Name: Ambetter
Rating: 1.4

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DocZemanek Ballwin, MO

Ambetter was authorized to take less than $200.00 from our account. They took almost $1,700.00 and are activity trying to keep the stolen money. We’ve called several times and are either moved from operator to operator or hung up on. Two of these overseas operators were caught lying to us about the situation. When a supervisor corrected the lie we were still given the runaround regarding the stolen money. They are an extremely frustrating and untrustworthy company regarding billing.

3 years ago Edited February 9, 2022

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Lisa Harvey Newburgh, IN

Beware! A pre-authorization that normally takes 24 to 72 hours has now gone on so long that I have had to file a grievance. Now I am waiting again on an estimated date for resolution. I have spent hours on the phone with “health care managers” trying to get answers to simple questions. They seem reluctant to help. I’m unsure if this is due to lack of knowledge/training or the language barrier with English as second language managers.

3 years ago

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Peter Tomczyk Fenton, MI

Same like most others complaints - network list not accurate at all. Isn't a SCAM to tell lies about provided services then charge money for it and then not taking the claims? We were looking for a podiatrist and out of 4 local ones listed in Ambetter network one only said that "they should be covered ,if are listed in the network list". Month later found out they were not. .... STAY AWAY FROM AMBETTER! We're out and being smarter with our choices of insurance for the future...

3 years ago

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niccole rietveld McHenry, IL

It is so hard to find a provider in network with Ambetter. Their website does not have accurate up-to-date information on the in network providers. I have reached out to 6 of the providers and none of them are in network or are taking new patients. Also, Ambetter customer service agents speak horrible English and instead of transferring you to a supervisor when you ask, they transfer you to the marketplace where you can not get help. All in all, I feel like this is horrible insurance with horrible customer service and I would NOT recommend them!

3 years ago

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Tricia Cavanaugh Utica, MI

I was contacted by an Ambetter "rep" and told I could qualify for a $25/month plan. Of course I was interested in receiving more info & gave her contact info. She also gave ME contact info. Her line remains unanswered. Since, they have removed cash from my bank account. I NEVER gave them banking info! How did they do this??? Attempting to get legally-required Plan Documents, such as Plan Description and SBC. These reviews don't give me much hope...

3 years ago

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RiverPure Soap Company

I have been very ill and even though my doctor called and talked to the authorization "nurses", they still turned down my much needed CT of the abdomen and pelvis that was already scheduled. Now I have to wait weeks in a pandemic for an ultrasound. This is the second time that they have denied a much-needed medical test that my doctor insisted that I need. Worst insurance company ever. If you have any choice at all, do not choose Ambetter. Your life may depend on it.

3 years ago

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Josh Wilson Cambridge, MA

Just wrapping up my first (and last) year with Ambetter. Total amount paid to Ambetter in 2021: $3777.96 Total amount paid out of pocket for healthcare in 2021: $861.16 Total amount paid by Ambetter for healthcare (or anything else) in 2021: $0.00 Ambetter could have given me some solid gold ID cards to hand over with my cash every time I needed to see my doctor and they'd still be making out like bandits. No, not like bandits. They are bandits. This is theft. I've been robbed.

3 years ago

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Sloan Sells Michigan Portage, MI

I really don't give them one star. It's a racquet cheating the members! How they do it is saying a hospital or facility is IN Network.... HOWEVER the doctors in those facilities ARE NOT IN Network...therefore they won't pay. This coat me money. My husband's knee replacement was cancelled. And now, I can't even have a mammo this year because of this. Bronson Hospital that does the mammo is in etwork but not a single radiologist reading it is in network. So therefore if I had it done I would have to pay the radiologist. AMBETTER IS A SCAM.

3 years ago

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Michelle Cappellazzo Avon, OH

You get what you pay for. I'm leaving Ambetter a very unsatisfied customer. The representative kept me on the phone for over an hour just to tell me they couldn't find a plan for me after my husband passed. I would rather pay more than deal with an unprofessional company for my children's health care needs. I think it's important to share my experience as a dissatisfied former paying customer. Keep looking !!!

4 years ago

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daniel callarman Atlanta, GA

Im not sure what exactly Ambetter is? When I went to find a doctor on their site they only provided me with 3 urgent care facilities. When I went to the urgent care facility I had to wait 4 hours to be seen at which point they told me I had to go to the ER. Went to the ER and they said if I was admitted to the hospital that my AMBETTER insurance would NOT cover the stay. My monthly premium is 582.32. Who can afford that and who actually takes it? Nobody knows? Horrible insurance don't do it.

4 years ago

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Alexandra Musca Marietta, GA

I have been trying for over a month to request a refund. I was told I will receive a check in June. Here we are at the end of July, the check was not even requested, what about shipped. Each phone call gets “disconnected “ and nobody returns the calls, even if they ask “for a phone number in case it gets disconnected “. Laziness at its finest.

4 years ago

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April Paulk West Palm Beach, FL

They say I have a 7,450 deductible out-of-pocket and I can't even get my MRI Doppler or x-ray of my hip or leg..... I never had to deal with things like this it's been 3 years when my knee went out on me it took 6 months for them to authorize and approval for me to get an MRI of my knee...... This insurance sucks you'll lose your life before you get help

4 years ago

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Megan S.

The absolute worst customer service!! I have been getting the run around for almost 6 months! It took 3 months to have my plan canceled. Now it it taking almost 6 months to get a refund check all because of an address discrepancy, which I have changed the address multiple times. Every time I call I get someone different and they always tell me something different, and now it has turned into a blame game. Ambetter is blaming marketplace and Marketplace is blaming Ambetter and I’m getting no where!!

4 years ago

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Linzey Alaina Cincinnati, OH

I would give zero stars if possible. I absolutely have never dealt with such a horrible health insurance company. My son has a lot of healthcare needs and they would deny EVERYTHING he needed.. hospital visits were denied and found to be “not medically necessary”, as well as physical and occupational therapy sessions and check ups with his specialists. Do not get this insurance. They shouldn’t even be in business because they are completely useless!!!

4 years ago

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Mikey Parks Los Angeles, CA

I had misleading balance readings in my account and was then punished with massive late fees. Specifically, the balance in my online account said I owed zero dollars for a couple months due to "premium tax credits". A month later I checked back in to find a $175 charge (I'm generally paying about $60 per month). I wasn't able to call customer service because it was the weekend, and the NEXT DAY the charge reads $275. I finally got customer service on the line, who acted like I was crazy for being confused. I cancelled my policy.

4 years ago

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JohnHammond Chicago, IL

The company's network consists of all the most ghetto doctors and dentists in your neighborhood. They have issued me statements that I didn't pay my monthly premium and the website will show my coverage is slipping, yet I am enrolled in auto pay and payment had already been charged. I have even requested ID cards multiple times and have yet to receive anything. I'm switching off Ambetter at the soonest possibility.

4 years ago

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Barbie St Louis, MO

If I could give a zero I would. I signed up for Ambetter because the provider I had been seeing was listed on their web site as being participating only to find out when needed the doctor was not. When to yet another clinic in my area who was supposed to be participating according to their web site finding out they too are not accepting Ambetter. I live in a very rural community with not a lot of options. Choosing Ambetter because your doctor is shown as participating and then they are not is fraud.

4 years ago

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B Chestnut Philadelphia, PA

DON'T DO IT. 0000/10. awful experience with women's health issues. They do not cover OBGYN's, birth control, literally nothing. I have been on the phone with customer service for hours on end with absolutely no resolution to anything. You might as well just take the cash in your wallet and throw it in the garbage when deciding to enroll with Ambetter. More like I amWORSE off.

4 years ago

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Victoria Chase ,

A supervisor for Ambetter is on vacation and we need critical care. Ambetter does not have a back up plan for the supervisors work load? I need a surgery and they told me they don't check their messages but once a week. Unprofessional, awful response time, Centene should not have laid off those employees in February 2021. Get your work done so we can get healthy AM NOT BETTER.

4 years ago

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Brandon Berwyn, IL

I have Ambetter of Illinois HMO as of 2021... and what a year of hell this has been. Need a new doctor, dentist, or specialist??? Get ready to spend literal hours to trying to find a doctor that takes the insurance. Their directory and support is useless as they cannot distinguish who takes the HMO or not... which is not many. The dental is managed by some company called Ensure which I have never heard of... and guess what, neither have most dentist offices I've called. DO NOT GET AMBETTER..... you will regret it. Worthless.

4 years ago Edited October 6, 2021

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Roqui ,

I have been on the same ADD medication for 7 years changing to better and after a week of handing getting a prescription I still don't - no I can't I call in every day they ask me questions like "did you ask your Doctor for the pa and mba and a pb, " no I don't want any of those things are. They are terrible I have been on the phone every day for the last 5 days on hold for hours and when I write them they say " just call we'll straighten this out "

4 years ago

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Allan Iturbe Bigelow, AR

I don't know where to start, I've been trying to cancel for the last 3 months that I've been getting invoices, first I never signed up since I already have insurance through my employer, then every single time I call to cancel I get transferred numerous times and end up in what they call the marketplace which says I don't have an account with them, so I call customer service and start back in the same loop.

4 years ago

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Harold Kansas City, MO

They are a joke. They advertise that their plans are affordable. How is $2500 per month premium for my wife and me, $3500 deductible for each of us and a 30% co pay affordable? I had to pay roughly $37,000 out of pocket each before they paid for both of us. Obamacare at its worst. Now they are trying to sell Medicare supplements as Allbetter. They out to be shut down.

5 years ago

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Riley Phipps Lubbock, TX

The only positive thing I can say is that they have a cool rewards program. They have a lack of even basic providers and I haven't been able to get the urgent treatment I need to be able to walk. They never call you back or follow up. I've been waiting for months and no one is interested in helping. Don't make my mistake. Pay a little more and get insurance that providers will accept.

5 years ago

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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.

5 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!

5 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!

5 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.

5 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.

5 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!

5 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.

5 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).

5 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!

5 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

5 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.

5 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"!!!

5 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.

5 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.

5 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.

6 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.

6 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

6 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.

6 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.

6 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.

6 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.

6 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!

6 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....

6 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

6 years ago Edited September 14, 2021