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Ambetter

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5.1

Overall Score

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Cindy Hobbs Blackwell Hudson, FL

My husband's dr wrote his script for his insulin to say one time a day, when it was 3 times a day, we did not catch this until time to refill it and of course it was not time according to the records, the dr sent a new script with the correct dosage on it, and they are still refusing it. I had been happy with them until now. This is not acceptable, I will start shopping for new health care.

9 years ago

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Breanna GA

VERY hard to find anyone that takes this crappy insurance. No one who works there knows what they're doing and I am often tossed around to several different people if I call with any questions. I'm paying almost 200 a month for CRAP. They've screwed up the copay with my dr's office so much that I now have to pay over 400 for their mistake and they refuse to correct it. I HATE AMBETTER.

10 years ago

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Cathy New Haven, IN

Just completed my first month with Ambetter and find I Amfrustrated. So far I had to pay out of pocket for 3 out of 4 prescriptions, none of the specialists I see are in-network and I have tried to locate a replacement for one of them in Indiana and the nearest approved doctor is in Toledo, Ohio! Maybe they have good qualities, I have not found any.

10 years ago

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Stacy Chicago, IL

Holy Cow! I hate leaving negative reviews but this is the worst company I've ever had to deal with! They put in the wrong primary care doctor in the system. I tried to contacting them twice by phone. Both times, the representative said she'd update it. When I noticed it hadn't been updated, I tried contacting them through their portal messaging system...twice! Still no luck! At this point, I feel like I'm just throwing money down the drain!

10 years ago

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Jerry Lesikar Waco, TX

In my area, Temple Texas, only a few health providers took Ambetter. They have all recently stopped. There must be a reason. Only one doctor takes it. She's 45 miles away and sucks! all of her reviews are bad. The providers their web site states take Ambetter, do not. Available physicians they advertise do not exists. Its cheap though. This insurance falls under if its that good of a deal something must be wrong with it. And it is!!!

10 years ago

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Gail Port Richey, FL

Web site shows all Drs, Specialists, and other services and when you call they don't take Ambetter and the ones that do have to travel over an hour to see a Doctors or other. . Even when you speak to representative and they give you Doctors to call they end up not taking insurance. I don't mind paying but can't find anyone and can't cancel for another insurance plan. They hold you hostage and it's very fustrating. Also have to wait weeks for referral. Should be ashamed to be call a Heath Plan

10 years ago

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jo alb Chicago, IL

Coming from other insurances to this one my experience is not so great ! This needs to be approved better doctors better locations !! Their customer service is okay ! Website is alright but overall great ! Positive thing is I did get used this insurance just needs something is missing a lot !! I don't really don't write review ! But I hope I can help !!

10 years ago

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James Allen-Esquire Jacksonville, FL

Worst heath insurance on the planet.....dont walk, RUN away from this company. They have been a complete nightmare to deal with. Their customer service is the worst. As just one example of many, I have had to reschedule my doctor's appointment three times because of incorrect information in their system. Every time i call i am told the new info will be updated in 24 hours and it never is. When I call back, there is no record of my previous call and the whole process starts all over again. I pray this place goes out of business. Open enrollment cannot come quick enough!!

10 years ago

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Juan Nelson Miami, FL

Customer Service is TERRIBLE. I have been paid their service for months and Ambetter show me in the web page as I did not. I have called them several times, saved reference numbers of the calls. But Ambetter do not update their system!!! If I would need to use the insurance, Ambetter will not honor the insurance (It happened once last year). I recommend DO NOT use Ambetter insurance!!!

10 years ago

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eduardo Tampa, FL

the worst service possible, THEY gives me no 1 no 3 but 5 different doctors non work at the clinic that I go BUT still with his name in you can use other doctors, the specialist send me to a cancer center and need referrals that took a week and half to get here, I ask for test and was told that don't need it now I show up with CANCER I try to get a OON (out of the network) form was denied, bad bad bad insurance part of the stup... gov. care

10 years ago

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Ryan Chicago, IL

You are literally paying for nothing. Nobody will accept them. The doctors listed on their website as in network don't accept them. If they did they stopped because they weren't getting paid. Good luck finding a specialist, closest one we found is 1800 miles away. The only other option listed is 1849 miles away. Customers service is either in the dark about their network, or paid well enough to pretend. Oh, and the only primary care physician in all of downtown Chicago is the free clinic, although according to their scammy or outdated website there's dozens. .

10 years ago

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Mari Austin, TX

I'm been trying to find a Dr since April. No one has been able to help me. I am in so much pain and they cant find me a dr. STAY AS FAR AWAY FROM THIS COMPANY AS POSSIBLE. They do not care about the customer. I've had Reps hang up on me or put me on hold for over an hour. They have given me false information. Ive spoken to a supervisor who swore to help me and I still havent received a call back. Ive left countless voicemails. I dont know what else to do.

10 years ago

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bettina perkins Leander, TX

I have ambetter, it is a transparent company..do not buy this insurance, they will give you the run around! Report them to your State Insurance Commission, it's the only way they will stop their practices.

10 years ago

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Dottie Schreck Marietta, GA

This company ONLY looks good on paper...we have hit a brick wall SO many times in the 4 months we've had the service. They turn down everything. I am in SEVERE pain every day all day but they don't approve necessary treatments and testing and it's impossible to get into a doctor because so few take it in Georgia. HORRIBLE company and horrible people who don't follow through

10 years ago

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Michele Gilbert, AZ

DO NOT GET THIS INSURANCE! YOU MAY AS WELL BE UNINSURED! I am on the phone constantly with these people and always get a different answer. I am crying on hold as I type this. They have screwed up my claims and told me I was paid 5 months in advance and wouldn't take my monthly payment even when I insisted I wasn't! Then they cancelled me, duh, and won't pay my hospital bills! Ahhhhh...run, this is a no company where everyone has a different answer. I hate them and will change health care as soon as humanly possible!

10 years ago Edited September 14, 2021

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Mel Ruskin, FL

This is the worst health insurance company I have ever dealt with. Website lies the list of doctors and hospitals don't take this insurance. Called obamacare told them i wanted to change my insurance because I am paying an ignormuous amount of money for horrible insurance. They told me I would have to wait till the end of the year to change. I asked if I canceled if i did I would have to pay the tax penalty plus penalty for not having insurance when I signup. I can't tell how mad I am.

10 years ago

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Mak Miami, FL

Do not sign up for the dental/vision option. That is unless you want mercury fillings instead of white composite as this is what they cover for the molars. My 1st visit to one of the providers office opened my eyes to all that us not covered even partially. Better to pay out of pocket for your dental because thats what you will end up doing if you care about receiving quality dental service.

10 years ago

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E M Lombard, IL

This is the WORST insurance ever. I have called every single doctor on their list (which by the way, happens to change almost everyday) and every single time they say they don't accept this insurance. It's really hard not to feel like I am being scammed. I've about given up calling customer service. They are useless and seem to have no clue. They are good at saying "I do apologize." AMBETTER YOU ARE THE WORST.

10 years ago

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Mike Silver Spring, MD

Do not get "covered" by Ambetter. Pay premiums which are accepted by company and discover coverage has somehow been voluntarily cancelled months before. Few doctors and hospitals accept Ambetter and when it is accepted, Ambetter fails to pay. The worst insurance I have ever had--a total nightmare. You would be better off to pay your local dog catcher your premium and get your health care from him or her.

10 years ago

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Fatima Arana Bellevue, WA

ABSOLUTELY EVERYTHING IN THIS INSURANCE COMPANY IS WRONG!!!!!!! It has poor service. They have been billing me and taking my money when I wasn't even covered because of a payment error. They took me out of the insurance and they never told me. They made drive arround 3 cities looking for a clinic and when I got to two of them after an hour driving they told me that they didn't take this insurance anymore. I wish I could do anything else than asking for my money back! They made me go from place to place in pain! This is ridiculous! DO NOT GET INSURANCE FROM THEM!

10 years ago

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Vivian Johnson San Antonio, TX

Many of the Dr's listed on the Ambetter website as providers do not accept the insurance. Ambetter does not update the list when a Dr no longer accepts, leading to a deceptive list. I am left with medical insurance I can't use and medical conditions that I can't get treated. This is a horrible insurance and I would not recommend for anyone to use them. RUN! Especially if you have any medical issues. They should not be allowed to call themselves an insurance company.

10 years ago

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Katy kennedy San Antonio, TX

ambetter has "glitched" twice now terminating my account because the people in the enrollment department can't get their shit together when I had a income change through marketplace ...not marketplaces fault shockingly only ambetters...didn't have insurance for a month over it and after finally getting it fixed over dozens of phone calls only for the same thing to happen again terminating my insurance but this time it's just over pure fuck up on ambetters end and again nothing to do with marketplace

10 years ago

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Andrew Soperr Athens, GA

Ambetter had a "glitch" with my billing months ago and stopped accepting payments. NO ONE notified me and my insurance has been suspended (for over a month without my knowledge). I have paid my past bills, opened a case with healthcare.gov marketplace, and will have to wait for upto 30 days for a resolutions. All while I have no health insurance. I am also currently sick with chest cold/seasonal allergy thing and am dealing with it as best I can with over the counter drugs. This is the worst insurance company I've dealt with and I've been on Blue Cross!

10 years ago

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Martha Nickens Pearl, MS

This is absolutely the worst company ever. I cancelled my coverage before it even started due to all the bad reviews and I am so glad I did. All these reviews are spot on. I am entitled to a refund for the premium that I paid however I have yet to receive it. I have been given a different excuse by every rep and now 7 weeks later I still dont have it. Dont ever do business with this company.

10 years ago

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ana Fort Lauderdale, FL

I DO NOT RECOMMEND TO ANYBODY!!!!!! HORRIBLE!!!!!! TERRIBLE !!!! gruesome!!!!! shocking!!!! awful!!! 1. Customer Service - lack of knowledge of the representatives of the company, the lack of updating of current data: doctors, institutions and addresses 2. sporadic number of doctors and specialists (less than the minimum amount) 3. huge distances and commuting to facilities or doctors 4. The lack of agreement between the company and doctors, specialists and institutions I DO NOT RECOMMEND TO ANYBODY

10 years ago

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Arun Pittsburgh, PA

Worst Insurance company ever.... NO BODY ACCEPTS AMBETTER... their customer service worst customer service i ever had in my life..wrong information on their website.. supervisors, managers are not even returning a call or following up on issue... every time 20-30 mins hold.. anent told me that they dont have Customer Relationship Department and any other manager or even Corporate number... Only number is customer service number ... Worst ever... cant wait till open enrollment till change this nightmare insurance company...

10 years ago

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Rohini Indianapolis, IN

This is horrible , I have this insurance from January 2016. Still I have not received our insurance cards. I tried to find ophthalmologist for my husband from Jan. I called ambetter to help finding ophthalmologist, they give me 3 times wrong doctors appointments.i wasted every time at list 30 to 60 min., till now no result. Finally went to market place and cancelled my insurance yesterday. Now I will have to fight for my premiums I paid for 4 months and not received any services.

10 years ago

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Amanda Tampa, FL

The service is over priced and, of course, garbage. Their customer service reps are incompetent at best. But nobody really cares b/c they are basically a monopoly in a "free market economy" U cant cancel, u cant get service, u cant but insurance outside of the market place. Its basically like living in communist Russia. It's disgusting and a disgrace but our hands are tied by the corperatocracy which runs our government and disregards its own ppl.

10 years ago

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Hakim Snellville, GA

I was just my policy was cancelled because of non payment. It was suppose to be drawn out of my account every month. However, that didn't happen. What is with this company. I called previously and they said that I can log on and create an account and pay. Tried that and failed. They gave me the incorrect insurance ID number. Then the lady said she shows no record of me calling. This is why I can't deal with crap like this. America take note of why companies are failing. Lack of customer service. Take take take is all they do.

10 years ago

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Jessica Miami, FL

Because they are so new (and possibly inexperienced), very few offices in my area accept Ambetter. I am 31 and my doctor's office has more toys than magazines in it's waiting room. I can't find anyone anywhere close by that will accept Ambetter so I can have an MRI done, even with a pre approval letter from Ambetter, no one will take me because the letter does not guarantee payment from Ambetter. My last option is to drive 5 hours to the nearest facility that is in network! That sucks!

10 years ago

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vee ram Davenport, FL

Blame Healthcare. They should have never endorsed a company like this. The healthcare providers tell you that they accept this insurance then call, then call you during the actual week of your appointment to inform you that they don't accept this insurance. Doctors say that Ambetter don't pay them. There are no providers in Davenport FL, except one and now they will not be accepting Ambetter anymore. Everyone should channel 8.

10 years ago

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Sharon Fleischer Miami, FL

From the provider end, they are HORRIBLE. I am waiting almost a year to get paid on 75% of our claims. I get bounced from person to person as they "pass the buck" to get rid of me. Bill over and over again, and then they tag it "duplicate" as if they have actually paid it. They sent my payments to the wrong address and I had to wait FOUR MONTHS to get it reissued!!! They are MORONS.

10 years ago

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Suzanne Chapman Boynton Beach, FL

This is without a doubt the worst company I have ever dealt with and the worst insurance company ever. They are incompetent. Customer service reps are clueless and untrained. The amount I owe is always incorrect. They cannot manage to even mail ID cards. It is as if clowns are running the place. They should not be allowed to sell anything never mind health insurance. Pathetic pathetic company. If you can get insurance from anyone else--do it. You will be sorry if you go with Ambetter. Their name should be Amworse.

10 years ago

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Rebecca San Antonio, TX

I selected Ambetter Insurance based on one criteria: My cardiologists were in their provider directory. BUT my cardiologists office, after much discussion, says that Ambetter refuses to pay them because they ARE NOT actually providers. Even though they are in the directory, and have been so for over a year, they are not actually providers. Bait and switch - show providers that are not really providers in order to lure people in. Then refuse to pay those same providers.

10 years ago

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susan Austell, GA

I have been making payments for 2 months and can still not get in the system nor will Ambetter send me any information or my member ID. They gave me 3 doctors in my city to call. The phone numbers were all wrong. And, the dotors appear to be in a town way north of me if they exist at all. I think that this is more than incompetance. This bisiness model is deigned to collect money and never provide anything. Pathetic and a scam company.

10 years ago

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M L B Seattle, WA

How in the world can this company be rated above a 1 with the comments. They are horrible. No providers, their customer service is staffed by untrained, uninformed folks (told me to go to ER/Urgent care to primary care service), don't return calls. How do they stay in business. No providers accepting patients in GA, offering services in Jacksonville, FLA - really great. On line access doesn't work half the time. Please report them to your State Insurance Commissioner. I did and let's see what happens.

10 years ago

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Frederick Chicago, IL

Terrible customer service. First, Health Care gov has an option to pay my first premium online, however I am not able to because of a glitch in the site. I have called multiple times to pay by phone, but because I don't have a member id yet, I am not allowed to. And I can't get through to a representative because I'm on hold for an extremely long time and then the phone hangs up. Every time i try to get straight to the live representative option, the call ends. I don't understand and I'm very annoyed. Awful awful awful.

10 years ago

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Verna Pick Decatur, GA

Are you serious 4 stars!!! NO WAY! This is the worst medical insurance company I have ever encountered. These people just take your money. They refer you to a medical facility that does not take their insurance and I was by my physician,” AMBETTER do not pay,” they no longer accept patients with this coverage. This is an EXTREMELY BAD COMPANY. HEALTHCARE MARKETPLACE, please take them off your list. IT MAKES YOU LOOK EXTREMELY BAD....

11 years ago

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Mona-Lissa Tallahassee, FL

Ambetter health insurance really came in handy when I was making doctor visits before I went to college. I didn't however understand their charging process and how I had to pay for treatments and not doctor visits.

5 years ago

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Jay Jones Bertram, TX

Been with them several years and they are so-so, probably about like most insurance companies. They're provider network is a little thin. They've done fine on small claims but I don't trust that they would honor a major one. The awards program/rebate is useful for easy items (flu shot), but some of the other awards take too many hours to earn.

5 years ago

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Taa Reeq New York, NY

Where is the zero star. The Ambetter Value Silver 32 plan is the most useless plan. None of the provider showing up on my list by zipcode take value plan so not sure why they are on the ambetter website. You call customer service and they also read through same list of doctors from the website. Clueless now ????

4 years ago

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Toby Smith Saint Johns, FL

One month into having ambetter and they denied coverage for an ongoing prescription my child has been taking for the past year and a half. They also denied a procedure my doctor recommended for me. I hate that open enrollment is only once per year. I would drop them in a heartbeat and go back to Blue Cross Blue Shield.

4 years ago

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delise jones Atlanta, GA

They are the worst. I upgraded my insurance. I would rather spend money on quality then to deal with the way beyond rudeness. The fact that the representatives are overseas says a lot. It’s not worth it. Invest in good insurance please. You are waaaaaayyyyy better off.

4 years ago

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Kristina Corbitt Knoxville, TN

I went to a physical therapy appointment because that is why I purchased the insurance, which is over a thousand a month. I will only have 8 visits approved and it will cost me more with insurance than if I were to pay cash out of pocket. I cancelled all my PT appointments.

4 years ago

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dorcas maame akua Olathe, KS

I’m a former member and I have been waiting since August for my refund check from this company and anytime I call them they keep giving me excuses and stories like we send your check give us 30 days but I never receive any check from them yet they are not trusted insurance company

4 years ago

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pat c Fort Wayne, IN

I have been forced onto Ambetter via the Marketplace for the last several years and they are only getting worse! I had so many denied claims in 2021. And when you call, no one knows why. Or I get someone with such a heavy accent, I cannot understand them. I stress so badly over my health costs.

4 years ago

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Bets03 Miami, FL

STAY AWAY! terrible customer serivces, called many times and they kept on hanging up on me. They wont cover my in network bills after I pay the deductible and out of pocket in full Just a bad insurance, do yourself a favor and stay away!

4 years ago

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Wadani Stone Mountain, GA

Do not get ambetter insurance they will steal your money.And even if you do not enroll they will take your money.That is what happened to me.i was enrolled in 2018 and I did not enroll in 2019 but they were taking money from my bank account without me authorizing it.

4 years ago

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George Cahlik Lake Worth, FL

Ambetter is horrible. Customer service has no clue on how to perform their jobs? Emails to Ambetter are never returned or answered. Fine example of how a company just wants your money, they could care less about me. Ditch Ambetter or steer clear of this incompetent company.

5 years ago

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Rick Cannon Chicago, IL

Paying 985 monthly premium with $8333 deductible. That's $20,000 out of pocket. They deny everything my doctors recommend. only generic medications are approved. The only medication that works isn't generic so it's not available to me. I'm cancelling my insurance so I can pay out of pocket for care. Totally useless company. Don't bother!

5 years ago