ambetterhealth.comReviews of ambetterhealth.com

This is the only health insurance I have ever had that DID NOT cover my yearly preventative care 100%!! Pelvic exams ARE PART OF PREVENTATIVE CARE!! But yet I have a balance due! I have called them a # of times! Each time I call I get stuck trying to speak to someone that speaks broken English!! I can barely understand a word they are saying!!! Not to mention, every time I have called about WHY my preventative care wasn't covered 100%, I get different reasons!! I am definitely changing companies!!!

This company is a total scam. Do not sign up for health coverage. 1st they advertise coverage and co-payments for medical and Rx’s that are incorrect. 2nd they tell you certain providers are on their coverage list when they are not. 3rd they tell you to work out any coverage issues with your provider. 4th they tell you they will look into or make adjustments to your policy, only to never take action. DO NOT WASTE YOUR MONEY!

Ambetter Meridian is worst health insurance on the face of the earth. They approve nothing, all while you suffer. They treat people horribly. Even my doctor hates them. Don't waste your time. This company is pure evil.

I kept my card on autopay with Ambetter. They overcharged me without my authorization by about $480 and they are telling me I have to wait 10 business days for a refund. They did this while I have other bills due and won’t even communicate with me about my refund.

How do you give negative stars?? This company should be ASHAMED of itself. I cancelled my insurance with this company in January of 2024 and this company changed the date of my cancellation so that my last doctors appointments of the year weren’t covered. Not to mention that the entire time I had this insurance, if that’s even what you want to call it, not one single appointment was covered by this company. I literally paid for nothing. Customer service is a JOKE. I still Haven’t received a call back from June of last year, haven’t received the grievance information I elected to file, the website as never updated from the time I called over 100 doctors listed on their site that no longer take Ambetter. This is a legit scam. If you have time to run from this company I beg you to do so.

No breathing medicine for 4 days and customer service lies to you In 4 days I have called Ambetter 14 times literally. I use a daily prevental inhaler due to having chronic asthmatic issues. So I really need my refills. After calling 6 times I finally got a hold of a rep who told me that my prescription would be made available to me with in 1 hour. That wasn't true, called a couple of more times to be told I'd have to wait 72 hours (meanwhile I've had 3 asthma attacks in 4 days). After the 72 hour wait it was not made avaliable to me. I was told to wait one more day. Next day still nothing. Called back again (Meanwhile each of these calls, I'm on hold for about an hour). The representative says he spoke to the pharmacy and to check back with abetter in one hour. Guess what happened then, they were closed for the weekend. He lied to me just to end the call. This is what I mean when I say we have to elect people in public office that'll hold these companies to a standard. Clearly, Ambetter Insurance care NOTHING about the fact that they have a client that has been upholding his obligation and paying on time, or that he can't breathe. All they care about is their money. I'm beyond disgusted with this company and I recommend anyone in the Columbia area looking for affordable insurance to stay far away from ambetter. My body is suffering greatly because of this. If it gets any worse I will have no choice but to go to the E.R. Spend all of that money just because this company will not do what I pay them to do.

This is the worst friggin insurance company I’ve ever had. I’ve been trying for a month and a half to get into see a gastrointestinal doctor and nobody within an hour and 15 minutes of it takes this suck ass Insurance. I rated it a one star just so I could tell people how horrible this is Insurance as don’t ever ever get this insurance

Customer service is absolutely the worst. I have been passed around so many times in the last 7 months just trying to get my provider the explanation of payment (EOP) details so they can post my payment, along with all the other patient transactions associated with mine. So many wasted hours on the phone. Representatives are kind and want to help. But they are not trained. They dont understand how payment and recoup transactions are processed. Provider services will only talk to providers and promise reports (EOPs) and don't come through. Company policy does not allow members to speak with supervisors. Submitting grievances is pointless. After 7 months I have been escalated to "Swat Escalations", but it is just another middle person that will try to get this resolved. It's beyond ridiculous. My providers don't want to work with them anymore. And all this is just member & provider services! Don't get me started on all the other issues - like denying claims due to not having pre-approval when I have the approval letter in my hand!! Denying medications (although temporarily) after knee replacement surgery. Requiring such specific pre-approval request information without guidance or instruction that it delays procedures or hinders recovery. If you only need preventative services, they're fine. They won't let you die in an emergency.