Ambetter
4.8
Overall Score
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Hpalmer Marietta, GA
Maybe it depends on where you live. So far my experience with Ambetter in Georgia has been very good. I can't image how I would have paid for $400 plus a month health insurance right now. Plenty of primary care doctors and specialists here that take it at Wellstar and the quality has ranged from so-so to excellent. (I am in the surrounding suburbs of Atlanta). I haven't needed to get ahold of them for anything yet so I can't rate that accurately.
4 years ago
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.
4 years ago
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
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
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
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
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
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.
6 years ago
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.
6 years ago
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
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
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
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
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!
7 years ago
Anthony
Shame on you. I just read an article on NPR about your carelessness in the case of a client who needed therapy desperately, and all you did was give him the runaround. Absolute shame on you and whoever this Giovanni is.
3 months ago
Review Source
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
4 months ago
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
6 months ago
Belinda Priest
I chose this insurance because they said my doctor was in network. When I went for my appointment I was informed by the office they did not accept my insurance. While waiting to be called back I called Ambetter and was told by Ambetter that yes my doctor was an in-network provider. I think they just list everyone as in-network even if they aren't just to get you to sign up for the insurance.
I am lucky my doctor will work with me and treat me as a cash pay customer.
7 months ago
Tracy A Stock
Worst insurance ever. I had double mastectomy due to 2nd time breast cancer. They had no plastic surgeons in network in Columbia Missouri. I called Ambetter and was told by the rep to write a letter and I would be reimbursed. Well, after submitting the same information at least 4-5 times, I kept being denied for out of network. I finally turned it over to the State Insurance Dept and not much has come of it. So far I've only been reimbursed about $1,000 and they owe me over $8,000. There's one claim left and it was for the original surgery. I noticed on claim status now that they show it being from a provider in a different state and that the claim was just submitted in Feb 2024 and my surgery was in August 2023. I call them and they cannot even find my claim under the number they have listed on line. I have never dealt with a more idiotic bunch of people in my 56 years on this earth. I could write a book on the problems I've had with this company. DO NOT EVER USE THEM AGAIN!!!!!
9 months ago
To Co
I am filing a complaint because when ambetter health insurance and marketplace insurance told me there would be no copay nor any premium charges so i signed up but it was a lie because when i filed my taxes ambetter sent a 1095 and stated that i owed them a premium of $1795. So i had to pay it even though i never used the insurance. They lie to people stating it is all free and you will never have to pay a premium or copay just to get you to sign up but ambetter and marketplace get your money by sending a 1095 to the irs at the end of the year. I was told by my tax guy they scam many people and others have the same experience as i have had. I am warning consumers that they will charge you $587 per month and you wont know until you report your taxes for the new year and find out they sent a 1095 report to the irs and that credit woll count against you. It will be taken out of your refund.
9 months ago Edited April 2, 2024
AmbetterIsTerrible Nashville, TN
This is the worst healthcare insurance I've ever had. Do not get it. Every PCP listed on their site that is supposed to me in my area is no longer accepting their insurance or no longer in service or actually dead. I'm not making this up.
After calling repeatedly and getting my case escalated, I tried to get them to switch my insurance over. They supposedly did "an investigation" and sent a letter to me with the names of 2 radiologists!
Does Ambetter even know which physicians do which kind of work?
The customer service is obnoxiously terrible. Their knowledge base is extremely poor. As I mentioned their information on their site is outdated. Their network basically doesn't exist in Nashville, TN. They're basically stealing money by charging for insurance that they are not providing.
DO NOT get Ambetter. It'll be a terrible mistake.
In fairness, I will admit that my prescription drugs are cheaper on their plan than my previous one.
9 months ago
Waylon R Lambert
Ambetter is a joke...For example, I just called with issues, and I spoke with a "customer service rep" who didn't have a working phone...Yes, you read that correctly...A phone CS who didn't HAVE A WORKING PHONE...I was transferred and the next rep justified the fact that the first didn't have a working phone by saying "Things don't last forever..."...This exchange is so symbolic of just how pathetic Ambetter is...It took 4 months to get my auto draft set up, and in the meantime, the company sent a letter saying that it dinged my credit report for not paying my premiums...When I thought the premium was on auto draft...This entire company is just an excuse for rich folks to prey on poor people...I had surgery and wound up paying more than they did for service...Yet, they got over 700 bucks a month from the govt for my coverage...I wonder whose pocket that cash wound up in...Do yourself a favor and run as fast as you can away from Ambetter...The company of non working phone phone reps...It's almost surreal...
10 months ago
Andrea Podolski
I have been trying to get a refund for initial payment as I was in a fragile mental state from a recent health crisis. I got this call for Insurance, he said I didn't have much time and I need to get a supplemental provider. This occured on December 8, 2023 as I was getting assistance with my affairs the case worker told me that I didn't even need what the representative repeatedly told me I needed it. So on January 2, 2024 I cancelled this policy and asked for a for a refund. I called 4 more times on the fifth call the representative Rebecca told me, I wasn't getting a refund because I was covered in January 2024, not so I cancelled it as soon as their Holiday break was over 01/02/2024 and I could speak to someone to cancel. I feel I was conned because the representative knew my current health state was compromised. I'm so disgusted with this company with their manipulative ways. I was treated awful while trying to get a refund. I'm still recovering and this kind of stress was the last thing I needed. I cancelled it, I never used it, all I did was get conned. I would never recommend this company for your health care after the way I was treated. Also, on the sixth call after sitting on hold for ever when I asked for a representative to speak with so I could ask for the supervisor since Rebecca refused to let me speak to the supervisor on my fifth call, I was hung up on!!!
11 months ago
Sherrick Thuesmunn Seattle, WA
AVOID THIS INSURANCE. It seems like a scam company, but I think they're actually just completely incompetent.
I'm currently going through my second denied claim appeals process. The first time, I used their website to find an in-network doctor, and went to that doctor. When the claim was denied, they told me the doctor was out of network. Their website is completely inaccurate. But this inaccuracy isn't just a one-time thing, it seems like around 50% or more of the info on there is outdated or inaccurate. I initially tried to set up an appointment with the doctor Ambetter had automatically designated for me as my primary care physician, but when I called the office number listed for that doctor, they told me that doctor hadn't worked there in years!
So I tried again to get a PCP, and this time I went through the process on the phone with an Ambetter representative. They walked me through everything and we made sure the provider was in-network and near my home. After going to my first routine office visit with that provider, however, I got a $700 bill from their office! I checked online and my EOB said that the whole claim was denied, and they put a reason that was very cryptic. I called Ambetter to explain the claim, and they honestly had no clue what was happening. They couldn't explain it at all. I called the doctor's office, and they explained to me that Ambetter told them the claim had been denied because I went to see a PCP different from the one they had on file for me as my approved PCP. But it was the same person!
Ambetter will give you cancer. Only sign up with Ambetter if you hate your life. I now find myself in the unlucky situation where I am actually just not going to the doctor anymore. Of the three claims I've made since starting with them, they've all been denied for different BS reasons. I've appealed two of them, one is being processed while the other did result in reimbursement for me. The third was small enough that I didn't deem it worthwhile to spend the requisite 10 hours on the phone with support and all the stress the process entails.
So now I can't switch my health coverage since open enrollment has ended, but my insurance is so untrustworthy I can't really go see a doctor unless it's an emergency. The only reason I haven't canceled is I need my monthly medications and in case of an emergency. Heed the warnings of others: STAY AWAY!
11 months ago
Leah Haynes Keller, TX
This company somehow obtained my info and had started sending me Bills/ invoices after I was n an accident and already covered with my states insurance Medicaid, Granted after I became 21 in November and they are somehow claiming they paid some of my medical bills from an accident i was in!! I only found out about my SUPPOSED membership through my contacting them and them telling ME I did sign up to become a member and I am VERY AWARE I have NOT signed up for ANY IAMBETTER anything!! They've sent a bill to my lawyers with my name as well as a person named Antonio M!! and this is in FACT the hold up for my financial payout!! I MAY sue them next for this unwarranted confusion, it fells like someone who works for the ER also moonlights for obtaining injured soon to be uninsured victims, because how else did they obtain my personal information and to mix it up with Antonio M' is CRAZY!!
11 months ago
Brian Wall
This is literally one of the worse insurance companies I've ever dealt with and you should avoid them at ALL cost!! They are horrible in all areas including coverage for services received. My wife was covered by them and we chose to cancel the plan due to financial hardship and horrible coverage. Once I cancelled the policy and turned off auto-pay the illegally debited by account for two months of premiums, which is theft! We cancelled the policy prior to them doing so and completed the process they suggested to receive reimbursement for their illegal act. It's now been over 60 days (reimbursement should be received within 7-10 days as per their representative and it hasn't been. We have contacted them multiple times with no resolution. In fact, whenever we DO contact them they continue to give bogus reasons for why we haven't received a reimbursement for $436.58, which included "you have an outstanding balance" of one month's premiums. When asked which month that would cover they were unable to clarify. These folks are a bunch of crooks and only out to take advantage of people even if it requires illegal actions. I've filed complaints with the insurance department AND the better business bureau as I believe these two entities are there to represent the people in such situations. If Ambetter is in the mix to consider, shop elsewhere until you find a company that is now owned or operated by them!!
11 months ago
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
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!
1 year ago
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!!
1 year ago
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
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
2 years ago
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.
2 years ago
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
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
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
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
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
4 years ago
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
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
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
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.
5 years ago
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.
5 years ago
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.
5 years ago
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
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
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
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
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
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
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
