ambetterhealth.comReviews of ambetterhealth.com

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 Any provider list is always a bit out of date, but this was not even close.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.

Biggest fraud and they don’t have answer and they just hung up the call and be ready to wait 1 hour on call and then those idiots will just tell you some inappropriate story which doesn’t match your insurance details . Up on asking details they get mad and hung up the call .

Can not understand customer service speaking. Not much covered for the high deductible

Held up reception of meds I had been on, previously under prior insurances. Errors with data entry caused further hold-ups. Still waiting for approval of immunosuppressants, that were prescribed in January (it's late March). "Have you missed a dose," they ask. "Do you need to speak with a pharmacist?" Don't buy from this terrible, inefficient, error-ridden, coverage-dodging, worse and worse the more I have to call them company. I'm just living on prednisone over here, until someone can do their job, thanks to bureaucratic idiocy.

it is not accepted at any halfway decent place, I got it just to cover for hospitalizations, guess what it’s not accepted at the hospital I went to. Even f it was covered on my bronze plan ambetter only covers 40% after 17000 deductible. I told the hospital I do not have coverage and need financial assistance they covered 70% cost of my brain surgery. So spending 8000$ later I got absolutely nothing form this insurance… I tried to get meds CVS does not accept them, and so I got transferred them to walgreens, walgreens said if you use your insurance charge is 100$ more compared to using Goodrx 😂.

I'm waiting on a third approval on recommendation for MRI that I'm sure they will decline again. This company wants it's customers to die before they will pay for needed healthcare.

They denied a medication so we filed an appeal. Called several times to be told they conveniently did not receive it. I requested to speak to a supervisor several times and was denied. Called multiple times until I finally reached someone who found the appeal and noted they had two more days to process. Very frustrating to spend so much time to get an update. Very poor service.