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Ambetter

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5.4

Overall Score

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Gary Martin Hondo, TX

I’d put zero star if I could. Worst insurance ever. Went to hospital in ambulance for possible heart attack. Was told to see my cardiologist ASAP. My cardiologist wanted to preform a stress test. Ambetter DENIED. I repeat denied a stress test to find out if my arteries had blockage. How sorry is that for a health Insurance Company!!!

3 years ago

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Sa Mon Dallas, TX

After calling 25 different doctors, listes as "in network" through the Ambetter website. NONE of them actually take Ambetter insurance. This company is fraudulentl! There is a class action lawsuit filed in 2018 and is currently in progress. Drop Ambetter asap and get in on that lawsuit! They should have been taken down years ago.

3 years ago

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LivingOna Prayer Shiloh, GA

Horrible. My husband has a heart condition and Ambetter routinely denies basic tests and procedures that could make a difference between life and death. They also frequently deny routine medication. Ambetter simply doesn’t care. Around our house we call it Am”worse”

4 years ago

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JIm Hughes Glendale, AZ

My account became locked (the portal I use to pay my premium). After spending almost an hour on the phone with a customer support representative, I was told to try logging back in tomorrow and call back if it still didn't work.

4 years ago

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Julie Evansville, IN

My experience has been great in terms of coverage and customer service. I do not have anything negative to say.

4 years ago

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Anon Austin, TX

Worst insurance ever. DO NOT USE THEM. They will give you wrong information and fight you over ridiculous things when it's obvious the patient is right. Their customer service is **** too. Bad coverage, bad information, bad morals. They do us a disservice and should be shut down!

4 years ago

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None Blue Island, IL

They cancelled my account after they lost my payment and still want me to pay even if they don't cover me, and it was only 10 days since they lost they lost the payment and I try to pay the bill and they told me the cancelled my account .

4 years ago

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Tom Leawood, KS

We have had Ambetter in Kansas for the last two years and it has been an absolute nightmare. Terrible customer service and administration. No one knows what is happening when you call them and you never get the same answer twice. If I could have given no stars I would.

4 years ago

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Jess Austin, TX

terrible, terrible company. after paying $1240 to get re-instated, they still haven’t done it after a week. they straight up lied to us! My wife is a Type 1 diabetic and she can’t get her insulin!! these people will tell you anting to get you off the phone. worst insurance company ever..!

4 years ago

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Sorry I got this insurance Cincinnati, OH

I called to make sure they would cover the Cologuard test and was told yes, it would be covered. Guess what? Now I have a $649.00 bill. I've appealed twice and they have denied it twice. This test must be covered because it is part of the ACA. DO NOT SIGN UP WITH THIS INSURANCE!!!

4 years ago

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Unhappy customer Leander, TX

Charged me $800 dollars more than my premium was suppose to be and when I called they told me it could take 30 days to refund. Asked for a supervisor and was told none where available and I would get a call back. Still no call back. On top of that they changed the plan I choose to a terrible plan.

4 years ago

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Joanne Morrisville, PA

Bought this insurance because I thought one Dr. I liked was on it, surprised he’s not, so now I’m stuck with a Dr. farther away! So upset and I guess I should have read reviews. Just got my May bill on April 29th, glad I already paid it, due on May 1st.

4 years ago

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Lonette Frazier Fort Worth, TX

I have been denied a scan for the bulge on my right side 3 times in the past 2 years. I was told there is no reason for a scan. Finally the plan allows me to have one but has my account payment information wrong and denies me. It’s been 3 years and I still have a bulge on my side.

4 years ago

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LaVoy Frazier Fort Worth, TX

A better has had incorrect billing information for me several times. Each time I address it, I am told it will be corrected. In the mean time I am denied benefits and appointments because of it. I have called several times since January. The care is limited. There is no Urgent Care. I am in fear and anxiety often.

4 years ago

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Sandra Ogunseinde Keller, TX

Never trust Ambeter. I was ripped off by Ambetter. They went into my bank account and took all of my money. I am fighting with them daily and they will not return my money. I first thought it was an honest mistake and quickly found that this is serious. They actually stole my money. Nearly two thousand dollars.

5 years ago

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wayne huey Jamesport, MO

droped St lukes from there providers did not inform me . as I have cohcolear inplants I need to use them for yearly check up. they do not under stand . when I took policy out they where in network now refuse to pay or put on dedutable

5 years ago

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Dawn Case Glendale, AZ

Worst company that I have ever dealt with. They are thieves. They took my premium and then didn't cover my daughter when she needed shots. I ended up paying $500 out of pocket because they "lost" her information in the system. Beware consumers! Bad bad business here....

5 years ago

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Jonathan Argue Gilbert, AZ

Worst healthcare company I have ever dealt with. I have worked with a number of people on the customer service side who literally lied to me. I have caught this company in numerous lies. This company is immoral and duplicitous. Stay away from them as far as you can.

5 years ago

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Elliott Boca Raton, FL

Ambetter has only taken my money. I’m about to begin the second month of paying for coverage and have yet to receive a welcome package, insurance cards, or information that I can give to the doctors and pharmacist. This is abominable to say the least.

5 years ago

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Kael Claxton Gulfport, MS

If I could rate them I would give a negative. They drafted 3k without approval and will not return our calls and hang up on us. We have contacted the state insurance comish and are pursing other avenues to get our funds back and make sure this doesn’t happen to others

5 years ago

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Tim huang Chicago, IL

if i can give 0 star I will never give 1 ,ambetter is suking ball , stupid ,use it for one year ,never have a pcp doctor, in the time I need one , call 3 time a day ,evertime difference store, but can’t find a doctor to me ,why am I paying this suking ball inasurance for nothing!

5 years ago

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John Indianapolis, IN

Without any notification Ambetter has discontinued their Health Rewards program for gym memberships. This is equivalent to taking away a $240 per annum benefit from each of their customers without any communication. Unethical.

5 years ago

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Dawn Glendale, AZ

Absolutely worst health insurance company. Sent me health ID cards for myself and my daughter and when I went to get her immunizations half of the year through, they told me she was never covered. Now, they will not refund (for my daughter) my money, for paying for coverage. Just horrible business practices.

5 years ago

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Mora Las Vegas, NV

Ambetter denies and denies claims then says the claims are too old to pay. The service provider is coming after me for payment. I'm on social security and no other assets. Ambetter is terrible. I did make arrangements to pay the deductible which was $6000 but Ambetter hasn't even paid that much.

5 years ago

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Mustafa Guven Kennesaw, GA

I wish I would have seen this site before selecting AMBetter as my Insurance Company. This company is just the MOST ridiculous company I have ever encountered period. I called them 6 times just to add a PCP. Stay away from this company at any cost.

5 years ago

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JM Canfield, OH

Absolutely a waste, our family doctor will not accept Ambetter insurance nor will any other Dr. In our area (NeOhio), They all day the same thing “Ambetter doesn’t pay”...This company is a complete scam...Do NOT sign up with this company...You’ve been warned

5 years ago

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Brianna Rodriguez Buford, GA

have received letters from collection agencies regarding charges that Ambetter should have covered. Spent 2 hours on the phone with 2 different people explaining my situation - both of which hung up on me! I am now on my third call to them again explaining my situation now the computer is frozen! Terrible service!

5 years ago

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Terri C Cohutta, GA

We can not find a doctor within 100 miles of us that accepts the Ambetter insurance. We were told to drive 2 hours for a doctor. We also were told that this insurance is medicaid and that is why none of our current doctors are accepting it.

5 years ago

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C S Oak Park, IL

Ambetter lies about their coverage in the ACA website. I picked Ambetter because it said a major, well respected health care provider near me was in network. When I went to get a procedure scheduled the Ambetter website informed me the closest in network provider was 135miles away!!!!!!

5 years ago

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sheila Homewood, IL

The Worst insurance ever. Where did this company come , who is the president of this company? these people need to be exposed for who they really are. They are ripping people off. I been trying to find a cardiologist in my area for almost a year, it's crazy. Something needs to be done about this insurance company.

5 years ago

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Nancy Henderson, NV

It complete bs! The coverage sucks. I ended up with $1800 in bills for my deductsble. Then when I reached that they began to deny my the exams the doctor ordered. Not one exam was denied prior to meeting my deductible. Total scam

5 years ago

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Robert Edwards Tucson, AZ

I'm on Affordable Healthcare Act in which I have a premium and the government kicks in $1,300 a month. I can't even get an ID card to go to the doctor. this is an Arizona I was in Montana before and had great insurance. This insurance company is a joke

5 years ago

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Hazem Bataineh El Campo, TX

This insurance company is so bad they hardly cover anything and they deny most claims even though it’s expensive. And most important of all only few provider accept this plan in Houston,TX and sorrounding counties and most of them start rejecting it after a while

5 years ago

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Michael h Woodstock, GA

Absolute trash. Have been trying to appeal coverage for prescription and have made 20 phone calls totaling over 7 hours or phone time with them and no resolution. It has been 22 days of trying to get my medication covered and they claim that an expedited appeal only takes three days.

5 years ago

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M brown Springfield, MO

If you want to have your tests, procedures denied....ambetter is the perfect choice. Ohhhh and pain MGMT..they approve then re nig and deny pre auth Oh and the best part... getting repeatedly hung up on.... Be. Sure to get the agent name at start of call.

5 years ago

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Susan S. Joplin, MO

I am in Missouri and have had excellent health care coverage and customer service provided by Ambetter.

5 years ago

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JW Bishop, GA

The worst insurance experience ever! Unable to get a person on the phone. Only thing they were worried about was making sure you paid your premium. When my wife turned 65 and went on Medicare, we quit Ambetter verbally and in writing, but still received past due notices for four months after! One arm does not talk to the other at that company!

5 years ago

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Ben Austin, TX

Horrible coverage in Central Texas! They list a lot of Dr but if you really look, the are pediatricians not accepting mew patients. Meanwhile the primary care physicians that do accept it are the bottom of the barrel in quality. This company should not be allowed to exist. Terrible customer service and they deny everything. Total joke .

5 years ago

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Bill Rogers Gardnerville, NV

They seem to have a policy of rejecting preventive care claims for which they are 100% responsible to cover under EVERY health plan. They blame the providers and the truth is that both parties are responsible yet ambetter's claims department does nothing to rectify the situation

5 years ago

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Sigal Khania Las Vegas, NV

Worst company ever !!!! They employ people with ADHD,   Stupid people who wasted my time on the phone for 50 minutes and in the end did not help. I was very upset. nedd to repeat myself million times Nerves are not worth it !!!

5 years ago

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Kat

I wish I could give ZERO stars. We are stuck with this insurance co. Web site sucks! You can't even find a Doc. They reject all claims until you call them. I have had several insurance companies in the last 5 years, but this one was the WORST!!!

5 years ago

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Bruce Johnson Conyers, GA

Would be 0 stars if there were available. They make you wait on hold forever and never actually do anything ! - I have asked for rep names and reference numbers. All are meaning less since the last person NEVER WROTE ANYTHING I said. They denied I ever spoke with them!

5 years ago

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Anthony Taverna West Palm Beach, FL

Terrible!! No doctor on the multiple lists that they have given me accepts the insurance. This has turned into a health-threatening situation as I'm not able to receive the needed medication. Horrible customer service, inept.

5 years ago

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Denise Buccola Phoenix, AZ

I am given different information by different people when calling Ambetter. It's very confusing. I've had nothing but trouble trying to get doctor visits approved and/or covered. This was my only choice as far as individual healthcare in Arizona.

5 years ago

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lonny zion Redondo Beach, CA

needed a 3 month plan after moving to a new state to cover family until new job's insurance kicks in. I was told I couldn't get a 3 month plan and now I have to pay 1 year of deductible in 3 months before seeing a single $ in benefits. total garbage

5 years ago

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christina Plant City, FL

Would give no stars if possible. You get what you pay for. Unfortunately, this is what many can afford. Customer service reps are useless and rude. Good luck finding a provider who will accept this insurance. I cannot wait to change insurance companies.

5 years ago

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Tiffany Parks Coppell, TX

Most doctors won't take this plan. The ones that do, charge more for an office visit WITH this insurance than they would if you paid in cash. This group is simply taking advantage of our corrupt government laws. If you can find another insurer, do.

5 years ago

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shuqin lindley Chandler, AZ

Worst insurance ever! Customer representatives are whole bunch of idiots and so irresponsible! A simple preventative blood test should be paid for but it has been more than 6 months, still not resolved. If I had a choice, I would never use them. Thanks to Obamacare! What a liar! You can keep your insurance and keep your doctor, really?

5 years ago

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Chris

Customer service does not even attempt to care about questions/issues I have regarding my insurance. The plans are convoluted and inadequate, and no one even cares. What a sad broken system we have. It doesn't have to be this way.

5 years ago

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valerie martini

Ambetter is AWFUL! I pay $700/month and you pay very little and most of my doctors are not in your network. I have a triglyceride pill which you don't cover and I have had other insurance companies cover it for approx. 7 yrs. You have way too many prior authorizations. I will switch next year. Absolutely poor service from you.

5 years ago