ambetterhealth.com Reviews 

They charge OVER $1500 a month for their "insurance" to still deny my much needed CT scan and they don't even cover the basic blood work. Even with my Doctor jumping through their hoops, they still find a way to deny. She said every one of her ambetter patients have the same problems. Just ONE of the blood panels they required me to get before getting the CT scan cost $1361.42 ...Ambetter paid $98.87!! I haven't seen the bills for the other 2 but the claims page said one of them was over $4k not looking forward to seeing how much I have to pay. You are better off not having insurance and paying the cash price. When I die from my spleen rupturing, it will be their fault.

This company is the worst... I cannot even tell you how many phone calls I have with these idiots...Since before Feb 1st when my coverage started. Nobody knows what they are doing, outsourced CS, terrible service, they won't pay for labs for the ONE TIME PHYSICAL!! They offer points if you watch videos which you are supposed to use to pay for premiums etc... that doesn't work and they can't explain why. I've called them a hundred times with issues and again I've been to my doc once... This is beyond nuts.

Horrible customer service. Over billed multiple times and tickets are continuously canceled without notifying me. Their coverage is garbage also. Will be cancelling.

It's working for me. And I'm grateful.

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.

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.

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.

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.

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.

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?

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.

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.

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!!!

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!!!!!

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.

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.

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.

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.

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

Absolute trash of a company! I would trust gas station sushi more than Ambetter. They don’t cover anything when you need them.