This company wants their premiums on time, yet they cannot provide any type of timely service themselves. We pay nearly 400 a month and have to drive 4 towns away (passing a non covered hospital on the way) for hospital care in the network. While this program is great, it's only available in some of the states Ambetter services. I would give this "insurance" a zero if the option was available. When the Aflac agent signed me up, they told me I should receive something in the mail from the marketplace showing I had insurance coverage. It's Centene's option for HIM plans, which are intended for people who don't have health insurance and maybe don't qualify for typical plans. ObamaCare’s Silver Plan is a type of Metal Plan on the Health Insurance Marketplace. It appears that being in-network is associated with some random number generator as there is no consistent response from this fraudulent company. I have a couple of serious issues which require an MRI be done and could not find any facility in my area that will accept Ambettor. Thank you. There is not even an option as 'Forget Password' and/or 'Forget Username'....even if I wanted to utilize it. I called both the WAHealthPlanFinder and Ambetter to cancel my policy on last October. Ambetter Balanced Care has silver plans, which have lower deductibles and out-of-pocket maximums. Then one has to call them, be on hold for 20 minutes, and then they will reset it to the same one. What?!?!?!? I will never recommend them to anyone and I am so glad to get rid of them for 2019. We left after making the appointment in December for our January appointment, so we could get med refills. Despite what they claim and what their provider list shows, there are ZERO doctors, offices, or even hospitals that accept this insurance. I have one medical condition and I take one pill a day that keeps me alive. As these are low-cost plans, you pay lower premiums each month. Terrible. Ambetter plans are certified as Qualified Health Plans offered on the Health Insurance Marketplace. Is big scams all doctor on there list not cover by ambetter the worst insurance not recommended. They have repeatedly blocked me from accessing my account information. To our surprise when we went to ask for her medication that she needs to LIVE be covered they told us that they would not cover it until we met our $6000 deductible and even then they may not cover her cardiology appointments. I signed up for the specific plan based on the monthly premium, that is where I signed the T's and dotted the I's. May God judge and have mercy on our souls. Ambetter health insurance plans are offered in three categories: Ambetter Essential Care, Ambetter Balanced Care and Ambetter Secure Care. Silver Plans are also the only metal plans which offer cost-sharing reduction (CSR) versions to consumers that require financial assistance for out-of-pocket costs. Without any notification Ambetter has discontinued their Health Rewards program for gym memberships. There are also health-promoting programs to support members with dealing with behavioral health and maternity and newborn care. There is a special place in hell for the people behind this scam. Our Ambetter Balanced Care 11 plan offers: $0 deductible on 87% and 94% level plans; $0 generic Rx copay on 94% level plan For specific coverage and cost information, including the deductible, out-of-pocket expenses, and premium costs, you'll need to work with Ambetter directly. To find our most up to date list of in-network providers, please visit our website at . Dental and vision coverage are available with Ambetter, but the benefits and availability of each are entirely specific to the state you live in and the type of health plan you choose. Always review the privacy and terms of use of the partner website. Ambetter below. And as far as"coverage" goes, it's useless if no one takes the insurance!! They should not be allowed to offer coverage when they literally cover NOTHING! Ambetter Essential Care plans usually give lower monthly premium payments, but they have potentially higher out-of-pocket costs. I think other health insurance companies have better prices for the coverage. Their recommendation was to use pain pills and booze to dull the pain!!! If I could give 0 stars I would. Am better insurance is the worst example of health insurance on the globe. Silver Plans qualify for both Tax Credits and Cost Sharing subsidies.Silver Plans have lower out-of-pocket costs than Bronze Plans but higher out- of-pocket costs than both Gold and Platinum Plans. The Open Enrollment period for the 2018 Affordable Care Act health plans begins November 1, 2017 and ends December 15, 2017. and connect confidently with companies that deserve their business. Ambetter recommends 6 weeks of physical therapy. When I searched the availability pre-12/15/18 there were plenty of good ones. I can not find a doctor that will take the insurance and I guess it really does not matter because they won’t pay anyway !!! Ambetter DENIED my BRAIN MRI despite receiving all previous med records, MRI's, and lab results. The premiums charged by a carrier for a particular insurance product must be consistent regardless of whether you buy it from HealthMarkets Insurance Agency, from a competing agency, or directly from the insurance company. It happens EVERY time. I called Ambetter myself and have been given four different answers! The PCP that they paid in several claims in the middle of year, remains unpaid for claims in the early and late parts of the year. YES, I BELIEVE SO, BUT NO ONE IS REGULATING THESE IDIOTS!!!!!!!!!!! Inpatient Hospital Services (e.g., Hospital Stay), Inpatient Physician and Surgical Services, Emergency Transportation or Ambulance Service, Delivery and all inpatient services for maternity care, Mental/Behavioral Health Outpatient Services, Mental/Behavioral Health Inpatient Services, Substance use disorder outpatient services, Substance use disorder inpatient services. However, when I did not enroll with their plan in 2019, just a few weeks ago. Absolutely worst health insurance company. I have it written down in a folder. They take money but refuse to provide any adequate services or any at all. Ambetter should be somewhat of a last resort when choosing an affordable health insurance company. Thank you for being there Ambetter for us during my husband battles of cancer medical was never a problem.All medical,hospital,meds,chemo treatments. BIGGEST SCAM EVER. Insurance that I never benefited from or even knew I had. Dental is a joke! I called them 6 times just to add a PCP. Many doctors to choose from, great prescription coverage, even urgent care. Zero stars for this fradulant company. Ambetter is terrible. Ambetter Secure Care is the gold metal tier policy which has the most expensive premiums but the lowest out-of-pocket maximums. The risk of a biopsy outweighs its benefit. I am begging everyone to please file formal complaints with their state insurance compliance office and ACA Marketplace. Does this plan offer disease managment programs? These tools include a 24/7 nurse hotline that members can access for questions and medical needs. I will never choose Ambetter again. Really useless insurance. Ambetter Balanced Care 4 Health Plan reviews: Inability to get an allowable provider charge for a recommended procedure. It is an on-exchange health insurance option in the Health Insurance Marketplace. $718 a month for what? I just want the normal exams. Trying for 3 weeks to get a pre-authorization for a biologic medication that I have been on for 4 years and for 2019 they told my doctor I don't need a pre-auth; however, I know I do, as it is an expensive medication that is done by infusion. All Silver Plans share the same minimum health benefits, but the way they charge out-of-pocket costs can differ significantly. Learn more about plan monthly cost,premimum deductibles,prescription drug coverage, hospital services, accepted doctors and more. High deductibles, high premiums, high co-payments, and it almost never covered our medications! Had to file several grievances with the Washington State Insurance Commissioner. Well, lesson learned. We were told to drive 2 hours for a doctor. After looking at the reviews, I find hundreds of people have the same situation as me. One office said that they would keep Ambetter patients if you were already a patient but would not ad any new. And I mean YOU PAY FOR EVERY SINGLE DOCTOR VISIT. Ambetter offers a variety of marketplace health insurance plans with varying levels of coverage and premiums to meet the needs of a diverse community. I bought an Ambertter plan to save $100 a month on my premium. Ambetter plans are available in a some states. Find a Primary Care Physician who accepts Ambetter Sunshine Balanced MRF near you in Miami, FL. My Health Pays™ is Ambetter's rewards program to provide incentives for members to live healthier with better habits. Ambetter Balanced Care (Silver): The balanced care plan is ideal for those who may be eligible for government assistance through subsidy payments. Even though I am using the same information. Everyone be aware and used up your reward debit card immediately. The doctors on their website does not take their insurance ... they all said the insurance won’t pay and just makes all the patents more in debt. Ambetter Balanced Care 27 (2021) Insured by Celtic Insurance Company SBC-27833IL0140025-01-2021 . Spent HOURS, DAYS, WEEKS to get claims paid! I have been dealing with them for over a year on a bill from and emergency room visit. I called the Healthcare Marketplace to get this taken care of, and they said there is no record of a 2019 policy with Ambetter. Ambetter was taken off our healthcare marketplace account completely, yet Ambetter claims our policy is still active for 2019 and is still sending us monthly premium bills. This is very light comments i have. Probably the worst insurance you can find out there. Ambetter is the one who chose Edge Park, Ambetter should do something to be sure that patients do not run out of supplies during their long drawn out process. for one person, with $5,250 deductible, this is what you get from them! I am sorry to hear the problems people say they have, but again, I have had no problems at all with them. Now is the time to make your clients aware of our new Ambetter Balanced Care 11 plan. They sent me another bill. If you missed the enrollment period, you may qualify for a Special Enrollment Period after December 15, 2020 if you have a Qualifying Life Event. Dental benefits, for example, is not available in Texas, but vision insurance is. I ordered a replacement pump and supplies, starting with their DME partner Edge Park on 1/10/2019, it took until 1/14/2019 to get Edge Park to take my order, when they had received everything they needed from Medtronic on 1/9/2019. Then, my in network doctor needed a cardiac ultrasound for the same condition, they won't cover it. Ambetter makes sure practitioners and providers of all types are available within a certain geographic mileage or driving time from each of our members’ homes to ensure you receive quality care in a timely manner. I have to have an annual brain MRI to ensure that the tumor has not changed or grown, which would be indicative of cancer. I really cannot trust to give their my bank account as well as personal information for them right now. This company is just the MOST ridiculous company I have ever encountered period. If you are looking for another kind of insurance plan, like a short-term health insurance, Medicare, or Medicaid, you'll need to find another insurance carrier. What's the sense? When I called to find out why none of my doctor visits were being covered they kept telling me they would fill out a claim but they never submitted any of my claims. I have been forced to file multiple complaints to regulators in the states of Washington and Arizona and the Federal Government in Washington, DC. Ambetter Balanced Care has silver plans, which have lower deductibles and out-of-pocket maximums. Some companies provide this for enrollees to access their accounts right from their phones, making communication and logistics much easier. Next time, the same thing will happen again. Terrible service! You can use HealthPocket’s comparison tool to compare Silver Plan premiums in your area. I briefly had Ambetter for 2 months in 2016 then cancelled before we used it due to moving states. Their website makes it impossible for a policy holder to select a Primary Care Provider, when you try to search for one, the search results are ZIP, ZILCH, NOTA. I tried to lodge a complaint on the 18th against Edge Park with Ambetter I was disconnected and they took my number to call back incase of loss of call, I have yet to receive a call back. The Open Enrollment period for 2021 healthcare coverage runs from November 1, 2020 to December 15, 2020. This money can go toward your next premium. I cancelled my health insurance with Ambetter.They sent me a letter saying my portion for health insurance would be 75.00 a month . To get to a dermatologist, I have to drive over an hour away to towns I've never heard of. If I could arrange it, I would drive this company into insolvency and force their liquidation and put all their executives in jail. True, their website is not great, but other than that I have had zero issues. for over 12 months, the bill is still not paid! Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan. With 2018, they have come up with a "new" website that has again blocked me from accessing my account. Chattanooga, TN Joined Ambetter January 2019 from the Marketplace and I'm absolutely disgusted by this company. Eventually I had to call doctors myself and ask if they accepted the insurance. The member portal offers extra features, too, such as providing reminders for members when they are due for another doctor's visit or allowing them to take a health risk assessment to determine which steps they can take to live healthier. This rewards program promotes health and well-being among Ambetter members. So I pay cash for medical services. Learn more about plan monthly cost,premimum deductibles,prescription drug coverage, hospital services, accepted doctors and more. VERY concerning! They suspended my debit card, claiming it is their policy. With such a high number of 1-star reviews, you'll likely be better served choosing another insurance provider if you can. Even if you do reside in one of the states they service, make sure to check the location of their in-network providers (e.g. The med is 500.00, they won't cover it. Worst insurance ever!!!!!! I explained it is fraud to add to the cost of my plan. For health plans to be on the Marketplace, they must be a qualified health plan that covers the essential health benefits listed in the Affordable Care Act. It has received a 1.4/5 star rating from reviews left on Best Company. Ambetter health insurance's covered services include preventative and emergency care, therapy, behavioral health help, medications, maternity, and hospitalization. As for a PCP, they aren't far away but they are only affiliated with the hospitals that are not on the providers list. For $945/mo. Get 2021 health insurance plan info on Ambetter Balanced Care 12 (2021) (None) from Ambetter of Tennessee of TN - premiums, out-of-pocket maximums, prescriptions, and more. Then the radiologist bill was rejected since "there was no site bill". Because I forgot to turn off the auto-payment, they just come and take my hard-earning money. Ambetter Essential Care has bronze plans, which are cheapest but have the highest deductibles. It wasn't worth it. Many of the extra features it offers also send the message that Ambetter wants members to get healthier and stay healthier. Sent me health ID cards for myself and my daughter and when I went to get her immunizations half of the year through, they told me she was never covered. Filling their own pockets! Most customers do not recommend buying healthcare coverage from this insurance company. I been crying all year with this possibility of breast cancer coming back. Get Health Insurance plan info on Ambetter Balanced Care 12 (2020) from Ambetter of Peach State Inc.. I am filing a lawsuit. Lucilky the health exchange is resubmitting my paperwork to them, if ambetter does not abide by our agreement then I can get new insurance through a special Enrollment period. Dental coverage includes exams, cleanings, and screenings, overall, and vision benefits include yearly eye exams and glasses or contacts. Now I just had my taxes done and I’m being penalized for $1259 for over credit paid by the insurance?!! Does this plan cover services outside plan service area? How is that ok?!!! I called to cancel and they said I have to cancel with them and I had to call health markets to or it would not be canceled and they just want to sell you another pay and they did not cancel it !
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