ambetterhealth.comReviews of ambetterhealth.com

I had insurance with them. They gave me a grace period to pay my premium well it was due on the first well they suspended my thing during the middle of the month so I couldn’t use it. What’s the reason for the grace period if they’re not gonna give it to you I couldn’t pick up my medicine that cost me way more and I paid up to $10,000 to do my max deductible so I didn’t have to pay for my medicine no more but yet they still suspended it and I wasn’t able to get my medicine. They are dirty and they just wanna do what’s best for them. They don’t care about their customers or their patients whatever you wanna call us I don’t think they’re good at all and I would not recommend them to anybody. My name is Nicholas Williams.

If I could give zero stars, I would. My address is being fraudulently or incorrectly used by someone else, and I continue to receive their mail and tax documents. Despite repeatedly trying to get this issue resolved, I have been unable to find anyone willing or able to help. This is a serious matter involving the misuse of my address and the potential exposure of sensitive personal and tax information. The lack of assistance has been extremely frustrating and unacceptable.

One star is way too generous for this company. I’ve been denied for a procedure on my back that my orthopedic surgeon requested. Of course we’re appealing. This denial causes issues with my cardiovascular health because my back hurts so bad I can’t hardly do normal activities much less exercise like I should. I did the PT they wanted. Didn’t help. Had the MRI they wanted and they still denied the lumbar nerve block. I’ve seen the images and my back is a mess. They don’t know my pain level and could care less. 2 physicians have said I need it and 1 person at the company seems to think I’m fine. Live a day in my shoes then deny it. They’re useless and don’t get me started on the language barrier.

What a piece of *$#$ company. You have 1.2 reviews. I am adding to this experience. I hope you get what all healthcare CEOs deserve.

Everything was great until I was diagnosed with stage 4 cancer in 2025 then the bs started I Will admit some of the customer service people did try to help but the underwriters was POS and when the Republicans took away the subsidies it only made it worse i wish cancer stage 4 on every underwriters so they can see how it feels. May the people yall love the most get diagnosed with stage 4 cancer

Great, unless you actually need to use it. Ambetter's favorite word is, "denied." Whether your talking about a claim for a routine office visit, a necessary medical test, or any of the other supposedly-covered services, you can be sure that their default response will be DENIED. For instance, when your doctor sends you for an x-ray, his decision is only backed by years of medical school, residency, years more of medical practice, and a thorough examination of you the patient. But that's no match for the breadth of knowledge at Ambetter. They clearly know better than your doctor even without ever having examined you (or even going to medical school). That's how good they are. But don't worry, if they can't find a reasonable explanation for denial, they will just make something up, as a service to you, the valued customer (e.g. "no supporting documents", even when your physician has submitted a full page of notes on your condition). So you can be confident that when you pay your expensive premium each month that you're not just paying for lack of service. Your also investing in the future of something much more important: Ambetter c-level bonuses and stock buybacks. As a bonus you get to spend hours having fruitless conversations with non-American phone agents who couldn't care less about your issue. Thanks Ambetter!

Terrible. Site doesn’t work. The “24/7 nurse line” number on my insurance card is a lie because I can’t get help according to their recording except during “regular business hours”. That is not 24/7. Good luck finding quality providers who accept this garbage. You might very likely get much sicker waiting to navigate through their labryth of incompetence and customer friction. You will probably give up and hope you get well on your own. That is what I am doing right now after wasting hours to get NOTHING accomplished with them. Terrible .

If I could put a zero, I would. This is the worst insurance ever. My wife was told in Sept of 2025 she needed back surgery. We jumped through all the hoops for months and it was initially scheduled for April 29. That was canceled last minute because we were told less than a month out that they wanted her to be nicotine-free for 6 weeks. It was rescheduled for June 2. She quit nicotine use and provided proof of that through the doctors test. Then jumping through more hoops they kept coming up with more excuses not to approve the surgery. We found out around 6pm the day before surgery that it was canceled again and that their 3rd party provider did not think that the surgery was medically necessary.