Ambetter Health Insurance Review & Ratings (2024)

Dive into our extensive resources to explore the various plan features, network coverage, prescription drug benefits, preventive care services, and additional perks offered by Ambetter Health Insurance. With our detailed analysis, you can make informed decisions and choose the right health insurance plan for you and your loved ones. Take control of your healthcare journey and prioritize your well-being. Trust Ambetter Health Insurance to provide reliable coverage that ensures peace of mind.

UPDATED: Dec 1, 2023

Advertiser Disclosure

It’s all about you. We want to help you make the right coverage choices.

Advertiser Disclosure: We strive to help you make confident insurance decisions. Comparison shopping should be easy. We are not affiliated with any one insurance company and cannot guarantee quotes from any single insurance company.

Our insurance industry partnerships don’t influence our content. Our opinions are our own. To compare quotes from many different insurance companies please enter your ZIP code above to use the free quote tool. The more quotes you compare, the more chances to save.

UPDATED: Dec 1, 2023Fact Checked

Natasha McLachlan

Insurance and Finance Writer

Natasha McLachlan is a writer who currently lives in Southern California. She is an alumna of California College of the Arts, where she obtained her B.A. in Writing and Literature. Her current work revolves around insurance guides and informational articles. She truly enjoys helping others learn more about everyday, practical matters through her work.

Insurance and Finance Writer

Daniel Walker

Licensed Insurance Agent

Dan Walker graduated with a BS in Administrative Management in 2005 and has been working in his family’s insurance agency, FCI Agency, for 15 years (BBB A+). He is licensed as an agent to write property and casualty insurance, including home, life, auto, umbrella, and dwelling fire insurance. He’s also been featured on sites like Reviews.com and Safeco. He reviews content, ensuring tha...

Licensed Insurance Agent

UPDATED: Dec 1, 2023

Advertiser Disclosure

It’s all about you. We want to help you make the right coverage choices.

Advertiser Disclosure: We strive to help you make confident insurance decisions. Comparison shopping should be easy. We are not affiliated with any one insurance company and cannot guarantee quotes from any single insurance company.

Our insurance industry partnerships don’t influence our content. Our opinions are our own. To compare quotes from many different insurance companies please enter your ZIP code above to use the free quote tool. The more quotes you compare, the more chances to save.

Editorial Guidelines: We are a free online resource for anyone interested in learning more about insurance. Our goal is to be an objective, third-party resource for everything insurance related. We update our site regularly, and all content is reviewed by insurance experts.

UPDATED: Dec 1, 2023

Advertiser Disclosure

It’s all about you. We want to help you make the right coverage choices.

Advertiser Disclosure: We strive to help you make confident insurance decisions. Comparison shopping should be easy. We are not affiliated with any one insurance company and cannot guarantee quotes from any single insurance company.

Our insurance industry partnerships don’t influence our content. Our opinions are our own. To compare quotes from many different insurance companies please enter your ZIP code above to use the free quote tool. The more quotes you compare, the more chances to save.

UPDATED: Dec 1, 2023

Advertiser Disclosure

It’s all about you. We want to help you make the right coverage choices.

Advertiser Disclosure: We strive to help you make confident insurance decisions. Comparison shopping should be easy. We are not affiliated with any one insurance company and cannot guarantee quotes from any single insurance company.

Our insurance industry partnerships don’t influence our content. Our opinions are our own. To compare quotes from many different insurance companies please enter your ZIP code above to use the free quote tool. The more quotes you compare, the more chances to save.

UPDATED: Dec 1, 2023Fact Checked
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Ambetter Health Insurance

Average monthly rate for healthy individuals:

N/A

A.M. Best rating:

N/A

Complaint level:

Low

Pros

  • Offers a variety of plans to fit different needs and budgets.
  • Provides cost-saving discounts for eligible customers.
  • Operates in multiple states, increasing accessibility.
  • Focuses on customer service with a dedicated support team.
  • Emphasizes digital tools and resources for better management.

Cons

  • Mixed customer reviews on claim resolutions and pre-authorizations.
  • Some reports of challenges with denied claims.
  • Limited information on A.M. Best rating.
  • Availability and coverage options may vary by state.
  • Specific details on discounts and eligibility requirements not fully outlined.

Final Verdict: Review of Ambetter Health Insurance

Ambetter Health Insurance is a great choice for cost-effective coverage. With a wide range of products and services to choose from, discounts for eligible customers, and affordable plans, Ambetter is a solid choice for those looking for health insurance.

While customer reviews are generally positive, it’s important to keep in mind that there may be some challenges with claims and pre-authorizations. Overall, Ambetter is a great option to consider when comparing health insurance quotes.

 

What You Should Know About Ambetter Health Insurance

Welcome to our comprehensive guide on Ambetter Health Insurance, a trusted resource for all your health insurance needs. Explore the various coverage options, benefits, and features offered by Ambetter Health Insurance. We’ll delve into key topics such as individual and family health insurance plans, network coverage, prescription drug benefits, preventive care services, and more. 

  • Offers coverage in multiple states
  • Offers a variety of plans to fit different needs and budgets
  • Provides cost-saving discounts for eligible customers

To find the best insurance rates and providers in your area, simply enter your zip code below and compare rates. Take control of your healthcare journey today and secure the ideal health insurance coverage that meets your needs. Don’t miss out on the opportunity to protect your health and well-being.

Ambetter Health Insurance History and Mission

Ambetter Health Insurance is a publicly traded healthcare company that provides a range of healthcare services and products to government-sponsored and commercial healthcare programs. The company was established in 2010 and operates in multiple states across the United States.

The mission of Ambetter Health Insurance is to provide access to quality healthcare at an affordable price. The company aims to empower individuals and families to take control of their health by providing them with the tools, resources, and support they need to make informed decisions about their healthcare.

Ambetter Health Insurance provides a wide range of health insurance plans and options that are designed to meet the diverse needs and budgets of its customers. They also offer various discounts and cost-saving options to eligible customers to help make coverage more affordable.

The company also has a focus on customer service, with a team of dedicated customer service representatives available to assist customers with any questions or issues they may have. They are also working to provide customers with a variety of digital tools and resources to help them manage their health insurance coverage and make informed decisions about their healthcare.

States Where Ambetter Offers Health Insurance

The company offers a range of products and services including individual and family plans, short-term plans, and Medicare plans. The cost of these services varies depending on the plan and location, but Ambetter is known for being an affordable option.

The company currently operates in Arizona, Arkansas, Florida, Georgia, Illinois, Indiana, Kansas, Kentucky, Missouri, Mississippi, New Hampshire, Nevada, North Carolina, Ohio, Oklahoma, South Carolina, Tennessee, Texas, Utah, and Wyoming.

Ambetter Health Insurance is available in multiple states across the United States. However, it’s important to note that the availability of plans and coverage options may vary depending on the state. To find out which states Ambetter Health Insurance operates in and what plans are available in those states, it’s best to visit the company’s official website or contact them directly.

They will be able to provide you with the most up-to-date and accurate information about their availability and the plans they offer in your state.

Ambetter Health Insurance Coverage Options

Ambetter Health Insurance offers a variety of health insurance options and plans to individuals and families in multiple states. The specific products and services available may vary depending on the state you live in, but generally, they offer the following:

  • Individual and family plans: These plans provide coverage for medical expenses for individuals and families. They typically include coverage for doctor visits, prescription drugs, hospital stays, and other medical services.
  • Short-term plans: These plans provide temporary coverage for individuals and families who may need a health insurance solution for a limited period of time.
  • Medicare plans: Ambetter Health Insurance also offers Medicare plans for individuals who are 65 or older, or for those with certain disabilities.
  • Additional services: Ambetter Health Insurance also provides additional services to help customers manage their healthcare, such as telehealth services, prescription drug coverage, and access to care management programs.
  • Discounts and cost-saving options: They offer various discounts and cost-saving options to eligible customers to help make coverage more affordable, such as discounts for preventative care, cost-sharing reductions, and more.

It’s recommended to visit the company’s official website or contact them directly to confirm the services and products they currently offer in your state and also to know more about the details of each product and service.

Read more: How to Find Medical Providers That Accept Medicare

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Ambetter Health Insurance Rates Breakdown

The cost of health insurance through Ambetter Health Insurance will vary depending on a number of factors, including the state you live in, the type of plan you choose, and your specific coverage needs. Some of the factors that can affect the cost of your insurance include your age, location, and whether you use tobacco products.

It can also depend on the type of plan you choose. For example, a basic plan may have a lower monthly premium, but a higher deductible and out-of-pocket maximum, whereas a more comprehensive plan, may have a higher monthly premium but lower out-of-pocket costs.

Additionally, the cost of insurance can also vary based on the level of coverage you choose, such as a Bronze, Silver, Gold, or Platinum plan.

It’s recommended to visit the company’s official website or contact them directly to get a quote for a specific plan and to know more about the cost of the insurance. They will be able to provide you with the most up-to-date and accurate information about the cost of insurance in your state and the plans they offer.

Keep in mind that there are also government-funded programs like the Advanced Premium Tax Credit that may help lower the cost of monthly premiums for individuals and families with a certain income level, also there are discounts and cost-saving options that Ambetter offers to eligible customers.

Ambetter Health Insurance Discounts Available

Ambetter Health Insurance offers various discounts and cost-saving options to eligible customers to help make coverage more affordable. These discounts may vary depending on the state you live in, but generally, the following discounts are available:

  • Preventive care discounts: Ambetter Health Insurance may offer discounts for customers who participate in preventive care services such as regular check-ups and screenings.
  • Cost-sharing reductions: Cost-sharing reductions are discounts that can lower the amount you pay for deductibles, copays, and out-of-pocket maximums.
  • Advanced premium tax credit: Advanced Premium Tax Credit is a government-funded program to help lower the cost of monthly premiums for individuals and families with a certain income level.
  • Family planning services discounts: Ambetter Health Insurance may offer discounts for family planning services such as birth control and related medical services.
  • Smoking cessation discounts: Ambetter Health Insurance may offer discounts to customers who participate in smoking cessation programs.

It’s important to note that these discounts may have certain eligibility requirements, and the availability of discounts may vary depending on the state. To find out which discounts are available in your state and the eligibility requirements, it’s best to visit the company’s official website or contact them directly.

Seamless Claims Process With Ambetter Health Insurance

Ease of Filing a Claim (Online, Over the Phone, Mobile Apps)

Ambetter Health Insurance offers multiple options for filing a claim, ensuring convenience for policyholders. You can easily file a claim online through their website, making it a hassle-free process for tech-savvy individuals. Alternatively, if you prefer traditional methods, Ambetter also provides the option to file a claim over the phone.

Moreover, for those who prefer mobile solutions, the company offers a user-friendly mobile app that simplifies the claims submission process, allowing you to manage your insurance needs on the go.

Average Claim Processing Time

Ambetter Health Insurance strives to process claims efficiently to provide timely assistance to its policyholders. While the exact processing time may vary depending on the nature of the claim and other factors, the company is committed to a prompt and fair resolution of claims. To get specific information on the average claim processing time, it’s advisable to contact Ambetter directly or refer to their official website.

Customer Feedback on Claim Resolutions and Payouts

Customer feedback is a valuable resource for evaluating an insurance provider’s performance in handling claims. Ambetter Health Insurance has received mixed customer reviews regarding their claim resolutions and payouts. Some policyholders have praised the company for its efficient claims processing and satisfactory payouts.

However, it’s important to note that there have been reports of challenges with denied claims and pre-authorizations. It’s advisable to research and compare customer feedback in your specific state to assess the company’s claim handling performance more accurately.

Unleashing Innovation With Ambetter Health Insurance Digital and Technological Features

Mobile App Features and Functionality

Ambetter Health Insurance offers a comprehensive mobile app with a range of features designed to enhance your insurance experience. The app allows you to access your policy information, view and manage claims, find healthcare providers, and even pay your premiums conveniently from your mobile device.

With user-friendly navigation and real-time updates, the mobile app empowers policyholders to stay informed and in control of their health insurance.

Online Account Management Capabilities

Managing your Ambetter Health Insurance policy online is a straightforward process. Through their website, policyholders can create and access their online accounts, where they can review coverage details, track claims, and make payments securely.

The online account management system provides a convenient platform for individuals and families to monitor their insurance policies and access important information with ease.

Digital Tools and Resources

Ambetter Health Insurance recognizes the importance of digital tools and resources in helping policyholders make informed decisions about their healthcare. They offer a variety of online resources, including educational materials, calculators, and healthcare provider directories.

These digital tools are designed to empower policyholders by providing them with the information and support needed to navigate the complexities of health insurance effectively.

How Ambetter Health Insurance Ranks Among Providers

In the highly competitive health insurance market, Ambetter faces several formidable competitors, each vying for a share of the market. Understanding these rivals is crucial for individuals seeking the best insurance options. Let’s delve into the main competitors of Ambetter Health Insurance:

  • Blue Cross Blue Shield (BCBS): As one of the largest and most recognized health insurance providers in the United States, BCBS operates independently in various states.
  • Unitedhealthcare: UnitedHealthcare is a leading health insurance provider offering a wide range of plans and services nationally.
  • Aetna: Aetna, now a subsidiary of CVS Health, is a prominent insurer with a broad range of health plans and services.
  • Cigna: Cigna is a global health service company providing insurance and related products in multiple countries.
  • Humana: Humana is a major health insurance provider with a focus on Medicare Advantage plans and a diverse array of health services.
  • Kaiser Permanente: Operating as an integrated healthcare system, Kaiser Permanente offers health insurance along with healthcare services.
  • Molina Healthcare: Molina Healthcare specializes in providing health plans for individuals and families eligible for government programs.

While Ambetter Health Insurance stands out for its affordability, diverse plans, and customer-centric approach, individuals should carefully consider the unique strengths and considerations of each competitor. The choice ultimately depends on individual preferences, healthcare needs, and budget constraints.

Thoroughly researching and comparing the offerings of Ambetter and its competitors will empower consumers to make informed decisions about their health insurance coverage.

Ambetter Health Insurance Customer Reviews

When it comes to customer reviews, Ambetter generally receives positive feedback for its affordable plans and helpful customer service. However, some customers have reported challenges with claims and pre-authorizations. Overall, Ambetter is a solid choice for those looking for cost-effective health insurance options, but it’s important to keep in mind that like any insurance company, there may be some drawbacks.

Ambetter Health Insurance has mixed customer reviews, with some customers praising the company for its affordable rates and good customer service, while others have reported issues with denied claims and poor customer service.

Positive reviews often mention the company’s competitive rates, with customers noting that they are able to find a plan that fits their budget. Some customers have also praised the company’s customer service, noting that representatives are helpful and responsive.

It’s important to note that customer reviews can be subjective and may not necessarily reflect everyone’s experience with the company. It’s recommended to research the company and compare it with other insurance providers before making a decision.

It’s also important to keep in mind that different states may have different experiences with Ambetter Health Insurance, thus, it is recommended to look for reviews from customers in your state.

Frequently Asked Questions

What is Ambetter Health Insurance?

Ambetter Health Insurance is a healthcare insurance provider that offers affordable health coverage to individuals and families in select states.

What states does Ambetter Health Insurance operate in?

Ambetter Health Insurance operates in 20 states, including Arizona, Arkansas, Florida, Georgia, Illinois, Indiana, Kansas, Michigan, Mississippi, Missouri, New Hampshire, Nevada, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Washington, and Wisconsin.

What types of health insurance plans does Ambetter offer?

Ambetter offers a variety of health insurance plans, including HMOs, PPOs, and POS plans. Each plan varies in terms of coverage and cost.

Is Ambetter Health Insurance affordable?

Ambetter Health Insurance is known for offering affordable health insurance plans. They also offer subsidies and financial assistance to those who qualify, which can further lower the cost of coverage.

How do I enroll in Ambetter Health Insurance?

You can enroll in Ambetter Health Insurance by visiting their website or contacting a licensed insurance agent. Enrollment periods vary by state, so be sure to check your state’s enrollment deadlines.

Does Ambetter Health Insurance cover pre-existing conditions?

Yes, Ambetter Health Insurance covers pre-existing conditions. However, the extent of coverage may vary depending on the specific plan.

Can I keep my current doctor with Ambetter Health Insurance?

Ambetter Health Insurance has a network of healthcare providers, and coverage may vary depending on the specific plan. It’s best to check with your doctor to see if they accept Ambetter Health Insurance.

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Natasha McLachlan

Insurance and Finance Writer

Natasha McLachlan is a writer who currently lives in Southern California. She is an alumna of California College of the Arts, where she obtained her B.A. in Writing and Literature. Her current work revolves around insurance guides and informational articles. She truly enjoys helping others learn more about everyday, practical matters through her work.

Insurance and Finance Writer

Daniel Walker

Licensed Insurance Agent

Dan Walker graduated with a BS in Administrative Management in 2005 and has been working in his family’s insurance agency, FCI Agency, for 15 years (BBB A+). He is licensed as an agent to write property and casualty insurance, including home, life, auto, umbrella, and dwelling fire insurance. He’s also been featured on sites like Reviews.com and Safeco. He reviews content, ensuring tha...

Licensed Insurance Agent

Editorial Guidelines: We are a free online resource for anyone interested in learning more about insurance. Our goal is to be an objective, third-party resource for everything insurance related. We update our site regularly, and all content is reviewed by insurance experts.

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Compare quotes from the top insurance companies and save!

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