Complaints
Customer Complaints Summary
- 58 total complaints in the last 3 years.
- 10 complaints closed in the last 12 months.
If you've experienced an issue
Submit a ComplaintThe 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.
Initial Complaint
Date:07/17/2024
Type:Status:AnsweredMore info
Complaint statuses
- 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.
I'm not longing becoming aware that Ambetter health insurance has illegal enrolled me in their plan in 2022 and I even called them on May 10th bet they're still trying to charge me a little over $700.00 and I already had the State of ***************** and ******** and they're trying to say that I went online in 2023 throw health insurance marking and the info that I provided it's public info and they have the right to contact me even though I didn't click on their link and when they told me that I can insure you that they unnoticeably used my name to commit Fraud Identity Theft and Forgery to claim me on their Tax Refund with the *** and I have notice that the *** is saying that I owe them a little over $143 thousand dollars and I talked to the *** the *** informed me that them and Social Security only shows office I was only receiving SSDI and not working I contacted Ambetter to talk to a Manager on July 17 2024 at 738 PM central time and the Representative intentionally disconnected without notice and I tried to call back at 740 PM and she block my call to prevent me from talking to the person who is in charge and that further more let's mr know that they hace something to do with the Fraudulent Act with getting money from the *** to get a TAX Refund and they're going to continue to do it as long as the Police State/Government Attorney all Judges entire *********************** and entire Legislation allow them to do Instead of arresting them for it including illegally by unnoticeably making people give them the right to contact anyone and be able to see people personal info and they're scamming people because the lawyers refuses to take on the case and Polices And State/Government Attorney *********************** and Legislation refuses to to their job
Business Response
Date: 07/19/2024
Better Business Bureau
*********************************************************************************************
Re: *****************************
Complaint ID: ********
To Whom It May Concern,
Ambetter from Home State Health received your grievance on 07/18/2024 concerning ******************************BBB Complaint Case #********. Due to federal and state privacy and confidentiality 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.
An Ambetter representative spoke to Mr. ****************************** on 07/19/2024 and advised they will be assisting him with his concerns. We will be sending a detailed response directly to Mr. ***************************** addressing BBB Complaint Case #********. If you have questions, please call us at 1-855-694-HOME (4663) TTY: 711.
Respectfully,
*************************
Member Relationship Liaison
Ambetter HealthInitial Complaint
Date:07/02/2024
Type:Status:ResolvedMore info
Complaint statuses
- 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.
Ambetter Insurance. Policy needs cancelled. Just get the run around when I call them.Business Response
Date: 07/03/2024
Ambetter from Home State Health received your grievance on July 2, 2024, concerning *********************, BBB Complaint Case# ********. Due to federal and state privacy and confidentiality 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.
An Ambetter representative spoke to ************************* and advised we will be assisting him with his concerns. We will be sending a detailed response directly to ********************* addressing BBB Complaint Case # ********Customer Answer
Date: 07/12/2024
Better Business Bureau:
I have reviewed the response made by the business in reference tocomplaint ID ********, and find that this resolution is satisfactory to me.
Sincerely,
*********************Initial Complaint
Date:06/25/2024
Type:Status:AnsweredMore info
Complaint statuses
- 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.
I scheduled a ride through ******** Home State Health and they dropped me and my kids off after we scheduled a ride to be picked up round trip they gave us the run and around and me and my kids were stranded in ********* ********* until we found a ride homeBusiness Response
Date: 07/19/2024
Better Business Bureau
Serving Eastern & Southwest ******** & *****************
**********************************************************************************************
Re: *****************************
Complaint ID: ********
To Whom It May ************************ from Home State Health received your grievance on July 11, 2024, concerning *****************************, BBB Complaint Case# ********. Due to federal and state privacy and confidentiality 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.
An Ambetter representative has attempted to contact ********************************* to discuss her concerns; however, a voicemail was left with our representatives direct contact information. We will be sending a detailed response directly to ***************************** addressing BBB Complaint Case # ********. If you have questions,please call us at **************.
Respectfully,
***********************************
Member Relationship Liaison
AmbetterInitial Complaint
Date:06/03/2024
Type:Status:AnsweredMore info
Complaint statuses
- 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.
There are trying to collect on an ********************** ***** plan I did not solicit I have contacted them multiple times to eliminate there attempts to sell me ***** ********************** and they ignore my request I have Heath ******** through my husband's work and do not need there ******** and have never requested ******** from them they have sent a form 1095 A to the irs I have had to amend my taxes and send the 1095 B from my employers proving we have ***** ******** and they still ignore my request and send a bill and add another month's premium to the payment due I have never requested ******** from this company and I have never filed a claim with this company and the just won't take no for an answer the have caused us to pay an extra 1200 to the irs I have had to amend my taxes and I have contacted them multiple times and the still just keep sending a bill for premium I have uploaded our 1095B showing ******** from husband employer there monthly bill and disclaimerBusiness Response
Date: 06/04/2024
Ambetter from Home State Health Plan received your grievance on 06/03/2024 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. Ambetter will be sending a detailed response directly to *************************** addressing BBB Complaint Case# ********.Initial Complaint
Date:05/07/2024
Type:Status:AnsweredMore info
Complaint statuses
- 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.
Ive been paying Ambetter Home State ******* every month for insurance and they have refused to cover a single bill. I would not have paid for insurance had I known they would not cover a single bill from any doctor. Attached is my bill solely from my OBGYN, but they also refused to cover my therapy and medications. Ive called them multiple times throughout the year to resolve this issue, but they have been not helpful. As far as I can see, this business is a scam.Business Response
Date: 05/08/2024
May 8, 2024
Better Business Bureau
Serving Eastern & ****************** & *****************
***************************************************************************************************
Re: *************************
Complaint ID: ********
To Whom It May Concern,
Ambetter from Home State Health received your grievance on May 8, 2024, concerning ************************************************************ Complaint Case# ********. Due to federal and state privacy and confidentiality 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.
An Ambetter representative has attempted to contact ***************************** to discuss her concerns; however, a voicemail was left with our representatives direct contact information. We will be sending a detailed response directly to ************************* addressing BBB Complaint Case # ********. If you have questions, please call us at *************.
Respectfully,
***********************************
Member Relationship Liaison
AmbetterInitial Complaint
Date:04/19/2024
Type:Status:AnsweredMore info
Complaint statuses
- 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.
Co-pays for prescription drugs are detailed at $15 for generic and $30 for brand name drugs on documentation provided by insurance company. When you attempt to get a prescription covered my actual copay is over $1,000.Business Response
Date: 04/26/2024
April 26, 2024
Better Business Bureau
*********************************************************************************************
Re:***********************
Complaint ID: ********
To Whom It May Concern,
Ambetter from Home State Health received your grievance on 04/22/2024 concerning ************************ BBB Complaint Case #********. Due to federal and state privacy and confidentiality 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.
An Ambetter representative spoke to Mr. ************************ on 04/23/2024 and advised they will be assisting him with his concerns. We will be sending a detailed response directly to Mr. *********************** addressing BBB Complaint Case #********.If you have questions, please call us at 1-855-694-HOME (4663) TTY: 711.
Respectfully,
*************************
Member Relationship Liaison
AmbetterInitial Complaint
Date:04/05/2024
Type:Status:AnsweredMore info
Complaint statuses
- 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 name is *******************. I consulted Ambetter in 2022 regarding the health insurance and had no intention of buying it. However, in June of 2023, I found out I was charged $8.08 every month since January. They have enrolled me in the plan without my permission, using credit card. I have never agree to be enrolled to any agent, nor did I leak my personal information to them. They only have my credit card information because I was enrolled in Ambetter in 2019 for one month and then I cancelled it. I request that they refund all of money they charged me without my permission.Business Response
Date: 04/11/2024
April 10, 2024
Better Business Bureau
*****************************************************************************************************
Re: *******************
Complaint ID: ********
To Whom It May Concern,
Ambetter from Home State Health received your grievance on 04/05/2024 concerning *******************, BBB Complaint Case# ********.Due to federal and state privacy and confidentiality 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.
An Ambetter representative has attempted to contact ************** to discuss his concerns; however, a voicemail was left with our representatives direct contact information. We will be sending a detailed response directly to ******************* addressing BBB Complaint Case # ********. If you have questions, please call us at **************.
Respectfully,
*******************************
Member Relationship Liaison
AmbetterBusiness Response
Date: 04/15/2024
April 15, 2024
Better Business Bureau
*****************************************************************************************************
Re: *******************
Complaint ID: ********
To Whom It May Concern,
Ambetter from Home State Health received your grievance on 04/05/2024 concerning *******************, BBB Complaint Case# ********.Due to federal and state privacy and confidentiality 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.
An Ambetter representative has attempted to contact ************** to discuss his concerns; however, a voicemail was left with our representatives direct contact information. We will be sending a detailed response directly to ******************* addressing BBB Complaint Case # ********. If you have questions, please call us at **************.
Respectfully,
*******************************
Member Relationship Liaison
AmbetterInitial Complaint
Date:03/23/2024
Type:Status:AnsweredMore info
Complaint statuses
- 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 account was suspended early part of March (3/6/24). I paid it that Friday morning. I check on Monday. It was still showing suspended. So I called and they put in a ticket to have it fixed. I called 2 days later. It was still showing suspended. They had submitted the ticket to the wrong department. I told them I needed to pick up my meds and needed this fixed ASAP. I called again Monday(3/18/24) and told them I'm still needing this fixed because I still have to pick up my meds and I'm going to the doctors the following day and more than likely being prescribed more medication that I'll need to pick up. They put in an escalation ticket and it would be fixed in ***** hours. I checked yesterday(Friday 3/22/24), and it still shows suspended. I have to re-request to fill some of my meds so I can pick them up once they fix this issue.Business Response
Date: 04/09/2024
April 9, 2024
Better Business Bureau
******************
************************
Re: ***********************
Complaint ID: ********
To Whom It May ******************** from Home State Health (Ambetter) received your grievance on 04/09/2024 concerning
***********************, BBB Complaint Case# ********. Due to federal and state privacy and confidentiality
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.
An Ambetter representative left a voice mail message for ***********************, on 04/09/2024 in an effort to
discuss his concerns. We will be sending a detailed response directly to *********************** addressing BBB
Complaint Case #********. If you have questions, please call us at **************.
Respectfully,
*******************
Sr. Member Relationship Liaison
Ambetter HealthInitial Complaint
Date:03/22/2024
Type:Status:AnsweredMore info
Complaint statuses
- 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.
I previously have had Ambetter without having to pay a premium and now I am being charged a monthly premium. I have tried speaking to customer service but have a hard time understanding the representatives and they cannot explain to me why I now have a premium. I would like an explanation of these charges so that I can continue my coverage with Ambetter.Business Response
Date: 03/25/2024
March 25, 2024
Re: ***************
Complaint ID: ********
Ambetter from Home State Health received your grievance on 03/25/2024 concerning ***************, BBB Complaint Case# ********.Due to federal and state privacy and confidentiality 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.
An Ambetter representative attempted to contact ************ on 03/25/2024 to discuss her concerns; however, we have been unsuccessful in reaching her. Three contact attempts will be made to reach ***********. We will be sending a detailed response directly to ************ addressing BBB Complaint Case # ********. If you have questions, please call us at ************.
Respectfully,
*************************
Member Relationship Liaison
AmbetterInitial Complaint
Date:03/22/2024
Type:Status:AnsweredMore info
Complaint statuses
- 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.
Refuse to give me a prescription that I need. Can&#**;t get hold of a CSR to help me.Business Response
Date: 03/25/2024
March 25, 2024
Better Business Bureau
******************
************************
Re: *****************
Complaint ID: ********
To Whom It May Concern,
Ambetter from Home State Health (Ambetter) received your grievance on 03/22/2024 concerning *****************, BBB Complaint Case# ********. Due to federal and state privacy and confidentiality 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.
An Ambetter representative spoke with *****************, on 03/22/2024 to discuss his concerns. We will be sending a detailed response directly to ***************** addressing BBB Complaint Case # ********. If you have questions, please call us at **************.
Respectfully,
*******************
Sr. Member Relationship Liaison
Ambetter Health
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