We research all brands listed and may earn a fee from our partners. Research and financial considerations may influence how brands are displayed. Not all brands are included. Learn more
  1. Home
  2. Health Insurance
  3. Ambetter Review

Ambetter Health Insurance Review

275 Customer Comments & Reviews - see all comments
Our content is free because we may earn a commission when you click or make a purchase using our site. Learn more.
Ambetter is a health insurance company owned by the Centene Corporation, which is a multi-national healthcare company that provides programs and services to under-insured and uninsured individuals. Ambetter offers customers affordable health care plans in 14 states including Arkansas, Arizona, Georgia, Florida, Indiana, and Nevada, among others.
 
View Top 10 List

Ambetter is Centene Corporation’s option for a health insurance marketplace, so it’s intended for individuals who lack health insurance, and possibly don’t qualify for traditional plans.

What’s Included in Ambetter’s Health Insurance Plans?

Ambetter health insurance plans offer prescription coverage, mental and behavioral health services, integrated care management, maternity and newborn care, 24/7 nurse advice line, Ambetter Telehealth, My Health Pays Rewards, and optional vision and dental coverage for adults.

The company has three plan options to choose from: Ambetter Essential Care, Ambetter Balanced Care, and Ambetter Secure Care, which are classified as bronze, silver, and gold, respectively.

The Ambetter Essential Care offers lower monthly premium payments, but higher out-of-pocket expenses, the Ambetter Balanced Care offers the best balance between monthly premium payments and out-of-pocket expenses, and the Ambetter Secure Care has higher monthly premium payments, but limits your out-of-pocket expenses.

Each plan has a different type of coverage and payment, but all of them include essential health benefits such as emergency services, hospitalization. outpatient or ambulatory services, preventive and wellness services, maternity and newborn care, pediatric services, mental health and substance abuse services, and laboratory services, among others.

Final Thoughts

Overall, Ambetter offers flexible healthcare options that fit different budgets and needs, with a few perks like the company’s My Health Pays Rewards, which allows customers to pay for medical expenses with the money they earn through the program, a 24/7 nurse advice line, and Ambetter Telehealth, which provides 24/7 phone or video access to in-network providers for non-emergency health issues. Additionally, Ambetter members can manage and pay for their account online, and the company’s website offers helpful tools like a provider search engine, and educational articles for those who want to learn more about insurance.

Having said that, Ambetter health insurance also has its drawbacks, like the fact that it’s only available in 15 states, you must sign up during the open enrollment period, and that the company may have stricter requirements to qualify than other traditional insurance companies, so customers should keep this in mind before purchasing.

Our Comments Policy  |  How to Write an Effective Comment

Leave a comment for Ambetter Health Insurance
Minimum 12 words.
 No maximum length.
* What's Your Rating?
To make this comment as helpful as possible for our community, please provide at least 2 sentences.

275 Customer Comments & Reviews

Loading Reviews ...
unwaveringnapkinpants
1/10/2023
Oh and their customer service is a call center in India. Not knocking on the Indian employees (they are good people I'm sure) but I really wish in this day and age of telecommuting that they would hire AMERICAN customer service reps who are more fluent in the language and better able to communicate with members.

Anita E
1/10/2023
Waiting for radiology approvals has been a HUGE set back on my brain AND hip costing me time money and frustration !! I can't walk without extreme pain I can't focus to train at another field on seizure medicine or another reason and it's been so long my pcp tried ordering an mri and denied she wasn't a specialist so if your sick with common issues the price is affordable but the quality is simply torture a patient till they give up. Saves cost that way .

unwaveringnapkinpants
1/10/2023
Horrible insurance. Was enrolled through Marketplace, and my monthly premium costs changed four times over 3 years of having Ambetter ($150 to $50 to $15 to $80). My primary care doctor kept getting changed on me, and if you live somewhere rural be prepared for a LONG drive to see a specialist for anything because you may not find anyone local who accepts Ambetter. I could not ever locate an OBGYN within driving distance of my house. I do appreciate urgent care visits being covered, but prescription coverage is lacking. I needed prescription eye drops for short-term use while recovering from a severe corneal abrasion and staph infection. Ambetter would not cover my prescription at all,... Read More

Mike T
1/2/2023
Signed up with them through a healthcare.gov agent due to finding the low pricing attractive. Only to find out after calling around my area that same day that their website listings of practices who they stated would accept their insurance was completely fabricated and/or out of date. As almost every single of the 10+ ones listed in a 25 mile radius I made an inquiry to confirmed they would *NOT* accept Ambetter insurance, and/or hadn't accepted in quite some time. Filed a cancellation and refund request direct through both healthcare.gov and Ambetter, which on both ends was acknowledged and accepted. Followed up by a switch to different insurance company who's accepted location... Read More

Syed B
12/28/2022
Terrible insurance company. Doesn't cover anything. If you call the hold time is at least an hour.

C
Carol B
12/28/2022
A customer service representative fraudulently signed my husband and myself with health insurance. We have called and reported this and are still constantly getting calls about our insurance plan. We even received insurance cards. They even listened to the conversationy husband had with the representative where they never heard my husband agree to the terms and declined the instance policy.

Christine K
12/15/2022
The customer service is the absolute worst. I called 12/12/22, to tell them I would need to cancel my insurance as of 12/31/22 as I will not renew. I was told you I had to call back 3 days before I wanted it to cancel. I got a letter 12/14/22 telling me my insurance was cancelled. I called and of course they were having computer issues and they would call back. No one ever did. I am now without coverage for 18 days. The coverage options cause a great deal of out of pocket expense.

Christine K
12/15/2022
The customer service is the absolute worst. I called 12/12/22, to tell them I would need to cancel my insurance as of 12/31/22 as I will not renew. I was told you I had to call back 3 days before I wanted it to cancel. I got a letter 12/14/22 telling me my insurance was cancelled. I called and of course they were having computer issues and they would call back. No one ever did. I am now without coverage for 18 days. The coverage options cause a great deal of out of pocket expense.

Christine K
12/15/2022
The customer service is the absolute worst. I called 12/12/22, to tell them I would need to cancel my insurance as of 12/31/22 as I will not renew. I was told you I had to call back 3 days before I wanted it to cancel. I got a letter 12/14/22 telling me my insurance was cancelled. I called and of course they were having computer issues and they would call back. No one ever did. I am now without coverage for 18 days. The coverage options cause a great deal of out of pocket expense.

huffed3100
12/10/2022
Total rip off! Run from this sleazy outfit. None of the tests your doctor orders will be approved in any reasonable time, if at all. High deductibles. The" crooks", IMO, who run this company must laugh at the suckers who enroll in this so-called plan and pay good money to get totally ripped off and disrespected. "Am-Sleazier" also underpays the providers less every year so nearly all the doctors in my area have dropped this fraud. IMO this is a fraudulent company and should be reported to the state dept of Insurance for consumer fraud.

Top Rated
Our Partner
  • Get Coverage as soon as Tomorrow!
  • Short term coverage is ideal if you missed enrollment, can't afford traditional insurance, are between jobs, just graduated or retired early.
  • Covers: ER & hospitals coverage, Doctors, Labs, Urgent Care & More
  • Visit any doctor in their nationwide network; no referral required
  • No long term commitment. Budget Friendly.
READ FULL REVIEW >
(866) 264-0504
VISIT SITE

Related to Health Insurance

Top Articles
Suggested Comparisons