ambetterhealth.comReviews of ambetterhealth.com

Absolutely the worst insurance ive ever had in my life if i can leave 0 stars i would

This insurance is very very difficult to use. So difficult, that I'd say I'm not really insured and that Ambetter's claim that I am, is fraudulent. The network is very narrow, giving me limited doctors within a reasonable distance. Yet, Ambetter does not trust the doctors they chose to work with. So, getting medical issues looked at is very difficult, requiring pre-authorizations that, so far for me, have been rejected. The doctors and their offices don't seem to know how to work the system, so I am stuck just living with my injuries. It takes a long time to get anything done. I have to contact one of the few primary care doctors near me, wait for an appointment, have the doctors request tests, have those rejected, then, then...Ambetter kicked my primary care doctor out of the network! So now I have to start all over! The doctor's office said that Ambetter came out of the blue and kicked them out of the network. This disrupts my care and forces me to start the medical waiting game, diagnosis game, and fighting with the insurance company game, all over again. I called Ambetter to ask if they could give me any information as to why my PCP who I already saw is not in network anymore, and they couldn't tell me anything. The customer service representatives have no clue. I've also called their customer service representatives as to all my authorization denials, and again, they can't tell me anything. It turns out, that Ambetter doesn't even process the authorizations. They farm that out to a company called Evolent Speciality Services. I called them, and they couldn't give me any specifics, other than saying I can go through a laborious effort of trying to prove my medical issues are real and mailing all this in by snail mail. I asked them if it was worth the many hours it would take me to try to gather all these documents and imagings, and they couldn't tell me anything about my chances, or even the best way of appealing. They had no advice or information other than to mail in an appeal. I asked them a direct question for advice, and one representative's response was something like, 'uh huh, yeah'. That response makes no sense to question, showing she was not even listening. A previous Evolent representative appeared to have hung up on me, although we could have been disconnected for technical reasons. Over the last decade, I've been to doctors multiple times for my knee and bicep. I've had two rounds of physical therapy for the bicep, and even had surgery on it! The surgery doesn't seem to have worked. I haven't gone back to the original surgeon because I'm on different insurance now. The knee has been x-rayed and I've done at home physical therapy based on what a doctor gave me to do. These are real medical injuries that should be looked into and are covered by insurance if the insurance company believed their own doctors in their narrow networks that say the only way to know what's going on is an MRI. For the bicep, pre-surgery, I did about 2 months of physical therapy before that insurance company at the time finally let me get an MRI. The MRI showed that physical therapy was never going to work because the bicep was too far torn. So, I spent a lot of money, hours, gas, wear and tear on my car, and time out of work, doing physical therapy, when an MRI could have shown that was a waste of time. That was under a previous insurance company, that was also bad, but not as bad as Ambetter.

I should have check here first. With a 1.2 rating with over 223 reviews is all you need to know. DO NOT SIGN UP with Ambetter Health. I was assigned a primary care provider that is a Nurse Practitioner. I have been trying to change my PCP to an internal medicine doctor since the end of Januraruy. Here it is March 11 and no where closer to changing my PCP. I had 9 calls with the reps and supervisors all with the same story. Give us 7 to 10 business days. I check and my PCP is still the Nurse Nurse Practitioner. Meantime I'm paying $700 a month. I have spoken and messages their complaint department and all i can say it's a joke. This should be illegal.

How i wish I had seen these reviews prior to signing up for a plan! Do NOT get any plan from Ambetter. I checked to see if one of my specialists was in-network and based my decision on that. Good crap, what a bad idea. They barely covered anything from my doctor's visit and I'm having to pay a $532.59 bill. Affordable Healthcare? Who could possibly think that??

I am a US veteran, being discharged from a rehabilitation center, I chose to get help for my ptsd and alcohol use. I wore a uniform to defend our country, to defend freedom, and freedom of speech. I am 1 wk from completing the program. I do not believe in murder, though now i understand why a ceo of an insurance co. was ambushed. I believe what bafalls any ambetter employee i will feel no empathy for them or their family members. May God take pity on such people, for noone else may.

This is the worst insurance company I've ever come across. Paying $500 a month for subpar insurance and then denying me important testing that is life altering. It's disgusting. I truly hope karma visits them in the worst possible way.

If I could give negative stars I would. I had Ambetter for OVER 2 years and never was billed a premium and had coverage the whole time. In January 2026 my husband got his insulin through the insurance no peoblem....In March my insurance is canceled due to NO Payment of premium and now my husband's insulin can not be given to him because we can NOT afford it...Why did it take all this time and no bills sent to us for them to cancel it? THIS IS VERY WRONG!!! YOU ARE PLAYING WITH PEOPLES HEALTH!!

I’ve only had this policy for one month, and they are already denying coverage for a life-sustaining medication. I spent an entire week on the phone with them, calling multiple times a day, trying to resolve the issue. Even though I’ve paid my premium, they continue to deny my medication. Based on this experience, I would not recommend this insurance at all. If something serious happens because I cannot get the medication I need, the responsibility will be on them.