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Ambetter

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4.9

Overall Score

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Sarah Barger Little Rock, AR

I think it must depend on what state you are in. I have Ambetter Arkansas and I love it. I do receive a subsidy so I don't pay a huge premium. I also don't have any major health problems, They are excellent for routine care, chiropractic, mental health etc. I do not have dental. So far they have covered everything without any issue.

5 years ago

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Maribel Ruiz

I have good experiences with Ambetter,the only thing is some doctors don't accept their insurance but it's getting better.Sometimes u have to call a few times to receive ur card but a million times better than blue cross and blue shield Anthem,had problems with them since day 1,never used it until it was canceled,they wanted $1,300 a month,ridiculous.

5 years ago

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Mary Johnson College Station, TX

I switched to Ambetter after a nightmare experience with Blue Cross Blue Shield of North Carolina and Texas. I've only been using it for a few months, but so far my experience has been excellent. My chosen provider accepts their coverage and I'm proceeding ahead with my scheduled wellness checks.

5 years ago

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Yolander C Henderson Merrillville, IN

Ambetter is a good company. They're prices aren't too bad, and they contact you personally to inform you when certain preventive care is needed. The only thing I have a problem is with new medications. I have severe migraines, and finally an injection that reduces migraine days to at least half of the migraines per month has been aporoved by the FDA, but it isnt covered. I can't afford to pay my Ambetter premium every month, plus 575 every month for the shot I need!

6 years ago

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Gloria Etta Hamilton Waco, TX

Even though Ambetter did not approve of physician recommended Bariatric Surgery, because I have high blood pressure and in a pre-diabetic condition, I am still grateful to have the insurance. For the most part, it’s a good insurance to have. My copayments are low on prescriptions and office visits. I was badly in need of healthcare and couldn’t afford it before going to Healthcare.gov. I was in so much pain from Osteoarthritis wearing away at my hip joints. I felt like nobody cared even though I have worked hard most of my life. And I still work. Ambetter is all right with me.

6 years ago

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Christopher Primosh Little Rock, AR

Benefits are terrific but, the rewards pays card... I had my hip surgery October 2017, I was going to use the card for my electric bill and November, after 8 months I was finally able to activate it. Between October 15th and January 21st I Must Have Spent at least 3 hours on the phone with these people until I finally gave up just this morning I thought hey I'll give it a shot. I finally got my benefits, the people on the phone with ambetter their representatives had no idea how to activate the card put me through multiple people and then finally hang up each and every time although they did ask for a call back number in which they never called back they were very uninformed

6 years ago

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KMS Overland Park, KS

I'm the medical proxy for a friend who had a stroke on 1/8/2018 and his Ambetter policy has performed beyond my expectations. I'm not sure why it's totally subsidized but he pays $0 for an exchange bronze plan (HMO) with a $6800 deductible. Any HMO is going to have fewer providers and more restrictions, but the main problem seems to be that it's new in the market and the provider list changes constantly. Having met his deductible on day one of his hospitalization, the plan is paying for home therapy, nurse visits, and has a decent drug plan. I don't have any problems with the website which is every bit as informative as my own BCBS plan. No major complaints from us.

7 years ago

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Jack Lewisville, TX

I'm very sorry to hear the negative stories from other members. I have been fairly pleased with Ambetter. True, they are very picky about who you can see and what they'll pay for. Thus, you definitely have to do your homework up front. You can't just go see the doctor you like; verify they're in Ambetter before you go. In mid-2017 I became a cancer patient. This included chemotherapy and surgery in 2017, and we had no significant problems with Ambetter. I say no significant, as there were times that we received bills from someone "out of network"; for example, the hospital is under plan, but perhaps the lab they use isn't. However, that isn't strictly an Ambetter issue, as we've underwent that through the years with both Blue Cross and Humana. Three stars because it could become a bit tricky to find a doc you really feel comfortable with. I like my primary guy, and the oncologists have been great. On the other hand, there isn't a physician out there that my wife is comfortable with. To conclude: Ambetter isn't perfect, but it's not bad. Do your homework before charges, and even be prepared just in case there's an emergency.

7 years ago

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Maria Alvarado Harlingen, TX

All the folks that gave a 1 star need to learn to read to take advantage of the benefits. Just follow the rules . I'll bet this year of 2017 they have paid about $200,000 in benefits with a $600.00 deductible!! Just pay attention to your account on line. Learn to use the online resources . They have several very good providers on network!!! I signed up again for 2018!!

7 years ago

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Tamara Canton, GA

I will tell you they are great however-- warning-- you must use their in-network dr's. I was diagnosed with Thyroid Cancer had to get a total thyroidectomy - radiation, etc. They were awesome. I did have to drive about an hour into Atlanta for the right care. They do have some local PCP. If I have an emergency visit to an ER- meaning my local hospital - NO COVERAGE. I have to drive an hour as there are only one or 2 hospitals in the entire area closest to me i troublesome. Just hope no emergencies pop up.

7 years ago

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Glad to have insurance Boerne, TX

I have had a good experience with Ambetter, after I digested the fact that the provider directory on the web site is inaccurate & the customer service reps are pretty dumb. I apologized to my GP for being paid poorly and he said Ambetter pays him fairly. They seem slow to approve referrals: my GP had to telephone a few times to get approvals, but the MD staff in referral department was very helpful once my doc talked to them. The plan I have gives $$ incentives for taking their exercise/lifestyle quizzes, for getting a flu shot, having an annual checkup, and the money is transferred to the Ambetter credit card promptly. I am glad to have coverage and I have had no other problems. The monthly bill and the Member Explanation of Benefits is straightforward.

7 years ago

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Clair Melton

I've been buying insurance through the ACA for 4 years, after almost 20 years of going without. I get what I can afford, which isn't much. But hey, I'm used to how capitalism works. Normally, I require only basic maintenance services, so my experiences have been fairly uneventful. But this year I broke my arm down at the wrist, which required surgery. While Ambetter was a little frustrating to work with initially (info on the website is outdated, so multiple phone calls were required to find out which doctors/surgical centers to use), once I got the important info from them, I didn't have a single problem with their providing coverage, and doing so at the expected amounts. That's how insurance is supposed to work, so I'm quite satisfied with that aspect. However, I just got notice that my network physicians have terminated their contract with Ambetter. When I look online, it says my nearest gynecologist (for example) is several hours away. So that's a problem. I'll be calling them to see if there are actually some in my city to choose from. Wish me luck!

7 years ago

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Bart Harrison, AR

I've been reading all these bad reviews, I have only been on Ambetter since Jan 1 2017, but have had very good service. I was wondering about Meds I was already on being included, no problem whatsoever. I'll keep you updated. Happy in Arkansas!

8 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.

5 months ago

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jeremy shaw

Can I make it zero stars? They dropped my newborn daughter off the insurance because someone Put her name as "baby girl". Sat on the phone for hours trying to figure out to get this changed, no one can do it. Its been 3 months now we are getting full billing from her appointments. I cannot change insurance because its not "open enrollment". The escalation team said they would fix the problem in 3-5 business., its been over a month. You call and get a new person to help and no-one can fix. My daughter is currently uninsured

7 months ago

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Chris Orndorff

Ambetter may be one of the worst insurance options available on state insurance marketplaces these days. The premiums are relatively cheap for health insurance; however, you 100% get what you paid for (and even worse). The company's network of approved locations/doctors is abysmal, and you'll find yourself straining to actually identify in-network healthcare. Additionally, this company likes to deny claims almost at random. I am currently fighting through a "surprise billing" (illegal in WA) in which Ambetter has tried to claim that a doctor was out-of-network at an in-network facility. They like to play games like sending out a request for information dated Jan 1, 2024 (example) with a required document turn-around of Jan 1, 2024 when the letter won't actually arrive via postal mail until 3-4 days later. A very difficult and unethical company to deal with. STRONG AVOID.

9 months ago

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Morgan

This health insurance is the worst health insurance that I have ever encountered in my life. I have multiple medical issues to say the least I have been out of work this past year and last year I only made $13,921 however I go to a clinic as I am a recovery addict from pain meds that were prescribed to me by my rheumatoid arthritis doctor no I didn't go out on the streets and get drugs just so you all know I was prescribed pain meds and that was unaware that your body could become addicted to them the only way I could find to get off of them was to get on a thing called methadone so I have to go to the clinic in Tallahassee Florida 7 days a week to get my dose you can't take your doses home until you're clean and then you can only take one dose home a month so yeah I have a couple days since I can take home does this build up as much as you can take home based on how long you've been clean anyways my point that I'm trying to get at is this I have to go 7 days a week to those well I go 6 days a week and I have one take home cuz I've only been in sobriety for about 6 months now this is the issue I'm out of work this year I am actually trying to get back into work but I'm having trouble finding a job that will let me work without being able to use my hands because my hands don't function properly part of the reason I was on pain meds in the first place had I known about the dangers of pain meds I would never have taken them for my ra doctor the first place anyways so today I get called in by the insurance lady at our clinic saying you $58 I say what do you mean I owe $58. My premium is zero I told her I know I'm 100% in the poverty level I don't understand why I owe anything she says well ambetters changing their co-pays now that's not your premium that's your copay and I said what do you mean is that $58 for the month just like I really don't know that's just what you owe right now well I did some calling and it's actually $58 a week that I have to pay plus for one urine screening a month I have to pay $58 for that those are my co-pays so it's $300 and something dollars a month for my co-pays to go to this clinic when it was zero before so overnight they have taken people that are way into the poverty level and are now charging them $300 and $30 a month and co-pays that is crooked and evil and if I have anything to do with it I will be fighting this all the way to the legislation because what's the point in this type of healthcare I mean it's already a crappy healthcare as it is I can't find a doctor and I've got multiple issues I've got lymphedema I've got ra I've got fibromyalgia I have hypothyroidism I have a chronic heart condition I potentially have diabetes don't know yet I have hypoglycemia I have a hernia in my belly button I have carpal tunnel syndrome in my arms I have deep venous insufficiency in my legs I have an ulcer on my leg that caused by deep venous insufficient that hasn't close up for 4 years and I can barely walk on my right leg my fingers are numb consciently burning and I can't hold a pen for more than 2 seconds before I have to try and stop the pain in my hands therefore I have to get health insurance but here's the thing last year the cutoff was to even get even to qualify for ObamaCare you had to make $13,800 I made $13,921 last year I was 100% in the poverty level this year they've moved the cut off up to 15,480 I'm still in the poverty level cuz when I start working again which I will have to somehow or another I've got to make at least $15,580 or 480 whatever I said to qualify at the low end how on Earth are they charging somebody that right now only made $13,921 $300 a month $330 a month in copays to go to one clinic now I understand we have to go every single day but they're not realizing that I guess I guess but I've seen them do such crooked things to so many different people had so many different financial levels at this clinic that it blows my mind and how the CEOs are just sitting up there making Bank off of us just makes me sick I will be fighting this all the way to the top.DO NOT GET AMBETTER. I was forced to get me and better because I was the only thing my clinic took I was actually on Capital health plan before him better Capital health plan is the best plan I've ever been on if you're in Florida I recommend Capital health plan and they do work with people with lower income my premium would have only been $11 a month with Capital health plan I'd rather pay $11 to 80 something dollars a month premium for Capital health plan then pay a dime to him better cuz it's crooked. If I could give these guys a negative I would am better you need to do better I can't believe the amount of money you're trying to take from people that are struggling to keep a roof over their head food on their table clothes on their body and are trying to do the right thing in their lives as well good one real good one!!

10 months ago

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John Leitgeb

The employees do not know how to communicate with each other. I have been needing basic blood work to test for cancer since January and it is now currently April. Ambetter still doesn't have their team together enough to get simple blood tests processed so I can get them done. My doctor's office is stating the insurance company is giving us incorrect information which seems to be correct given the extreme runaround we have received. There's a case manager who openly stated it is not their job to help us out with this information and only did so once a grievance was put in. The case manager feels as though they are acting with petty intent to create problems and delay my medical care. It has gotten so bad that ambetter has even told me it is my responsibility to verify that the lab billing codes are correct.... As if I'm an ambetter employee that can understand any of that. Meanwhile, the SWAT team provide emergency care because of the delays that has happened and a case manager is on the job and somehow it's more my responsibility than theirs.... Obviously I have no clue which billing codes are correct and no way of finding that out. But the fact that I was asked to verify this with two specialists that are supposed to be helping me just shows the lack of support and professionalism by this insurance company. On top of the fact it's taking 3 months for them to be able to figure out how to get me basic blood work.

11 months ago

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Catherine Scanlan Seattle, WA

I've read many of the reviews and agree with many and disagree with a few. I've never had a problem with Ambetter paying my claims, as long as I am enrolled according to them. Earlier this year, January-February timeframe, I went to pick up my insulin and it was over $1,000, when it was supposed to be $25. They said they cancelled me because I hadn't paid my premiums for several months, which I had. After hours on the phone, I paid what they said I owed and they reinstated me. After sending them front and back of cancelled checks, they gave me a credit on my account. Today, I was checking on a prescription for insulin that my doctor said they submitted 11/29/23. The pharmacy initially said they hadn't received, it. I called the doctor who called the pharmacy and they said it was a problem with my insurance. I called Ambetter and they said it was a problem with the exchange. I called the exchange and they said that I was eligible and enrolled through 12/31/2023. Apparently, when I renewed for 2024, Ambetter put in a start date of 1/1/24, which somehow cancelled my insurance for December 2023. After several hours on the phone in a 3-way call with Ambetter and the exchange, they said they would fix it. The problem is I am out of insulin in a few days. It is the weekend so nothing is going to happen. However, insulin doesn't stop for the weekend. I am beyond upset. I have Type 1 diabetes and will literally die without insulin by the end of the month until the new insurance takes effect on 1/1/24. As it is, it looks like I will have to go a few days without it even if they reinstate it as promised and can't go to the hospital without insurance. I shouldn't have to spend hours and hours doing some else's job and fixing someone else's errors.

1 year ago

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Tanny PC Phoenix, AZ

We just took Ambetter insurance for the year 2023, as we changed from Cigna (one of the best), and in the first month itself we understood that Life’s gonna be a hell now. Every time before our visit (or for my kid), I get a call from PCP’s office saying that “Their maintenance site is down.. so you need to pay from your pocket.” Or “Your status is inactive.” And so on… Horrible customer service and poor website framework. There’s no email ID even so that we can resolve an issue with proof of documents that both parties can attach for clarity. Knock knock.. AmBetter $800-1000 per month is expensive for a middle-class person. If you take the money, make your deliverables effective or lose customers. Thanks!

2 years ago

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Dave & Diana M Shawnee, KS

I've had a Silver plan with Ambetter from Sunflower Health Plan for several years. The insurance itself seems to be okay. The real issue for me is their customer service and website issues. I have the auto-pay set up. Every open season I apply through the ACA/Marketplace insurance. My income always changes slightly. This generates a different monthly premium tax credit from year to year and so a different monthly premium and a different member responsibility (actual member payment). Unbelievably, the way their software is set up, since the Auto-pay then is different, Ambetter will not draft a December EFT. This generates a "Notice of Termination Risk" notice on your account because they did not receive the January payment!! They don't "receive" the January payment because THEY did not process it!!!! Then the Risk Termination letter takes weeks to receive this in the mail, IF you have mailings set up. Otherwise, you only know this by noticing on your December bank statement that the payment for January (paid in December), did not process. So... this means you have to call Ambetter. You see on their website a "payment amount" that is ALWAYS incorrect/always more than the sign-up on Marketplace website. This amount is completely irrelevant! You have to go to the "Invoice" tab see the actual amount that SHOULD HAVE been drafted, tell the customer service rep this and make an over-the-phone (or online) one-time payment of the correct amount. Then you have to verify that the auto-pay is still set up and then log back in in a couple of days to make sure customer service rep did process the January payment. Then at the end of January, you have to log back in to verify that the January payment was drafted and Auto-pay still processing correctly! The customer service rep's explanation for this circus is always unintelligible! It makes absolutely NO SENSE! Really, what a messed-up system!!

2 years ago

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RenoHal77 Reno, NV

After a good 6 months trying to get my online account access in order with customer service, I finally figured it out myself. I was using the wrong email address to log in with even though it was the same as what was in my account. Apparently you can have a different login email than what's in your account for communications. That is so confusing. They didn't even catch that.

2 years ago Edited June 6, 2022

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Peter Morrison Nashua, NH

I signed up in Aug 2021 for a new plan. I have 2 medications that I take and get refills on a regular basis. Both were covered by the RX plan until now. I went to refill both and one was covered but the other was not? I tried calling the support line and spent 1/2 hour talking with someone in the Pharmacy that tried to tell me my deductible has not been met and was the reason. Also, she claim she saw that I didn't refill my prescriptions last year?? I got frustrated and got no real answer. I am now going to look for new insurance once again. This insurance is not cheap the difficult to see what is covered, how much, and what is not covered. Don't waste your money

3 years ago

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Regina Euless, TX

I've had Ambetter Superior (TX-DFW Area) since 2018. I chose them reluctantly (I researched and saw the bad reviews), but they were the most affordable of the very dismal options. The first year was not as bad as expected, but not great either. It was hard finding a doctor that accepted them, the doctor list on the website was grossly inaccurate and customer service was not helpful. By 2019 more doctors were available in the plan and my husband and I miraculously found doctors that we liked so we stuck with Ambetter for the next few years. Earlier reviews are definitely right about them denying claims though, especially for MRI's: I think it is their policy to deny all claims first. In 2021 I met my deductible very early in the year due to a surgery and I didn't have any problem with Ambetter paying for any service after that. However, the premium for that plan for 2022 nearly tripled and we had to downgrade. We chose Ambetter Value plan, after I checked to see if at least one of our doctors were in network. They were...so they said.. so I proceeded to enroll in that plan. Which was the worst mistake I've made so far this year. Our doctors are not in the network and I still have not found a PCP after searching for 3 days. 90% of the doctors on the list were in an Urgent Care facility. I called Ambetter for help, and they read from the same website list...that is, if they didn't hang up or have me on hold for 30 minutes wishing I'd hang up first. Finally spoke to someone today who actually spoke English as a first language and 1 out of the 5 names she gave me actually had a working number, but the earliest appointment was 4 months out. So we have worthless insurance that we cannot change and I, like the guy who reviewed above, will be contacting anybody I can find to complain because this is just not right.

3 years ago

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James Eason Fort Worth, TX

Ambetter must have an entire team devoted to finding ways NOT to pay a claim. I had several problems with them but the worst is this: In an attempt to feel confident in what I was told, I called Ambetter THREE times before my anti-skin cancer treatment (photodynamic therapy--PDT). All THREE representatives told me I only had to pay my $60 copay and NOTHING else. The doctor's office received a pre-authorization letter stating the same thing. A month later I get the bill and am told that I haven't met my deductible yet. For 1.5 years I fought this, going all the way to the Texas Insurance Commission. They ruled that even though Ambetter told me verbally AND wrote a letter to me (after they reviewed my claim) stating that they should indeed pay the claim, they still didn't. In case that wasn't clear: AFTER REVIEWING MY APPEAL, AMBETTER WROTE ME A LETTER SAYING THEY WOULD PAY THE CLAIM 100%, but they still didn't do and the Insurance Commission wouldn't / couldn't enforce it. Ambetter even went back and listened to the recorded conversations and admitted that I was REPEATEDLY told wrong information. Unbelievable!

3 years ago

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briasativa Dallas, TX

I had Ambetter in Georgia and it was great. I never had problems finding a doctor nearby, it covered my prescriptions, reasonable co-pays and deductibles. I loved it! Since moving to Texas it has gone down hill fast. The website isn't working properly. I can't see my Rewards information, there are hardly any doctors available. I live in DALLAS. It's not like a small town or something. All the doctors I did find (that didn't have their own horrible reviews) ended up being mistakes. When trying to make a first appointment they all informed me they no longer take Ambetter. When I called customer service they couldn't get any better results than I could. What happened?! I'm going to have to change plans just, so I can find a doctor to go to. I have no complaint about the actual insurance but if you can't find a doctor it's worthless. Ugh.

4 years ago

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Colleen Sheahan ,

I use AM Better for doctor visits, preventive screenings, and medication only. I have had no issues, also get great customer service help. If you pay your monthly premium, stay in network, and do not need surgeries, this plan will work for you

4 years ago

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Lizzy Puentes Tallahassee, FL

Ambetter is a great insurance for where I resided in South Florida. They have lots of perks that you can gain from a point system they have. They also have a great reward system where you get money back if you have the debit card. That money back can be used to pay any bills you have which is so convenient!

4 years ago

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Jay Cole

There Customer Service is Wonderful I've been very pleased anytime I have needed help in the past there has always been someone to help me on the first try. And for that I am Thankful For

5 years ago

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hem n sah Irving, TX

I was very worried about the negative review. But All the claims for emergency room was processed properly. It was a seamless experience and we had no issue at all. Just follow all the network networks and no issue at all.

5 years ago

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Ken Greenwood Austin, TX

Perfect for everything we need. Site works well. Fast response times. Always introducing new ways to make things easier. Been here for 3 years and have no intention of changing

5 years ago

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Esmer McAllen, TX

I have had Ambetter for about 1 and 1/2 years and have not had a complain. They have everything displayed on the members website which makes it easier to see what is being submitted and paid.

5 years ago

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Olha Auburn, WA

I use Ambetter from coordinated care second year. I have a problem when I want click my login, I haven’t access to my health pays rewards. Every time when you visit your doctor must check information about your doctor work with your insurance or no.

6 years ago

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Yous Ibra Richmond, TX

You guys are scaring me. I just joined AmBetter and had my first doctor visit with no issue. I found a doctor about 5 min away from my house and got my 3 months prescription medication fully covered. May be it is too early to say anything about the company but my first impression is okay.

6 years ago

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John Fort Lauderdale, FL

I live in Broward county in FL, and all the very negative reviews are surprising to me. True, their website is not great, but other than that I have had zero issues. Many doctors to choose from, great prescription coverage, even urgent care. I am sorry to hear the problems people say they have, but again, I have had no problems at all with them.

6 years ago

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Virginia Young Cincinnati, OH

Absolutely the best health insurance I have ever had!I like it so much that when I turn 65 in March I will be using them for my medicare supplement plan. Kudos to your great insurance and service!

6 years ago

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NobodySpecial Temple, TX

I wasted many hours with them on the phone. It appears that their strategy is to wear you out by wasting your time trying to find 1 actual provider out of the many providers that they claim that are in network according to their website, or any other way possible. During a call, Ambetter might help you search for providers, keep you on hold during their lunch break, waste 4 minutes on every call to run you through a long menu before speaking with someone, ask the same 2 questions on every single call, give you a list of providers that do not take their insurance, refer you to somebody else and finally RINSE AND REPEAT until you drop. Call center employees work cheaper than specialists. START VERY EARLY IN THE YEAR, IF POSSIBLE, WHEN SEARCHING FOR A PROVIDER. Don't waste your time trying to pick the best provider yet. FIRST, just confirm that the provider actually takes Ambetter insurance AND that someone has successfully filed an Ambetter claim with them for what you need to have done. Talk to the person that handles the insurance claims at the doctor's office just to be sure. And then, ask them again 2 more times to be sure. If you are lucky, they are correct. Record all calls to Ambetter, if possible, and use an internet phone service that keeps track of all calls numbers and call lengths. After wasting months with them, I filed a complaint with the Texas Insurance Board. Two weeks later, THEY CALLED ME BACK TO HELP FIND A PROVIDER. The provider I chose was one that was on their website for quite a while, but they only recently signed a contract with them. Surprise. My health problems have all been taken care of by a very good provider. I was very lucky! Best of luck to you! Hope this helps somebody!!!

6 years ago Edited September 14, 2021

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Rebecca a Cecil Hernando, FL

THE ISSUES I HAVE WITH AMBETTER IS THEIR IN NETWORK PROVIDERS ARE FEW AND FAR BETWEEN. AMD WHEN I CALL MY SUPPOSE TO BE AGENT HE SOUNDS LIKE HE WORKS FROM HOME AND JUST ROLL OUT OF BED EVERY TIME WHETHER IT IS DAY OR NIGHT. THEN HE ENVER HAS ANSWERS FOR ME SAYS HE IS NOT MY AGEENT THEN GIVES ME HIS SONS NUMBER WHO IS SUPPOSED TO BE MY AGENT ACCORDING TO THE DAD BUT THE SON SAYS HIS DAD IS. SO CONFUSING - I JUST WANT ANSWERS AND GET NONE.

6 years ago

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Tefft Crystal City, MO

I live in Missouri and have had no problems with coverage, copays, payments, or finding a doctor. This past year, I needed several tests, infusions, procedures, and medication. Never had an issue. Hopefully the coverage and copays do not go up next year. I will keep it .

6 years ago

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Tom & Misty Mathein New River, AZ

While I have good health care with Ambetter, their customer service is terrible. I have now been sitting on hold for over an hour and counting.... Trying to get answers to questions is one of the most difficult things I find with this company. In addition, when you send your payment, they do not credit your account right away. So even though it is in their possession, as confirmed by my bank, you can still get a late notice in the mail, threatening cancellation. The processes overall leave a lot to be desired.

6 years ago

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Amal Sweis Little Rock, AR

I wish there is an email address to contact them instead of the useless customer service people that keep answering my calls. I needed a proof insurance for all my family for the year 2017 and I had to call them more than 20 times until eventually I received the papers for all my family except my husband whom they denied he had insurance with them, I found my husband's receipts for most of the year and I want to show them that there is something wrong with their system but how can I do that?! they don't even have an office to visit in my state! Me and my family where unlucky in 2017 because someone in the marketplace referred us to ambetter !

6 years ago

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Harold Ferris Atlanta, GA

Ambetter misled me on 4 occasions, saying that they would cover my child when playing sports for her school. The team coach revealed, in a 3 way call with Ambetter, that they in fact DO NOT COVER my child. The school has secondary insurance ( not primary) and Ambetter will not pay anything unless the secondary (backup) insurance pays first. Even talking to a supervisor (Cathy A. ) at Ambetter did no good. Why lie, Just tell me the truth! You know you don't cover. Don't waist every ones time!

6 years ago

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Sandra Pharr, TX

Don't get this insurance Melissa supervisor in customer service is horrible and won't help you with anything the WORST customer service Ever if you don't want to be ignored and a 0 priority stay away from getting An better coverage

6 years ago

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Rhonda Petrukitas

I have no problems with ambetter in Indiana. My questions get answered correctly. It seems they pay the provider quickly. My husband had to have MRI and brain scans approve. We received in a timely matter. The only complaint I havevisbthr selection of providers are very limited. You have to do a lot of searching find doctors.

6 years ago

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ALVIA TOMLINSON Miami, FL

I have no problems with this insurance. I went to the ER in 2017 and they took take of my bill .I only had to pay a few dollar out of pocket. The only draw back is that my PCP is not in there network .

6 years ago

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Marsha Moore Indianapolis, IN

I was pleased with Ambetter and appreciated my experience with them.I think they are one of the better choices.Thanks Ambetter moving to Medicare.Wish there was as good of choices as your company unfortunately All well didn't meet my needs

7 years ago

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Liss Austin, TX

We had ver little issues with coverage but we also never went to the dr. We only did our yearly exams. What’s upset me with Ambetter is the offered money back rewards for Wellness checks, forms to complete which took 20 mins each, flu shots, etc. We earned $100 and they never sent to us. They told me they sent twice and that my address was my old and that it’s my responsibility to update. Which I had already. They had 6 months to get to me and continued to say because I didn’t update my address. Needless to say all of our monthly bills made to us just fine! Lies from them regarding the address.

7 years ago

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Lillian Thomas

I am so happy that I have Ambetter really didn't have no insurance.. very affordable and very good network provider... I am very please... customer service do all that can to help you find the best provider..

8 years 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

7 months ago

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Carmen M. LeMay

Ambetter, what a joke, should be called Am Scammer, I went to a hospital in my network, claim was denied because INS said it was not in network, so I verified the address with rep on the phone, and it was in my network, so INS rep said, my lab work was sent to an out of network lab. I called hospital and was told they do not send out lab work, it is done in house. I disputed the claim, and my dispute was again denied. this health INS is a scam, don't waist you money or time with this worthless INS

9 months ago