ambetterhealth.comReviews of ambetterhealth.com

Ambetter of Oklahoma is an excellent insurance company if you like insurance companies that think that they know better than your doctor. They will get in the way of you and your doctor by denying the care, testing, and diagnostics that your doctor says you should get... and they didn't have a problem denying care for me less than 24 hours before it was scheduled (after I've waited weeks). So definitely go with them if you want a health insurance company looking after themselves and their bottom line instead of making sure that you get the healthcare that your doctor says you should get. If you go with this insurance company then be sure to be ready to file complaints with the regulatory agencies when you get denied.

Change your name to Am-Worse or Scambetter. It fits the service you have provided to date. I enrolled in Ambetter as a small business owner in after being forced to switch providers. It has been one of the worst experiences I have ever had with any company. My minor child suffered a severe injury requiring multiple surgeries. As part of recovery, occupational therapy (OT) was prescribed and previously covered without issue by our prior insurance. Ambetter denied the OT coverage, and despite multiple appeals including a strong written report from the treating surgeon at a major medical center stating that my child may never reach functional range of motion without continued therapy every appeal has been denied. This means their claims department knows more than the surgeon, who has a degree from Stanford. When we followed Ambetter's own suggestion to obtain a new evaluation, they denied it as a "duplicate request." An expedited appeal was denied on the grounds that it was not life-threatening, despite documented pain during movement. Beyond the denials, the customer service has been unacceptable. I have made countless calls, been promised supervisor callbacks that never came, and have been given nothing but runarounds with no accountability. This company is not operating as a legitimate insurance provider. They are denying care recommended by specialists to a child. I would strongly caution any small business owner or family from enrolling with Ambetter. Ambetter, you are the worst. You should be ashamed of yourself.

None of the dentists that they say on the website are in network are actually in network. I call them to get help, the lady reads aloud names of dentists from their website for 20 minutes as I patiently tell her that each one is also not in network. So she says she will give me a phone number for the dentist department in my area and then just stopped replying and let the line go quiet. After minutes of me saying "hello?" to an empty line I hung up in frustration.

We had Ambetter for years and loved the customer service and coverage. A mislisting showing our current doctors no longer took Ambetter (when in fact they did) led us to try another Insurance company for the first time in a long time, and it's been a miserable experience. We cannot wait to go back to Ambetter during the next open enrollment.

Providers suddenly not covered by insurance. Teledoc service not showing me in the system despite ambetter saying I have that service. PCP suddenly not being covered.

I've been with Ambetter for years!! Last year I had open heart surgery, and I'm not gonna lie, after reaching my deductible they took care of everything. I especially like the rewards program, the points I accumulate I use to pay my premium.. BUT, this year the same plan that I had in 2024, went up to $66 from $0, and the web page is trash, as well as the customer service!! They have NON ENGLISH SPEAKING REPRESENTATIVES, AND THEY NEVER UNDERSTAND HOW TO ANSWER A SIMPLE QUESTION!! Also the prescriptions that I use to not have to pay for, I HAVE TO NOW!! I'M VERY DISAPPOINTED WITH THIS INSURANCE COMPANY!! LIKE I SAID EARLIER, WEB PAGE IS TRASH!!

They deny literally EVERYTHING. I pay 662 bucks a month...JUST FOR ME. I need a shot in my back that costs 170. They denied it and insisted on me doing PT that I'd already done, WHICH IS MORE EXPENSIVE THAN THE SHOT. They're policy is clearly to deny EVERYTHING. That's the business model. So, I've been haggling with them for months. All the while, I'm in so much pain I've become suicidal. Don't EVER EVER get "coverage" with this company. I'm paying 662 dollars a month for a figment of my imagination.

Worst insurance company ever. They deny procedures that my other insurance company approved. They don't pay for much. Terrible customer service. Can't wait to change coverage.