ambetterhealth.comReviews of ambetterhealth.com

Complete scam like all insurance companies. Custom service is deliberately routed to an automated voice that purposefully makes it impossible to get a hold of someone. Coverage also sucks.

They fraudulently charged me near $400 over a health plan I NEVER selected they ASSUMED I would spend $450 a MONTH, without my consent. No email no text to verify. But they charged me in the middle of the night while I was asleep worst service ever I tried calling my father spoke to them, customer service only told LIES!

Besides the directories not being up to date, long times between appointments. Customer Service is awful. Unlawfully charged me for the 2026 policy event, though I canceled and chose another plan before the deadline. They say that they can't take a verbal cancellation because it is through the ACA government plan, which is total BS. I spoke to three agents because, as a former licensed health insurance agent, I knew this was incorrect. Would not accept the printout of my new Blue Cross plan with dates proving I canceled. No resolution and no way to cancel over the phone. "I must go through the government." Update: I contacted a representative at Healthcare.gov on 12/16, and she dialed Ambetter because she said the information they were giving was false, and I was not the only one calling in with this false information from Ambetter. She remained silent while the agent repeated I must contact the government, even though I had purchased Blue Cross HMO for 2026, and it was before the deadline for enrollment (meaning I am not enrolled with Ambetter), and they were NOT authorized to debit a payment. Ambetter repeated that it was up to the government. The Healthcare.gov agent(who had been silent but listening) spoke up and totally read him the riot act and stated he was giving out false information and that Healthcare.gov has nothing to do with my premium and my payment to the insurance company. Therefore, Ambetter unlawfully took from my account. He backtracked and said he would refund my money in 30-35 business days. Could not explain why it would be so long when the payment was still processing in the bank and should be easily reversed (it is a debit card). I called the bank to report fraud and stopped payment. I believe they charged lots of customers on autopay the new, inflated premium, even if they canceled. Then they are slow-rolling the payback. Beware.

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.

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.

You are stuck with low Quality doctors or and you must travel miles for constructive healthcare. If you need Phycological Health do not obtain this plain. If you just need check ups you good' and there are rewards to watch healthcare videos. Also look out for charges after care and end of the year bigger charges Thanks to the Ballroom man.

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

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.