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Business Profile

Health Insurance

Ambetter from Fidelis Care

Headquarters

Reviews

This profile includes reviews for Ambetter from Fidelis Care's headquarters and its corporate-owned locations. To view all corporate locations, see

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Ambetter from Fidelis Care has 3 locations, listed below.

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    Customer Review Ratings

    1.27/5 stars

    Average of 23 Customer Reviews

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    Review Details

    • Review fromEzriel K

      Date: 06/17/2025

      1 star
      Fidelis Care is betraying their years long clients by ******* to work with over 90 years long providers in *************** this is and will continue to create a medical & mental health disaster in this County STOP NOW
    • Review fromAlison G

      Date: 10/25/2024

      1 star
      0 stars. I have been to h*** and back twice over with this company. Their policies about prior authorizations and "suggested step therapy" for medications are completely unreasonable. I have now paid over $2000 out of pocket for my medications because they are playing games. A medication I have been on for years has worked perfectly fine for me, they do not want to cover it because "they have no record of me on it" and suggested I try "this other medication in the same drug class." Because it's MARGINALLY CHEAPER! It's been 4 months of back and forth, I finally submitted, showed up to the pharmacy to pick up my prescription, and was told that the insurance wouldn't cover it because "it was name brand" and "they wanted me to try 5mg" instead of the 25mg that my doctor prescribed - AT THEIR SUGGESTION. And, to top it all off, when I called to speak to someone about this, the agent dared to say to me, and I quote If you dont like your coverage, you can just go and get different coverage." I am lucky that I was able to afford to pay for this medication out of pocket, but not everyone has such luck. They should be ashamed. At this point, I have no idea why I've paid any premiums to this company whatsoever if all they have done is cause me this headache. Take the agent's advice - go find different coverage!!!!

      Ambetter from Fidelis Care

      Date: 11/05/2024

      Fidelis is in receipt of your letter dated October 26, 2024 regarding a complaint filed by consumer ****** ******. Due to federal and state privacy and confidentiality regulations, we are unable to disclose any protected health information, including, but not limited to eligibility, claims, and billing information. Fidelis appreciates that the Better Business Bureau has brought this matter to the attention of the Plan however, the Plan will address the concerns directly with the complainant.
    • Review fromVani K

      Date: 06/11/2024

      1 star
      This is the scam insurance company. I have spent HOURS on the phone just to get access to my member portal. Every time I click ANYTHING on my member portal I get this page that says:DATA IS MISSING OR INVALID PLEASE CONTACT YOUR FIDELIS SYSTEM ADMINISTRATOR I do then after an hour on the phone they make a "ticket" and "case number" with their IT s***** team to fix within "7 business days" where someone will call me and all should be fine. I have done this Groundhog Day process at least 8 times. NOTHING ever changes. They are the biggest con game in health insurance. I cannot wait to be done with them. They are the WORST health insurance company I have ever had to deal with.

      Ambetter from Fidelis Care

      Date: 06/21/2024

      Fidelis is in receipt of your letter dated June 12, 2024 regarding a complaint filed by consumer ***********************. Due to federal and state privacy and confidentiality regulations, we are unable to disclose any protected health information, including, but not limited to eligibility, claims, and billing information. Fidelis appreciates that the Better Business Bureau has brought this matter to the attention of the Plan however, the Plan will address the concerns directly with the complainant.
    • Review fromJessica S

      Date: 05/08/2024

      1 star
      Awful customer service, they send you around in circles with robo menus and then hang up on you. Last time I called there were ads for satellite TV and a message telling me to leave a voicemail and they would get back to me.They deny claims for necessary tests and procedures to include routine labwork and pain management.I am a disabled veteran who sought a second opinion outside of the VA, and I am now hundreds of dollars in debt due to denied payment for labs. I cannot reach a representative to request a copy of the basis for the denial.Avoid this company unless you enjoy paying all your own medical bills.

      Ambetter from Fidelis Care

      Date: 05/17/2024

      Fidelis is in receipt of your letter dated May 9, 2024 regarding a complaint filed by consumer *******************************. Due to federal and state privacy and confidentiality regulations, we are unable to disclose any protected health information, including, but not limited to eligibility, claims, and billing information. Fidelis appreciates that the Better Business Bureau has brought this matter to the attention of the Plan however, the Plan has addressed the concerns directly with the complainant.
    • Review fromMartina S

      Date: 04/24/2024

      1 star
      Absolutely the worst insurance company I have ever had! You pay high premiums and they dont cover you like they should. My orthopedic wants me to have an MRI and Fidelis Care has denied it every time for the past 7+ years. What the h*** does an insurance company know about the pain Im having in my back! Do not sign up with Fidelis Care. In my opinion they are worthless!!!! Worst customer service as well.

      Ambetter from Fidelis Care

      Date: 05/03/2024

      May 3, 2024 Better Business Bureau ************************************************* Review ID: ****** To Whom It May Concern:Fidelis is in receipt of your letter dated April 24, 2024 regarding a complaint filed by consumer *********************************. Due to federal and state privacy and confidentiality regulations, we are unable to disclose any protected health information, including, but not limited to eligibility, claims, and billing information. Fidelis appreciates that the Better Business Bureau has brought this matter to the attention of the Plan however, the Plan will address the concerns directly with the complainant.
    • Review fromJohn A

      Date: 04/17/2024

      1 star
      Worthless No good makes you pay outrageous prices and then dont like to cover medicine.

      Ambetter from Fidelis Care

      Date: 04/26/2024

      To Whom It May Concern:Fidelis is in receipt of your letter dated April 17, 2024 regarding a complaint filed by consumer *********************. Due to federal and state privacy and confidentiality regulations, we are unable to disclose any protected health information, including, but not limited to eligibility, claims, and billing information. Fidelis appreciates that the Better Business Bureau has brought this matter to the attention of the Plan however, the Plan will address the concerns directly with the complainant.
    • Review fromcourtney p

      Date: 03/20/2024

      1 star
      I am tired of dealing with a company that can't get their sh*t together. I have been denied consistently over two years. taking months to resolve normal primary care visits, and dental cleanings. Back in December I signed up for a better coverage for the coming year I find out months later I dont have coverage. it seems like the company has no follow through. I can't begin to tell you the frustration and the amount of time spent on calls and emails... there's no resolution im out money and time. Im writing my state representatives. large company with tons of funding and power. they dont care. their going to answer in the most robotic way...Review ID:...........To Whom It May Concern:Fidelis is in receipt of your letter dated insert date. **** regarding a complaint filed by consumer *******************. Due to federal and state privacy and confidentiality regulations, we are unable to disclose any protected health information, including, but not limited to eligibility, claims, and billing information. Fidelis appreciates that the Better Business Bureau has brought this matter to the attention of the Plan however, the Plan will address the concerns directly with the complainant.

      Ambetter from Fidelis Care

      Date: 10/18/2024

      Fidelis is in receipt of your letter dated October 8, 2024 regarding a complaint filed by consumer Courtney Parlman. Due to federal and state privacy and confidentiality regulations, we are unable to disclose any protected health information, including, but not limited to eligibility, claims, and billing information. Fidelis appreciates that the Better Business Bureau has brought this matter to the attention of the Plan however, the Plan will address the concerns directly with the complainant.
    • Review fromCatherine C

      Date: 03/18/2024

      1 star
      The website is not kept up to date and customer service is nonexistent

      Ambetter from Fidelis Care

      Date: 03/28/2024

      Fidelis is in receipt of your letter dated March 19, 2024 regarding a complaint filed by consumer *****************************. Due to federal and state privacy and confidentiality regulations, we are unable to disclose any protected health information, including, but not limited to eligibility, claims, and billing information. Fidelis appreciates that the Better Business Bureau has brought this matter to the attention of the Plan however, the Plan will address the concerns directly with the complainant.
    • Review fromDaisy B

      Date: 03/13/2024

      1 star
      Ive had this insurance for years and lets be totally honest , its one of the worst ones for ****************. Considering its one of 2 only available (preferred I should say) in the county I live in (and surrounding) its got me by the so called balls! I dont get notice they switch it automatically and if I need explanation to it its referred back to people who dont talk English properly, or repeat word for word what the general speech for all on cards in front of them. Or they say going to do this service or that and get none promised! Also rude too boot of ask for a supervisor which doesnt speak English well either, its ridiculous. Another lovely thing is services are cut back. Yet people can get stupid stuff while others are denied services of necessity. Then if they deny the request for a needed thing (medicine, operation or procedure, etc) the so called people that deny it dont even have the medical knowledge of said request and dont even think its a good thing so nope!What the heck! Example: need of nerve blocks in back (so as not to take medicine) did the 2 pre tests required by fidelis. Got denied service by a pediatrician, no pain management specialist or training at all. Doesnt have a clue what it was intended for for patients! Really, I personally do not recommend these insurance company at all, no branch of it!

      Ambetter from Fidelis Care

      Date: 03/25/2024

      Fidelis is in receipt of your letter dated March 14, 2024 regarding a complaint filed by consumer Daisy *** Due to federal and state privacy and confidentiality regulations, we are unable to disclose any protected health information, including, but not limited to eligibility, claims, and billing information. Fidelis appreciates that the Better Business Bureau has brought this matter to the attention of the Plan however, the Plan will address the concerns directly with the complainant.
    • Review fromBetty H

      Date: 01/16/2024

      1 star
      Just switched to this insurance 2 weeks ago and i regret it. Terrible customer service. They are rude and dont like to help. Their famous line is "go on portal and do it" that would be great if the portal actually worked. Then when you tell them it doesnt work they become even more rudw and condensending as if you are dumb and dont know what you are doing. Will definitely be shopping around for new insurance again.

      Ambetter from Fidelis Care

      Date: 01/26/2024

      January 26, **** Better Business Bureau *************************************************************************** Review ID: ****** To Whom It May Concern:Fidelis is in receipt of your letter dated January 16, **** regarding a complaint filed by consumer *******************. Due to federal and state privacy and confidentiality regulations, we are unable to disclose any protected health information, including, but not limited to eligibility, claims, and billing information. Fidelis appreciates that the Better Business Bureau has brought this matter to the attention of the Plan however, the Plan will address the concerns directly with the complainant.

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