18 May, 2019 → by ClaimboUser558880
Terrible coverage I believe this amounts to an intricate scam

1

I was able to enroll in Ambetter in Feb. 2019 after I was taken off Medicaid for having too much income. I choose Ambetter because the prescription coverage sounded good and I was able to afford my monthly premium. The first thing I was told was my doc of 12 years didnt take the insurance and I would have to find a new primary care provider. In April 2019 I found a PCP near my home that took this insurance but the Doc would not be able to see me for 60 days. The good news was her nurse practitioner could see me the next week so I agreed. I seen the nurse practioner and since I was a new patient she ordered up some blood work for me which could be done in the new lab right at the office. I even double checked to make sure the lab was covered under Ambetter. Well I waited about three weeks to get the blood work done. Then I was back at the nurse for a spot on my face and she refers me to a dermatologist. Turns out no dermatologist they knew took Ambetter. Then I get a notice from Ambetter that the nurse practioner is not in the network and she wants paid 600 bucks for two visits. Oh, and I was talking to the fine folks at Ambetter and those tests the nurse ordered, if I would had them done I would have eaten that bill too. Right now I am just hoping to make it till open enrollment without anything happening to me. If I end up in a hospital with this insurance I know I am going to get screwed out of my mind.
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