Amerihealth

I was hospitalized with a fractured vertebrae on Memorial Day weekend. The Orthopedic Group that saw me in the hospital doesn't take my insurance local value network. I went home in a back brace and thank god my daughter was here to help me find another orthopedic. She was on the phone with the 3rd party provider accolade for over an hour and on a another line calling the doctors they were saying accepted this plan. Most of them did not. Since then I have been referred by my Primary Care Physician to an Ear Nose and Throat Doctor who take some AmeriHealth plans but not mine.

Unfortunately, I chose AmeriHealth for 2018 because the monthly premium was $100 less per month than Horizon BC/BS. What a mistake. I have never had such a bad experience with any company in my life and as this is regarding my healthcare, it is important. A few examples: On hold yesterday for 45 minutes and never got anyone to pick up, had a question on coverage, they outsource Customer Service, despite having autopay from my bank, I've received letters that I'm not covered for non-payment.

Just to pay your bill you have to go through an outside vendor. It's been 4 days waiting for them to process my payment. I'm not sure if I have insurance or not, but I'm not going to wait 2 hours on the phone to talk to a moron. They raise rates every year and the coverage sucks.

This is my second year of having Amerihealth, and it is even worse than the first year. If you EVER have to call them for anything, make sure you set aside, I am not joking about 3 hours, because you will be on hold (With blasting circus music) for at least an hour and a half, and then you will be transferred around (probably hung up on accidentally) for the other hour and a half. The first year we had them, my wife went to the doctor twice, I didn't at all, the next year they raised our premiums by $100 and it still costs me $80 to go to the doctor. I called them to see if my plan covered vision (for close to $700/month for two healthy adults it should) and they kept sending me to a different department which hung up on me twice and I gave up and paid $300 for my glasses. Can't tell you to avoid them enough.

I've had this insurance for roughly 3 years now and I would give just about anything to switch to another company. I'm covered by them due to the Medicaid expansion under the ACA, which at first seemed like a blessing, but this company is a literal circus. When I went to fill my prescription on Tuesday, I'm told that my prior authorization had run out so they were denying me until it went through (which almost always takes a week or more). They're currently breaking Pennsylvania law regarding prior authorization that the governor just recently implemented for Medicaid recipients. As of the signing of that law, insurance companies who are part of Medicaid cannot deny someone their medication as part of medication assisted recovery due to a prior authorization. AKA prior auths are now illegal for MAT.

When dealing with the always impossible to talk with Accolade, eventually when you get through ask for the extension number of that individual so bypass the unacceptable time spent on hold. The obstacles put between you and the best treatment are solely financial and with these incredible hold times mean participants give up trying, just what they hope for. I cannot recommend a different provider but this is without doubt the worse experience I have encountered at any healthcare provider. My recent disappointment was turning up on a specialist referral, paying copay, waiting to see doctor to be told I was required to first try 3 different treatments - topical creams - and wait nearly 5 months before I could reapply for the medically proven best solution for my issue. It is not life threatening but why am I paying premiums to not get my specialists recommended course of action.

Stay away! Far away from this company!! The customer service is the worst of any company I've ever dealt with!! Trying to call their support team at ACCOLADE, is a LITERAL "WASTE OF TIME". You will sit on the phone for hours, then when someone answers and takes ALL your info, will transfer you to a voicemail that will NEVER call you back!! Or, will simply transfer you back into the queue where you will wait for another 30-45 minutes!!! Ridiculous!!!! I've called them several times over the last year and the result is the same!! I am moving my insurance to Horizon or Blue Shield ASAP!!!

Amerihealth Insurance is the worst medical insurance I have ever had. I have been with Blue Cross Blue Shield of NJ for many years and never had a claim processing issue. With Amerihealth, it is a nightmare!!! Examples: 1. I am told to go to Lab Corp for routine blood work. I did, over a month ago, and they processed it as a Tier 2 facility and I am told to pay the bill ($497.00+). I called Amerihealth and they stated they will reprocess. Sure they will, I received an EOB stating Denied. Now I have to deal with Lab Corp with a credit card and Amerihealth who still has not paid the claim.

Amerihealth is flat out horrible! I am constantly fighting to get the medication I need to be semi normal, but cannot ever seem to get it! I have been trying to get MRIs to figure out my horrible 5x a week migraines, but they won't approve my MRIs! After trial and error on some 15 different medications for my anxiety, my doctor finally nailed it. Can I get it??? No! Unreal! I will be researching how to take this further. Because of amerihealth's constant denials, I am not able to maintain basic day to day life without difficulty, or prove my health issues in order to get relief! And the real crap of the story is I see people every day getting the prescriptions they don't need so they can sell them for street drugs! The real people in need suffer!

I've been attempting to call this company on the daily to terminate my membership with them. CONSTANTLY having to wait for someone to call back, also they called back saying there's no representatives available!! Then when we finally get someone he says too bad since we never talked to a rep??? What! It's been days!! Another issue is they kept messing up our billing created us two accounts and said we owed 1800 OVERDUE!!! WE PAY EVERY MONTH! And called about this issue 5 times. If you're looking for a health insurance company DO NOT CHOOSE THIS ONE! I request my membership terminated 4/1/18 SINCE I'VE BEEN CALLING SINCE THEN TO CANCEL IT!

Being on Disability with Medicaid I have been with AmeriHealth for only one month. After getting a prior auth that was required, the medicine that controls my learning disability was "Denied Completely" and regarded "new" and "unnecessary". I had to borrow money to buy it outright. (I have been on this same medication for over 5 years and it has helped with my mental illness considerably) When I called AmeriHealth the rep told me that I was not supposed to fill my medicine until it was resubmitted for approval; and should I run out, to go to the Emergency Room! ABSURD! The NEXT DAY an APPROVAL arrived! I called to confirm this and was told that the pharmacy would reimburse me. 3 weeks later, NOTHING. Another phone call. Another rep said I must request my reimbursement in writing to PerformRx.

I have been trying for ONE WEEK to terminate my health coverage with this company which I got through the marketplace. THANK GOD I am now getting coverage through my company. Absolutely NO ONE answers the phone. You will get caught in the "loop from hell" and never be able to reach anyone. I have even tried e-mail to no avail. I hope Amerihealth reads this message because now it's the only one they're getting from me. Please terminate my policy as of 4/1/18. You will receive no further payments from me. When I receive the notice that I've been terminated due to non-payment I will laugh and throw it away YOU MORONS!

I have been a customer with Amerihealth for over 10 years and will never be a customer of theirs again. My coverage was canceled due to late payment, however, I received no notification of termination and continued to receive invoices from them and they continued to deposit my checks for months following. They claimed they "issued a refund" when in reality they held on to over $4,000 worth of checks before I had to finally request that they send me my money back. When I asked why I never received a clear notification of termination, they claim that they are not required to notify their customers of termination or of termination dates. NOT REQUIRED TO NOTIFY THEIR CUSTOMERS OF TERMINATION??? Let that one sink in a minute.

Looking through so many of the reviews on here, I see I'm not alone. I enrolled in Amerihealth in 2015 through the Medicaid extension under the ACA, in Pennsylvania. In June of 2016 I had a cyst removed from my neck. I was told by the staff at the doctor's office that my insurance company had approved the procedure. I also had a blood test and a chest X-ray. No one at the hospital ever questioned my insurance or asked for any kind of payment. Then about six months later I get a bill for $24,000, then a bunch of other bills totaling about $10,000.

Amerihealth is horrible. Their customer service is unreachable. They don't answer the phone. My son is in college out of state so I have to sign up for guest advantage program, but they do not have any Doctors that take Ameri Health who are taking new patients. They don't pay bills. It is sad that this company has the name Ameri in it. I guess they're all the same, more money less coverage. All they care about is the dollar and not the people. I would leave zeros on all of these stars if it was possible but they are making me give them 1 star.

Thousands of pages of documentation deliver a very clear story that AmeriHealth is a company which is set up to fail at their job of reimbursing their members for health services. Just about every single healthcare transaction has had some sort of problem, from delayed payment which leads to the subscriber being taken to collections, to the seemingly random denial to pay claims which have been successfully processed in the past, to the misdirection of reimbursements time and time again to the wrong parties. All of this seems to lead to the premeditated act of paying as little as possible and taking as much time to resolve the issues as is possible. We now have a Senior Account Executive, promising to look over every single claim of ours before it is finalized to be sure there are no problems. Problems have continued, regardless. Some of the main issues we have had since we started with AmeriHealth in February 2015:

I'm seeing a lot of negative comments which made me want to make an account. I LOVE AmeriHealth. I literally pays for everything! At least for me. I see a couple of specialist and they pay for them. Any medical test they have paid. The only thing that they did not pay for was botox on my bladder because they said I was too young and they wanted me to have other options to see if that would help. I recently found out that they pay for gyms. Two where I am at. Sometimes the doctors will prescribe me something that's almost $400 and they pay for it. The only thing that they stopped paying for was this medication that was almost $400 because I think it was out of their list that of treatmemt medication that they pay for but I'm working on that one. I did get the resolved and they will pay for it now. Otherwise I have NOTHING to complain about AmeriHealth. But a lot of people are different and have had problems with them I don't know why. Highly recommended it.

Amerihealth NJ continues to send my husband invoices even though we never enrolled In Amerihealth, no longer live in New Jersey, and we have been enrolled in another plan (Oscar) from Day 1. That doesn't stop Amerihealth NJ from sending us invoices for hundreds of dollars 'past due.' This company is a scam and should be closed by the government. I don't understand how it is allowed to operate. I fear that confused consumers might think this is a legitimate business and be forced to pay these fake invoices.

I called Amerihealth yesterday regarding a letter I received dated 12/6/16 from them informing my subsidy credit was reevaluated for more $ for my plan I chose for the year 2017. My invoice that went up considerably from my 2016 plan did not reflect the reevaluation amount (credit). I was told it was not from them (Amerihealth) and they do not reevaluate and a third party call was patched in with the market place that also denied sending it. It was from Amerihealth signed by the CEO. Does the right and left hand know what it is doing at Amerihealth?? I didn't send the letter to myself! I am taking my complaint to my local Senator's office!

My claims have been unpaid for over a year. I want to tell everyone to write a letter to the Commissioner of Insurance in your state. They will take action. I was reimbursed 2 months after I provided proof of my claims.

The absolute worst customer service. I had claims from December 2015 they denied saying my policy had been cancelled. Initially when I called they verified my policy was never cancelled. I was told the claims would be sent back to the claims department. I have been calling them for 5 months now. Every time I called and was told the situation would be taken care of, the person made a mistake and I had to start all over. Spoke today to yet another supervisor who said she would contact the claims department and follow up with them. I also filed a complaint with her. If this is not resolved I will file a claim with the NJ Dept. of insurance. Stay away from Amerihealth!!!

Was told renewal plan was same as other. Go to ER. Suddenly instead of $100 copay it's 1500 in network (NEVER TOLD) then I get a $600 facility charge for in network hospital. ER doctor sends bill for $602. I had no choice in who I got. I am told one thing by one person, then another by another. This began in January and I have been jerked around and keep getting conflicting answers. They now have a company called Accolade to "help". It's just more jerking around. No clear answers. They have no responsibility to me as the person who pays them, no one looks out for the insured and their incorrect information and bs has wasted hours of my life. I do not trust them anymore. They take my $$ and do nothing. It is disgusting. HATE THIS PLACE WITH A BURNING PASSION!

I was an unlucky owner of Amerihealth insurance for 2 years. I was at the doctor maybe 5 times, and had problem with 3 payments. They didn't want to pay for the PCP visits, all the time they see some problems with the doctors, or they were unable to change my name in the system for 1.5 year! After spending a huge amount of time, they did it. Then I change the insurer.

Stay away!!! Terrible customer service! Insanely rude! They will flat out lie to you and fight with you on the phone. Signed up for a policy via healthcare.gov. The policy did not match what they displayed on their website. Which means they showed I was covered for services I was not. Each time I called Amerihealth, I would get a completely different story. At one point, the CSR told me I have no coverage (couldn't even visit a hospital) if I was outside of the service area.

I am part of the Amerihealth NJ Regional Preferred Network. I pay upwards of $2,200.00 per month for out-of-network services. On top of my premiums, I have paid my providers $20,000 out of pocket. After my deductible is met, I should receive approximately $12,000 back from Amerihealth. To date, they have only reimbursed me $4,000. My son has autistic spectrum disorder and he see therapists three times per week. I have claims for my son's services dating back to July that have not been reimbursed yet. On one claim alone I have called 4 times still with no resolution. Randomly dates-of-services (DOS) are left off claims. Some are paid and then some are noted as being applied to my deductible even though the deductible is met.

What an awful experience! They lied to me that my provider is on a tier 1 network and the copay will be $15. Now they claim they never told me that and that my provider is really tier 2 with a $50 copay. I've called them numerous times and they either hang up on me, or never return my call. What an awful company with the most awful customer service. Please save yourself the headache and do not use them!

This company operates like a criminal enterprise. They take your premiums and pay nothing. My claims have been processing for 3 months. They are still "in process." Every rep I talk to cannot even tell me why, literally! There's no rejection code. They sit there ignored. I have several claims and recently had surgery. It takes ages to get through to a rep and even longer to speak to a customer supervisor. Or you get put on hold for half hour or more. Emails go unanswered when sent through their customer portal. I was told someone would definitely call me back in 48 hours and guess what, nothing! They are a fraudulent company. Please do not do business with them.

AmeriHealth Insurance should, I repeat, should not be in business. Every facet of their operations, from customer service, to claims, approvals for imaging, to centers where a patient can go to be scanned or seen by a physician, you are harassed by someone in a letter of disapproval. They are the WORST HEALTH INSURANCE CO. I EVER ENCOUNTERED. I had to report them to the state on two occasions. Please if you have AmeriHealth, run to a different provider even if it costs more.

This is new insurance for me and I have not been able to do a provider search for the past 3 weeks. I call customer service who need a ton of info prior to talking to me to be told that the website happens to be down "today" and they can't help me. They don't know why and they can't control that. I'm paying a lot monthly for what exactly??

I had to pay for prescriptions even though I had reached my out of pocket maximum because Future Scripts computer was not talking to Amerihealth's Insurance. Almost a year later Future Scripts will not return my funds. I will be on Social Media and TV. I've been working on this for almost 8 months.