ambetterhealth.comReviews of ambetterhealth.com

This company is God forsaken. Customer service representative speak broken English. I am going to leave this company and just pay the IRS whatever I owe them at the end of the year. What an awful situation to wind up with them. I wish everybody luck.

My primary care doctor was changed without my knowledge. I was told by a customer service representative I had to keep whatever doctor the computer chose for me. I pay premium insurance each month and have seen the same doctor every year or whenever I need to. Hire more competent and knowledgeable Service Reps.

They have cheaper premiums because they don’t pay for nothing and they don’t approve any type of imaging if you get injured. My shoulder is so bad and I have needed an MRI for months, did physical therapy and I am even worse now. Still no approval for my MRI. It doesn’t seem smart or appropriate to order physical therapy on a shoulder that you’re not even sure what is wrong with it.

More like Scambetter. Horrible insurance company denies everything makes you go through hoops to just cover common medications with the prior authorization song and dance, my dr says they are the worst to deal with on the clinical side as well. Very poor customer service if you can even understand them correctly. Please save yourself trouble of dealing with Scambetter.

Holy crap, I am spending 660 a month to be told where to go and who to see. On top of that, just got back from the Emergency Room and the ER Dr sent in prescriptions for me. Can I fill them through my insurance? NO - I need prior authorization - ARE YOU FKN KIDDING ME?? PRIOR WHAT?? I was just there people, and a insurance company is dictating my health, rather than the Dr I just saw. Sorry y'all, (OR ME, RATHER) my ER Dr has better things to do then to send ridiculous paperwork. So I'll just pay out of pocket... AGAIN... THIS INSURANCE IS A JOKE AND A SCAM!!!

Just spent 2 hours trying to get ready for a doctors appointment tomorrow and yet again their site is down and not working. It’s always the case. The worst part is, there’s not even an indication on the site that they’re doing work. It just doesn’t work. I had to call in And they confirmed that their site was having issues and they were working on it. the problem with calling in is you never have proof of what’s discussed. It’s completely unacceptable to not have these things for health insurance company. To not even be able to access anything and the site is inaccurate anyway. my deductible nearly doubled this year too. I don’t have any major health issues and most of my appointments are for preventative . In addition, they denied part of coverage that should’ve been completely covered. Then you have to go through a ridiculously long process to try and argue that it should be and prove it.

Ambetter has been a nightmare. They previously approved my autistic son's occupational and physical therapy—services that were clearly medically necessary, well-documented by his licensed therapist, and making a real difference in his progress. Then out of nowhere, they denied the renewal, claiming the therapies could be done at home by a non-licensed individual. My son is 13 years old and cannot walk independently. He can't run, jump, or do any of the physical things other kids his age can do. How exactly is a working single mother supposed to replicate the specialized interventions and equipment used by trained professionals? It's insulting, unrealistic, and potentially harmful. Even worse, when we appealed the decision, they denied that too—ignoring clear medical documentation. And now they’re claiming they never received the appeal, even though it was faxed weeks ago. This isn’t just poor service—it’s actively putting children at risk by cutting off access to therapies they desperately need. Ambetter’s policies are clearly driven by cost-cutting, not care. They hide behind cookie-cutter guidelines and ignore the real, human consequences. If you have a child with special needs, I urge you to think twice before trusting them with your care. Disgusted and heartbroken by how we've been treated.

Absolutely the Worst Insurance Experience I’ve Ever Had Ambetter is by far the worst insurance company I’ve ever dealt with. Their service is abysmal, and trying to reach them is a complete nightmare. They inexplicably terminated my coverage, despite everything being in order with the Marketplace, where I originally purchased the plan. To make matters worse, their plans are wildly overpriced. I was paying $1,000 a month—just for my dad, who has no medical conditions or current diagnoses. That’s an outrageous premium for a single, healthy individual. As a physician, I’m in and out of surgeries all day, with about an hour between cases. I used that time to call Ambetter—five separate times—and every single call was a disaster. I waited on hold for 45 minutes each time, only to have to re-verify that I was calling on behalf of my father (the member), even though I was already confirmed as the authorized representative earlier that same day. Every call started from scratch. No one ever had a record of the previous calls—no notes, no continuity—just a complete waste of time over and over again. They charged me for an extra month and refused to refund me, even though I paid for three months waiting for the first PCP appointment. Then they abruptly canceled the policy two days before the appointment and kept my money. When I finally had time to sit for over two hours on the phone, I reached the escalation team—only for them to ask if I had contacted the Marketplace. I told them yes, repeatedly. I even sent them a letter from the Marketplace showing everything was fine. Before I could finish explaining, they transferred me back to the Marketplace and dropped the call. That was the final straw. I would never recommend this insurance to anyone—not even to my worst enemy. I will never use Ambetter again. Save yourself the time, stress, and money. This company is overpriced, incompetent, and completely disrespectful of people’s time and lives.