DJ
I’ve been paying the fulWorst Insurance Experience I’ve Ever Had — Constant Denials and Glitchesl price for the…
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.

