Name: Ambetter
Rating: 1.4

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Robin Pipes Hernando, FL

Horrible! Live in Citrus County FL. Moved from Ohio early this year. Was told there were plenty of providers in my county. What a joke! I've been trying to find an ENT for a test. Ambetter gave me 3, and not one was still an Ambetter provider. Have had same issues since the beginning. Now I have an appointment 45 minutes away, which I'm going to have to pay for. Could be a serious issue. Ambetter doesn't seem to care if you die. Please, if you care about your health and sanity, do not use this insurance. Wish I would have known.

6 years ago

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Kristin Kansas City, KS

My insurance is more than $500 per month for a single person. They refuse to fill my medications, refuse to authorize the prior authorizations, they denied my hospital stay as not medically necessary when my Dr. admitted me himself. They refused to cover the 3d mammogram, they refused to cover my stress test. This insurance is a joke! DO NOT GO WITH AMBETTER-nothing is covered!

6 years ago

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Melissa Hoff Apex, NC

Ambetter is horrible. You will spend hours on the phone with them over weeks, trying to get a simple prescription authorized for refill that you have been taking for years, because suddenly they will deny payment for it. Not a controlled substance, just a generic anti-inflammatory for osteoarthritis. I truly believe the company is run by mean spirited people! I would give them zero stars but you have to click on at least one to complete this form. I am still jumping through hoops to try and get my generic Celebrex paid for. Been 3 weeks!

6 years ago

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Lynn Hudson Peachtree City, GA

I am begging you, if you have a choice, do not choose Am better. They do not care about their members or their health. I had a breathing emergency due to asthma. Rather than helping to get the medication I need, they would prefer I go to the ER, I guess so they can deny that claim. They would prefer I sit in an ER waiting room and have the possibility of being exposed to the Corona Virus. Since I am having breathing issues this really makes a lot of sense. I will never choose this company again. This is only one of the many incidents have experienced.

6 years ago

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B Taylor Melbourne, FL

This company is the worst insurance company I have ever had. They fight every prescription. The Dr.s listed on their site, most don't take their insurance. None of the dentists in my county take their insurance. I've only been with them three months and they have cost me many hours of trouble. Pay the extra hundred bucks and get a good insurance company policy. Ambetter isn't it.

6 years ago

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Reba Rock Hill, SC

What a nightmare with this SORRY company! We just purchased this policy a few months ago. Went online on Ambetter website to look for a Arthritis specialist in our area they covered. The closest one they had was 2 hours from my house! So we decided to go on my day off work. We drive 2 hrs, gave the office my card, they said” we don’t take this insurance! ARE YOU KIDDING ME?!?! We called ambetter, and all they said was” sometimes these doctors come off our list and don’t tell us!” BS!! Don’t waste your money!

6 years ago

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Katie Martin Miami, FL

I'm happy with the doctors, but the company nickle and dimes you till you can't get healthcare. Even lab work costs for every single blood test done. My last insurance had a $5 copay for all lab work. I just got a bill for over $90 for routine work to monitor my T3 & T4! My breast ultrasound cost $200. I'm affraid to get any more.preventive work till I switch insurance companies in 2021. DO NOT CHOOSE AMBETTER. It isnt better.

6 years ago

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Sherri Stockfleth Kingsland, GA

When you finally reach a working phone number for the doctors that are listed on their provider list virtually every one of them says that they are not contracted with Ambetter. This is worthless insurance. We are running out of our maintenance medications and are going to have to just find a doctor and pay cash out of network to get our blood pressure and cholesterol medications. If you call customer service they give you places....but when you call the place they say they are not contracted with Ambetter (seemingly smart on their part).

6 years ago

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stephanie Gargiulo Marietta, GA

Call center hangs up if they don’t want to handle the situation? Supervisor do not do what they say they will. They scam you and ask you to give them money by a certain date but your not even in the system yet because it takes 1-2 weeks!!! So if you need health insurance a week or 2 after signing up you will not be able to receive it. Complete scam!

6 years ago

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Tammy Winter Park, FL

This is a fraud insurance company, I regret signing up for it!! It said I would only have to pat $50 for PCP visit and I am paying almost $64 and $20 for medicine, Almost $30 for thyroid meds and over $200 for my husbands toe infection cream plus I pay them money every month. worst mistake ever, I also have emphysema and Dr. prescribed 5 days of antibiotic but they would only approve 4 days, this is going to be bad insurance for anyone that has chronic illness

6 years ago

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Ivonne Pasuang Puyallup, WA

Stay away from this company please! Their customer service is poorly trained, never get our issues solved. Totally a fraud company. We've been trying to cancelled our membership several times but they never did. Like some of the people here said, if there is a zero star we definitely will put zero. Hopefully, we're the last people whom they've taken advantage from.

6 years ago

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Lynn U. Tucson, AZ

We signed up for the MyHealthPays card through Ambetter in the fall. It is a prepaid debit card. We were able to use it at Walmart with no problem. We tried using it recently with no luck, so called Ambetter...they reactivated the card, we tried to use it again, same thing. So then we tried to pay toward our premium, that didn't work. After a gazillion phone calls, we were told that Walmart didn't renew their contract & we can't pay our premium because we live in Arizona...and the card says "Ambetter from ARIZONA Complete Health"!!! They should be called "AmWORST"!!!

6 years ago

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Danette Harrison Cincinnati, OH

Great insurance for a HMO plan never had any problems with customer service or getting things done that needed to be done.

6 years ago

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Jim Seattle, WA

The worst health insurance company ever. Really expensive and they cover nothing. Actually not sure if any company is good or not with our health care system as it is. Completely inefficient for the working man. I am a hard working motivated person without a company sponsored health care insurer. I have chosen after 3 years to not be on insurance this year. Too expensive and too little to cover.

6 years ago

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Barbara Harrison Brunswick, OH

I am currently a member of the Gold plan. I pay all my premiums, have met my deductibles and maximum out of pocket. Now they just deny everything! I have sent appeals and am now contacting the Department of Insurance in Ohio to lodge a complaint. They will not even tell me what criteria was used to make the denial even though by law they are obligated to.

6 years ago

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Cici Jones Atlanta, GA

Should be called AmWORSE. Prior to signing up, I manually typed in and triple checked that all my prescriptions would be covered (they are all generic, mind you). I was told YES. Now, after paying my premium, I am told that one of my medications is not covered, and the second prescription is a price that's higher than the $7.00 copay ($0.00 deductible) stated on my card. The doctors listed as in-network are actually NOT in network with Ambetter, and for good reason. I want a refund.

6 years ago

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Patrick Frost

Terrible "insurance" . This company exists only to scam people and receive money from the taxpayers. No concern at all for the welfare of their members. It was the only option in 2019, and if nothing different is offered in 2020, I will do without. I basically do without now (with Ambetter). Government should investigate this company but, I'm sure that many of our politicians are major stockholders.

7 years ago

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Gina Saverko Worth, IL

Ambetter has been nothing but a problem since I purchased my plan. Repeated issues with billing even though I made sure I was IN NETWORK each time. Customer service has been terrible, the hospitals and doctors offices IN NETWORK that I “owe money to” have been more helpful to me and actually feel bad that I have Ambetter insurance. Please please do yourself a favor and stay away from this coverage, it’s been nothing but headache after headache.

7 years ago

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Phil Dalton Gilbert, AZ

Across the board, every interaction with them has been a FAIL. Their website provider directory lists medical providers that retired YEARS AGO. Their robodialers call 3 or 4 times per week saying we need to call them about IMPORTANT things. When we call it's just a computer voice asking questions and it does not understand a simple "No" answer, then the call last 5 to 8 minutes of blah, blah, blah. There appears to be no limit to the company's lameness. : O

7 years ago

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caroling G Athens, GA

If you get cancer you might as well slit your wrists and wait to bleed out. Its been months and they will not approve a PET or a CT scan, only biopsy after biopsy. I hope that I get through and can get accepted by another insurance company (not likely) but yea. its very scary to know you can DIE and they will not allow the centers to treat you in the most proactive way to get rid of this wretched disease. terrible.

7 years ago

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Georgia Blanchard Leander, TX

This is the worst insurance!! Stay away from them. My husband had to go to ER and they denied all claims saying he didn't have coverage, which is a lie. I have gotten my insurance agent involved to communicate with them so that I don't curse them out. They are trying to play stupid but really, they are just trying to get out of paying the claims. I will make a complaint to the board of insurance and get an attorney involved if I have to. I'm not going to pay these claims when I paid good money for the insurance premiums.

7 years ago

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James Durham, NC

Horrific customer service. Automated phone service disconnect every time I call. When I'm finally able to get through to a customer service representative, they tell me their system doesn't work and I'll need to call back in 24-48 hours. They didn't offer to answer any generic questions or provide assistance. Obviously, this is a direct reflection of their corporate management and lack of training.

7 years ago

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CB Hill Cincinnati, OH

I bought Ambetter coverage thru the marketplace for 2018 and 2019 and on several occasions they have denied claims as being "out of network" even though all my doctors show up as "in network" on their website. I truly believe that when they are having cash flow problems they just deny the claim and leave it up to the provider to sort it out. Calling their customer service is a complete waste of time, nothing is ever done to resolve issues. So glad I will soon qualify for Medicare.

7 years ago

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Susie Toth Mesa, AZ

TYPE ONE DIABETICS ON PUMP THERAPY, BEWARE! This insurance company only offers one medical supply company to order your pump supplies and they are the worst. J and B Medical Supply took over two months to get our order only to over charge me and get my order wrong. I've been trying to rectify the issue but I can't get anyone to call me back. It's been over a month that I've been calling every other day and no reply. UNBELIEVABLE!

7 years ago

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John Mesa, AZ

DO not enroll unless you really have no other option. You will not be able to leave unless you go through the market place then they go behind you and re instate you. They also will automatically enroll you with out notice. then report you to credit bureaus, CLOSED account as started a new job back in feb2019 and they had already enrolled me for 2019 still sending me bills....

7 years ago

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Robert Louis Archuleta Mesa, AZ

Took them a months to correct an incorrect billing during time they cancelled my policy Took them months to find out why myhealthays card would always decline 125.00 credit for purchases

7 years ago Edited September 14, 2021

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Jody Mountain Grove, MO

Am better sucks. Suppose to have gotten a ppo gold standard and they gave us Am better. We use to get Aetna/ Blue Cross. No on accepts this insurance and we're paying a premium of approx $600 a month. Do not go through Obamacare, cause they are the ones who tricked us into this. Called Healthcare.gov and they said they could do nothing, even after they scammed us. Obamacare is a scam, farce and criminal organization. Going to cancel and go private...somebody that can be trusted.

7 years ago

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Peter Las Vegas, NV

Worst "Health Insurance" I have ever had in my life! This, as "Obamacare" is a joke! Expensive, extremely high deductible and then they deny to pay anything else that's supposedly covered.........Emergency room visit, blood testing, etc. The only thing they paid for was prescriptions, which are cheap enough through GoodRx anyway. You also get bombarded with emails and mails, and their "customer service" is pathetic! Terrible company and I hope they go out of business! Should have known better than to deal with a company called "Ambetter" anyway!

7 years ago

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Thelma murphy Weatherford, TX

That do-not deserve even one star But it seems I can’t click done unless I give them that one star - It’s a Horrible Joke for an insurance company!!! I WISH I had read this before the girl that helped me with insurance found it for me!! The TURNED down an Echocardiogram AND a stress test for my heart!!!!!! Who does that?!?! My cardiologist ordered the tests Because I’m having problems with my Heart!! My Heart But they in their Grand All Knowing foresight Do-Not feel its necessary -Really after all ,Who Needs a heart-Duhh

7 years ago

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Summer Concord, NH

That’s my second year with Amberter And this insurance it so good . They have a rewards card I recommend this insurance

7 years ago

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Jd Phoenix, AZ

Poorly run at the Executive level. Last year I got two of everything mailed and 12 membership cards. CEO must be clueless this is huge wastes of funds. They outsource prescriptions to a company called "envolve pharmacy solutions" utterly clueless company with zero customer service. They recommended I switch to a new drug for diabetes and now they are denying the prescription THEY recommended. Again ckearly Am better CEO care nothing about service if I had options I would take them but there are no options for me outside of marketplace.

7 years ago

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martin Thornton, IL

worst ins ever. Couldn't find me a doctor or cardiologist. Suffered for a year with them. Then they don't pay the bills they are supposed to and you wind up getting sued, customer service is non existent. trying to get a live person takes hours, they give you false info when you can get someone..do yourself a huge favor avoid this company like the plague

7 years ago

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Robin Seiler Wittmann, AZ

If I could give a negative star I would. I had a ureteral stent placed in Jan for a very large kidney stone. For some reason they cancelled my insurance even though I paid the premium so no one is getting paid. After numerous calls and some of them 3 ways still not insured. Finally I signed with another co starting April and can then get my lithotripsy done. This is a 3 mth delay to get this stent out. It hurts. I wrote my congressman who will be investigating.

7 years ago

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Riv Grayson, GA

I was denied services and prescriptions because of an error made by an Ambetter representative. Anytime I call and try to verify my information they always say member not found. Each time I speak to a representative they ask me if I have a primary care doctor despite having established a primary care doctor with them and them giving me a reference number. This is by far the worst health insurance I’ve ever had in my entire life. .

7 years ago

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Rotanda Dallas, TX

This company is horrible. They cancel my insurance and took a payment from me and refused to give it back. Customer service is clueless about company procedure. They refused to let me talk to a manager. These people upset me so much I was in the hospital for 3 days. I will recommend them. This company doesn't care about you or health...they only care about money. They don't pay for nothing and they very lazy. Please do not get insurance through these people.

7 years ago

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JBI Miami, FL

It’s just catastrophic insurance. $400 a month and a $7,900 deductible. In addition, the network of doctors are squeezed by Ambetter so they have to see as many patients as possible. Three hour wait just to see a general practitioner is horrible. I’ve been to three different doctors and it’s the same three hour wait. I’m sitting in a waiting room right now because I need high blood pressure medicine. This wait is it helping. Horrible horrible company and network of doctors.

7 years ago

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Erik Cedartown, GA

I am better was the only insurance provider with the ACA a in Georgia in 2018, obviously they were BOOMING. But they only paid $.20 on the dollar to the doctors so the doctors did not except that. We could not get seen anywhere. We changed in 2019 when Blue Cross Blue Shield opened in Georgia. Without the monopoly, Am better is pulling on fumes. Am better insurance is the worst example of health insurance on the globe. No one except sis, it’s the same price as everyone else, but you get treated like some kind of leper if that’s the insurance you have.

7 years ago

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Hatema Catic Palm Beach Gardens, FL

Ambetter suspended my health insurance ,not let me know anything.Never resiveed any bills that I over some money .Some mistake that market place associate did on my application for 2018 enrollment , Ambetter suspended my health plan for 2019 not sending me anything too let me know..Bad customer service

7 years ago

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Msal Grand Forks, ND

They cover nothing. I have one medical condition and I take one pill a day that keeps me alive. The med is 500.00, they won't cover it. Then, my in network doctor needed a cardiac ultrasound for the same condition, they won't cover it. Then, I had two visits with my primary care for little stuff, and they refused to cover that too. I cancelled my policy. I'm not paying them almost 500.00 a month for insurance if I still have to pay all of my medical expenses out of pocket.

7 years ago

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Betty Ann Ripley, TN

Worst company ever. The doctors on their website does not take their insurance ... they all said the insurance won’t pay and just makes all the patents more in debt. I can not find a doctor that will take the insurance and I guess it really does not matter because they won’t pay anyway !!! All fakes ! Filling their own pockets! I called to cancel and they said I have to cancel with them and I had to call health markets to or it would not be canceled and they just want to sell you another pay and they did not cancel it ! They sent me another bill. I won’t be paying it.

7 years ago

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John Smith Laurel, MS

This insurance is terrible and expensive. They do not pay most of the time and when they do it is very little and you are stuck with the bulk of the bill. Dental is a joke! My dentist claims they filed a claim 3 times for me in 2018 ( same claim but 3 different times) and I finally filed this claim a fourth time). I never even received an explanation of benefits. I believe thiat Obamacare will go down in the history books as the single largest scam of the American people ever. May God judge and have mercy on our souls.

7 years ago

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Randie Britton

I have been trying for days to find a physician within my plan to do post hospitalization care. The earliest appointment is May 27th (please note I am writing this as of 1/18/19)! I returned a call from someone named Angela, again regarding my hospitalization and no one bothers to get back to me. I can't wait for Medicare. Anything has to be better than this.

7 years ago

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greg wild Houston, TX

Really useless insurance. I had no idea. Please do not choose this insurance as the marketplace will not let you change. Kind of like a scam. No doctors accept it and the ones that do hate it and wont do anything for you. I have a couple of serious issues which require an MRI be done and could not find any facility in my area that will accept Ambettor. I may as well not pay the premium and let it lapse. Now I have no insurance which is really the same thing. I am so sorry I chose Ambettor. Dont make the same mistake.

7 years ago

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Jen H Warner Robins, GA

I would give this "insurance" a zero if the option was available. This insurer is a joke to doctors in my area. Not a single one of my or my husband's doctors accept it. After 20+ years with the same doctors we are being forced to find another doctor. Worst part is we had no option for another insurer in our county in Georgia. Getting info from the company is next to impossible. I hate this situation.

7 years ago

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rk

If I could give 0 stars I would. Ambetter did not cover a single doctor visit in the year I had them. When I called to find out why none of my doctor visits were being covered they kept telling me they would fill out a claim but they never submitted any of my claims. I ended up having to pay $800 dollars because of ambetters inability to complete any request.

7 years ago

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David Statesboro, GA

This is the ONLY insurance available to us in the Statesboro, GA, area. You can get other insurance if you are with a group. The only problem is NO ONE takes it. One office said that they would keep Ambetter patients if you were already a patient but would not ad any new. We are forced to buy this insurance but no one takes it. I only hope that it works at the local hospital as a catastrophic plan....so sad!

7 years ago

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Andrew Hartono Gilbert, AZ

Probably the worst insurance you can find out there. I have had a claim open for a year that they said they were going to pay they, continually reject the claim once it get to the claims dept. then when you call they will tell you it’s been taken care of, and they will keep doing that until you bill gets to collections and destroy your credit, and they still say that they are taking care of the bill. I have been dealing with them for over a year on a bill from and emergency room visit.

7 years ago

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Doc Dew Seattle, WA

Ambetter is the WORST health insurance we've had in 40 years! Denied almost every claim until multiple reviews and appeals. Said doctors were not in network when the CLEARLY were. Deceptive benefits descriptions. Had to file several grievances with the Washington State Insurance Commissioner. Spent HOURS, DAYS, WEEKS to get claims paid! DO NOT GET THIS INSURANCE!!!

7 years ago

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Deborah Virginia City, NV

Terrible. They can't get a statement correct. I pay on line through Wells Fargo at the beginning of each month. Without fail, mid-month I receive a nasty letter about my lack of payment. Last year my premium was $87, now it's $170. I did attempt to actually use this insurance and every provider I contacted wanted nothing to do with them. They told me they simply do not pay. So I pay cash for medical services. I'm done wasting money on this fraudulent company.

7 years ago

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D.B. Phoenix, AZ

The worst customer service ever! It took 5 phone calls and 3 hours to get an orthopedic surgeon that accepted this insurance. Their system is not updated. They gave me doctors names that don't accept their insurance, wrong phome numbers for the doctors, incorrect answer and some of them wete extremely rude. One guy told me he hurt his ankle so the fact that I needed a dictor for my arm within my zipcode because I don't drive doesnt matter. Eventually I had to call doctors myself and ask if they accepted the insurance. Really disgusted with them.

7 years ago