Ambetter Reviews

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THE WORST INSURANCE

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1 year ago I had the displeasure of getting Ambetter health PA. I have worked in customer service for 35 years... THIS COMPANY HAS THE WORST CUSTOMER SERVICE.REPS EVER. after getting a diabetic attack and shaking cause of the rep I was speaking to . I demanded a supervisor call me back who phoned me to find out what happened... They informed me theyd look into the situation I said that would be fine and I even said I was going out of state and do not phone me....The supervisor called while I was out of state after they said they wouldnt. They determined I was right that indeed the customer service rep was rude. They not only didn't do anything for me such as comping or giving me part of the premium back but I want it known that I actually had the displeasure of calling back 3 more times and getting that same rep who was even more obnoxious everytime . No I did not report the caller being rude any more since it was clear that nothing would have been done. I then had a rash this fall. I was given out of date info on doctors I could call to see regarding treatment. As it turns out the dr they referred me to hadn't used Ambetter in at least 2 years still leaving me with a rash. I called several times requesting a manager call me back and they never did. I never got to seek medical attention because of them. 3 months later the rash disappeared I was only lucky the rash eventually disappeared. I strongly recommend you do not use Ambetter Health.

User's recommendation: RUN, FLY DO WHATEVER SO DONT CHOOSE THEM 125.85 for months then 53.35 way too high.

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4 comments
#2045018

yes they have

#1882580

Wait until you have your glucose under control before composing posts.

#1883849
@PissedConsumer1882580

I think the guy is still shaky.

#2063568
@PissedConsumer1882580

Shocked but not surprised that Ambetter has trolls here making fun of someone for their medical condition. Shameful and totally awful, but not surprising.

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Featured
ID
#1919328 Review #1919328 is a subjective opinion of poster.
Service
Ambetter Health Insurance
Cons
  • Customer service
  • Actually wil give you outdated information
  • Premium too high
Loss
$1900
Preferred solution
Full refund
Most helpful review
Like many of the complaints voiced on this site, I believe that Ambetter is not only incompetent, but is outright fraudulent. I have contacted legal counsel and am in the process of preparing to sue Superior Healthplan for breach of contract, bad faith failure to...
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72 comments
#2059116

We already have a class action against Ambetter. Glad to talk to you about it.

It's in Federal Court in Austin. I'm one of the attorneys working on it.

Mark Ravis, M.D., J.D. 310-889-****

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ID
#1002776 Review #1002776 is a subjective opinion of poster.
Location
El Paso, Texas
Reason of review
Bad quality
Loss
$5000
Preferred solution
Full refund

It's just like not having insurance

No doctors in my area accept this insurance. I'd like to say it's better than nothing, but it isn't.
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ID
#3286180 Review #3286180 is a subjective opinion of poster.
Location
Metairie, Louisiana
Preferred solution
Deliver product or service ordered

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New Reviewer
I have had ongoing back problems since 2014. Im 59 year old female. I have been a fitness instructor until my late 40s. Fitness has always been an important part of my life. As such, I know my body mechanics very well and I know when something is not working correctly....
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ID
#3277406 Review #3277406 is a subjective opinion of poster.
Service
Ambetter Health Insurance
Cons
  • Worst expereince ever
  • Insurance not covering much
Loss
$900
Preferred solution
To have my surgery, that has been requested by my highly recommended, highly qualified and reputable neurosurgeon to be fully approved as requested. And STOP giving me grief when testing is requested.
New Reviewer

Charged

Update by user Jan 18, 2022

Kept getting hung up on

Original review updated by user Jan 18, 2022
I had Ambetter for at least 3 years. They went into my account (my fault for trusting being on autopay). They have been charging me premium when they were not supposed to.. Market Place did a 3 way conversation and they swore that I was lying. Well my auto-pay says differently. If you have ambetter, reach out to Market Place make sure you do have premium. I will be going to my bank taking a letter that they sent, stating that they did not take any money.
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ID
#3269715 Review #3269715 is a subjective opinion of poster.
Service
Ambetter Health Insurance
Pros
  • No pros about ins company that ripped me off
Cons
  • Big mistake rip off
Preferred solution
Full refund

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New Reviewer

Why did my bill go up

Wrong number, no one answers Where ate the humans that should be a swering the phones? This is absolutely ridiculous don'tdont
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ID
#3255615 Review #3255615 is a subjective opinion of poster.
Location
Atlanta, Georgia
Loss
$175
Preferred solution
Full refund

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New Reviewer

To get insurance card

I made my payment 12/23/2031, hit confirmation email. Nothing since. I wonder if I would have gotten card if I had not gotten online then called. When I called I was asked for my ID #. Thats part of reason for call: I dont have card! Recorded questions to get me logged in didnt recognize my info asked same questions 4 times. Finally transferred to a real human. After giving my info to her she said Id get Ins card in 7-10 business days. Gave me my #s in case I needed something before card arrived. I hope things run smoother from here. Joyce Zubay

User's recommendation: Keep record of EVERYTHING along w/date& time of call as well as person you spoke with.

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ID
#3233350 Review #3233350 is a subjective opinion of poster.
Preferred solution
Deliver product or service ordered
New Reviewer

Number u gave me not working

My provider name has changed but not on ur end cannot update my idk card have called number u provided doesn't work
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ID
#3228834 Review #3228834 is a subjective opinion of poster.
Location
Page, Arizona

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New Reviewer

Because they are a Scam and not hel

I am an ambetter insurance coverage well better, yet I thought I was, however they suspended my coverage without notifying me, and now I'm just discovered they sent me a high bill because they say my deductible changed. I was told that they sent a letter in June, but I never received it. Furthermore, I explained to them that my poster carrier has been placing my mail in my neighbor mailbox, but it has been a horrible experienced with them. I'm frustrated because I was told that I must pay in full before coverage again. They charge me for months that I wasn't coverage. Ambetter is a rip-off company who does not care about their customers and health! And also I was told that I must pay my first month payment too. Now tell me how are they trying to help someone.

User's recommendation: Please don't get this plan.

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ID
#3226486 Review #3226486 is a subjective opinion of poster.
Location
Dallas, Texas
Pros
  • Customer service
  • Price
Cons
  • No providers in network
Loss
$684
Preferred solution
To get my previous fees wavied

This company is a scam.

This company is nothing more than a scam. They can take my money, but tell doctors I don't exist in their system. China bases scam.
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ID
#3207480 Review #3207480 is a subjective opinion of poster.
Location
Chandler, Arizona

Have not received confirmation of my first payment

Consumer contact so far (from Ambetter) IS ROTTEN! No contact this far Would like to speak with someone that does not sound foreign , that I can understand what is being said.
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ID
#3189934 Review #3189934 is a subjective opinion of poster.
Location
Fayetteville, North Carolina

Bill problem

Ambetter - Bill problem
El trato fue amable pero no estoy contenta con que Ambetter no me haya aprobado la reclamacion de unos analisis que me hice en Quest Laboratory por ordenes de mi Reumatologa. Ahora tengo que pagar una factura de $852,00 dolares de los cuales no tengo la disponibilidad en el momento. En ningun momento fui avisada queAmbetter no trabaja con este seguro.

User's recommendation: Preguntar antes de recibir servicios ,

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ID
#3170236 Review #3170236 is a subjective opinion of poster.
Location
Hialeah, Florida

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Verified Reviewer
New Reviewer
Ambetter says they will pay for diagnostic procedures, but they will not pay for a colonoscopy if polyps are found, which they are in 1/3 of all cases. Of course, one does not know about polyps until the procedure is complete. An official government website,...
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ID
#3121563 Review #3121563 is a subjective opinion of poster.
Location
Lookout Mountain, Georgia
Service
Ambetter Health Insurance
Loss
$10680
Preferred solution
Full refund

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Verified Reviewer
New Reviewer

While paying my premium I seen I've paid it twice for one month

I was paying my premium and thought it didnt go thru so I paid it again without knowing it at the time. My bank account shows that I have. Can you just apply that payment for December?
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ID
#3095378 Review #3095378 is a subjective opinion of poster.
Location
Oak Ridge, Tennessee
New Reviewer

Network Adequacy

They have just 3 primary care providers for a county of 81,000 people. They have one hospital network in the entire state of OK. None in OKC and only one in the Tulsa Market yet they sell their plan in counties that have few if any specialist in many fields of practice within 70 miles. AVOID!!!

User's recommendation: AVOID.

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ID
#3092785 Review #3092785 is a subjective opinion of poster.
Location
Stillwater, Oklahoma
Cons
  • Terrible network
Preferred solution
Please leave our county as your plans are ruining the tax credits/subsides for all Payne County residents. You have cheap plans with few providers, if you were a quality carrier with in-network providers it would be a different story but you are not.
New Reviewer

Bad Insurance, need attorney, Help PLease

i need a name of an attorney to help me with a law suit against Ambetter sunshine health in Lake city Florida, I have went threw breast cancer, and diabetes, all together 9 surgeries in this past year, with no home health care, i had all my toes amputated, no help with supplies or anyone to change my bandages,or clean my wounds from other surgery. Ambetter could not find anyone that would come to my home. so please help, I have also been off work with no income for a year, my savings are all most gone. Also no medical people want too or don`t deal with ambetter. please help, Regina W. ph 386-590-**** thank you

User's recommendation: Do not get Ambetter insurance.

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ID
#3069251 Review #3069251 is a subjective opinion of poster.
Pros
  • Covered services
Cons
  • Given the run around when looking for dr in network
  • Refuses to approve meds prescribed by dr
  • Caring for thier customers
Loss
$20000
Preferred solution
compensation, mental anguish ,pain and suffering, much more ,need attorney,

This review is from a real person who provided valid contact information and hasn't been caught misusing, spamming or abusing our website. Check our FAQ

Verified Reviewer
New Reviewer
Original review updated by user Nov 15, 2021
I wanted to try Ambetter out because they were a new company that I had never heard of and they were very reasonably priced and the deductible and out of pocket max were very low. My husband and I have a plan with them through marketplace. It was very easy to apply and...
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ID
#3069201 Review #3069201 is a subjective opinion of poster.
Location
Hamilton, Texas
Service
Ambetter Health Insurance
Pros
  • Paid for my services
  • Price and affordability
Cons
  • Rude to customers
  • Team not on the same page
  • Unwilling to fix problems
Loss
$37
Preferred solution
Let the company propose a solution

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