Amerihealth Reviews

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).

I have had AmeriHealth for the last year and we have been extremely happy with the plan. I just had to get assistance for the second time from a broker for your company. Her name is Venta **. This is the second time I have had the pleasure of working with her. She was very thorough, professional and answered all of my questions. I have worked in 5 star hospitality my whole life and Venta is "5 Star". She has such a pleasant attitude and excellent communication skills. I would hire her in a minute if I was looking for someone.

AmeriHealth knows how dangerous these vendors are and they don't care. Get a different name, not Caritas. They are the worst.

This company has been a thorn in my side from the start. Constant issues with billing, customer service is awful, and constant rejection for necessary meds. They refuse to speak with me even though I'm the one who signed up for the insurance through NJ marketplace even after my husband submitted paperwork confirming approval. Looking into placing a complaint through the state if it will even matter.

Very poor cost negotiations - barely pays for anything - and lousy customer service. My premium was set up on auto pay and when my bank card changed I got no letters in the mail, no emails and no phone calls about my past due premium. NOTHING. Now I'm without insurance!!!! After I learned of the insurance problem after visiting pharmacy, so I immediately called and was told I was already on inactive status and that I had to wait until next open enrollment - no appeals process, no chance to pay the missed premiums. NOTHING. This carrier is the absolute WORST.

Despite what your policy overview says, it may not cover BASIC lab tests for yearly routine checkups. The small letter trap. Almost $500 (2024) for routine bloodwork that wasn't paid by the insurer. Their website is horrible. Not user friendly at all, asks for logging in repeatedly, there is not much you can manage there. Useless. Their phone automated system is worse! The machine repeats over and over again the same options. You pick one, it repeats everything again. It doesn't catch the numbers you type.

They list “in-network” doctors, who do not actually accept Amerihealth. The doctors even wonder why they have not updated the list to remove their names. If you are here it's either because A) Your employer got a great deal and saved a bunch of money at the expense of your health, or, or B) You could only afford the legal minimum, bare-bones government insurance. If you are here because you use government aid, I'm sorry for your loss. If you are here because this is the insurance your employer offers, you need to quit, yesterday. If you are here because you can only afford the government insurance options, well.. I'm pretty sure the fine for not having insurance is cheaper than having Amerihealth, and your coverage will still be equivalent to that of an Amerihealth member.