ambetterhealth.com Reviews 

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.

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!!!!!

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.

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!

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.

This is honestly the worst insurance I've had in all my years. It's embarrassing, honestly. The customer service is dismal. It is impossible to get any real help on the line. They only have overseas call center employees who read from a script. I have tried to simply update my address several times. Even this task has proven impossible.

Surprised I cant give zero star’s . My neck is in really and shape . My dr sent me for an MRI that Ambetter denied and ordered physical therapy . Well , it made it 100 times worse . Seems like this is a pattern for them.

0 stars SCAM INSURANCE

Bullshit, rude customer service representatives, joke insurance , rude and unhelpful doesn't cover ANYTHING. Very insensitive & disrespectful people too such a SCAM

This insurance is an absolute joke. My bf has a scheduled surgery in two weeks and without any notice they are demanding $8,450 or else his surgery gets cancelled. What kind of joke is this? What’s the point of even having health insurance? To expect anyone to just come up with that money, especially on such short notice, is not only inconsiderate but unethical. Penalizing people for needing care and being greedy is so sad. Will NEVER use Ambetter and he won’t be using this pathetic insurance anymore.

This company is God forsaken. Customer service representative speak broken English. I am going to leave this company and just pay the IRS whatever I owe them at the end of the year. What an awful situation to wind up with them. I wish everybody luck.

My primary care doctor was changed without my knowledge. I was told by a customer service representative I had to keep whatever doctor the computer chose for me. I pay premium insurance each month and have seen the same doctor every year or whenever I need to. Hire more competent and knowledgeable Service Reps.

They have cheaper premiums because they don’t pay for nothing and they don’t approve any type of imaging if you get injured. My shoulder is so bad and I have needed an MRI for months, did physical therapy and I am even worse now. Still no approval for my MRI. It doesn’t seem smart or appropriate to order physical therapy on a shoulder that you’re not even sure what is wrong with it.

More like Scambetter. Horrible insurance company denies everything makes you go through hoops to just cover common medications with the prior authorization song and dance, my dr says they are the worst to deal with on the clinical side as well. Very poor customer service if you can even understand them correctly. Please save yourself trouble of dealing with Scambetter.

Holy crap, I am spending 660 a month to be told where to go and who to see.
On top of that, just got back from the Emergency Room and the ER Dr sent in prescriptions for me. Can I fill them through my insurance? NO - I need prior authorization - ARE YOU FKN KIDDING ME?? PRIOR WHAT??
I was just there people, and a insurance company is dictating my health, rather than the Dr I just saw. Sorry y'all, (OR ME, RATHER) my ER Dr has better things to do then to send ridiculous paperwork. So I'll just pay out of pocket... AGAIN...

THIS INSURANCE IS A JOKE AND A SCAM!!!

Just spent 2 hours trying to get ready for a doctors appointment tomorrow and yet again their site is down and not working. It’s always the case. The worst part is, there’s not even an indication on the site that they’re doing work. It just doesn’t work.
I had to call in And they confirmed that their site was having issues and they were working on it. the problem with calling in is you never have proof of what’s discussed.
It’s completely unacceptable to not have these things for health insurance company. To not even be able to access anything and the site is inaccurate anyway.
my deductible nearly doubled this year too. I don’t have any major health issues and most of my appointments are for preventative . In addition, they denied part of coverage that should’ve been completely covered. Then you have to go through a ridiculously long process to try and argue that it should be and prove it.

Ambetter has been a nightmare. They previously approved my autistic son's occupational and physical therapy—services that were clearly medically necessary, well-documented by his licensed therapist, and making a real difference in his progress. Then out of nowhere, they denied the renewal, claiming the therapies could be done at home by a non-licensed individual.

My son is 13 years old and cannot walk independently. He can't run, jump, or do any of the physical things other kids his age can do. How exactly is a working single mother supposed to replicate the specialized interventions and equipment used by trained professionals? It's insulting, unrealistic, and potentially harmful.

Even worse, when we appealed the decision, they denied that too—ignoring clear medical documentation. And now they’re claiming they never received the appeal, even though it was faxed weeks ago. This isn’t just poor service—it’s actively putting children at risk by cutting off access to therapies they desperately need.

Ambetter’s policies are clearly driven by cost-cutting, not care. They hide behind cookie-cutter guidelines and ignore the real, human consequences. If you have a child with special needs, I urge you to think twice before trusting them with your care. Disgusted and heartbroken by how we've been treated.