have called 17 Dr's on their list. They either don't exist or don't accept Ambetter. Finally found 1 at a clinic an hour away! This is the worst I've ever seen in ANY company for ANY thing! EVER! DO NOT GET! Who knows what's ahead for my husband needing a routine colonoscopy. I'm terribly scared for our health needs this year and I can't wait to be done with them.
9 years ago
Alexis
Absolutely the most horrible ins! They are a fraud! Not one Dr they have referred me to accepts this ins. I call repeatedly and get no where with them and they have the audacity to tell me to sell the doctor to go with Ambetter, ha not my place to do their work! This is right out stealing money right out of people's pockets!!!!
Something needs to be done NOW!!!!!
9 years ago
Jason Beschinski Valparaiso, IN
Only had one doctor in my local area that was on their plan and accepting new patients. That doctor's office was unable to confirm my coverage, even after multiple attempts. When I tried to contact customer support, Ambetter customer support number repeatedly disconnected (i was on a landline). Finally had to get a supervisor to call my provider directly.
9 years ago
Erie Liver Avon Lake, OH
They are always very nice when you call, but after 15 calls (over an 8 month period) they still can not fix a claim for $33.00 that I was billed incorrectly for a wellness visit. I also contacted them via their online contact form (which says someone will respond within 48 hours) and no one has ever called me. I've written 2 letters - no one calls. I would suggest you not purchase insurance through this company - heaven forbid the problem would be with a claim for hundreds or thousands of dollars.....
9 years ago
Kate Louisville, KY
My plan just kicked in today and I've called 3 doctors listed on their website for a pretty urgent need and all of them have said they don't take this insurance. I had no idea this was even a thing that could happen to this scale and to be honest I am absolutely terrified that I won't be able to get the care that I need. I wish I had looked for reviews before taking this plan but I didn't even know this could be an issue... not a great start.
9 years ago
Jeff Allgood Irving, TX
Despite the fact that healthcare.gov has sent our paperwork to Ambetter, they still can't figure out our tax credit. After multiple phone calls to both parties and no resolution from Ambetter, Ambetter lying on their website about doctors who take their plan (the closes gyno for my wife is 200 miles away) my patience for Ambetter's incompetence is up. I sat on the phone with helthcare.gov for two hours to switch insurance companies at the deadline.
9 years ago
S Robinson
This insurance was properly canceled and Paid In Full at the end of 2016 yet I keep getting invoices, notices to pay and email reminders. The customer service is awful, maybe because no one speaks English but answer your questions with Stock Phrases. I never filed a claim or used the insurance for anything. I just want the have this company stop saying I owe them.
9 years ago
Bailey Lakeland, FL
DO NOT EVER GET THIS INSURANCE. ABSOLUTELY THR WORST COMPANY I HAVE EVER DELT WITH IN MY LIFE AND ONE OF THE BIGGEST MISTAKES I HAVE EVER MADE. HORRIBLE. AWFUL CUSTOMER SERVICE AND HARDLY ANY DOCTORS WILL TAKE-- THE LIST THEY GAVE ME WHEN I ENROLLED WAS WRONG WHEN I CALLED THE DOCTORS AMBETTER SAID WOULD TAKE ME EVERY DOC I CALLED SAID THEY DO NOT TAKE IT. LIES, "COMPUTER GLICHES" & MISTAKE AFTER MISTAKE.
9 years ago
Amber Marshall
Customer service is a joke. I have yet to call and get any help. I get cut off every time I go on hold. I have gotten two bills and still no card or packet with my plan. The website took my payment but now I can not login, or reset my login. All it requires is a DOB and the member ID. I had to call to even get my member ID. This carrier is a joke. A month without meds and I need a DR.today, but I can't prove I have insurance. Pay more, go to another carrier.
9 years ago
Emily Summers Memphis, TN
Ambetter is horrible! I've just been trying to fill a prescription for a week and a half and can not get an answer if it is approved or denied. When I call they say they can't give me any information or a status, and tell me only my doctor office can call and get that information. However they are not giving them an answer either. Multiple problems with the ambetter site when we get a log in. It shows you nothing! Very dissatisfied. I will be switching insurance companies.
9 years ago
Cheryl Barnett San Antonio, TX
I continue to receive bills for coverage that I Never applied for. This is a scam! They have obtained names for the people needing coverage in the "marketplace" and they are sending random bills! This would be very contusing to someone who had not taken care of their own coverage. I would NEVER use Ambetter! My doctors will not accept this insurance!!! They are preying on innocent people by billing for unwanted services.
9 years ago
Mir M Ali Norcross, GA
Ambetter is horrible. To get a hold of someone takes forever. Once you get a hold of someone, they ask you the same 6 questions to verify your account. Which is completely unnecessary. The so called, "My Health Pays" rewards program is nice, however, they will not reimburse you for the last 2 months, November and December. They screwed me for 2 years in a row.
Lastly, all the doctors offices I've been to hate Ambetter. Once they know you're a Ambetter customer, they start treating you like you're a Medicare customer.
9 years ago
Stacey Wilson Palm Harbor, FL
Worst customer service. Automated voice asked for several personal pieces of ID info then customer service rep asked for it all again. Could not get anyone to transfer my call to a supervisor. Ambetter did not renew the contract for the primary car physician I selected and the group the doctor is with in August of 2015, yet it is January 2017 and the doctors in this group are still in Ambetters website.
9 years ago
Vickie Graves Denton, TX
Horrible this health insurance Ambetter is untrained employees and would not except any doctors from my previous plan. To get a nurse on the phone you have to go through 4-5 people repeating your insurance information everytime .
I only have this as my insurance carrier because its ObamaCare and that's all I was offered.
I'm so happy President Elect Donald Trump he will make it right....
9 years ago
ben benson Fort Worth, TX
Ambetter in early 2017 is failing to maintain current information regarding what health care providers accept patients with Ambetter insurance. Of the hundreds listed in my area, the overwhelming majority were redundant listings of the county health care system (Ambetter seems to seperately list every doctor who works for the county health care system). Most of the rest of the "providers" listed were not actually providing services for Ambetter patients, and, of the remaining few who were, the earliest appointment I could make was over 90 days out.
9 years ago
Dennis
After enrolling in ambetter which was supposed to have covered my primary care physician I was told at my first doctor's appointment that they do not handle Ambetter because they deny too many claims. after speaking with numerous people at ambetter I found out that the company is not competent in following through or assisting with what I needed. Now I'm forced to get either a new primary care physician or pay for my doctor out of my pocket
9 years ago
Cosima Black
So far contract negotiations have been a nightmare scenario. Never before have I seen such disregard, and such mismanagement during a credentialing process. We are not even a part of the network and already I am so disappointed with this company. If this is how the beginning is, I can only imagine what a headache this is going to be for us down the road as far as having a direct contact with someone over at Sunshine Health. Disturbing speaking strictly from a health provider perspective.
9 years ago
not an Ambetter Member Peoria, AZ
I never signed up AND I AM NOT IN A SERVICE STATE! Somehow they have my email address and they emailed me twice that I signed up for their insurance and that I owe a payment! I thought it was a scam email so I trashed it, 2nd email arrived, deleted again. Today in the mail low-and-behold these scum sent me a bill!
SCAM!!!
Not only did I not agree to anything, I've never heard of them and I haven't been on the Obama Care website in a year! Then I pull up this site and find out that I'm not even eligible in the state I reside in!
BEWARE of This SCAM!
9 years ago
Daniel L Warren Oxford, MS
Their online portal is terrible, their auto-draft bill pay is terrible, their customer service is terrible, the selection of available doctors is terrible. They keep sending me bills after I have canceled coverage and I keep having to "re-cancel" my insurance with them because of this- its like there is no connection between the customer service department and their main office, so nothing ever actually gets done.
This is a terrible company with poor products and poor service.
9 years ago
Aaron Varner Chicago, IL
I've had this plan for a year and I still don't have a primary care provider. They gave me a list of doctors, but when I called each one (at least five), most of them weren't actually affiliated with Ambetter! The ones that were affiliated weren't taking new patients. I finally found a doctor who would see me within Chicago city limits, and the insurance company never updated my primary care provider info so she wouldn't see me again.
Also, they only answer the phone during business hours. The 24/7 customer care claim is false.
9 years ago
John Kendall
Scam service. Received an invoice from the company and never signed up. Somehow they are trolling the health insurance marketplace for expiring plans and, unrequested, 'signing you up' and sending invoices (at full rate w/o any tax credit). Don't even think about signing up for this scam of a business. This practice is illegal and a complete rip-off.
9 years ago
David Crea Spokane, WA
For 12 of the last 15 months I was happy with my Ambetter health insurance. NOT HAPPY ANY LONGER! I went in for my yearly eye exam which under my plan is %100 covered. Much to my dismay Ambetter has refused to pay Rockwood health care. (Referred to by Ambetter as an in network provider) rockwood has now turned me over for collection ($350.00) because I will not pay them. Ambetter is clearly in breach of my policy and simply will not pay. Do not do business with Ambetter or Rockwood. You will be sorry!
9 years ago
Tima
THIS IS THE WORST AFFORDABLE HEALTH INSURANCE EVER.
I WILL MAKE SURE TO TELL OTHERS TO NEVER SIGN UP FOR IT.
The customer support is horrible 3 out 5 times.
Everyone gives you the run around.
Standard of care is not met!
If you are using the insurance just make sure you call to make sure they have not deactivated your account out of petty concerns.
9 years ago
Robert E. Mitchell
Called the broker line and asked their financial ratings(AM Best , Moody's , Fitch, Standard & Poors) -The Representative was very uncooperative and did not know what I was asking about -Just Scary .I won't represent a insurance company until I know their financial stability and ability to pay claims for my customer !! Makes me shiver ! I feel sorry for their customers .S the review says it's a Last Resort for credible health coverage
9 years ago
