ambetterhealth.com Reviews 

299
TrustScore 1.5 out of 5

1.3

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Review summary

Created with AI, based on recent reviews

Evaluating 167 reviews, most reviewers were let down by their experience overall. Many people expressed significant dissatisfaction with the customer service, frequently encountering unhelpful staff, language barriers, and difficulty getting clear information or assistance. Customers also reported numerous issues with denied medical care, tests, and prescriptions, often despite their doctors' recommendations, leading to interrupted treatments and worsening health. Additionally, many people faced unexpected charges, high premiums, or significant price increases without consent, causing financial strain. Reviewers also struggled with outdated provider networks, finding it difficult to locate approved doctors or facing rejection from providers who did not accept the insurance.

What people talk about most

Service

Customers consistently note negative experiences with service, often citing issues with denied coverage for... See more

Customer service

Consumers find customer service to be a source of frustration and dissatisfaction, with many describing it as... See more

Price

Clients share negative opinions on price, with many reviewers expressing dissatisfaction with high... See more

Payment

Users describe negative interactions with payment, frequently reporting unauthorized charges and issues with... See more

Staff

People report negative experiences with staff, often citing issues with competence and professionalism. Many... See more

Reviews shaping this summary

Rated 1 out of 5 stars

Ambetter is mostly a predatory leech that is only there to gobble up federal subsidies for health plans, and do everything they can to not pay. I'm getting new bills a year later after they refused to... See more

Rated 1 out of 5 stars

I told them I did not want this insurance when I checked into it. But now it shows up as if I have and is causing problems for me getting my medication. They obviously don't care if you get your medi... See more

Rated 1 out of 5 stars

What is really happening here? With hundreds of 1 star reviews on their worthless app and their lack of covering ANYTHING, it sure seem that this is purposely done because nothing EVER gets fixed. I p... See more

Rated 1 out of 5 stars

Unfortunately there isn’t an option for zero stars. Horrendously inefficient with customer service. I’ve called four times to cancel. Each time they seem to sign me back up. Language barrier because a... See more


1.3

Bad

TrustScore 1.5 out of 5

299 reviews

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No history of asking for reviews

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1.3

All reviews

(299)

162 reviews in the last 12 months

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Rated 1 out of 5 stars

I would rate a negative 100

We have never had insurance that is such a horrible joke. We picked this one because the “in network” provider list listed one of our very important physicians as a provider. I spoke to CS about it. I had verified since they listed the provider they are supposed to give in network prices. CS told us the list had probably not been updated when we chose their company & we should have verified our physicians office accepted their insurance. #1 They knew it was time for open enrollment & the list of providers THEY list should be updated especially when it is open enrollment. #2 I should not have to verify with my physician that is their job. Personally I am tired of doing other peoples job. CS could recommend another physician in their network. No that is not an option for us. Since this is their mistake we should be able to chose another company. Extremely ANGRY!

March 2, 2026
Unprompted review
Rated 1 out of 5 stars

Bah, poor navigation

Bah, wish I had seen these. Thank goodness I haven’t needed to make a claim. Terrible navigation on website- just makes me try to login and reset password over and over. Called, went through a very long phone tree only for them to say “we’re closed, call back later.” I would be happy to change this to a five star review if they change the order they tell customers that their line is actually closed, and they fix the issue with logins.

March 5, 2026
Unprompted review
Rated 1 out of 5 stars

My experience with Ambetter has bee frustrating!

My experience with Ambetter has been extremely frustrating and disappointing. Although their website lists many doctors as “in-network,” when you actually call the clinics, they say they no longer accept this insurance or are not taking new patients with Ambetter. This wastes a tremendous amount of time and creates unnecessary stress, especially when you genuinely need medical care.

Trying to find a gynecologist who truly accepts this insurance has been almost impossible. The provider directory is not updated, and customer service does not provide real solutions — they simply repeat the same outdated information from their system.

As a patient, you need clarity, real access to doctors, and support — not constant obstacles. The experience has been exhausting and unreliable. I would not recommend this insurance to anyone who needs consistent or specialized medical care.

March 4, 2026
Unprompted review
Rated 1 out of 5 stars

They don't care about actually helping people

I have multiple autoimmune diseases, sleep apnea, COPD, metabolic issues, insulin resistance, cardiac issues, hypothyroidism , and chronic inflammation. My doctor gave me a sample of Tirzepatide and it worked wonders on me. Tirzepatide is the only medication that helps with all the symptoms I have. My doctors specialists and primary care have all attempted to get it approved for me. Several prior auth with appeals only for it to be declined. If I had diabetes, this may not be an issue. I absolutely hate this insurance. They want you to have no hope at returning to a semi normal life. Worst coverage I've ever had.

March 3, 2026
Unprompted review
Rated 1 out of 5 stars

Ambetter health of Florida is…terrible

Ambetter health of Florida is terrible. They listed my Doctor as in service but refuse claims They never answer me in the portal
Terrible customer service
I do NOT recommend Ambetter . If I could change right now I would !

February 24, 2026
Unprompted review
Rated 1 out of 5 stars

Ambetter is terrible

Ambetter is terrible. Because they are less known than the bigger-named companies, they are not widely accepted by doctor's offices, which makes trying to find good in-network providers a pain. They raised my monthly premium by about $80, which is ridiculous and not justified by the plan details. I thought it was cool that they at least had a nice reward program, but come to find out that's just a scam too because they would not honor my rewards after I was terminated even though I exchanged them before I was terminated. The customer service is terrible, and I honestly recommend going with another company. Even if you have to pay a little more, the bigger named companies seem to have it figured out more than Ambetter and it might be that doctors trust the big names more.

January 1, 2026
Unprompted review
Rated 1 out of 5 stars

Would give zero stars

Would give zero stars, but cant. Absolutely the worst customer service, Enrolled me in autorenewal without informing me, kept harassing me to use their doctor (so they could claim pre-exiting conditions in order not to pay). Ambetter would benefit from a visit from Luigi Mangione

December 1, 2025
Unprompted review
Rated 1 out of 5 stars

Horrible and expensive provider

I had them prior to 2026, they were horrible, they gave my Dr the run around on every claim, the doctor finally gave up and voided the charges. Now, 2026, they are even worse than ever. I called for pharmacy support. At first, I was connected to an over seas agent who could not speak English, then when I was finally transferred, I was on hold for every question I asked while the agent contacted the back office for every question I asked. This company sucks!!

February 23, 2026
Unprompted review
Rated 1 out of 5 stars

Absolutely the WORST customer service!!!

I'm sorry but this company has absolutely the worst customer service of any company that I have ever dealt with my whole life, and I am 68! Their agents have poor English, and I'm afraid to say that after talking 4 different agents, most have less than a half a brain cell. Was just trying to find out if a provider was an approved provider on their plans, and I spent almost two hours on the phone, and I'm still not sure they understood my very simple question!
I have not had a drink in almost a month, but after dealing with these morons, I had to have a stiff drink!

February 16, 2026
Unprompted review
Rated 1 out of 5 stars

GREED

I pay $950/month and Ambetter covers NOTHING! I am paying for all of those people who don't pay a dime yet get EVERYTHING covered! Greed will only get you to 1 place. Hell!

January 15, 2026
Unprompted review
Rated 1 out of 5 stars

Complete nightmare to work with

Complete nightmare to work with. As soon as you need them to fix or adjust anything, just give up all hope and cut your losses.
I spent more than three hours talking their CSR's trying to cancel my coverage due to their website being down. They never could do it, so I had to go through a charge back on my debit card. They still charged me, and cancelled my coverage.

December 15, 2025
Unprompted review
Rated 1 out of 5 stars

systemic failures in its account management & billing database, posing serious risk to members.

The company appears to have systemic failures in its account management and billing database, which present a serious risk to members.

My policy was incorrectly terminated early January — without any notice or warning — due to an internal error, not due to any missed or late payment on my part. I found this out only accidentally when I called Customer Service to ask when I would be receiving my new health insurance card. I spent over two hours on the phone with Ambetter representatives that day working to correct this termination.

Subsequently, Ambetter erroneously initiated a refund of my very expensive premium. I contacted Ambetter immediately and was explicitly assured that the refund would be stopped. Despite this assurance, the refund was processed anyway on February 4, creating further disruption and requiring additional time and effort on my part to resolve.

I called first thing February 5, begging to fully resolve this matter. Ludwing, the representative who answered my call, actually hung up on me when I asked to speak with a supervisor. I called right back and spoke to another rep who was much more professional and is trying to reinstate me.

Meanwhile, the system shows I am not a current member, which translates to “not covered”!

These repeated errors indicate a lack of reliable internal controls. It is foreseeable that Ambetter’s automated systems could incorrectly terminate coverage for “non-payment” when the underlying issue is a database or processing failure, not member fault.

The consequences for members are significant when Ambetter’s back-end systems are not dependable. For a health insurance provider, this level of administrative failure is unacceptable. I cannot recommend AmBetter based on this terrible experience which remains unsettled.

February 4, 2026
Unprompted review
Rated 1 out of 5 stars

This company will steal from you

I canceled with them in December before a new policy could start. My premiums went up a thousand percent. They stole money out of my account so I called them three more times to try to cancel, everytime I called they said I would get a refund. I did not. Don't use them, they'll steal from you too!!!

December 31, 2025
Unprompted review
Rated 1 out of 5 stars

A worthless insurance company

This insurance company doesn't get 1 star, they don't cover the medication that I take, they will not cove anything until your meet a very high and I mean high deductible, you never talk to someone that speaks English it's always someone that speaks broken English, if you are needing health insurance by all means stay away from ambetter

February 4, 2026
Unprompted review
Rated 1 out of 5 stars

NO STARS!!

NO STARS!!! This is by far the very WORST insurance company I’ve dealt with and I’ve only had it 1 month! DO YOUR RESEARCH FOLKS! Medications I’ve taken over a year they are automatically denying forcing me to take alternative meds I’ve already tried. They simply don’t care! Don’t bother getting your dr on board to write letters the answer is NO! Now I am stuck with these people for a year. The staff also speak broken English and follow a script of “oh so sorry about this” look up every medication and physician before going with this company. Now I see why the president says insurance companies are ripping people off and getting away with it!!!

February 2, 2026
Unprompted review
Rated 1 out of 5 stars

Worst insurance

Worst insurance. Worst customer service. They provide bad outdated information and then refuse to take responsibility. Anyone else thinking class action?

January 30, 2026
Unprompted review
Rated 1 out of 5 stars

I spent 2 hours on the phone with three…

I spent 2 hours on the phone with three different costumer service people, every one of them was very hard to understand what they were saying. Not one of them could understand my request. I asked each one to transfer me to a supervisor but they would just send me to another associate. my wife and I are spending $26,000 a year or $2,200 a month. their costumer service is the worst that i have ever spoke to.

January 28, 2026
Unprompted review

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