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Ameri"Health" refuses to credential PA's, even though PA's are highly qualified medical providers with extensive training. By doing so, they are depriving consumers of the stellar healthcare services that they deserve. Meanwhile, Ameri"Health" credentials NP's, in spite of NP's vastly inferior training.
AmeriHealth New Jersey is by far the WORST health plan company I have ever had. Given that I live in CA, I have access to the MultiPlan and PCHS network of doctors and almost 90% of the time, they deny payment saying the doctors I've found on the MultiPlan site are out of network. Each time, I (or the billing departments) have to spend HOURS with mostly rude people in their customer service department to get their error corrected. They have even denied an emergency hospital visit saying that the emergency hospital I went to was "out of network" and that in advance I should verify if the emergency doctor that would be treating me is in the network. WHO DOES OR KNOWS THIS IN AN EMERGENCY? They eventually relented -- seeing their error -- but only after almost a year of fussing with them.
Most recently (I'm still dealing with this) they denied a telehealth visit, first claiming that I can only use AMNJ's own telehealth service (I had to prove to them that any telehealth visit of a doctor in network is in my plan); then they changed the story saying the doctor was not in network, then it was the billing code. I just called again asking (as if for the first time) if this doctor is in network and the gal confirmed that they are in network, assuming they billed using the same NPI number (they did), assuming they are using the same address (they are) and assuming they are still participating in MultiPlan and PHCS (they are). Truly crazy making. I encourage anyone thinking of joining AMNJ to look elsewhere!
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This review has one star and believe me it only got that because you had to put a star down I would have given it -5. I changed insurances to Amerihealth because of the dental it was never explained to me very well I was pulling my own teeth at the time. I went to the eye doctors and believe me if you have vision troubles your crap out of luck. You can't find anyone that will get you frames you have to pay for your own frames because no provider will take their insurance. I was told I need
Cataract surgery. I went in had my right eye done. 2 days before my left eye was supposed to be done. I was denied. I am now waiting on an appeal I'm walking around with one lens in and one lens out I have massive headaches my depth perception is almost nil and I can't drive my car because I can't see all that well. So if you're ever told you need cataract surgery or eye surgery at any time get it in writing that you are getting both eyes done. If not you'll be walking around the same way I am. I'm getting to the point where I can't stand the headaches anymore and it's only been 7 days. Imagine I've still got to go through 30 days to wait for a decision on the appeal. I changed because of the dental and I found out yesterday that all the dental does is a yearly cleaning and every two years x-rays it's worthless.
I called regarding my insurance, had the pleasure of speaking with Ms. **, she helped me through the process and ensured I understood everything. She also explained which of my options was the most convenient for me, and was very patient.
I registered for health insurance on their website, directly, on January 17, 2022 for insurance to start February 1st. The website immediately charged the credit card and I received an email saying someone will contact me. Since no one contacted me for two weeks, I called the membership department to ask if I am enrolled. They gave me a membership number and said further communication will follow. With the membership number in hand, I registered for the website wanting to request a card, which I did. The card did not arrive and no one contacted me, instead now, in March, the website says that my first month payment did not arrive, hence I am not enrolled with Amerihealth. My bank states that the payment was made. I am currently trying to request a refund from the bank.
Had this insurance for 5 years, always very helpful, pays claims on time, no hassles with pre-authorizations. They do not play games like other carriers, very polite. They do not give Doctors a hard time.
I am in need of a PCP. The one I had I can’t go to their office. They don’t take this insurance. And I need a obgyn. I went on the Amerihealth website for a list of providers and every number I called they do not take Amerihealth. I called amerihealth and asked how often the site is updated and he said daily. It’s so unreliable. I have been told I need to travel out of my town with many doctor's offices but they dropped them or aren’t the 2 I found are booked out into the new year or not taking new patients. I am in desperate need of a OBGYN. I’m pregnant and can’t even get a doctor. This is disgusting. My 3rd pregnancy, my first time in a new state and the worst experience I’ve ever encountered. No one can even help me. I’m going to cancel this insurance and Request a reliable company.
When you sign up Amerihealth insurance as a couple, only one is allowed to be primary and only primary can cancel. For sending forms and letters they ask for email and you have to respond back by mail. No ethics. Very poor customer service.
My primary did a referral for the same doctor that does not accept this insurance. I have bad allergies and can't find a doctor close to where I live. Camp Hill and further miles away. This insurance is horrible. The worst I ever had. I definitely would not recommend this company at all. It's hard to get any results when you search online.
Worst insurance ever. If your kid has special needs this company doesn't care. Completely ruined my kid's summer. I hope the person that denied it loses their job soon. My son has autism, ADHD, pica and they are trying to say he doesn't need a nurse. AmeriHealth doesn't care about kids with disabilities.
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