Instead, depending on the state you live in, health plans will be offered through an insurance company that is partnered with Ambetter. This would bring your total bill to $1,100. I’m afraid to use my insurance anymore. When I search for a pharmacy the closest one is now 50 miles away! For this reason, the Ambetter Secure Care Gold plan is best if you have high medical costs—like a drug prescription that would need to be filled monthly. For some Ambetter Balanced Care policies, the deductibles will be less than the out-of-pocket maximums. Any other expenses beyond this point would also be covered by the insurer. The sample policies shown are for Miami-Dade County in Florida, but your individual plan availability and pricing may differ as it is dependent on the state and county you live in. Instead, they offer health insurance products to regional insurance companies. For more information please see our Advertiser Disclosure. However, the company has subpar reviews and should not be considered for coverage if you want great customer service. Ambetter ranks 185 of 996 in Insurance category. I have called several times only for someone to pick up and hang up, or they pick up and say nothing while you can hear children in the background. We've had new insurance for 3 months now. Our Comments Policy  |  How to Write an Effective Comment. Instead, once the deductible and out-of-pocket maximum have been met, you will have no cost for any in-network medical services, as they will be completely covered by the insurer. He graduated from Syracuse University with a bachelors degree in Finance and Accounting and has previous experience as a licensed life insurance representative. We haven't made any claims to Ambetter. Then, as with other Ambetter health insurance plans, once you reach the out-of-pocket maximum, all medical services are covered by the insurer. This includes: Ambetter health insurance plans are offered in three categories: Ambetter Essential Care, Ambetter Balanced Care and Ambetter Secure Care. It's a scam I found Ambetter as a low cost option on the marketplace and they had really good rates for my family. However, customer reviews for Ambetter Health Insurance are below average to poor. These lower levels for deductibles allow you to quickly take advantage of coinsurance benefits. In the graph below we have compared average Ambetter Balanced Care rates from Florida against some of its competitor Silver policies. Ambetter is Centene Corporation’s option for a health insurance marketplace, so it’s intended for individuals who lack health insurance, and possibly don’t qualify for traditional plans. If you sign up under the Affordable Care Act please consider choosing another company for your needs. outpatient or ambulatory services, preventive and wellness services, maternity and newborn care, pediatric services, mental health and substance abuse services, and laboratory services, among others. And my premium is close to 250.00 a month for just myself while my income is 500.00 state unemployment as of July 31st the federal 600.00 unemployment I included as income was stopped. However, these plans have more expensive monthly premiums. To enroll in a health plan from Ambetter, you would need to apply on your state health insurance marketplace during an Obamacare open enrollment period. The policy has a deductible of $1,000 and an out-of-pocket maximum of $6,350. I have NOT had all these problems that others are speaking of. Pass this on, make sure these people get some shame with their greed. This is optional insurance that you can add onto your health policy and covers services like eye exams, prescription eyewear and teeth cleanings. I have an important Covid question related to my financial and well being that I can not get any assistance from Ambetter!!!! The site does not review or include all companies or all available products. They just took our money for nothing. The analyses and opinions on our site are our own and our editors and staff writers are instructed to maintain editorial integrity. To that end, you should know that many advertisers pay us a referral fee if you purchase products after clicking links or calling phone numbers on our website. To find out more about how we make money and our editorial process, click here. Short-term medical coverage for up to 364 days, depending on state, Telehealth included in all plans as a non-insurance benefit, Discounts on prescription drugs available, See your preferred doctors on open-network plans, Dental & vision can be included on all plans, Pivot Health rated “Excellent” by thousands on TrustPilot, Join over 100,000 people covered every month by Pivot Health. In addition, Ambetter's MyHealthPays rewards program allows you to earn reward dollars by completing health wellness goals and activities. The overall rating of the company is 1.5 and consumers are mostly dissatisfied. We know we can only be successful if we take your trust in us seriously! The overall rating of the company is 1.5 and consumers are mostly dissatisfied. 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Difference Between a Copay and Coinsurance, Inpatient vs. Outpatient Care and Coverage, Ambetter Essential Care 1 + Vision + Dental.