AmeriHealth Reviews

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.

Their customer service is very bad. They lied to you what was 100% covered due to family history and later they denied they said that unless you recorded their conversation over the phone (never knew you need to do that). Also, you talked to different person every time you called, they said they are working on your case. Actually no one is working on it. This way your 6 months appeal is delayed or expired. I won't recommend AmeriHealth to any one since their customer service is terrible and you are wasting your time to talk to them. Please use other health insurance but AmeriHealth.

There's no way I didn't think to look here first before I signed up with this company. It hasn't even been a month and I've been on the phone every day for multiple authentication issues, transportation miscommunication, wrong information for MULTIPLE nurses, and a litany of other things that just don't even make sense to even be happening. It's incredible that there's a review with 5 stars and I just wanna know what kinda drugs they're on cause this is an absolute joke if it's not a scam. STAY AWAY!!!

I called Amerihealth 16 times since Jan 2nd, 7 of the calls they filed an appeal on my behalf, only 1 is required, then it goes to the 2d level, which I am not educated in the insurance process (until now). I explained that I have not received any notice from the appeals, nothing, they sent me a stack of denials overnight FedEx on Feb 29th, I then spoke to Patty on the sixth of March, she called my Doctors office while I was on hold she said they did not answer, she asked me to call my physician, I did immediately, they answered right away (as usual) she did not call, I called her back a few days later, she said I should receive a notice from the appeal and it was expedited, I received a recorded call from Optimum on Mar 12 saying they approved my medication, that was all that was said, I'm thinking okay great.

Just a few weeks into coverage I have encountered numerous problems with Amerihealth:

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.

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.

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.

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.

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

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.

First year with this company. Amerihealth website is sucks. Got letter them I'm behind on monthly payment. Went to Amerihealth website and couldn't login because forgot credentials. There no options at all to recover user ID or Password. When I registered with my email website asks me to confirm email by clicking on link they sent me. When I click on link received in email Amerihealth website redirects to "page not found" and recommends me to clean cookies in browser. I did it few times and nothing still work. Resent hundred of links. None of them open and therefore couldn't access my account. When went to pay over phone after 6 PM the automatic system tells me Amerihealth office is closed and hung up. They could at least hire office in India that works 24/7 to process payments or fix their website.

They've been fantastic for my needs. I love whenever visiting doctors, going for tests, hospital visits or anything medical related there are no copays. Premiums unlike Medicare have held stable and rates are reasonable.

My experience with Julio ** was unforgettable. One of the best insurance agents out there!!! 5 stars all the way! He was very funny very helpful and he took care of everything I needed. Hands down the best!

Customer service is the worst. They canceled my prescription during COVID-19. And when I tried to explain my situation. "Oh, sir if you don’t pay there’s nothing that we can do." Unfortunately, I’m stuck with insurance.

While I generally try to avoid going to the doctor, I have been going for my annual wellness visits. Supposedly, an annual wellness visit is covered by insurance as long as all tests are "preventive." When I went for my blood test, I was very specific and asked that they only do preventative tests. Of course, AmeriHealth NJ figures out ways to leave the consumer paying for different things. Even with an appeal, the appeal is being done by AmeriHealth. It is a total scam to steal your money!!! The CEO of this company should be put in jail!!! Avoid this company!!! Avoid doing.

We had Amerihealthnj last year. In November we switched banks. AHnj didn't bill our new bank then misappropriated our first payment for our new 2020 plan that was sent through the marketplace. They canceled us are now bouncing us between the marketplace and various departments who are all washing their hands. Meanwhile we just got a refund from our plan in 2014, which was more than we'd owed now. Completely outrageous!

I chose this insurance because they had a long list of psychiatrists covered in my area. It turns out to be a scam. It must be ages since they've updated the list, because after spending several hours calling around, ZERO accept this insurance. Or they are no longer available at the listed location. Or the phone number is no longer in service. I think they avoid updating the list because they're legally required to have a minimum amount of doctors available and this fluff makes it look like they reached the minimum. Someone needs to start a class action lawsuit against them.

Hi! I just want to note an excellent customer service experience I had with Charlita ** at AmeriHealth. It's hard dealing with health insurance, and she was a lovely and friendly person who answered all my questions accurately and efficiently. I'm glad to have talked to her! Great customer service!

Ms ** was very helpful to confirm the renewal of our policy for the year 2020. She made sure that All the information was satisfactory and was willing to be of further assistance to find a primary doctor.

I've been dealing with billing issues with AmeriHealth since late 2018. I make my payments every month. They cancelled my policy due to "non-payment." I sent them proof of payments. They discover that my payments were being misapplied to an old policy I had through the marked place. They send me a check for $2800, the credit balance on the old account, because they said they couldn't apply it to the correct policy. I was instructed to then send them a payment of $2400 to reinstate the cancelled account. I did exactly what they said. Then I call to make the next month's payment, because the patient portal information is wrong again, and I don't feel comfortable making the payment via the patient portal. They tell me that they sent me the check error and I owe them over $3,800!!! Once again, I send them all my proofs of payments. I was finally able to make that month's premium over the phone.

I had blood work and my physical in September. The lab called Amerihealth and got approval, my Dr's office called and got approval. When they received the invoices they denied and retroactive 2 months canceled my coverage. Over the phone they say everything is OK and call a week later to say coverage was canceled. Never refunding me or paying my claims. Buyer BEWARE.

First of all, this company will not accept credit card or auto payments. You can only pay your premiums over the phone or their website, with checking account or prepaid debit card. This is ludicrous. I am going to choose another company because I needed cardiac tests. They charge more if it is not done "inside the doctor's office." How many doctor's offices have Echo Labs? My cardiologist is located in a large medical center and the test are done in the same building. I don't understand how they can get away with this practice. They may be cheaper in premiums but it is not worth it.

I paid through marketplace and they barely covered primary care or podiatrist or ER visit. I had to report them to department of Banking and Insurance and barely amended. They receive tax credits and money, and should have covered. I will report again to Dept. Of Insurance and Banking.

I've had AmeriHealth for several years now, without a problem, but I never had any issues. I had a biopsy done for skin cancer when it came back positive. I called the company and explained that I needed to have a MOHS procedure done and wanted to make sure it was covered and the doctor was in their network. I was told yes, he was and yes, I was covered and it was just a $75 copay. I wrote the name of the girl, I spoke with, the date, the time. They refused to pay it saying at first that it was done at a surgery center (which it was not) it was done in the doctor's office.

This is the worse insurance company anyone could chose, including myself. I was hospitalized for 3 days and they are not covering services! In the hospital! All of my medications (I am a type 1 diabetic) are not covered by this insurance AT ALL. Customer service is a JOKE, just horrible.

Too funny these people...after speaking with them they confirmed that my additional (scheduled) payment that was received for December would be refunded to me due to Accolade billing nightmares/payment processing and overall deplorable customer service; today I receive an invoice of negative (1) month premium again.

Where to begin is really all I can say without writing a book. From day 1 choosing to have coverage with this company was the worst decision I ever made. Besides the worst customer service I have ever experienced, they have an outside billing company called Accolade; this company has no clue what is going on. Every month my payment was submitted prior to due dates, I would then get an invoice/bill that stated I owed (1) month payment... A few days later I would receive an invoice stating negative balance; no payment due... Another few days, get another stating that I owed (1) month.

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.