Van
Save yourself
Save yourself. When it's time to cancel you plan, you will not get anyone on the phone. I have been on hold for 2 hours at this point but I refuse to pay another month because of their scammy behavior.
ambetterhealth.com is listed under Insurance.
ambetterhealth.com (ambetterhealth.com) has 315 customer reviews on Five Star Index, with an average rating of 1.2 out of 5.
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Van
Save yourself. When it's time to cancel you plan, you will not get anyone on the phone. I have been on hold for 2 hours at this point but I refuse to pay another month because of their scammy behavior.
priyanka B.
I would have given negative star, but it is not available. Ambetter has the worst customer support I’ve ever dealt with. Nothing works properly, and the system feels completely broken. Many doctors refuse to accept this insurance due to its inefficiency, and I’ve personally been turned away by providers the moment I mentioned Ambetter. I had a physical exam done by my own PCP, yet Ambetter denied the claim saying a referral from my PCP was required—when the provider is my PCP. After multiple calls and appeals, the confusion only got worse. What’s unbelievable is that the same PCP referred me to a spine specialist and Ambetter approved that referral, while denying the physical exam claim saying he wasn’t my PCP. Total contradiction. The system is disorganized, customer service gives conflicting answers, and even doctors are clearly frustrated dealing with Ambetter. I would give a negative rating if it were allowed. I would strongly not recommend this insurance to anyone.
Jeremy T.
If I could give them zero Stars I would they try to force you to do their telehealth thing even though you tell them you're not interested they don't want to pay for any kind of prescriptions honestly they're worse than United healthcare have to fight tooth and nail just to get anything done
Rick H.
Never had a worse experience dealing with ANY company in my 61 years on this planet. Horrible on everything from coverage to rates to customer service. The only positive thing about having Ambetter is that some places won't even see you if you don't have insurance. With the Ambetter insurance card, at least you can be seen by a doctor.
DJ
I’ve been paying the full price for the Elite Gold (QualChoiceLife) plan through the Government Insurance Marketplace and this has been the biggest rip-off I’ve ever experienced with insurance. Despite having no deductible and coverage that’s supposed to pay a percentage of most services, Ambetter has denied almost every claim we’ve submitted. They’ve forced us to redo my child’s occupational therapy testing (which we already completed just months before switching), and we were told the testing cost would be out of pocket even though our primary care physician and previous OT test said it was necessary. My OT center said Ambetter was the worst insurance they have ever worked with. My other child has a significant speech delay and is nearly nonverbal — Ambetter has denied every claim for speech therapy. To make matters worse, my husband’s cancer screening, which we were told would be covered, wasn’t paid for either. For a plan that costs as much as ours (about 1.5x our mortgage), Ambetter has failed to cover even the most basic, essential medical services they promise to. Their app and website constantly crash — the app froze eight times yesterday alone, and the mobile site repeatedly leads to dead pages. We’re switching as soon as open enrollment begins. If you’re considering Ambetter, think twice before trusting them with your family’s health.
Gregory G.
I would leave the ZERO stars if possible as that is what they deserve. WORST HEALTH PLAN EVER!!! If you need a Healthcare.gov health insurer, pay more and get a real health plan. You'll appreciate it when you need to access health care if you do not have these fools. My wife and I have nicknamed them "Am-not-better" which is what you and your family will be if you enroll with them. Health plans in general are anti-patient and anti-payment (for claims) but in a sea of bad health plans AmNotBetter achieves the lowest of the low. All I can keep saying is "enroll somewhere else!!!" This plan sucks to high hell!!!
Mike H.
First ambetterhealth is an umbrella and you MUST talk to the correct subsidiary. They will forward you but most engagements take *hours* Agents often don't forward correctly - just to get you off their queue (and perhaps some mis knowledge) Numbers that used to work might no longer. issues that required intervention - such as web site issues and auto pay - may suddenly break Website(s) use entry-key - which can only handle ONE current plan - which is often NOT the case when finishing one year and starting a new one the next year (think ACA/Healthcare.gov) Agents I never felt confident could assure me that I *was* paid through end of year even though I couldn't verify online (due to entry-id issues they could not resolve). In summary - website frequently doesn't work and entry-id is often half an issue - website might not (depends on subsidiary) have accurate or complete information on payments etc - website doesn't allow you to check both current and future (think ACA) plan accounts - autopayments frequently dropped (which then gets to web site issues) - friendly agents are often very incompetent in doing anything other than maybe looking up one payment? Maybe? Nothing further? - Just overall crappy and if I wasn't stuck with them with ACA/HealthCare.gov I would never ever ever consider them again.
Marialejandra M.
Ambetter insurance is harming my husband's health. He suffered a massive stroke a year ago. They are denying him MRIs and pain injections, which he needs to continue his therapies, which are also being denied. Who should we contact to resolve this?