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 Reviewers also struggled with outdated provider networks, finding it difficult to locate approved doctors or facing rejection from providers who did not accept the insurance.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)

163 reviews in the last 12 months

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Rated 1 out of 5 stars

Worst insurance I've ever had

Worst insurance I've ever had. The price I'm paying and they don't want to approve any procedures. It takes months to get a response back , meanwhile I'm suffering. How it that quality healthcare. I'm paying $40 for generics, I'm paying $60 for a specialist, still have to pay $100's out of pocket for procedures once they finally do get approved. Treating me like I have medicaid without the benefits of low costs of medicaid is nasty work. No value for human life.

September 10, 2025
Unprompted review
Rated 1 out of 5 stars

United Health 5 Stars, Ambetter Zero

My health insurance is through United Health and I give United 5 stars, because they are perfect. I'm getting text messages from 'MeU CARE with Ambetter'. It's also has a name with the texts, I'm not giving it out in case there a link to me by revealing it. The text has a Help link, but I'm not non compos mentis so I won't reply Help. Using that option means, I really do need mental help. The only way they got my number is through someone at United, because no one has my number but United.

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

Not a Fan

Not a Fan

I really don't like any healthcare insurance company, and Ambetter was ok, if overly expensive, but they went too far when they canceled my earned $100 Rewards Visa card. They claim they canceled it because I left Ambetter, which I did, because I turned 65 and had to join Medicare. But I earned that money and have the Visa card IN MY possession. No matter how many emails and phone calls, they refuse to honor the $100 rewards, claiming that it is their standard policy to screw members who leave early.

August 20, 2025
Unprompted review
Rated 1 out of 5 stars

If I could give zero stars I would

If I could give zero stars I would. Thinking this would be a good mid level insurance signed up on marketplace. I pay over $700 for just me. That gets me crappy dr choices, expensive drugs, ridiculous copays, equally ridiculous deductibles. The revies in marketplace were artificially raised up by the company itself as it turns out. On trustpilot averages are more accurate at about 1 star. Congratulations on ripping off your customers. I wouldn't recommend this carrier to my worst enemy.

August 25, 2025
Unprompted review
Rated 1 out of 5 stars

Scam, Fraud poor customer service

I dont need this insurance some how I have a account with them just got a bill saying pay 531.39 I have never heard about this company I already have insurance. this is fraud and to get customer service so they can take me off or figure out how they got my info to start an account. someone has to email me asap further actions are going to be taken. Stop stealing people information Im not the first one from what I heard and read.

August 19, 2025
Unprompted review
Rated 1 out of 5 stars

My hours got reduced in April at work

My hours got reduced in April at work. I called Marketplace Insurance in May to let them know. They reduced my premium from $235.45 to $126.86. I called Ambetter several times to make sure the change went smoothly and pay my premium. I paid $126.86 May, June and July. I had a doctor's appt in July which they didn't cover. I called Ambetter and they said my insurance was canceled May 31st. So where did my payments for June and July go?

August 12, 2025
Unprompted review
Rated 1 out of 5 stars

Required 7 calls to see PCP

Required 7 calls to see PCP. Every time I am assigned a PCP, I am unable to see that PCP because they do not take my insurance. This time I had to change my physician group and it took seven calls to resolve the issue to be able to see my PCP. Calls were either dropped immediately, dropped after being on hold for an hour, I would reach a representative and they could not hear me (happened twice), or the representative's English skills were so poor that the issue could not be resolved. Do Not Recommend.

July 9, 2025
Unprompted review
Rated 1 out of 5 stars

DO NOT RECOMMEND THIS INSURANCE

I had never heard of this insurance company before and I did read mostly bad reviews with some good ones mixed in, I needed this insurance to get a surgery with a doctor in GA that I liked this is why I have chosen it.

Now for my review of it, I have had some bad insurance in the past but this one takes the cake, their customer service is HORRIBLE, no providers take them so I had to call the customer service one says one thing one says another they are either lying or have no idea what they are doing, it is so frustrating! unless you live in GA no doctors take ( to me it’s worst than trying to find providers on Medicaid)
I would NOT recommend this to anyone unless you just want an insurance for if you have an emergency they do take it i believe in most hospitals.

July 28, 2025
Unprompted review
Rated 1 out of 5 stars

My wife signed up with Ambetter last…

My wife signed up with Ambetter last October and she had to have two prescriptions filled in June 2025, denied without reason why. My wife’s doctor sent an order for MRI in June2025, the day of procedure Ambetter gave a denial for service as they stated not medically necessary. Here we are in July and my wife’s doctor orders a CT scan of the brain due to my wife being dizzy all the time and has constant rapid eye movement, today is July 25, 2025 and the CT scan is taking place Monday afternoon, again denied as not medically necessary. I strongly recommend stay away from this insurance company. I pay hefty premiums each month and so far denied claims. One last thing, on the first denial for the doctor ordered MRI we called customer service to question why it was denied where the young girls answered the phone we could barely understand their foreign language and they stated there was no record of the pre authorization from the imaging center. I explained I had just gotten off phone with imaging center where they read from a fax paper “ denied as not medically necessary “, they still had no record of a pre authorization. Do yourselves a huge favor stay away!!!

July 25, 2025
Unprompted review
Rated 1 out of 5 stars

If I could give NEGATIVE ZERO stars I…

If I could give NEGATIVE ZERO stars I would. The WORST health insurance company EVER. Avoid. Avoid. AVOID. They gave me the runaround for an entire week from a referral I needed to see a specialist. I cancelled my coverage today! Even in this economy, I would rather have NO insurance than Ambetter. HORRIBLE!!!!!

July 24, 2025
Unprompted review
Rated 1 out of 5 stars

It can't be a worse company than I'm better.

Certainly, this company is the worse of the worse. They don't even covers the most basic prescriptions for common infections, and other conditions. They have a very limited network for physicians, and they don't want to give you appointments because what they pay to doctors, if you are lucky, you can get an appointment for an specialist with a referral, two months ahead or even more.

July 16, 2025
Unprompted review
Rated 1 out of 5 stars

I’m currently pregnant and was…

I’m currently pregnant and was previously added to my family’s health insurance plan. However, Ambetter removed me from the plan without any notice, despite the fact that we’ve been paying the full premium every month. When I called customer service for help, the representative was extremely rude, refused to provide a translator when I asked, and hung up on us. This is an unacceptable way to treat a pregnant woman. I’m deeply disappointed and will never recommend Ambetter to anyone.

July 14, 2025
Unprompted review
Rated 1 out of 5 stars

I would give 0 stars if possible

I would give 0 stars if possible. Why does the State of Michigan allow these scam companies to continue to operate with such bad service and reviews. All I wanted was reasonably priced insurance (which they are the cheapest) but you get what you pay for, they have denied every request for imaging, and recently a stress echo test, for which I am a heart attack survivor with stents. Just plain junk insurance. I've paid over $1,300 dollars for health items and only $13 has been applied to the deductible, reason being services not authorized, it seems to be a common scam for this company.

July 11, 2025
Unprompted review
Rated 1 out of 5 stars

Ridiculous Insurance Company

What a ridiculous insurance company; reps are incompetent (can hardly speak English and are set up in a hotbox somewhere overseas that reps can barely hear what I am saying), and coverage is minimal at best for premiums paid.

July 10, 2025
Unprompted review
Rated 1 out of 5 stars

Absolute trash company

Absolute trash company. They don’t cover anything. Change the formulary every 3 months and lie to you just to get your premiums

July 9, 2025
Unprompted review
Rated 2 out of 5 stars

Overseas customer care- INSANE!!!!!

I can't complain at all about what my insurance actually pays for at all, what I am complaining about is the fact that customer service is OVERSEAS!!!!! How on earth can you do this??? I just spent 13 min's on a call while I was at work with 2 different agents, barely able to understand them, who kept reading off their scripts rather than answer the questions I was asking. I finally said forget it and ended the call. We need americans answer our calls and understanding our questions. This is insane that health insurance would hire overseas customer service. Come on Ambetter- do BETTER!!!!!

June 11, 2025
Unprompted review
Rated 1 out of 5 stars

Terrible customer service!!

Terrible customer service!!! They don’t do what they say they are going to do causing multiple phone calls for easy issues. The provider list is not updated. The website will not allow you to do what they request you do on line. Customer service does not speak in a manner in which one can understand them. Customer service never seems to have the answers needed and if you ask to speak to a supervisor they punish you by putting you on hold for extremely long periods of time.

June 3, 2025
Unprompted review
Rated 1 out of 5 stars

This is the worst insurance I have ever…

This is the worst insurance I have ever seen in my life! Everyone has said oh it's a great company. My ass it is! They keep lying and denied to pay for my son's meds with a Prior Authorization saying the docs office didn't send everything over when they did! I took the fight to the Florida Office of Insurance Regulation and let them have a field day with them. I iam not the one to play with when it comes to my son and his meds at all! You get one person telling you this and another person telling you that. Man screw this.....I am going back to Florida Blue for next year!

June 6, 2025
Unprompted review
Rated 1 out of 5 stars

This is the worst insurance company I…

This is the worst insurance company I have ever dealt with in my 65 years of life. Poor Customer Service, long wait times, difficulty getting problems resolved, and representatives who are unhelpful or lack the authority to address issues. Supervisors who hang up on you and people at the administration office who just don't give a darn about you.
Chyenne Gilson left me unattended while she supposedly was trying to help me for over 6 weeks in some of the worst pain I've ever dealt with in my entire life. Now tell me that's not cruel and unusual punishment. Apparently, they have a lot of complaints filed on them at the Better Business Bureau of which mine will be next. They think because I'm a 60 year old woman I'm just going to sit back and be quiet and not do anything this is the worst insurance company ever my advice to you is stay clear of them.

May 27, 2025
Unprompted review

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