ambetterhealth.comReviews of ambetterhealth.com

Worst health insurance ever. They cover nothing. The deductibles are high. The co-pays are high. Glad I'm going on Medicare in less than a year.

I signed up for Ambetter specifically because they said they would cover my one, very expensive, medication. Without insurance its almost $500 a month. The first time I tried to use my Ambetter insurance to pay for it, they required prior authorization. That's fine. My doctor communicated with them about my prescription and why I am on it. They denied coverage. For the medication THEY SAID they would cover. They said they wanted me to try other medications first. My doctor sent them a list of five other medications I had already tried and which did not work at all. They denied it again. For this medication, I have to do a check up with my doctor once a month to make sure side affects aren't too serious. I then have to fill my prescription within seven days of that check up. If I don't, I have to have another check up before I can get a refill. This whole runaround took almost two weeks. So not only would they NOT cover the medication THEY SAID THEY WOULD COVER (which is the ONLY reason I signed up with them in the first place), I then had to pay for two doctors visits for a one month supply of my medication. Out of pocket, of course, because they wouldn't cover my doctor's visits, either. Insurance is a scam.

my name is Mary confron,I am a member with am better.i have really enjoyed the plan thus far,but here lately I have received to bills one for 150.00 and another for 189.62 it says my insurance is denied toward these two bills.my monthly balance is correct.i called the company they said that i'm in good standing, I don't need and trouble with my insurance because i'm a single mother of five childrens, test done 12-23-25

Absolutely pathetic!!! Paid premiums didn't receive coverage!! They are a SCAM!!!!!!

Ambetter insurance is a joke, they don't cover anything!!! Between copays and office visits, blood test , medications, it's ridiculous, We pay more out for fees, co-pays and tests than we do our insurance payments, I've had breast cancer in the past and cancer in my lymph nodes, I can't even afford to get my test that I'm supposed to get cuz they want too much up front. Totally ridiculous, my medications keep going up. I can't even afford to take those which I'm weaning myself off of. I will find something natural, if I were you I would stay away from this insurance company.

I really don't even think that they deserve one star but I had to put one star in order to leave a review. When I call customer service they give me names of people that don't exist in the offices of the phone numbers they give me. And they don't take ambetter after being told that they do. Most of the tests that I need are not covered when I finally find a doctor. The customer service people have been very nice however they do not have adequate information. The copay for a specialist is $90. I understand this is a free policy but come on guys this is ridiculous. I spend all of my time calling doctors to find out who takes ambetter only to find out that nobody does. This is the worst insurance anyone could ever have.

this company is charging for health insurance they should not be. someone take notice . Florida is being scammed

I've dealt with numerous insurance companies over the years, including on the exchange; this was the absolute worst. My wife and I experienced several problems in the less-than-a-year we were covered by them through the Georgia healthcare exchange. On paper it looked ok, but then practically useless when we tried to use it. It felt like we ended up paying more out of pocket than if we'd paid the higher premium with a better company. Some examples: - When we went looking for service, many of the providers the insurance company listed told us they no longer accepted the insurance, so difficult to find providers for various specialties. Any provider list is always a bit out of date, but this was not even close. Their actual provider network is much smaller than it appears. - A screening colonoscopy had a huge copay/coinsurance that previous insurance companies didn't charge. This cost us several hundred dollars. - Prior authorization was denied multiple times for vague, confusing and contradictory reasons, despite our doctor providing test results that very clearly met the insurance company's stated criteria for approval. - A doctor ordered ultrasound was denied, still not sure why. - Repeated instances of what felt to us like delay, deny, defend behavior. This is the first time I actually feel the need to say this. - Multiple experiences of really poor customer service provided by what appeared to be poorly trained overseas staff. I don't care where they are, you still need to train them.