Jeffrey Wade
Ambetter is a health insurance company that offers affordable plans for individuals and families. It is owned by Centene Corporation, which is the largest Medicaid managed care organization in the country. Ambetter offers plans with varying levels of coverage, including Bronze, Silver, Gold, and Platinum. The rates for these plans vary by state, with New Hampshire having the cheapest rates and New York having the most expensive. Ambetter also provides prescription drug coverage, mental and behavioral health services, maternity care, and newborn care. While Ambetter has received some positive reviews for its low costs and positive interactions with staff, it has also been criticized for its poor customer service and difficulty finding in-network doctors.
| Characteristics | Values |
|---|---|
| Cost | Affordable, cheap rates |
| Customer Service | Poor, slow response times |
| Online Tools | Website and mobile app available |
| Coverage | Issues finding in-network doctors |
| Perks | Discounts on gym memberships and mental health apps |
| Plan Types | Bronze, Silver, Gold, Platinum, Select, Value, Virtual Access |
| States Covered | 15, including Arizona, Arkansas, Florida, Georgia, Illinois, Indiana, Kansas, Mississippi, Missouri, New Hampshire, Nevada, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Washington |
| Owner | Centene Corporation |
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What You'll Learn
- Ambetter offers affordable health insurance in select US states
- Ambetter is owned by Centene, a large provider of Medicaid and Medicare
- Ambetter's health plans are called Select, Value and Virtual Access
- Ambetter offers prescription drug coverage, mental and behavioural health services
- Ambetter has a high complaint ratio in some states
Ambetter offers affordable health insurance in select US states
Ambetter offers affordable health insurance plans in select US states. Ambetter's health plans are available in 29 states across the country, including Florida, Georgia, Indiana, Mississippi, Missouri, Ohio, and South Carolina, and Texas. The company provides healthcare coverage for individuals and families, with options to find a plan that suits one's needs. Depending on factors like family size and income, Ambetter may offer assistance in paying monthly premiums.
Ambetter's health plans can be tailored to specific needs, including vision and dental coverage, maternity health programs, and personalized help for managing chronic conditions like diabetes and asthma. The company also offers a mobile app, allowing users to conveniently manage their healthcare anytime, anywhere. Through the app, members can access their Online Member Account, view and share their ID card, find their current primary care provider, and search for in-network care options.
While Ambetter has received some positive reviews for its health insurance plans, there are also negative reviews highlighting issues with customer service, coverage, and the app's search functionality and security measures.
In Washington, individuals without health insurance may be eligible for low-cost or free health coverage through the Washington Apple Health program. This program, separate from Ambetter, covers medical and dental office visits, prescription drugs, eye exams, glasses, and more. It also includes the Apple Health Core Connections program, which provides coordinated healthcare services for children and youth in foster care or adoption support, as well as young adults who have aged out of the foster care system.
To find out if Ambetter is compatible with Apple Health Medicaid insurance, one would need to contact Ambetter directly or refer to Apple Health's official website or resources.
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Ambetter is owned by Centene, a large provider of Medicaid and Medicare
Ambetter Health is owned by Centene Corporation, a managed care organisation that provides healthcare services to individuals and families across the United States. Centene has been in the managed care industry for over 30 years and is a leading provider of government-sponsored healthcare services.
Centene offers a range of Medicaid and Medicare plans to its members. As one of the largest providers of Medicaid and Medicare services, Centene serves members in over 30 states. The company provides affordable, high-quality healthcare solutions to its members, with a focus on delivering care locally. Centene's health insurance plans are locally branded, and the company partners with local organisations and nonprofits to better serve the unique needs of the communities it operates in.
Ambetter Health, a subsidiary of Centene, offers health insurance plans on the Health Insurance Marketplace. Ambetter has been offering insurance plans across the United States for nearly a decade and currently serves millions of members. Their plans are designed to be affordable and comprehensive, catering to lower-income individuals and families who may not qualify for Medicaid or other government coverage. Ambetter partners with local health plans to transform the health of local communities, one person at a time.
Centene's Medicaid plans are available in over 30 states, while its Medicare plans are offered nationwide through the Wellcare brand. The company also serves individuals and families through the TRICARE program and offers Ambetter Health insurance in 29 states on the Health Insurance Marketplace. Centene's plans cover a range of services, including wellness and preventive care, mental health and substance abuse services, maternity and newborn care, and prescription drug coverage.
In summary, Ambetter Health is owned by Centene Corporation, a large and experienced provider of Medicaid and Medicare plans, serving millions of members across the United States. Centene's focus on local communities and affordable, high-quality healthcare makes it a leading choice for individuals and families in need of government-sponsored healthcare services.
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Ambetter's health plans are called Select, Value and Virtual Access
Ambetter offers affordable health insurance plans to individuals and families. Ambetter's health plans are called Select, Value, and Virtual Access. These plans are not available everywhere, but they are offered in select states and counties.
The Select plan features affordable monthly premiums and gives members access to an exclusive network of providers and hospitals that are recognised for providing quality healthcare outcomes. Select plans are available in bronze, silver, and gold metal levels. For 2025 coverage, Select plans will only be available in certain counties in Georgia.
The Value plan is a selective network of healthcare providers and hospitals that support Ambetter's lowest-premium product. Value plans are sold in parts of Florida, Nevada, and Texas.
The Virtual Access plan offers licensed virtual primary care providers (PCPs) for members aged 18 and older. All members on this plan can also access the broad HMO network of providers and hospitals for additional healthcare needs. The Virtual Access plan is available in parts of Florida, Michigan, Mississippi, North Carolina, South Carolina, and Texas.
Ambetter also offers a mobile app that allows members to manage their healthcare benefits on the go. While some users have praised the convenience and ease of use of the app, others have criticised its functionality, such as the login process and the inability to take screenshots.
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Ambetter offers prescription drug coverage, mental and behavioural health services
Ambetter is a health insurance provider that offers plans in 26 states in the US. It offers a wide range of plans and healthcare services, including prescription drug coverage, mental and behavioural health services.
Ambetter's mental health coverage is extensive, covering a host of medical and mental health needs. It offers three different tiers of plans: Essential Care (Bronze), Balanced Care (Silver), and Secure Care (Gold). Each plan covers mental health and drug and alcohol addiction treatment, but the out-of-pocket costs incurred may vary. The Bronze plan, for example, has lower monthly premiums but higher out-of-pocket costs, making it a good option for those who don't require frequent doctor visits or medications. On the other hand, the Gold plan has higher monthly premiums but covers more in case of an emergency or expensive treatment, keeping out-of-pocket expenses low.
Ambetter's mental health services include online therapy and 24/7 Telehealth access. They collaborate with doctors and pharmacists to ensure that medications for treating mental health issues are covered. This includes brand-name, generic, and mail-order prescriptions when prescribed by Ambetter mental health providers. However, not all drugs are covered, and some may require prior authorization or have age, dosage, and quantity restrictions.
In terms of substance abuse treatment, Ambetter offers coverage for drug and alcohol detox programs and rehabilitation treatment. The level of coverage provided will depend on the specific plan chosen. Ambetter also provides resources for behavioural health concerns, which can include talking to a therapist or taking medication.
While Ambetter offers prescription drug coverage, mental and behavioural health services, and other healthcare benefits, it's important to note that the specific coverage and availability may vary depending on the state and the chosen plan.
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Ambetter has a high complaint ratio in some states
Ambetter is a health insurance company that offers affordable health care coverage for individuals and families in 15 states. The company provides prescription drug coverage, mental and behavioural health services, maternity care, newborn care, and a 24/7 nurse advice line. While Ambetter has received positive reviews from some customers, it has also faced a high volume of complaints in certain states.
Ambetter's complaint ratio is notably high in some states, with complaints more than twice the industry average. The company ranks 177 out of 1199 in the insurance category, with an overall rating of 1.6 out of 5, indicating that consumers are mostly dissatisfied with their services. Common issues cited by customers include problems with claims handling, claim denials, billing errors, and poor customer service. Many customers have expressed frustration with the company's slow response times, disorganisation, and lack of effective problem-solving.
For instance, one reviewer on the Apple Health Store reported spending a significant amount of time and effort trying to resolve a simple problem with Ambetter, only to be met with confusion and a lack of proper assistance. Another reviewer shared a similar experience, mentioning endless hours on hold and a lack of knowledge or helpfulness from the customer service team. These experiences highlight the challenges that some customers have faced when attempting to resolve issues with Ambetter.
The high volume of complaints against Ambetter suggests that the company may need to improve its services and customer support to better meet the needs and expectations of its policyholders. While Ambetter offers competitive rates and a range of health plan options, the high number of complaints indicates that customers have encountered significant challenges and frustrations with various aspects of the company's services.
It is worth noting that Ambetter's services may vary across different states, and the company's performance and customer satisfaction may differ from one region to another. While some states have reported a high complaint ratio, there may be other states where Ambetter's services are better received. Overall, while Ambetter offers affordable health insurance plans, potential customers should carefully consider the company's track record and reputation for customer satisfaction before enrolling in their plans.
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Frequently asked questions
Ambetter is a health insurance company that offers affordable plans for individuals and families. It is owned by Centene Corporation, which is the largest Medicaid managed care organization in the country.
Ambetter offers prescription drug coverage, mental and behavioral health services, maternity and newborn care, and a 24/7 nurse advice line. They also provide optional vision and dental coverage.
Ambetter is known for offering cheap health insurance plans, with Bronze, Silver, and Gold plans available in most states. However, their Platinum plans are reportedly much more expensive than the national average.
Ambetter insurance is available in 15 states: Arizona, Arkansas, Florida, Georgia, Illinois, Indiana, Kansas, Mississippi, Missouri, New Hampshire, Nevada, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, and Washington.
Ambetter offers an alternative to Medicaid for those who no longer qualify. Centene, the company that owns Ambetter, is expected to be one of the largest providers of Medicaid and Medicare.
