ambetterhealth.comReviews of ambetterhealth.com

This company should be out of business. It took them 3 months for them to give my wife credential. The worst and unprofessional customer service.

Took payment but was not applied to account. Called customer service ( could not understand any representative as they speak broken English) they took another payment and then had a credit on balance. Went to use it and was denied. Spent 3.5 hours trying to get to the bottom of this only to be told to call back in a week. Is all they can do is put a ticket in. Asked to talk to supervisor, was told they were one. Asked to talk to their superior then told there was non!! So can not fill my prescription because I now have no insurance and with out insurance it costs $1600. And this prescription is vital for my health.

RUN don't walk to the nearest exit when someone tells you to choose AmBetter!!! My mom had this insurance for years and she was always healthy so no experiences till… she came to my house and had a stroke (and i am a nurse). First signs of stroke i called an ambulance and she went to the nearest hospital to me as it is a stroke (medical emergency). We provided the hospital with her insurance card and number. First they told the hospital they had no one with that member id but when i would call they would always find my mom. Then she started receiving calls from collectors guess AmBetter decided they would deny every single claim stating that the hospital did not send correct forms and when that didn't work they started saying she went out of network… WHAT!!! She had a stroke and they expected me to drive her to Chicago? This only escalated every day because i was constantly transferred to different people in different states with no resolution. I filed a complaint with BBB and low and behold an actual manager from AmBetter called me and stated he would look into this and get the bills paid…. Hmmm… too good to be true and it was! He never sent it for review and he just hit denied on the claims out of network. My mom is low income so she could not afford a 23 thousand dollar bill along with a 600 dollar ambulance ride. I paid for her ambulance because AmBetter never did and after a year of going back and forth AmBetter NEVER paid the bills. Thankfully my mom was provided with forgiveness as even the hospital knew this was an emergency. If you want bill collectors calling you and never getting your bills paid for choose this company but i would RUN!!!

Anyone know if NC has filed a class-action lawsuit against Ambetter? They have denied every claim we sent, even though I kept sending them money. Why in Hell do they get away with it? We now have a $90,000 medical bill! When we called customer service, the representatives spoke with a strong Indian accent. Communication was difficult which made our situation extremely hard to explain. The representatives could never tell us what was going on. They always gave us different solutions or transferred us to someone in their sales department or Healthcare.gov. We are on a carousel and can't get off! I am very dissapointed with Ambetter! In my opinion, they are a deceptive, corrupt company who exists only to defraud customers. Now, back to my original question; does anyone know of a lawsuit against Centene,the parent company of Ambetter, or Ambetter of NC? ----------------------------------- The American Healthcare plan is broken! We need more help from our elected officials to keep these companies in check!

Ambetter/Silver Summit Health is THE worst insurance company I have ever had for coverage and have had to work with. Their customer service representatives are not informed, give boys responses, read of scripts ad nauseam, give contradictory (and typically incorrect) information, and don't call back if the signal to Manila is dropped, even though they ask you for your # in case of disconnection. Also, they have unqualified physicians assessing whether procedures should be approved or not. As my pain doctor said in disbelief and frustration, "What is a pediatrician doing assessing whether an MRI is needed for someone's cervical/back condition?!" The company also requires pre-authorization for almost everything--ever routine bloodwork! In short, as soon as the new enrollment period starts, I will surely be switching.

Run don't walk away from this so-called health insurance provider. They auto bill 2-3 months ahead of time, on irregular dates, it is impossible to speak to a native English speaker, I called and canceled the policy in June and they kept the payments for the additional 2 months even though no coverage was provided. This company is a SCAM. Avoid like the plague

A joke of a 'health insurance' plan, just like the potus who got it thru a stacked deck of a congress. Currently, I have to go out of my own County to find a MD who was not educated at Lebanon U or in some third world country, same for a pharmacy, only 1 in the whole County that accepts it! Congress should be made to use it as well.

I had a problem, I went to doctors and got every single thing they ask for, they had the doctor to keep resubmitting so many times, the doctor said it’s not worth there time. That I could get it approved myself. They sent me all information and I submitted it myself, and again they said the doctor has to resubmit it for approval. They ran everyone around until finally everyone had had enough, so for me it’s get a loan and get the procedure done myself. I wouldn’t recommend Ambetter for anyone. Kimey L Heard