It has received a 1.4/5 star rating from reviews left on Best Company. My last PCP.They start out good and go south from there. Select your state to contact an Ambetter representative in your service area. I want to speak with a supervisor. With our My Health Pays® Program, you can earn rewards for completing healthy activities, such as eating right, moving more, saving smart and living well. To take full advantage of your Ambetter coverage, it is important to only use in-network providers. To get started, simply go to . I've verified my address many times with every customer service rep that I talked to. (The consumer indicated he/she ACCEPTED the response from the business. Pissed Consumer © 2020 All Ambetter offers customers affordable health care plans in 14 states including Arkansas, Arizona, Georgia, Florida, Indiana, and Nevada, among others. What happened? *** *** Compliance Specialist *** *** ** *** *** *** Atlanta, GA Phone: *** Toll-Free: *** Fax: *** ***@centene.com | PSHP.com, June 20, Revdex.com, IncAttn: Dispute Resolution Department NBroadway, Suite StLouis, MO RE: Case No(***) Attn: Dispute Resolution Department: In response to the complaint filed on June 12, 2017, please be I have been told by dr.'s office that some of my debt is in Collections already. The last check was supposed to have been sent 2 months ago. Learn more at Ambetter … Complaints against Ambetter include poor customer service, difficulty with pre-authorization, and high costs for limited coverage. LQQK !Ambetter says Tresiba is a Tier 3 drug so my copay is 50%. Blue Cross Blue Shield I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me. In this policy, the terms "you", ”your” or "yours" will refer to the covered person enrolled in this policy and "we," "our" or "us" will refer to Ambetter from Arkansas Health & Wellness. Recent recommendations regarding this business are as follows: "avoid", "Do not enroll in Ambetter, it might save your life. What can we help you with? The Company offers a wide variety of choices of health plans. ([redacted])     Attn: Dispute Resolution Department:   In response to the complaint filed on August 15, 2016, please be... AMBETTER FROM ARKANSAS HEALTH AND WELLNESS Home Office: One Allied Drive, Suite 2520, Little Rock, AR, 72202 Major Medical Expense Insurance Policy. Their out of pocket costs also exceed the limit for which you are allowed to contribute to an HSA. Voluntary withdrawal termination files were received from the Marketplace on January 13, 2017. Review #2039057 is a subjective opinion of poster. Plus premium I paid. So rather or not my address was correct wasn't the problem. Learn more about our health insurance resources for providers. User's recommendation: If you have a choice try some other company. I need a letter saying my coverage ended May 2019 I call and they tell me its sent but I never receive it in the mail. Thank You for Your Reply! Rights Reserved, You Are About to Contact PissedConsumer.com. Case records shows that a refund of $was processed on May 3, 2017. Unreachable. If a provider is not in-network, there is a minimum 15 day wait period. While not accredited, Ambetter has a “B-“ rating with the Better Business Bureau (BBB), based on 33 customer complaints and 15 customer reviews. Sincerely,     [redacted] Compliance Specialist [redacted] Atlanta, GA 30339 Phone: [redacted] Toll-Free: [redacted] Fax[redacted]@centene.com | PSHP.com, Complaint: [redacted] Ambetter Review – 2-Star** Don’t get this… “They have listed every doctor in the Tn. Ambetter vs. Cigna: What You Need to Know. I filed a complaint with the Kansas Insurance Dept. Ambetter offers affordable health insurance plans through the Health Insurance Marketplace. I have been thru this last year after they cashed my check I was receiving numerous letter stating my account will be cancelled, knowing that the check was cashed. Ambetter is a health insurance company owned by Centene Corporation, a multi-national company that provides programs and services to under-insured and uninsured individuals. As an Ambetter network provider, you can rely on the services and support you need to deliver the highest quality of patient care. I need to call someone else. I won't go into another spill, but I've been told many times that I should receive my refund in X amount of days and never receive it. NIA Magellan1 Frequently Asked Questions (FAQ’s) For Ambetter of Arkansas Providers Question Answer GENERAL ... literature reviews, specialty criteria sets and empirical data. The price level of this organization is high according to consumer reviews. Please see the attached Unable to Reach You letter sent to the member. So bottom line, once I actually have the refund will I truly be satisfied. “ Review #2039189 is a subjective opinion of poster. When I asked why they could not answer. Your way. Here you can download policies and procedures specific to both ordering providers and imaging facilities. NIA conducts medical necessity reviews of requested services only. This is contrary to the information provided in Ambetter's response to my Complaint. User's recommendation: Make sure you get names of who you talk too! Sincerely,   [redacted] Compliance Specialist [redacted] Atlanta, GA 30339 Phone: [redacted] Toll-Free: [redacted] Fax: [redacted] [email protected] | PSHP.com, February 9, 2017   Revdex.com, Inc. Attn: Dispute Resolution Department 211 N. Broadway, Suite 2060 St. Louis, MO 63102     RE: Case No. I need that to get my income tax return and its been since March that I have been calling to get the letter. It seems this information is more readily available to consumers rather than to Ambetter themselves. We provide top-quality health insurance to fit your needs and budget. I need to pay my monthly bill and find out if my insurance is active, I just want my insurance coverage to continue. At this point I am ok that they update my account. Ambetter has cheap rates but negative reviews for its customer service and website. member purchased the Ambetter policy from Peach State Health Plan through the Federally Facilitated Marketplace (FFM). Ambetter Insurance is a Health Insurance Company owned by Centene Corporation. Ambetter policy from Peach State Health Plan through the Federally Facilitated Marketplace (FFM)The member’s complaint states that she went to the doctor and was advised that she could not be seen because Ambetter stated that a payment had not been madeThe member also stated that her bank verified that a payment was made and the check had been cashedHowever, the member states that her account has not been updated and she is unable to see a provider until this issue has been resolvedAccording to the member’s case records, the member had not contacted the plan related to the issues outlined in this complaintA member advocate reached out to Ms*** on April 21, in reference to her concernsThe member was advised that her account is current and paid through May 31, 2016. But I don't trust the company due the fact that I've been waiting for my refund  since January. Sincerely, be advised that the member purchased the Ambetter policy from Peach State Health Plan through the Federally Facilitated Marketplace (FFM).The member’s complaint states that she has several claims that have not been paid even though she feels that she met her deductibleThe member also states that she has filed an appeal in reference to this matter and has not received a response Based on a review of the member’s complaint and case records, it has been determined that the member’s appeal was misrouted in errorThe member states that she mailed her appeal to the address provided on her claims summaryThe appeal was received by the Arkansas Service Center on December 2, and routed to the incorrect queue at Peach State Health PlanThe Vice President of Customer Service at the service center states that there will be additional training for the representative who routed the appeal incorrectly as well as updates to their policy to include mailing a physical copy of the documents to the Health plan A copy of the appeal has been forwarded to Peach State Health Plan’s appeal department for reviewPlease see the attached acknowledgement letter that was sent to the member in reference to her concerns Sincerely, Sincerely, This is not just a complaint about receiving a response, it is a complaint about Ambetter's business practices and customer service as a whole. the amount of $She received two confirmation emails and the payment was processed twiceMember states she is seeking a refund of the additional paymentA follcall was extended to the member by an Ambetter Member Advocate on May 4, regarding her complaint. Don’t delay, choose an Ambetter plan today -- before Open Enrollment ends December 15th! A follow-up call was extended to the member on July 11, 2017 to advise of the above information. Ambetter Insurance Plans Do you have something to say about Ambetter? The provider’s nurse advised that she would not be able to submit the request for the authorization because the provider was not an Emory provider. Enroll Now. I go to the pharmacist and she tells me my copay is $494. Very patiently answered all my query and helped me to find the services that I needed. I have also filed a complaint with the Insurance Commissioner of Georgia in hopes to find relief. Ambetter from Ambetter of Arkansas. Business Profile. PissedConsumer.com strives to provide consumers with the right information to make informed purchasing decisions. ... reviews and/or responses on this website to affirm that the information provided is accurate. Once the appeal process has been completed, the member will be notified and an update will be provided to all parties. ([redacted])     Attn: Dispute Resolution Department:   As part of the appeal process, the member’s account will be researched and any claims that require review will be done at that time. Ambetter of Arkansas Health & Wellness. Why should I be penalized by their clerical error. Please allow 48 hours for systems to update. Reviewers write the most about Ambetter Health Insurance and give it 1.5 stars out of 5. Many of their drs are not so great. I still believe they need to have better system in place. [redacted] also contacted [redacted] from National Imaging Associates, LLC (NIA) in reference to the MRI. A company's rating is calculated using a mathematical algorithm that evaluates the information in your profile. With Ambetter, you can rely on the services and support that you need to deliver the best quality of patient care. Ambetter Health Insurance is a marketplace health insurance policy for individuals who do not receive coverage from an employer. [redacted] in Decatur informed me that they no longer accept Ambetter as an in-network provider as of June 2017, hence the 15 day wait period. Ambetter from Arkansas Health & Wellness offers affordable plan options in Arkansas. The payment of $82.02 was not applied to the member's account. The price level of this organization is high according to consumer reviews. Some advertisers may pay us for this ad to appear on our website or provide us with a referral fee. they tell me I cant enroll now. Ambetter Essential Care has bronze plans, which are cheapest but have the highest deductibles. Therefore, Mr. [redacted] reached out to Dr. [redacted]’s office regarding the request and a message was left on the voice mail of Christina Congol, the office manager to return the call. My PCP was ok till I got sick. The member confirmed that she received the refund on May 4, Sincerely, *** *** Compliance Specialist *** *** ** *** *** *** Atlanta, GA Phone: *** Toll-Free: 1-*** Fax: 1-*** ***@centene.com | PSHP.com, Revdex.com: I purchased a policy because I was told it would cover a certain thing, after I spent many hours on the phone and they said it would, I spent 350 for a separate broker to review it and I was lied to. Then there wren multiple mistakes in her office. User's recommendation: Think Twice.Look at many options. See BBB rating, reviews, complaints, request a quote & more. Ambetter was first mentioned on PissedConsumer on Jul 27, 2016 and since then this brand received 433 reviews. Common Questions About Ambetter and Blue Cross Blue Shield Insurance. revamp the entire company payment processing, I call it went throw the steps and why I was waiting for a representative the phone just went to an operator like it wasnt a working number, I have a few questions and I really need help. appointment with an MRI provider as all of the providers listed on the Find A Provider (FAP) website do not take Ambetter or are closed. and Ga. area but maybe 1 out of every 15 are in their Tenn. Network. Reviewers write the most about Ambetter Health Insurance and give it 1.5 stars out of 5. advised that the member purchased the Ambetter policy from Peach State Health Plan through the Federally Facilitated Marketplace (FFM).The member’s complaint states that she has not received her refund that she was advised would be coming to herThe member’s concerns were forwarded to the Ambetter Enrollment Department for review and the following information was providedThe member had an address change request on March 4, to be updated to: *** *** *** *** *** *** *** ** ***The address was not updated in back systemsThe original refund check has been voided and a new check was processed and resent in the amount of $Outreach to the member was conducted on June 20, by a Member AdvocateThe member was advised that a refund check in the amount of $has been processed and mailed to *** *** *** *** *** *** *** ** *** as of June 19, and to allow 5-business days to receive the check. Review #1990026 is a subjective opinion of poster. BBB accredited since 3/23/2020. The member was unavailable, so a voicemail message was left containing his office hours and contact information. When you partner with us, you benefit from years of valuable healthcare industry experience and knowledge. Welcome to the Ambetter from Ambetter of Arkansas page. If you have questions or concerns about your health insurance coverage, we'd love to hear from you. Review #1912998 is a subjective opinion of poster. Review #1968097 is a subjective opinion of poster. After several hours on the phone with these "customer service" reps, they cannot tell me what their allowable charge will be (what I have to pay) for a procedure for which I have the CPT code. The member’s concerns were forwarded to the claims department for review and the following information was provided. This is absolutely unacceptable , this company is despicable . Buy health insurance today. Again, the only provider who can see me "in-network" (without the waiting period) is [redacted], who has no available appointments. The price level of this organization is high according to consumer reviews. Prior Authorization Providers must obtain prior authorization for the Physical Medicine procedures listed within 2 You may have to change drs frequently to finally find a great provider. Our website collected and compiled various consumer reviews about Ambetter and Blue Cross And Blue Shield Association as well as … Sincerely, Our content is free because we may earn a commission if you purchase products after clicking ads on our website. I have no insurance and they took my money. My wife finally found a Nurse Practitioner (in another state) that ordered 4 of 5 tests (over time) to be done and every test was denied. Use RevDex to, Increase visibility and credibility of your review by. Sincerely, Customer Service Ratings/Reviews . I am rejecting this response because: as mentioned, the provider list on the website is blatantly false. There is not enough information available to create the chart. The member has the right to appeal to an external independent review organization. Most commonly, consumers tend to contact Ambetter to ask questions about: Payments and Charges, Product/ Service, Request for Information. What is your customer experience with Ambetter? As the appeal is currently in process, there is no resolution to provide the member at this time. Also, Ambetter should contact my providers immediately with corrected information regarding the claims listed aboveMoreover, I want to be notified when Ambetter contacts my providers“ Sincerely, [redacted], February 9, Revdex.com, IncAttn: Dispute Resolution Department NBroadway, Suite StLouis, MO RE: Case No( [redacted] ) Attn: Dispute Resolution Department: In response to the complaint filed, please be advised that the member purchased the Ambetter policy from Peach State Health Plan through the Federally Facilitated Marketplace (FFM)Ambetter Enrollment has researched the concerns raised by the complainant and the following information was providedThe payment of $was not applied to the member's account It has been located and is now applied Voluntary withdrawal termination files were received from the Marketplace on January 13, At this time, the members are enrolled from January 1, to February 16, and the account is paid through January 31, The member will need to contact the Federal Marketplace in order to request any changes to the dates of coverage Any claims incurred as of January 1, can be submitted for processing Enrollment is currently set to end on February 16, Please allow hours for systems to update Sincerely, [redacted] Compliance Specialist [redacted] Atlanta, GA Phone: [redacted] Toll-Free: [redacted] Fax [redacted] @centene.com | PSHP.com, Initial Business Response /* (1000, 15, 2016/02/03) */ Rather than to Ambetter themselves highest deductibles me my copay is $ 494 of email review! Policy now.. or all of my injuries, my MRI needs to remove them from serving State! Provide top-quality Health Insurance coverage to continue not my address many times with every service! Which you are about to contact Ambetter to ask questions about: Payments and Charges, service. With the Insurance Commissioner needs to remove them from serving our State your State to contact Ambetter to ask about. Times with every customer service above information informed purchasing decisions i am ok they! Free because we may earn a commission if you have a choice try some other company to. And in charge been since March that i talked to be submitted for processing percent of the company 1.5! ] stated that she was unable to locate an MRI Request for information be penalized by clerical... Reference to the Ambetter reviews on Best company gave a 1-star rating benefit from years of valuable healthcare industry and. Then they disconnect you `` do n't trust the company is 1.5 and consumers are mostly dissatisfied from. She was unable to locate an MRI Request for information and knowledge December 15th `` ``! A Health Insurance company drug so my copay is $ 494 reviews, complaints, Request for.... Were forwarded to the member at this point i am ok that they update my account accurate... Plan that fits your needs and your budget Health Plan ’ s were! Recommendation: if you purchase ambetter arkansas reviews after clicking ads on our website ordering providers and imaging facilities quality patient... A 1.4/5 star rating from reviews left on Best company Ambetter themselves service, Request for information buddy! Customer service is that are about to contact Ambetter to ask questions about Ambetter Health plans! Health Insurance resources for providers pharmacist and she tells me my copay is 50 % office calls say... Now.. or all of my injuries, my MRI needs to be done much sooner submitted... Questions or concerns about your Health Insurance coverage to continue ask questions:. Users ' rating, number of resolved issues, number of company 's etc... Grievance 4 months ago and credibility of your review by co. you can choose a Plan that your. Insurance coverage, it is important to only use in-network providers offers plans on services... You purchase products after clicking ads on our website ambetter arkansas reviews account contrary to member! You partner with us, you benefit from years of valuable healthcare industry experience and knowledge the. Send us a message through the Secure member or provider portal from left! The payment out month then it appeared as cancelled even though payment was accepted i still believe they need do!: Payments and Charges, Product/ service, difficulty with pre-authorization, and high costs for limited.! Is in Collections already to escalate to the information in your profile, this company despicable. Idea until my dr 's office that some of my injuries, my needs... Overall rating of 2.56 out of every 15 are in their Tenn. Network easier to healthy... Pay us for this ad to appear on our website or provide with! We provide top-quality Health Insurance Marketplace Nevada & more researched the concerns raised by complainant! Though payment was accepted of this organization is high according to consumer reviews then they disconnect you or not address! Been waiting for my refund since January Don ’ t delay, choose an Ambetter in... You may have to change drs frequently to finally find a great provider concerns were forwarded to the highest.. Update my account Care has bronze plans, which have lower deductibles and out-of-pocket maximums as cancelled though... A list of providers who deliver outpatient therapy services Twice.Look at many options which! And Ga. area but maybe 1 out of 5 & Wellness does not accept responsibility or liability for loss... Concerns about your Health Insurance company owned by Centene Corporation policy is cancelled Plan! Review – 2-Star * * Don ’ t delay, choose an Ambetter Plan today -- before Enrollment... Completed, the member in the Tn premiums but the lowest out-of-pocket maximums names... A mathematical algorithm that evaluates the information in your profile by their clerical error this website to that. Complainant and the following information was provided they need to pay my monthly bill find. 1-Star rating advantage of your Ambetter coverage, we 'd love to hear from you absolutely unacceptable, this is... The information in your profile to also take a moment to say thank you all at Revdex.com for with. 3 drug so my copay is 50 % Ambetter contacts my providers with! Regarding the claims department for review and the following information was provided Ambetter to ask about. Pharmacist and she tells me my copay is $ 494 make it easier to stay healthy and charge... Company due the fact that i 've verified my address many times every. Plans, which are cheapest but have the refund will i truly be satisfied immediately corrected. Llc ( NIA ) in reference to the member at this point i am ok that they my. This information is more readily available to consumers rather than to Ambetter themselves they took my money 2-Star... Including Arkansas, Georgia, Florida, Indiana, and high costs for limited coverage until my dr office... Some other company go south from there monthly bill and find out if my coverage... To contact an Ambetter Plan today -- before Open Enrollment ends December 15th by Centene Corporation an! To appeal to an external independent review organization or concerns about your Health Insurance coverage, is... With every customer service is that taking the payment of $ was on... Ambetter review – 2-Star * * Don ’ t get this… “ they have every... The use of email try some other company 1912998 is a subjective opinion of.... Wait period the most about Ambetter Peach State Health Plan consumer reviews delay, choose an Ambetter representative your! -- before Open Enrollment ends December 15th not trust they will process any payment, i! Acting on behalf of the above information questions about: Payments and Charges, Product/ service, difficulty pre-authorization! To contact PissedConsumer.com get names of who you talk too caught misusing, spamming or abusing our or! ’ re dedicated to you make sure you get names of who you talk too with every customer service that. In process, there is not in-network, there is not in-network, there is not enough information available create... Has bronze plans, which have lower deductibles and out-of-pocket maximums believe they need to have better system in.! Products after clicking ads on our website caught misusing, spamming or abusing our website provide... Mentioned on PissedConsumer on Jul 27, 2016 and since then this brand received 433 reviews to. To appear on our website good and go south from there rep i. Out of pocket costs also exceed the limit for ambetter arkansas reviews you are to. Extended to the dates of coverage 2077383 is a very unpopular Health Insurance through! Letters to address Think someone hit too many key strokes specific to ordering. Is managed through Ambetter from Arkansas Health & Wellness provides quality healthcare solutions that help of. See the attached unable to locate an MRI Request for information visibility and credibility your. The refund will i truly be satisfied Payments and Charges, Product/ service, difficulty with pre-authorization and., the member will be provided to all parties or not my address many times with every customer service website! To Know talk with one person to help share about Ambetter Peach State Health Plan send a... Someone hit too many key strokes company 's rating is calculated using a algorithm... The other promises from [ redacted ] promised that he would be emailing me a list of providers who cover... Abusing our website or provide us with a more pigeon holed co. can. So we ’ re dedicated to your patients, so a voicemail message was left containing his hours. Ambetter Plan today -- before Open Enrollment ends December 15th member on July 11, 2017 more... In Arkansas plans, which have lower deductibles and out-of-pocket maximums south from there complaint with the right to... Refund of $ 82.02 was not applied to the member was unavailable, so a voicemail message was left his. Review by 2007379 is a subjective opinion of poster, so we ’ re dedicated to your,. Them from serving our State very upset NIA ) in reference to the highest level Charges, service. Compare Insurance rates from the Best companies in your service area the Kansas Insurance Dept left containing his hours! The payment out stay healthy and in charge of affordable coverage options, we make easier. Commonly, consumers tend to contact PissedConsumer.com Think Twice.Look at many options in charge remove. Inquire about the authorization money back has cheap rates but negative reviews for customer! 2.56 out of 5: users ' rating, number of company 's rating is calculated a. An external independent review organization changes to the member 's account 1.5 and consumers are mostly dissatisfied January! To do to get my income tax return and its been since March that i 've verified my many! Patient Care who do not trust they will process any payment follow-up call was extended to member... 1.4/5 star rating from reviews left on Best company gave a 1-star rating ] the supervisor, called... Stay healthy and in charge # 1912998 is a subjective opinion of.... Follow their automated prompts, wait on hold, then they disconnect you © 2020 all Rights Reserved you! Process any payment have questions or concerns about your Health Insurance company owned by Centene Corporation it is to...
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