Ambetter is the worst insurance. The cost is extremely high. The coverage is very poor. Very few physicians are in network. Their website is outdated and list physicians who are no longer in network. Most everything requires prior authorization. It takes several weeks to get a determination. I had a test denied for a medical condition that was previously diagnosed and unlikely to resolve without treatment. Furthermore, the condition could lead to a fatal condition. This is what happens when medical decisions are made by bureaucrats rather than physicians. Stay away from this insurance.
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CM C.
Like the mob, they won't let go
Weeks ago I called Ambetter and cancelled my health insurance because I've moved to another state, but new ID cards arrived and I'm getting emails about premium payments. So today I called Customer Service, went through their LOOONG phone Q&A to talk to a human, only to be told her system is down and to call back in few hours. I asked to be transferred to someone else but gosh darn it, she couldn't do that. She suggested I try the Ambetter website. Strangely enough there's no Customer Service or method to cancel insurance on the Ambetter website. I canceled Auto Pay so Ambetter won't be getting paid by me. At this point they're committing fraud.
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Amissa S.
I literally just got approved for this…
I literally just got approved for this insurance and now I got a letter in the mail saying that my insurance is canceled even though they sent me insurance cards
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Jason A.
Extremely worst insurance no one wants…
Extremely worst insurance no one wants to accept it. Since ambetter was assigned to me I had to pay $125 a month for prescriptions that used to be covered I can't afford to pay for diabetic medications and the other medications I'm on. I have called several times to see why I keep getting run around placed on hold then hung up on . I'd rather die from my health issues then keep dealing with companies like this that do t care about people
CU
customer
Phone reps without working phones?
And to add, I just tried ONCE AGAIN to deal with whatever Ambetter calls "customer service"...I spoke with a young lady who DID NOT HAVE A FUCTIONING TELEPHONE...I was then transferred to someone who JUSTIFIED THE FIRST REP NOT HAVING A WORKING PHONE..."Things don't last forever and they wear out" was her response...hum...A phone customer service person with no working phone...Sounds like Ambetter to me!!!!!
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Lynn M.
Beware!
Although Ambetter covers the cost of a routine screening colonoscopy it DOES NOT cover the removal of any polyps and I have been billed $3000 for this. What a SCAM for an insurance company. They should be ashamed of themselves.
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Christina F.
TERRIBLE and I haven’t even used the…
TERRIBLE and I haven’t even used the plan yet! I signed up for a plan on the health insurance marketplace and I have been doing this for years- never had a major issues. Well, they advertise generic drug costs as $3. Looking into it, it’s just “tier 2” and I made sure my prescriptions were tier 2. Well turns out there’s a “preferred tier 2 generic” and a “retail tier 2 generic”- which cost more. It’s all incredibly misleading and it’s ambetters fault- they choose how to display the info on the marketplace. Looking it up there’s a total of less than 5 drugs that would cost you the $3. Again I have never had this issue with any other insurance company. Getting out of this plan as soon as I can
PE
Person
The Filipino customer service does not speak Medical English
HORRIBLE customer service reps, who do not speak English competently!
When they don’t know an answer to a question, which is often, they pretend to drop the call. They don’t even know what a deductible is. You will get absolutely no answers whatsoever from customer service and no help from them.
When you ask to be transferred to an onshore operator, which is your right, they will then try to pass you off to one of their own Filipino supervisors (thinking you will not know the difference). They are loathe to transfer you to a native American speaking representative. My guess is that they have quotas, and they don’t meet them because their English skills are so bad, Sure, they can speak conversational English-but MEDICAL ENGLISH? Nope.
Their website is garbage. If you are looking for a provider and type in, for example, “women’s doctor”, you will find absolutely no results. If you type in “gynecologist”, you will find absolutely no results if you type in “Pap smear”, you will find absolutely no results. Then when you call to ask for a provider and state that you request a female gynecologist, you will find out when you are up in the stirrups at the doctors office that they have assigned you a male gynecologist.
They have no idea whatsoever who can process biological materials removed from surgeries. so you will pay for out of network doctors to process your own biological materials. You will also pay for MRIs, x-rays and CT scans out-of-pocket, because they can not competently process pre-authorization for those services ordered by your doctor. On the other hand, I guess you could wait about a year for them to process a life or death pre-authorization for a test, test but by then you’d be dead so it wouldn’t really matter.
They apply nothing to your deductible, even qualified expenses. For example, you can go in for a blood test and they will apply it one time to your deductible and not the next - for the same exact blood test.
And forget about medical records, they will disappear without warning.
AVOID THIS COMPANY, LIKE THE PLAGUE.