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Reviewed Nov. 19, 2023
My daughter was on Medicaid and we were trying to get a breast pump for her before she had the baby and we were on the phone for numerous hours. They sent one. It didn’t work. We sent it back and long story short after she even had the baby we never got a breast pump, she actually got one from our niece who sent it from Maryland.
Reviewed Nov. 10, 2023
My name is Carly and I have Amerihealth Caritas Medicaid and I'm a part of the community health choices waiver program. I highly recommend you stay away from this company. In November of 2022 I was dangerously ill and on a feeding tube. I qualified for services such as in home care and an emergency button (examples) at this time. I was in great need of help as I have no family who are able to support me. Despite multiple phone calls, I did not start receiving ANY of the services I needed until MAY of 2023. From November to May, I had been hospitalized with life threatening sepsis twice, had to relearn how to balance/walk and was walker dependent, and was having frequent episodes of passing out. I was also fully gj feeding tube dependent 24/7. These issues were exacerbated because I did not have the help or care that I needed and was supposed to be guaranteed.
I finally got a hold of a supervisor, got assigned a new service coordinator, and started getting services in May. My first caregiver didn't show up, and the second one tried to take advantage of me and I asked for a new one. The third one I felt iffy about but was so incredibly desperate for help that I toughed through it. I ended up struggling to get my needs met even with this caregiver because she would only get me to grocery store/dollar store/pharmacy if I paid her for gas and I didn't always have the money. Turns out it's against the rules of the company and I was never supposed to pay her and she was supposed to help me meet my needs. I asked her directly if her company covered her gas costs and she said no and that she couldn't take me when I couldn't pay her.
She also did a few other things I found out later were not above board. Not to mention she did the very bare minimum to help because she felt I was an easy case. I now do not have a caregiver and despite recent bad medical news and a likelihood for needing more help again, I do not want to go through this process all over again. It's draining and scary. I'm autistic. I struggle with social cues and I easily believe what people say. I should have never been put in this position.
In addition to these things, over the last year, it has been incredibly difficult to get a hold of my service coordinator or get the services I need. I end up in situations where I'm without a way to meet my basic needs for weeks at a time, sometimes longer. I don't think that this is entirely my service coordinator's fault. I think the caseloads are high, the pay is low, the training is bad, and the paperwork makes things impossible. But for this part of my review, I'd like to hold Amerihealth themselves accountable. I'm a sick and disabled client with 24 diagnosed conditions who is trying to just survive. I should not go for lengthy amounts of time without the things I need to meet my basic needs.
Pay your employees better. Train them better. Higher enough people so that people like me don't slip through the cracks. I'm tired of suffering due to lack of support that is SUPPOSED to be guaranteed with the insurance program... On top of all of the pain that comes with my infusions, injections, testing, pain, and severe symptoms. Our whole system is broken and it shouldn't be this way but my goodness we have to start somewhere.
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Reviewed Oct. 25, 2023
Expensive and hardly pays for anything. Hard to find doctors who take it. Pays only part of very basic items, like primary care doctors, until very high deductible. Very expensive. Created an account just to say how unhappy I am with this company so hopefully buyers beware this coming insurance rotation.
Reviewed Aug. 30, 2022
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.
Reviewed July 15, 2022
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!
Reviewed May 27, 2022
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.
Reviewed April 11, 2022
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.
Reviewed March 4, 2022
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.
Reviewed Nov. 9, 2021
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.
Reviewed Sept. 27, 2021
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.
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