AmeriHealth Reviews

I used them once. The premiums on the lowest tier are over 100 times larger than costs without insurance. When they make a billing error they have their own codes different from any other insurer. For items that are covered they charged me for non existent codes and services I did not recieve. There is no one in Amerihealth to escalate to when they provide false codes. They do not comply with requests to the BBB and the customer support barely speaks any English. When talking to them they make claims about their process that are entirely false. I supposed they are just taking the patients money from both excessively high premiums, no support, no customer service and lies to increase the costs higher. This is just talking about one yearly health exam and not even an actual doctor visit.

I wouldn't recommend them.

I rarely take the time to write online reviews, but I highly suggest to AVOID this health insurance company if at all possible. I'm 49, and it's the worst coverage / customer support I've ever had. And now I'm stuck with it until open enrollment. Be warned, look elsewhere.

Had to put one star cuz I couldn't put zero. They deny medications, then lie to your face, saying you're going to fix the issue. Not the most reliable insurance company. I recommend going somewhere else besides here, one that can actually help you seriously. Do not recommend this place.

Worse plan in Louisiana the insurance. To cover your medication is a pain and most dentist won't take it. I should've stay with Humana. They did cover medication and most dentist take them. The best is Louisiana health connection but they do not cover dental plan for adults. That's why I switch.

I lost my Healthcare because a convicted rapist felon pedo stopped all benefits because he's a scumbag that has envy for Obama. Amerihealth keeps sending me bills after I notified them I can't afford insurance without help. I called each time I get a bill and the representatives tell me I can pay but won't have insurance. NEW JERSEY WHY ARE THEY SCREWING PEOPLE. EXTORTING MONEY ON FALSE PRESENTATION?????

Terrible. As long as you don't use your insurance it great. If you use your insurance. The next year they will make it so you can't afford it. Now I'm stuck with them until open enrollment.

THE WORST INSURANCE COMPANY I HAVE EVER DEALT WITH!!!! This insurance company is GARBAGE! We are waiting for approval on therapies for my daughter and THEY WASTED 9 MONTHS OF HER PRIME TIME approving the service with an IN NETWORK provider!!! Shame on them.

It made me give a star. They wrote a policy without my knowledge. Charged me without my knowledge (I mean, posted a bill, they didn't have my bank info). I did write a policy for 4/1/26. I have PROOF through Healthcare.gov when my policy was to start. I paid the premium for the month it was supposed to start. THEN they went back and wrote a 1-month policy for the month before and NEVER informed me. I didn't need coverage for that month; I was already covered elsewhere. This is corporate theft and completely unethical.

Their waiver services is beyond subpar. I have had 3 different coordinators in 5 months. Transportation under MTM doesn't work properly after all the approved authorizations. I can't get rides to doctor's appointments set. I am supposed to have a PERS Unit. Had one that malfunctioned and was never replaced or picked up to be replaced since Nov. Switched companies under Amerihealth and that one never came but sent armed police to my house because the installer had it and some how it dispatched police to my location. A place the button never arrived to.

BUYER BEWARE! We made the mistake of purchasing an individual health insurance policy through AmeriHealth Caritas Next (Louisiana). Every time that we go to an in network provider, there is always an issue attempting to verify coverage. Additionally, when you go to the insurer's website to look up in network providers and contact them to make an appointment, they are either unfamiliar with AmeriHealth, or more commonly, the doctor's office cannot verify that they are in network. It is extremely frustrating for my wife and me to pay for individual health insurance that cannot be used with providers that the company's website indicates that are in network providers.

Wow. I saw the bad reviews but ignored them. Don't let that be you. I have paid my first month's premium twice now. Once online when I signed up which never went through for no reason. And second time I called, spoke with a representative with an accent I couldn't understand, and he assured me if I gave him my account and routing # it would be processed and I would soon receive a receipt. Month later, no receipt, and portal says my payment is past due. I signed up in NOVEMBER and it is now January and I have no ID card. The representatives are clueless and sneaky. The company should immediately be shut down and I'm not sure how it's still up and running...unless it is a total scam.

My agent, Cynthia **, helped me purchase my health insurance. She is extremely patient and professional, and very helpful throughout the entire process. Without her, I wouldn’t have been able to get my insurance at all. She provides the best customer service I’ve ever experienced. Thank you so much, Cynthia!

I've never had any interest in this company. I've researched it again & again & found only negative reviews. They call me 8-10 times a day. They don't let you talk. They're rude and don't take No, I'm not interested for an answer. They call from multiple numbers. I've tried blocking them. I wouldn't pick this company if it were the last one on the planet.

I spoke with Krystal ** this morning to renew my health coverage for my family and she is the best at what she does. She took time, was really patient with me and really helped me out with picking a health plan today. Thank you so much to Krystal **. I really appreciate you. Again thank you so much for all your help Krystal **.

I spoke with Cinthia ** this morning and see was the best. She took time and really helped me out with picking a health plan today. Thank you so much to Cinthia **. She went over everything with me and I really appreciate it. Again thank you so much for all your help Cinthia.

I genuinely don’t understand how AmeriHealth NJ is still in business. In my experience, they take your premiums, smile, and then make sure they don’t pay a single dime when you actually need coverage. They denied preventive visits, denied routine labs, and even refused to cover basic preventive tests like a CMP or a blood cell count — tests that every other ACA plan I’ve ever had covered without any problem. Somehow AmeriHealth decided all of that was “my responsibility.” It felt like a joke… except it wasn’t funny when the bills arrived. And the pricing? Absolutely insane. When I went to the pharmacy for an RX medication, the price with AmeriHealth was $150. Out of curiosity, I asked, “How much is it without insurance?” The cashier looked it up and said: $37. Let that sink in. With AmeriHealth Premiums more than a 1000$ monthly I'm getting $150 price tag. Without AmeriHealth: $37. Tell me how that makes any sense.

Hi AmeriHealth Team, Rachel ** helped me understand my rising Silver health plan cost. She broke down what the pricing changes entail and how I can change the plan to better fit my needs. She was very thorough in explaining. She is now the representative to my account. This was very helpful with all the changes coming in 2026. Also she talked me through how to report income changes once employed and starting new insurance. Thank you.

Unfortunately, this was a tough medical year for me with unexpected illnesses. I have never written a review for an insurance company, but truly, my ability to receive all of my needed care is shocking and appreciated. AmeriHealth Caritas Next's coverage and rates far exceeded anything I could have asked for. If there was an item that they denied, they allowed the submission of additional explanations to reconsider the decision.

Might as well just burn your money rather than paying for this insurance. They NEVER pay the doctors. I receive EOB after EOB with BS codes and no payment made. It's a constant frustration to have be the go between my doctor and AmeriHealth. For instance, birth control is covered 100% under the ACA. Even spoke to Amerihealth rep before getting it and assured 100% covered. (Phone call recorded! Make sure you do that!) We have a $2500 bill for an IUD that was 6 months ago that they STILL have not paid. Now the doc is looking for their money from us! It's a constant battle. They take your premiums and never want to pay. WORST company ever.

Worst insurance I have ever had. No other choice as this is the insurance my employer provided. Takes your money each week and provide zero coverage. Even when they do, you have to fight them to acknowledge that the doctor or service provided is in network and covered by them. They deny deny deny, and you have to fight every time to get something covered, which is a total waste of time when it should be much easier. Avoid them like the plague.

I have never seen such in-your-face fraud. I have the Medicare plan and they flat out refuse to pay basic care that is in the contract. They won't pay my PCP for the yearly wellness exam. Won't pay the Dexa scan. The CEO needs to be led out in a pair of handcuffs.

I regret that I cannot rate them less than 1 star. This is by far the worst company I have ever dealt with. They provide no notice to customers. They fail to process claims timely and correctly. They essentially take your money and run.

Terrible mistake to enroll with this insurance. Initially, I thought it was an excellent coverage as I kept going to doctors and got no bills, thinking I was all set. Only after I enrolled with a different insurance after the open enrollment, did they decide to cover the claims, and cover is very loosely said. They barely covered anything, and in the start of the year when I was no longer with them, I got tons of bills from last year, asking me to pay thousands. I am enrolled in a ton of payment plans now, and sunk into such a debt I've never been in before.

From day one Amerihealth is the WORSE I've ever dealt with, 1 month and I still don't have my ID cards, they're charging me for a month that I paid for, and then after getting a Manager to help he realized their error, and yet I must wait again for 7 to 10 business days for my ID. They don't own up to their mistakes and everyone is to blame but them. Horrible. Absolutely horrible.

I started their behavior health service after being told that my therapist would be covered as in network, 100% coverage. This was a big deal for me and I was really happy to find someone I liked who was in network. After 2 months I received a check in the mail for the entire amount I had paid until that point and I was thrilled. Then 2 more months passed and I received nothing. I called many times and was told I was covered and not to worry. Another month passed, no check. I called again, then I was told that none of the claims would be covered because she was out of network. So now, I owed my provider MONTHS of back payments.

Worst company ever. Their system is designed to be impossible to navigate and to actually talk to a human. They don't pay doctors - they deny claims that they previously authorized. Preventative procedures that are preauthorized as 100% covered are never fully paid for. They hang up on you when you call customer service. I hate this company. They are in bed with the state, who requires you to buy their horrible product.

I am having a terrible time dealing with this company and I am now stuck with it for the rest of the year. I have been calling the providers listed as Tier 1 in AmeriHealth network, only to learn from their offices that they are in fact Tier 2. I called more than 5 different providers and then called AmeriHealth. The agents tell me that see the same information on the portal as I do. Hence they cannot confirm who is actually a Tier 1 provider. Such a nightmare to find care in times of need!

I am currently on a Amerihealth Medicare Advantage plan it's called amerihealth core and says it covers Comprehensive Dental. I found the dentist that takes this insurance I went there checked to see if they would cover my procedure which was a dental crown. The dentist gave me a piece of paper which showed my 20% of the payment and what the insurance company would pay. I was able to have the crown procedure started the same day after waiting for my permanent crown. During that time I received the letter from the insurance company denying the claim saying that the procedure wasn't necessary and that the dentist had options to use less expensive Crown material and I may be responsible for all or part of the procedure with an outstanding balance.

I have to pay for my own health insurance because I do not have any though my work. I chose Amerihealth because it was cheap. I fully understand you get what you pay for, but you should get better than this.

Just enrolled in Amerihealth through healthcare.gov, huge mistake. Everything - from simple registration on their site to picking a doctor, to contacting them - is downright terrible. I tried to change my PCP several times and I keep getting an error. Registering for their member portal sucks, it keeps timing out and giving errors. It was a miracle I finally completed it but using it is even worse. There are CONSTANT error messages. Once you finally get into the site you will find it is NOT user friendly and actually finding doctors is very difficult. I hate to see what happens when I make it to the doctor. What a nightmare this has been. The other low cost option was Oscar, do yourself a favor and pick them over this Amerihealth disaster.

I was assigned a pcp with a health grade of 1.7. This company Amerihealth has a 1.9 rating. We get the bottom of the barrel Dr group to pick from. Have called them twice and Amerihealth has stated more than once that I am not in their system. I was later told that was incorrect info. Well my psychiatrist had to send over preauth for a treatment I’ve been undergoing for well over a year. My Dr was told there was no such member number. (wrong again) Today I called because out of their directory- all providers say new patients yes. Medicaid no. This is a Medicaid health plan. Why send me a book that means nothing? I’m to sit and call 24 pages of providers so they can tell me Amerihealth book is wrong? I emailed the CEO, Mark Grippi (email found online) and I recommend you all do as well. In summary- I’d rather go to a veterinarian. This place ABSOLUTELY SUCKS.

AmeriHealth has been the worst company to deal with to get medications filled. I have been waiting 3 almost 4 months to get a tier 1 generic medication refilled. My medication helps me perform my job more efficiently and live my life more productively and happily on the day-to-day. Not WORTH the lower premium.

I’m in the long term care program. They don’t care for you and make you do everything on your own. What’s the point of having a care coordinator? Since I came to the diamond plus side it’s been. Nightmare denials after denial.

I chose this plan specifically because they have my specialty drugs listed in their formulary. But they deny every drug - repeatedly. I've been on one drug for almost a year with my other insurance, but had to switch to get this plan and now they deny everything. They leave you a voicemail with a callback number that does not work. Their insurance card arrived with a sticker on the back to validate it - with a number that is out of service. And now, after fighting almost 2 months to get coverage, my medicine is again denied. My shot is due tomorrow and yet there's no end in sight. My condition is going to revert quickly and they don't care, not at all. What a terrible company that they do this to people. In addition, one of my doctors was listed as a participating doctor, but he's not. And to think I chose a higher costing plan because I needed to be sure I could continue my care. Horrible company.

It’s very difficult to speak a human. Their records are never up to date. They feed false information about benefits such as who’s in their networks. They delay and they deny reimbursements, hoping the clients will just give up. To me that’s just really well organized thieving: the customers don’t get what they pay for.

Worst decision I've made was switching to Amerihealth Caritas NEXT and now I'm stuck until open enrollment next year. The list of doctors they provide that accept them is falsified. It's true that some do accept amerihealth caritas, but no one accepts amerihealth caritas NEXT. I checked over 36 gastroenterologist from their provided list, the entire state of Delaware and not one of them actually accept my insurance. So they told me they would "look into it" and get back to me. That was a week ago.

They make filing a reimbursement as hard and confusing as possible. One member services person said they don't do reimbursements. After filing one online (difficult to find how to do that) and then talking to someone on the phone, they said they didn't have enough information. And that *if* my reimbursement was approved, it would take 7 months for me to receive a check.

It's the worst health insurance ever. The customer service agents generally don't know what they are doing and are often rude and cold. If your employer offers this health insurance, you should seriously consider declining this job. I spend hours every week just to get general claims sorted out by calling them again and again with the same kind of questions. Because each customer service agent gives different answers, it makes the whole process extremely difficult. I want to give 0 stars if I could.

My first near deadly encounter with AmeriHealth was when paying for it and being denied life-saving medication that would cure me. One person said it was too expensive. Of course, people around the world buy the drug for pennies on the dollar. The written denial said it was because I didn't have Stage 4 cancer or need an organ transplant. My second denial is for ongoing services after a TBI (traumatic brain injury) in 2012. They've decided that I no longer need a health aid as I approach 70 under the state Brain Waiver Program that I'm in. The caller -- nothing in writing -- would not give her name and did not have a reason. After dozens of calls to file an appeal, no one knew anything about it. Eventually, the reason given on the phone was that I could drive (.02 miles or approximately 1,000 feet to PT) and had a microwave (which I do not).