ambetterhealth.comReviews of ambetterhealth.com

Required 7 calls to see PCP. Every time I am assigned a PCP, I am unable to see that PCP because they do not take my insurance. This time I had to change my physician group and it took seven calls to resolve the issue to be able to see my PCP. Calls were either dropped immediately, dropped after being on hold for an hour, I would reach a representative and they could not hear me (happened twice), or the representative's English skills were so poor that the issue could not be resolved. Do Not Recommend.

I had never heard of this insurance company before and I did read mostly bad reviews with some good ones mixed in, I needed this insurance to get a surgery with a doctor in GA that I liked this is why I have chosen it. Now for my review of it, I have had some bad insurance in the past but this one takes the cake, their customer service is HORRIBLE, no providers take them so I had to call the customer service one says one thing one says another they are either lying or have no idea what they are doing, it is so frustrating! unless you live in GA no doctors take ( to me it’s worst than trying to find providers on Medicaid) I would NOT recommend this to anyone unless you just want an insurance for if you have an emergency they do take it i believe in most hospitals.

My wife signed up with Ambetter last October and she had to have two prescriptions filled in June 2025, denied without reason why. My wife’s doctor sent an order for MRI in June2025, the day of procedure Ambetter gave a denial for service as they stated not medically necessary. Here we are in July and my wife’s doctor orders a CT scan of the brain due to my wife being dizzy all the time and has constant rapid eye movement, today is July 25, 2025 and the CT scan is taking place Monday afternoon, again denied as not medically necessary. I strongly recommend stay away from this insurance company. I pay hefty premiums each month and so far denied claims. One last thing, on the first denial for the doctor ordered MRI we called customer service to question why it was denied where the young girls answered the phone we could barely understand their foreign language and they stated there was no record of the pre authorization from the imaging center. I explained I had just gotten off phone with imaging center where they read from a fax paper “ denied as not medically necessary “, they still had no record of a pre authorization. Do yourselves a huge favor stay away!!!

If I could give NEGATIVE ZERO stars I would. The WORST health insurance company EVER. Avoid. Avoid. AVOID. They gave me the runaround for an entire week from a referral I needed to see a specialist. I cancelled my coverage today! Even in this economy, I would rather have NO insurance than Ambetter. HORRIBLE!!!!!

Certainly, this company is the worse of the worse. They don't even covers the most basic prescriptions for common infections, and other conditions. They have a very limited network for physicians, and they don't want to give you appointments because what they pay to doctors, if you are lucky, you can get an appointment for an specialist with a referral, two months ahead or even more.

I’m currently pregnant and was previously added to my family’s health insurance plan. However, Ambetter removed me from the plan without any notice, despite the fact that we’ve been paying the full premium every month. When I called customer service for help, the representative was extremely rude, refused to provide a translator when I asked, and hung up on us. This is an unacceptable way to treat a pregnant woman. I’m deeply disappointed and will never recommend Ambetter to anyone.

I would give 0 stars if possible. Why does the State of Michigan allow these scam companies to continue to operate with such bad service and reviews. All I wanted was reasonably priced insurance (which they are the cheapest) but you get what you pay for, they have denied every request for imaging, and recently a stress echo test, for which I am a heart attack survivor with stents. Just plain junk insurance. I've paid over $1,300 dollars for health items and only $13 has been applied to the deductible, reason being services not authorized, it seems to be a common scam for this company.

What a ridiculous insurance company; reps are incompetent (can hardly speak English and are set up in a hotbox somewhere overseas that reps can barely hear what I am saying), and coverage is minimal at best for premiums paid.