Since our health care system has been ruined I have been stuck with this company, no other companies participated in the county I live in. These include Arkansas, Florida, Georgia, Illinois, Indiana, Massachusetts, Mississippi, New Hampshire, Ohio, Texas, Washington, and Wisconsin. Members can be reimbursed for gym membership payments as well. Specifically, the balance in my online account said I owed zero dollars for a couple months due to "premium tax credits". Plan cost and deductible levels vary among plans. This is reflected in the quality of our performance on the Prenatal Core Measures. They have also covered all prescriptions. the only refusal was when a doctor accidentally billed them twice. Learn more about our Maternal Fetal Specialists and Fetal Care Program. When I have searched for doctors, there any dozens for each specialty. Ambetter has 'cancelled' my new policy for 2021 for no known reason whatsoever, which was purchased through the Marketplace but did not notify me, they returned my first month's paid premium online halfway through the month as if by doing so this made the customer just disappear. Arlington, TX, KAREN M HARRIS the plan is changing for next year but i hope it stays similar to what i have now because this has been the best insurance i have ever had. I've spent so much time and money trying to figure out what was wrong with me. Filed a BBB complaint, and when they did get back to me they investigated everything 3 months after. Cuyahoga Falls, OH, Jessie B I had a TIA stroke this year, went into Emergency on my own cognizance (catastrophic event) hit my deductible of course, but I was willing to pay the $5100, and had set aside most of that amount just for this reason. The following day it took 3 calls to Ambetter and 3 calls to the Marketplace to get NOWHERE. She took the time to explain how everything works, because healthcare gets complicated with deductibles and all, and even I needed some questions answered. I am a healthcare reimbursement professional with may years of experience, I file claims for various physicians, code medical records and perform physician credentialing. There’s only one way to have a baby at Ochsner – your way. I need an MRI for a spine I already had fused, but is having problems WHEN I PERFORM MY DR. They have denied some but then approved it later all except for one. I would give zero stars if possible. He received a bill charged to his deductible. The company's network consists of all the most ghetto doctors and dentists in your neighborhood. , Lizzy Puentes I was a huge inconvenience trying to get my money back for the time period in which I could not use my card, not to mention the time I took every day to try to resolve these matters. More than 400 studies since 1983 have confirmed that babies held skin to skin on their mother’s chest right after birth do better. I have called customer service and I was helped promptly. I live in DALLAS. Even my pap smear cost money (a service that is something to be covered but ambetter always finds a way to make you pay something). Do not choose this company!!!! I have recommended it to many of my friends. I just found out I’m pregnant. 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. On january 17th I presented my new card to my pharmacy for my refoill for high blood pressure medication, and was told my coverage had been 'cancelled' - so I had to pay in full for them. Spring, TX, Cayamarie Not to mention still never being able to see a dentist when I paid extra for a dental plan with them because of the fake doctors listed on their website. A $350 payment! Bolton, MS. AVOID this insurance at all costs!!!!!! I wonder if so many women would “choose” hysterectomy if they knew how it would affect their figure and internal anatomy. I have had AmBetter since July 2018. i have had to message them a few times and the always replied pretty quickly. While Ambetter's plans offer comprehensive healthcare coverage, it's important to review customer reviews to get a sense of Ambetter's quality — health plans, value, cost, and customer service — and compare Ambetter to other health insurance companies before making a final decision about signing up for an Ambetter plan. I had met my deductible and maximum out of pocket by November 20, 2020. Or maybe you’ve always dreamed of having a baby the natural way, but feel more comfortable under the care of the obstetrician you’ve grown to know and trust over the past nine months. I had absolutely no clue where it came from. Of the nearly $6000 we have only had to pay a little over $100. They do not even pay for basic labs that other insurances do. I had misleading balance readings in my account and was then punished with massive late fees. They are legal fraudsters STAY AWAY! Pregnancy and successful delivery have been seen in women who have gone through menopause using a donor egg or their own frozen unfertilized eggs through in vitro fertilization (IVF). Get answers from our OB/GYNs, plus tips on skincare, stress relief and more. He said he would call me back, but did not. Every md I ask about doesn’t know anything about it. Bad luck happened to me and I had to have eye surgery. call them from our site. I want to file a complaint with the Better Business Bureau. rights reserved The MRI showed a mess: disc bulges, stenosis, degeneration, and bone spurs (and I'm in my 20s). All the bills were paid promptly. Members can track their claims 24/7 through the online portal, as well as connect with member services at any hour of the day. If I could give a zero I would. Customer service is terrible, cost is high, I have been trying to resolve an issue of overpayment for more than 60 days and get the run around, am told first person dropped the ball, I am taking care of it only to have the ball dropped again, 4 people no resolution no return calls from anyone. To top it off, most the doctors listed on the ambetter website are fake or old listings. I'm going to have to change plans just, so I can find a doctor to go to. We are one of the country’s largest non-university based academic medical centers. Giving 1 star but the company doesn’t even warrant that. They have also approved all my husbands medications which are also very expensive. Check back each month for new additions, overlooked films, and top-rated streaming titles. Ambetter has been a hassle free insurance company that was the most affordable out of all of them. Access was easy and although scheduling my annual appointment wasn't instant (several months out) I have very limited needs, so this worked for me. calculated by an objective set of ranking criteria, as well as user Colleen Sheahan keep in contact with your insurance and write down who you talked to and a reference number, if you need it for fixing a billing problem. Stay away from ambetter. I can't see my Rewards information, there are hardly any doctors available. Now that you’re having a baby, you’re full of questions. A lot of doctors don't accept their insurance and now I know why. They shouldn’t even be in business because they are completely useless!!! All six of our Family Birthing Centers offer private, beautiful, comfortable maternity rooms that feel more like home than a hospital. During perimenopause, pregnancy is still possible. Choose what fits your needs, not what the "stars" say. While they've allowed me to receive stellar mental health care, the same can't be said for my back. we manipulate or inflate a company's ranking for financial gain. I would give 0 stars if I could. The absolute worst customer service!! Over 20 dentists in my area are all fake listed and DO NOT TAKE AMBETTER. I only had two choices form 2018, either Ambetter or Kaiser and Kaiser is a true HMO so that was out. Ambetter Health Insurance Marketplace plan options include: Ambetter Essential Care (Bronze Plan), Ambetter Balanced Care (Silver Plan), and Ambetter Secure Care (Gold Plan). Stay away from this company if you don't want to receive a surprise bills and no-one seems responsible for complaints filed. fraudulent or intentionally inaccurate to please I have been with many insurance companies in the past and they all come with some very bad problems due to people not want to do their jobs first of all. For physician offices you really should let the right people handle credentialing, people with experience. A month later I checked back in to find a $175 charge (I'm generally paying about $60 per month). I have on-going health issues that they haven't penalized me for, I have received all of my 3-month prescriptions without issue as well as over 15 other Rx's that are monthly. he was in venezuela , i need to change my plan and they never change it, they are charging me a bill for 1000$ for lab test, really?, i am always calling yhem and the health market, and always the same: THEY NEVER HELP ME. Sure, I'd rather have better choices but I really did not expect more. Menopause and pregnancy both affect the menstrual cycle. They charged me for insurance for 6 months and when I went for a checkup, I was told my insurance was inactive. Tallahassee, FL, Lashawn Partee Billing procedures not pre authorized, care under doctors that are not covered on your plan, billing incorrect codes, causing problems with out of network charges to appear. How We Rank We encourage anyone who suspects a user review to be I mean, I had a lengthy convo with a rep who was absolutely outstanding and sweet. I live in Nevada and I found primary care doctor and pediatrician for my child within 5 minutes on their website. I have read the majority of the hundreds of these reviews and it seems as though folks either didn't have other options and also didn't do adequate research about whether the physicians, hospitals and urgent care centers that they prefer were covered by the AmBetter plan they were considering. Should we paint the nursery blue or pink? I was able to earn $250 this year easily that I paid my electric with. Chicago, IL, Smileeys I have no problem with their website either, including earning rewards on the visa and using it to pay my phone bill. I absolutely have never dealt with such a horrible health insurance company. “NEVER, NEVER Let a doctor or procedures done to you WITHOUT prior approval from your Health Insurance!” I can’t repeat that enough! These fake listing are not just in the dental. St Louis, MO, B Chestnut Sometimes you just have to call back and talk to someone else because two different people would definitely give you two different outcomes. They repeatedly told my health care providers that my coverage had been cancelled, while telling me that it was still active. I wish I had stuck with Kaiser because I would not be living on meds daily while I wait for the procedures I need. How do I find an obgyn near me? I've had Ambetter insurance for 2 years and my only complaint is how frequently they call me to make sure I take advantage of all their wellness benefits. Get tips for navigating your pregnancy every day using Alexa. Terms You want only the best for your baby and that’s what you’ll get at Ochsner. Probably should have stopped sooner really because that wasn't only problem. If a patient is sexually active, it is recommended that they consult their physician for diagnosis. Many of the extra features it offers also send the message that Ambetter wants members to get healthier and stay healthier. Depending on your income, you may qualify for a tax credit subsidy on your monthly premium. Expatica is the international community’s online home away from home. Mine was all about catastrophic events that could happen and a lower deductible with co-pay that goes toward my deductible and my out of pocket costs were my main goal, not to go broke. Best investments I have every made on myself. They required 5 weeks of PT before authorizing an MRI, with me paying 40% out of pocket for each session (I met my out of pocket max, so MRI was 100% covered). Work smarter, not harder folks! And at the Family Birthing Center in Baton Rouge, two suites have birthing tubs, and the labor and delivery rooms are twice the size of normal hospital rooms to create the experience of home for mother and baby. This is my second year as an Ambetter customer, and I plan to renew my plan with them for 2021. Today, I received an email saying, "Thank you for your payment." I’m not paying the bill, since I’m 100% right and have it in writing on my plan page. Can I have a midwife if I want? Review Guidelines Those seeking vision coverage and dental benefits in addition to health insurance can find options through Ambetter. This rewards program promotes health and well-being among Ambetter members. I have been on the phone with customer service for hours on end with absolutely no resolution to anything. before you leave the doctors office. I have been happy with every doctor or NP I have seen, especially my NP. The following Ochsner locations offer Labor and Delivery services at their Family Birthing Center: Let us show you around. I am very pleased with them and have zero complaints. I have a very high deductible. Currently, I do not qualify for AmBetter health plans but anytime I have needed to call to verify patient benefits, check health claim status or get an authorization for services or just so I that can help redirect a patient appropriately, every customer service person I have spoken with at AmBetter has been helpful, courteous and professional. So far everything has been great. If you have a few top programs in mind, really try to do away rotations at that site and get to know the residents and attendings well. I have had no issues, also get great customer service help. If you can... find on the same plan, “ No Referrals“ for seeing any doctor you want to visit, (not always available, very few available) my didn’t offer that. © Ochsner Health  | Notice of Privacy Practices | Terms of Use | Vendor Information. After menopause, eggs are no longer produced, which means a woman can’t become pregnant naturally. 5.) 15 bus days to approve all procedures or care has left me in immense pain for over 2 months because each new procedure has to go through a 15 day process. The program works well for parents of children from 5 to 25 years of age who are exhibiting anger, underachievement, poor school … They also have a great reward system where you get money back if you have the debit card.
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