Reviews

Review Details

• Review fromDeborah H

  Date: 11/14/2024

  1 star
  Terrible insurance, the network is inaccurate which I believe is done by design. I need my gallbladder removed and the surgeon is in network but the surgical center and the ONLY local hospital is not. The only place where the surgeon performs surgery is not in network. Why have a surgeon in network if no facility is in network?

• Review fromKaren D

  Date: 10/27/2024

  1 star
  If there was a rating less than one star I would give it. I agree with everyone that says this is the worst insurance company around. They deny paying for everything, usually saying that the service was "out of network" even though I checked beforehand and Baptist Hospital IS in their network. When I had hernia surgery they said Baptist was out of network. They finally blamed Baptist and said that Baptist submitted an old hospital ID number. They still haven't paid, I guess they're trying to find something else to reject it for.
  A colonoscopy that was not routine was also rejected, I guess for the same reasons but I haven't started that battle yet. If you can, find another insurance company. Otherwise be prepared to spend long hours on the phone listening to ridiculous reasons for denials, talking to everyone under the sun and repeating your story hundreds of times. The Attorney General of KY really should investigate them, I do believe they are committing fraud on a massive scale.

• Review fromRichard A

  Date: 10/01/2024

  1 star
  They say my Dr is not in my insurance
  They refuse to pay any of my bills
  They refuse to send all Drs etc on paper to me
  First they say my Dr is on insurance next time they say no, I get different answers every time
  Refuse to pay eye Dr for my diabetes which states in their back it does and foot Dr and diabetic shoes, customer service is off shore medical part does pay for these,I have called about a bill 3 times they refuse to pay saying my Dr is not on insurance, I asked my Dr and he said he was please help me
  I was misled about the insurance, I asked several times if all my Drs were on this insurance and was told yes well they are not or I would have never switched
  This insurance tells me there's no Lake Cumberland Regional hospital in Somerset,KY
  I know there is, I lived there 20 years

• Review fromAngela M

  Date: 08/23/2024

  1 star
  Absolutely the worst insurance company there is! Will deny every medication unless it’s on the $10 &under list. And will tell you they haven’t received prior authorization from Dr but then can’t even tell you what has been denied or approved on your authorization portal!! Then tells you if you make your payment 1 day late you will not have coverage so no grace period!!! My pets have better insurance.

• Review fromScott D

  Date: 05/01/2024

  1 star
  Horrible company they use a 3rd party to handle all pre authorizations and they lie and say the didn’t receive it or received it days before surgery and even when surgeon doesn a peer review video chat with there doctor they require more information in writing when it’s given they still do nothing. My surgery was shown to be needed by 2 different surgeons yet the refused to approve no matter what was done. Ambetter care blames the pre authorization compan which they hired them so the way I see it that’s there problem too. They do not care about patients at all I have spend hours on the phone with them for noting. Do not get this ins get anthem before them at least you can get pre authorization done with anthem.

• Review fromMichael W

  Date: 02/07/2024

  1 star
  Go on their FB page will tell you all you need to know. Customers are very unhappy including me. Their service almost borders on fraud. Their customer service reps tells me things are covered then I have to pay full price. They deny almost all claims.