Name: Ambetter
Rating: 1.4

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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.

9 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.

9 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.

9 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!

9 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.

9 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.

9 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.

9 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.

9 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.

9 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.

9 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.

9 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....

10 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.

4 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.

4 years ago

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Martha Stopa

I called them to ask what doctor I should see and she gave me a doctor in network. But then they denied my claim. I called and he checked and said she is in network, but then the appeals department yet again denied my claim. So they just lie to you repeatedly. This is not ok, it’s disgusting.

1 year ago

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mack smith

no one takes this insurance and I have to get retested for the things I was seeing specialists for. I have to go to a general practitioner to prove I have depression and she the psychiatrist I've been seeing for the last 7 years to get the medications I need. ambetter just takes your money....NOT WORTH IT

1 year ago

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Kenneth Newman Spring, TX

This is the worst insurance company anyone can have from poor communication skills from customer service to not covering anything, to finding doctors to accept this insurance is joke. What a scam. For govt to subsidize this fraud is even a bigger scam.

1 year ago

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John Seattle, WA

Ambetter denies claims saying preauthorization was needed even after saying it was not needed over the phone. There customer service is awful. Of shore call center where the people are difficult to understand constantly put you on hold and just want to get you off the phone so they can move on and not help the next person.

1 year ago

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Michelle Little Rock, AR

DO NOT GET THIS INSURANCE!!! they will hang up on you, Deny every pre-authorization your Dr sends over and offer zero assistance to diabetic patients. Absolutely pathetic. They could not care less if you died. Stay away from Ambetter!!!

1 year ago

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tom tomorrow

Nightmare hell!!! They don't respond to online questions no matter how many messages you send, and NONE of their in-network PCPs even exist! All fake numbers that go to other hospitals where they say the Dr. doesn't work there. Impossible to get healthcare with Ambetter.

1 year ago

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Monica Miami, FL

Awful Customer service from 3 different cs reps today. Last call was a foreigner named 'John' he was no help at all. Asked for a list of providers and he refused stating for me to go online to view covered doctors. Explained I had already done that and called Several doctors and they verified THEY DO NOT TAKE AMBETTER VALUE. This is Insane!!!

1 year ago

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AuntyK _83 Kearney, NE

This company stole 525$ our of my personal account! They charged my work account also! It took them 1 day to mess my account up and up to 45 days to fix it! What a joke! I'm canceling as soon as I get my money back! I would never recommend them!

1 year ago

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Ingrida Leitis Port Allen, LA

It seems to be NO communication between marketplace.gov and Am better Insurance company. When it comes to sending payment for your healthcare coverage, Ambetter pulled the money out of my account and still I had to show proof that I made my payments to Ambetter . There’s no trust. Please! hold onto your receipts you will need them later.

1 year ago

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Suzanne Marshall St. Petersburg, FL

Ambetter's directory of physicians is very misleading. A large percentage of the doctors listed in the Ambetter directory don't actually accept Ambetter insurance or are no longer available. As a result, patients have far less choices than advertised. This feels fraudulent.

1 year ago

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Jack Black Toms River, NJ

The worst insurance you will ever find. Not accepted by most healthcare providers, people don’t even know who they are you will constantly be doing a run around. Customer service is terrible and horrible coverage biggest mistake please choose otherwise.

2 years ago

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Brittany

They have overcharged me 3 times it is a monthly occurrence and it impossible not to get customer service to be able to help with anything I had to file for fraud because they were supposed to refund me told me they did and they never did

2 years ago

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Britty Heather Houston, TX

I'd give zero stars. I was signed up without my knowledge or consent & found out when I went to my regular doctor to be told they don't accept my insurance to which I said what insurance? I had to pay put of pocket that day to be seen I'm order to get my meds refilled! Terrible company!

2 years ago

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Jedi Mc.Knight ! Cumming, GA

Terrible service. Can never get an appointment .Terrible service. Can never get an appointment with her primary care physician even want to telladoc appointment.!! Terrible. Terrible. Terrible runaway, runaway runaway. As soon as I can I’m switching my insurance to something different. This sucks.

2 years ago

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Mary Conyers, GA

Customer service people are not from here barely understand I had auto pay for some reason past 2 years my money only comes out when it needs too how funny . I go to explain this they have No clue how this happens & when I need major care can't get it due to cancelation !

2 years ago

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Brian Clark Seattle, WA

I can't describe how incredibly infuriating their customer service is. Just trying to simply get an in network provider has taken me weeks. In the meantime, my symptoms are worsening. Do yourself and your health a huge favor and avoid them.

2 years ago

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Martha Odell

I'd give Ambetter a zero if I could. They're terrible insurance. My husband has asthma been trying to get his asthma injection since JANUARY it's MAY now! They dictate what you can take and what dosage..... they're not doctors! Just another money hungry company who could care less about people!!

2 years ago

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guns&more Niles, MI

I have degenerative joint disease in my left knee. Bone on bone and need a knee replacement. There pedestrian doctor said it's not that bad yet, so they have denied service. I CANT WALK... WTH.. my doctor is now fighting them. Let see how that gos.

2 years ago

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Ryan Montcalm Denton, TX

This is the world's worst insurance company. I just got a simple blood test and the insurance will not pay for it. The bill is $782...This company has no business trying to provide medical insurance. They are COMPLETE IDIOTS.

2 years ago

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Flat Top W Los Angeles, CA

*Reps will hang up on you and not call you back *Most of the reps have no clue what their jobs are *The reps are rude, and unafraid to be rude *If I do call, I'm transferred around and no one resolves my issue *My calls usually last from 30 - 90 minutes

2 years ago

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Chris Gohl Frisco, TX

Fraudulent company that must have bribed the feds somehow to get onto Marketplace. No doctors within Value Plan network anywhere despite their website claiming ample options. Purely false advertising and fraud. Bailing on them immediately.

2 years ago

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Mari Gangadean Philadelphia, PA

Horrible company. If I could leave a zero rating I would. Their customer service is abominable, and uninformed. Their record keeping is sloppy, inaccurate and they take forever to process anything even after multiple phone calls. Please stay away. This company is totally incompetent.

2 years ago

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Ed Huff Austin, TX

absolutely the WORST insurance on the market. Almost no doctors will take it because it pays 20% below medicare. A week long hassle is guaranteed just to to get a routine procedure approved. This company should be sued by the state DOI for being an outright fraud ,IMO.

2 years ago

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Val Johnson Atlanta, GA

Broke my ankle and needed a scooter and later a walker. Never got them. They said I qualified but sent me all over the place while i was sick. Everytime I called they told me to do something else. I gave up. I paid my bill automatically every month never missing a payment.

3 years ago

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Wizard 4717 Spring, TX

Nothing approved. No doctors will take it. They just laugh. I don't even bother with Ambetter. Better negotiating with the doctor. I pay 50.00 a month and the government is being cheated out of 800.00 a month for this scam. I am sure that this company is just a few people in a strip mall in Florida.

3 years ago

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Dave Fant Ozark, AR

Having had Ambetter previously myself and my wife has it. We both have found Ambetter will deny coverage for clearly medically required surgeries. Avoid this company if you can. If you don’t die from old age being on hold and then getting wrong answers and no results you will suffer from denied medical needs!

3 years ago

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Brandon Feldman

Biggest scam insurance company ever. Tells you doctors are in network, they are NOT! Then They blame the doctor for not updating them. CVS does not accept this insurance. I can’t find doctors I want to go to. The worst company! DO NOT get this insurance!

3 years ago

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khalil Hamzeh Frisco, TX

I am still on hold and it has been 129 minutes now just shy of two hours what a joke? The government messed up again. Terrible company all the government subsidi they receive and still the service sucks doctors avoid accepting patients because they are not paid enough I think. The patients here are the victims.

3 years ago

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kasey riley Kansas City, MO

Repeated denials of a non narcotic treatment for chronic pain and migraine that three of my doctors have issued orders for—Ambetter denied it AFTER peer to peer reviews with two of my doctors. I simply don’t understand why…

3 years ago

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Marcus Conner TX

Would give 0 stars if available! Worst health insurance EVER! Spent $2000 jumping thru hoops to get a procedure done then after passing all requirements, ‘Amworst’ denied the procedure! I am furious they wasted my money, that I have very little of! DO NOT USE ambetter (worst)!

3 years ago Edited August 8, 2023

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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 ????

3 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.

3 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.

3 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.

3 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

3 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.

3 years ago