ambetterhealth.com Reviews 

304
TrustScore 1 out of 5

1.2

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Review summary

Created with AI, based on recent reviews

Considering 171 reviews, most reviewers were let down by their experience overall. People frequently complain that the customer support is extremely unhelpful, and representatives often provide confusing or incorrect information during long phone calls. Consumers also mentioned unexpected high bills, rapidly rising monthly premiums, and severe difficulties getting essential medical treatments approved by the company. Reviewers frequently noted that doctors often refuse to accept this insurance due to system inefficiencies. Some reviewers were happy with the customer service and found the health coverage reliable over several years. A few other people also felt that the plan provided necessary care, covered everything properly, and adequately met their medical needs.

What people talk about most

Service

Consumers find service to be negative, reporting widespread frustration with frequent claim denials and... See more

Customer service

Customers had negative experiences with customer_service, frequently reporting unhelpful and poorly trained... See more

Payment

Reviewers mention negative feedback about payment, highlighting unexpected charges and concerns regarding... See more

Price

Clients share negative opinions on price, reporting frustration over steep monthly premiums and expensive... 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

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

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

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


1.2

Bad

TrustScore 1 out of 5

304 reviews

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1.2

All reviews

(304)

168 reviews in the last 12 months

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Rated 1 out of 5 stars

I would not even give them one star…

I would not even give them one star honestly. This insurance is the worst i have ever had. They failed to cover a major medical emergency that almost killed me, leaving me with thousands of dollars in medical bills. They give you rewards, but you have to build the points up and after you cash it out you have to wait up to 2 weeks for them to be available for you to use. No dental. No vision. Customer service is terrible and impossible to deal with.

7 August 2025
Unprompted review
Rated 1 out of 5 stars

I am day one with this insurance…

I am day one with this insurance carrier, and they are already messed up with outdated information and so fourth. Lack of provider coverage in my area. Information of who they cover is not accurate. These health marketplace insurance are almost useless it seems like.

8 July 2026
Unprompted review
Rated 1 out of 5 stars

Where are negative stars

Where are negative stars? Ambetter has routinely denied
NEEDED DOCTOR ADVISED TREATMENT FOR 6 months! Causing me to suffer and spend all my time on useless appeals. Dont look at the premium or out of pocket look at feedback like this. Only sign up if you want unneeded appeals, customer service speaking in languages that you cant understand, being hung up on, long hold times, no resolution and huge medical bills. No insurance and private pay is better. Run, or your life will revolve around fighting your insurance company. This should be illegl. Who monitors these theifs?

2 July 2026
Unprompted review
Rated 1 out of 5 stars

I had insurance with them

I had insurance with them. They gave me a grace period to pay my premium well it was due on the first well they suspended my thing during the middle of the month so I couldn’t use it. What’s the reason for the grace period if they’re not gonna give it to you I couldn’t pick up my medicine that cost me way more and I paid up to $10,000 to do my max deductible so I didn’t have to pay for my medicine no more but yet they still suspended it and I wasn’t able to get my medicine. They are dirty and they just wanna do what’s best for them. They don’t care about their customers or their patients whatever you wanna call us I don’t think they’re good at all and I would not recommend them to anybody. My name is Nicholas Williams.

18 June 2026
Unprompted review
Rated 1 out of 5 stars

Ignoring a Serious Case of Address Fraud”

If I could give zero stars, I would. My address is being fraudulently or incorrectly used by someone else, and I continue to receive their mail and tax documents. Despite repeatedly trying to get this issue resolved, I have been unable to find anyone willing or able to help.

This is a serious matter involving the misuse of my address and the potential exposure of sensitive personal and tax information. The lack of assistance has been extremely frustrating and unacceptable.

15 October 2025
Unprompted review
Rated 1 out of 5 stars

One star is way too generous for this…

One star is way too generous for this company. I’ve been denied for a procedure on my back that my orthopedic surgeon requested. Of course we’re appealing. This denial causes issues with my cardiovascular health because my back hurts so bad I can’t hardly do normal activities much less exercise like I should. I did the PT they wanted. Didn’t help. Had the MRI they wanted and they still denied the lumbar nerve block. I’ve seen the images and my back is a mess. They don’t know my pain level and could care less. 2 physicians have said I need it and 1 person at the company seems to think I’m fine. Live a day in my shoes then deny it. They’re useless and don’t get me started on the language barrier.

5 June 2026
Unprompted review
Rated 1 out of 5 stars

What a piece of *$#$ company

What a piece of *$#$ company. You have 1.2 reviews. I am adding to this experience. I hope you get what all healthcare CEOs deserve.

11 June 2026
Unprompted review
Rated 1 out of 5 stars

Everything was great until I was…

Everything was great until I was diagnosed with stage 4 cancer in 2025 then the bs started I Will admit some of the customer service people did try to help but the underwriters was POS and when the Republicans took away the subsidies it only made it worse i wish cancer stage 4 on every underwriters so they can see how it feels. May the people yall love the most get diagnosed with stage 4 cancer

28 August 2025
Unprompted review
Rated 1 out of 5 stars

Great, unless you actually need to use it

Great, unless you actually need to use it. Ambetter's favorite word is, "denied." Whether your talking about a claim for a routine office visit, a necessary medical test, or any of the other supposedly-covered services, you can be sure that their default response will be DENIED. For instance, when your doctor sends you for an x-ray, his decision is only backed by years of medical school, residency, years more of medical practice, and a thorough examination of you the patient.

But that's no match for the breadth of knowledge at Ambetter. They clearly know better than your doctor even without ever having examined you (or even going to medical school). That's how good they are. But don't worry, if they can't find a reasonable explanation for denial, they will just make something up, as a service to you, the valued customer (e.g. "no supporting documents", even when your physician has submitted a full page of notes on your condition).

So you can be confident that when you pay your expensive premium each month that you're not just paying for lack of service. Your also investing in the future of something much more important: Ambetter c-level bonuses and stock buybacks. As a bonus you get to spend hours having fruitless conversations with non-American phone agents who couldn't care less about your issue. Thanks Ambetter!

1 May 2026
Unprompted review
Rated 1 out of 5 stars

Terrible

Terrible. Site doesn’t work. The “24/7 nurse line” number on my insurance card is a lie because I can’t get help according to their recording except during “regular business hours”. That is not 24/7. Good luck finding quality providers who accept this garbage. You might very likely get much sicker waiting to navigate through their labryth of incompetence and customer friction. You will probably give up and hope you get well on your own. That is what I am doing right now after wasting hours to get NOTHING accomplished with them. Terrible .

6 June 2026
Unprompted review
Rated 1 out of 5 stars

If I could put a zero

If I could put a zero, I would. This is the worst insurance ever. My wife was told in Sept of 2025 she needed back surgery. We jumped through all the hoops for months and it was initially scheduled for April 29. That was canceled last minute because we were told less than a month out that they wanted her to be nicotine-free for 6 weeks. It was rescheduled for June 2. She quit nicotine use and provided proof of that through the doctors test. Then jumping through more hoops they kept coming up with more excuses not to approve the surgery. We found out around 6pm the day before surgery that it was canceled again and that their 3rd party provider did not think that the surgery was medically necessary.

5 June 2026
Unprompted review
Rated 1 out of 5 stars

Ambetter is Interfering with My Husband's Treatments

My husband has alzheimer's disease. He has had three infusions and was doing much better. However when he went for his fourth infusion we were told that Ambetter voided the approval and he needed to have some of the same tests redone. We had them redone. The neurologist and infusion center staff are saying this is ridiculous because they never do these tests this close together. The person from Ambetter, who determined this is a clincal pharmacist, NOT a neurologist. My husband has now missed his scheduled infusion for two weeks and I can see a decline. Ambetter has interupted his treatment. They are causing him to get worse. They do not care about the patients.

16 May 2026
Unprompted review
Rated 1 out of 5 stars

I payed my deductible in full then all…

I payed my deductible in full then all of a sudden their was a glitch in the system you can easily look at that month and see everything had gone in 2 times well now they trying to deny the claim even though I have proof from the other company they approved it. So they are making me pay my deductible again. Then at the end of last year they couldn’t get my tax papers because they said I quit using them in December. So I didn’t get to file my taxes until April it finally got resolved but I had to call every two weeks.

4 May 2026
Unprompted review
Rated 1 out of 5 stars

This company is a fraud I went to the…

This company is a fraud I went to the doctor's today May 22 2026 and I had this health insurance on my as a second insurance which I never even heard of this company and I never signed up for this company nor do I have a card for this company when I called them and asked how they got my information to put any of this on my insurance card I called the number on the back of my Medicaid card and they removed it but this is something I want looked into this thank

22 May 2026
Unprompted review
Rated 1 out of 5 stars

A Dangerous Bureaucratic Nightmare That Actively Harms Patients

If you are seeking mental health support, avoid United Healthcare and their partnered platforms like Amwell at all costs. Over the last five months, this corporate machine has turned my search for medical answers into a systemic nightmare, pushing my mental health to an absolute breaking point.
They do not care about patient care; they care about churning numbers. Here is what they consider acceptable medical treatment:
Gross Negligence: A psychiatrist diagnosed me with Bipolar II after a mere 11 minutes of a telehealth session. Rushed, reckless, and entirely inaccurate.
Dangerous Medication Errors: Based on that 11-minute "evaluation," I was put on heavy medications that completely destabilized me and made my condition significantly worse.
Total Abandonment: I had multiple therapists completely no-show to scheduled sessions or show up 30 minutes late with no warning. Another doctor recommended a vital DNA gene test, but when the call disconnected mid-session, they made zero effort to call me back or follow up.
Hostile Administration: When you advocate for your own health or ask to speak to management about getting your own test results, you are treated like a nuisance. I was met with complete hostility and threatened with the cancellation of my upcoming appointments just for demanding basic clarity on my care.
This isn't just poor customer service; it is professional malpractice. When you are struggling with your mental health, you need stability and competent professionals. Instead, this system rewards reckless diagnoses, ghosting patients, and administrative bullying. They make mental health ten times worse. I don’t condone what luigi mangione did but I sure as shit understand it !

18 May 2026
Unprompted review
Rated 1 out of 5 stars

Closed weekends

Closed weekends. Close at 7pm Monday- Fridays. Formulary not clear. Updating pcp can be difficult. Never choosing them again.

16 May 2026
Unprompted review
Rated 1 out of 5 stars

Insurance scammers.

Regrettably, this platform obtained my personal information without my consent. I did not register for this insurance, which is neither affiliated with Medicaid nor a legitimate marketplace insurance provider; it appears to be a scam. The platform persistently attempted to solicit payment for medications that are full-price through Express Scripts. I have never been acquainted with this organization. Over the course of a year and a half, I have repeatedly attempted to cancel the service, as it continues to override my Medicaid coverage, causing issues with medication access and copayments. They have indicated that I would incur an out-of-pocket cost of $10,000 before my medications are covered. This situation is concerning.

7 May 2026
Unprompted review

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