Reviews

Review Details

• Review fromRobert M

  Date: 07/03/2025

  1 star
  ABSOLUTELY the worst non insurance available. run run run. standard medical procedures do not get approved but do not get denied. Just sit in "review" asking for pre testing that goes against the standard medical practice and the ***********************. Their Doctors only know how to play the delay game and they do it well. No point in paying a premium for no coverage. WORST WORST WORST

• Review fromCheryl M

  Date: 09/16/2024

  1 star
  Stopped covering ******************** WITH No notice. Disgusting. Can't contact anyone. It's a SCAM. Very few pcps now listed for a very large populated area. Pay big bucks and get nothing.

• Review fromKaryl K

  Date: 08/12/2024

  1 star
  We pay over $1200/month for gold level insurance. My meds keep getting rejected and they wouldn't cover my daughter's medically necessary lab work. They deemed it non medically necessary.Doctor wouldn't have ordered it if it wasn't necessary.No real way of contacting them to get actual answers.

• Review fromHeather S

  Date: 05/06/2024

  1 star
  Zero stars! I've lost count about the number of phone calls I've tried to make to resolve this issue. I pay about $650 monthly for mediocre coverage. Since I've signed up, most of my in-network claims have been denied because Ambetter keeps insisting I have other insurance (which was cancelled in July of 2023). Every time I call, they keep passing the call around and it usually ends up disconnected. There is no email or alternative phone number to call on the website (just the phone number on the member card...I even asked the last time I called and the person I talked with said the same). I've had to call my old insurance, the marketplace and then back to Ambetter several times to tell them that everyone else says my insurance is definitely JUST Ambetter. I have several physicians I see and don't have time to deal with the doctors, bill collectors, insurance calls, etc. SO FRUSTRATING! On top of all of that, I use a continuous glucose monitor that is over $180 every month...that's one of several prescriptions I use that they barely cover. Absolutely ridiculous!

• Review fromDiana L

  Date: 03/11/2024

  1 star
  I started having issues with Ambetter right around the re-enrollment period. I paid my premium on January 29th of 2024. The payment was processed on the 30th. It was due by the 1st of February. I thought I was all set. I go to my pharmacy to pick up my scripts & the pharmacist tells me my health insurance is cancelled. I go home, log into Ambetters web site & it says my insurance is suspended because I hadn't payed my premium. It also said I had a past due balance of $10,420.42. This was on 2/6. My monthly premium is $755.94. I call customer service & they had to do a payment tracer which takes anywhere from 7 -10 days. During the first 3 weeks of February, I had no coverage & all of my dr.s visits during that time period were kicked back. On 2/13 I called Ambetter again & my payment was finally posted. I had to call every dr.s office I had been to to resubmit all of the claims. On 2/16 I get an invoice with a credit balance of $46,165.13 ????? It gets worse. I needed foot surgery & also an ENT specialist. I had been seeing a podiatrist regarding my foot for about 3 months (in network) & I'm told I need surgery. I scheduled it that day. Over a week later I get a call from their office & they tell me that the OR my Dr uses is privately owned & there was a $2500.00 facility fee that I would have to pay out of pocket. I asked if he had privileges any where else & they said no. I told the receptionist that I should have been made aware of this the day I scheduled the surgery! Needless to say, I CX'ed the surgery. I look on Ambetter "in network" physicians list & start making calls to schedule an appt. None of the them take Ambetter & I was told each time to refer to my insurance company. I told them I had. It suddenly dawned on me that Ambetter never updated their physicians list so I made another call. The woman I spoke to confirmed this. Had I known all of this I would have never gone with Ambetter! The physicians that were available had horrible reviews to boot.

  Ambetter from New Hampshire Healthy Families

  Date: 03/12/2024

  Dear ***** ******, My sincere apologies for the issues you are encountering. A member of our Ambetter team will contact you to assist.
  Kind regards,
  Lisa C*********
  Director, Grievance & Appeals
  Ambetter from NH Healthy Families

• Review fromSharon G

  Date: 07/17/2023

  1 star
  If I could give them ZERO STARS I WOULD! This is the worst customer service I've ever dealt with for starters. It's like they are reading off que cards for the answers to your questions because they literally repeat the exact thing when they don't answer the question you ask and you ask in a different way to get them to understand what you are saying. Second the auto pay plan they have is a joke! They kept returning my auto pay and then I had a balance and they were going to shut off my insurance if I didn't pay an astronomical amount because of an error on their end which they admitted to. And their response was well the payments haven't been taken out so you should have the money!!!!! Mind you this was 4 months worth! This is also why I set up auto pay so I didn't have to worry about it not getting paid! Then when my medication suddenly starred having a high copay no one could give me a reason and I was on hold for about 2 hrs when 5:00pm comes and that's their closing time the phone mysteriously got disconnected! STAY AWAY!!!

• Review fromMatt H

  Date: 05/17/2023

  1 star
  Stay away from this company!
  On 2 separate occasions they canceled my autopay without telling me and then told me my payments were late.
  I'm also unable to even access their website because it tells me I am pending registration.
  Customer Service has been incompetent and unable to help with any of my problems.
  When I asked about the autopay they said they had no control over it, leaving me to wonder who does.
  Their solution was for me to just call up and pay my bill on the phone every month, instead of actually fixing the problem.

• Review fromMallory S

  Date: 03/29/2023

  1 star
  Worst company that I have ever encountered in my life. Completely incompetent. Cancelled my insurance with no warning after all payments were made. They have told me it would be in-instated and they have done nothing to solve it. I have spent over 20 hours on the phone getting transferred from one incompetent person to the next. This company is a giant scam. Stay FAR away!

• Review fromSusan L

  Date: 02/27/2023

  1 star
  Horrible company. They screwed up my initial plan, then their auto pay did not work and customer service was useless in trying to find a solution.