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Business Profile

Health Care

Ambetter from Sunflower Health Plan
BBB accredited business seal
BBB Accredited BusinessA+Rated by BBB

Complaints

Customer Complaints Summary

  • 14 total complaints in the last 3 years.
  • 2 complaints closed in the last 12 months.

If you've experienced an issue

Submit a Complaint

The complaint text that is displayed might not represent all complaints filed with BBB. Some consumers may elect to not publish the details of their complaints, some complaints may not meet BBB's standards for publication, or BBB may display a portion of complaints when a high volume is received for a particular business.

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Complaint status

Complaint type

  • Initial Complaint

    Date:01/03/2023

    Type:Billing Issues
    Status:
    Answered
    Resolved:
    The complainant verified the issue was resolved to their satisfaction.
    Unresolved:
    The business responded to the dispute but failed to make a good faith effort to resolve it.
    Answered:
    The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
    Unanswered:
    The business failed to respond to the dispute.
    Unpursuable:
    BBB is unable to locate the business.
    My son had account ********* He died on October 8,2022
    The payment for his account has been coming out of my checking account. I keep trying to get them to stop it and they keep telling me they need to talk to him. I keep explaining that he died but no one seems to be able to help me. I need this removed from my debit card and credited back the charges since October 8.

    Business Response

    Date: 01/17/2023

    Ambetter from Sunflower Health Plan received your grievance on 01/05/2023 concerning ****
    *******, BBB Complaint Case# ********. Due to federal and state privacy and confidentially
    regulations, we are unable to disclose any protected health information, including eligibility, claims,
    and billing information, with anyone other than our members or their authorized representatives. We
    will be sending a detailed response directly to ***** ******* for **** *******, addressing BBB
    Complaint Case# ********. If you have questions, please call us at ************** (******* ******
    ********).

    Customer Answer

    Date: 01/18/2023

    [To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the response. If no reason is received your complaint will be closed as Assumed Answered] 

    Complaint: ********

    I am rejecting this response because:

    Ambetter said the marketplace would call me and they have not. 
    Regards,

    ***** *******

    Business Response

    Date: 01/26/2023

    Ambetter from Sunflower Health Plan received your follow up grievance on 01/19/2023 concerning
    **** *******, BBB Complaint Case# ********. Due to federal and state privacy and confidentially
    regulations, we are unable to disclose any protected health information, including eligibility, claims, and
    billing information, with anyone other than our members or their authorized representatives. We have
    contacted *** ******* regarding BBB Complaint Case# ********, and provided her with the resources
    needed to contact the Health Insurance Marketplace regarding her concerns. If you have questions,
    please call us at ************** (******* **************).

  • Initial Complaint

    Date:11/21/2022

    Type:Product Issues
    Status:
    Answered
    Resolved:
    The complainant verified the issue was resolved to their satisfaction.
    Unresolved:
    The business responded to the dispute but failed to make a good faith effort to resolve it.
    Answered:
    The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
    Unanswered:
    The business failed to respond to the dispute.
    Unpursuable:
    BBB is unable to locate the business.
    Because of an issue with Ambetters system my insurance premium was deducted from my account twice. As soon as the error was noticed I made a request for the money to be refunded. I was told the refund would be processed in 7-10 business days. It’s been 15 business days. Ambetter has not returned my money. I have called many times and each time I am told to wait another day. Ambetter is refusing is refusing to issue a refund on money they should not have taken to begin with. This has caused my family financial hardship.

    Business Response

    Date: 11/23/2022

    Please see attached letter. Thank you.

    November 22, 2021
    Better Business Bureau
    Attn: Dispute Resolution Department
    1000 W 46th St.
    Kansas City, MO 64114
    *** ******* ****
    ********* *** ********
    To Whom It May Concern,
    Ambetter from Sunflower Health Plan received your grievance on 11/21/2021 concerning *******
    ****, BBB Complaint Case# ********* Due to federal and state privacy and confidentially regulations,
    we are unable to disclose any protected health information, including eligibility, claims, and billing
    information, with anyone other than our members or their authorized representatives. We will be
    sending a detailed response directly to ******* **** addressing BBB Complaint Case# ********. If you
    have questions, please call us at Sunflower Health Plan.
    Respectfully,
    Dania Awad
    Member Relationship Liaison, Ambetter

Ambetter from Sunflower Health Plan is BBB Accredited.

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This business has committed to upholding the BBB Standards for Trust.

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