AmeriHealth Reviews
- We require contact information to ensure our reviewers are real.
- Our moderators read all reviews to verify quality and helpfulness.
- We use intelligent software that helps us maintain the integrity of reviews.
About AmeriHealth
This profile has not been claimed by the company. See reviews below to learn more or submit your own review.
AmeriHealth offers health insurance products and services, including individual and family health plans, Medicare coverage and employer-sponsored health benefits. Its offerings include a variety of health and wellness programs aiming to promote preventive care and improve overall health outcomes for its members.
Visit www.amerihealth.com- No copays for medical visits
- Stable and reasonable premiums
- Wide range of covered services
- Long wait times for customer support
- Billing discrepancies
- Claims denial issues reported
AmeriHealth Reviews
Filter by Rating
- (13)
- (1)
- (6)
- (155)
Popular Mentions
- 4,918,519 reviews on ConsumerAffairs are verified.
- We require contact information to ensure our reviewers are real.
- We use intelligent software that helps us maintain the integrity of reviews.
- Our moderators read all reviews to verify quality and helpfulness.
Recent
- Recent
- Oldest
- Most helpful
A link has directed you to this review. Its location on this page may change next time you visit.
- 4,918,519 reviews on ConsumerAffairs are verified.
- We require contact information to ensure our reviewers are real.
- We use intelligent software that helps us maintain the integrity of reviews.
- Our moderators read all reviews to verify quality and helpfulness.
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.
Reviewed Sept. 13, 2021
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.
Reviewed Sept. 1, 2021
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.
Reviewed July 20, 2021
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.
Reviewed March 16, 2021
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.
Reviewed Jan. 22, 2021
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.
Reviewed Dec. 31, 2020
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!
Reviewed May 19, 2020
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.
Reviewed May 4, 2020
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.
Reviewed Feb. 3, 2020
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!
Reviewed Jan. 29, 2020
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.
Reviewed Dec. 11, 2019
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!
Reviewed Dec. 5, 2019
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.
Reviewed Oct. 14, 2019
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.
This month, October, I call to pay my premium, because the patient portal payment site is still wrong, and I'm told my policy was cancelled due to non-payment! Once again, we can't get our prescription medications, bloodwork, and medical tests due to their incompetence!!! I've spent close to 20 hours or more on the phone with AmeriHealth from late 2018 to the present trying to resolve these issues. Every month, the same problems. Right now I'm waiting for them to call me back. Not holding my breath. Something has to be done about this! I pay close to $20,000 a year out of pocket for my health insurance and deductibles and co-pays because I'm self employed. I tried calling the NJ Division of Consumer Affairs today, but it's a holiday and they're closed. I will call them again. We are consumers, we have rights. Need to find a better health insurance company.
Reviewed Oct. 14, 2019
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.
Reviewed Oct. 2, 2019
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.
Reviewed April 17, 2019
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.
Reviewed April 5, 2019
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.
I explained all that, gave them the date, time and person I spoke with and told them to listen to the recording of the call. They got back to me and said that the person I spoke with was from "Accolade" and they no longer use that company. They did listen to the recording and said the girl thought I was having another biopsy, which is ridiculous! Why would I need another biopsy if the first one came back positive? They still refused to pay it and today I will call them and I am requesting a copy of the recorded call to give to my attorney. I am livid. They are fine until you need to have a procedure done. They have no problem accepting your monthly payment.
Reviewed Dec. 27, 2018
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.
Reviewed Dec. 21, 2018
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.
I certainly hope that they did not realize that they screwed up again and decided to re-instate me because I specifically told them to send my (on time) December payment back to me - I want nothing to do with Amerihealth and/or Accolade, I want my money back and if I kept a running call time (on average you are on hold for at least an hour, then another half hour to speak with someone that has half a clue to navigate their total b.s. system) I would say that I have easily 3 hrs. each month of my wasted time X 9 months = 27 hours (which is light and very generous, I am sure) at my time that I value at $250.00 per hour = $6,750.00. Waiting for my premium back and will be on the phone with them for another hour + tomorrow so add $250.00.
Reviewed Dec. 15, 2018
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.
Every month... literally every month that I received an invoice I would be on the phone waiting for an hour to straighten out Accolade... Ridiculous and they should all be locked up - they ended up canceling my policy due to non-payment; but they sent my payment back to me... How no payment when you sent me money back? FOOL ME ONCE, KARMA IS A ** AND YOU WILL GET YOURS... CORPORATE GREEDY **!
Reviewed Oct. 10, 2018
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.
Today I attempted to get on their website and it wouldn't load. I am waiting on line for a callback. This plan doesn't accept any out of network doctor unless it's the emergency room. I pay 655.00 a month for a plan almost no one in my area accepts. So here I sit in a back brace waiting for accolade to call me back and give me more names of doctors that aren't in the network. I live in Monmouth County NJ and I am sure they will try and send me out of state in a back brace.
Reviewed July 11, 2018
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.
Not all the routine blood tests done with my annual preventative exam were covered. I was surprised when I got a bill for lab work, as was my Primary Care Physician. Other preventative tests normally done (and paid by Horizon BC/BS) were not done because my MD knew Amerihealth would not pay. Their negotiated contract rates with providers are terrible. I paid $74 for an ultrasound last year with Horizon; with Amerihealth I have to pay $219 for the SAME test. What a mistake to select this provider. They should NOT be permitted to operate in NJ (or anywhere). Another 5 months, 3 weeks. Can't wait for open enrollment. Warning: DO NOT SELECT AMERIHEALTH.
Reviewed July 4, 2018
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.
Reviewed June 28, 2018
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.
Reviewed June 28, 2018
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 I tried to tell them that, I get the run around and some BS excuse that the call center employee just made up on the spot. My pharmacist even told them the same thing and they lied right to him, claiming my medication wasn't included in that law (and the law was made specifically for that kind of medication). I'm currently crippled with sciatica and 8 months pregnant and cannot go without this medication, this medication is life sustaining by some standards, but that doesn't seem to matter to these people. I was fortunately approved for a 5 day emergency supply of medication thanks to my wonderful pharmacist fighting for it, but the problem is, I can't get the rest of my meds until Sunday, when my pharmacy is closed. So they tried to put it through for Saturday, and of course they won't even approve that.
So now I need to make two extra trips to the pharmacy or go without my medication for a day and a half thanks to their asinine prior authorization policy WHICH IS ILLEGAL. I always thought the prior authorization requirement was stupid to begin with... obviously the doctor already approved it and thinks I need it, otherwise he wouldn't have written the script. Why do they need the doctor to repeat themselves to prove that I require this treatment? It's clearly a ploy to get people to get frustrated and give up so they don't have to pay for my treatment, but I'm not giving up and I am reporting them to anyone I possibly can. I've had other issues in the past with them not wanting to cover my birth control (this was prior to the ACA).
About a year ago I get a letter from them stating that my medication was no longer covered because the doctor was located outside my home county and that I needed to find a doctor within that county. The problem is there are no doctors in that field in my county. When I told them that, they basically called me a liar and said "oh there has to be at least one in your county"... but there isn't.
So they finally approved another doctor... who's over an hour away (as opposed to the doctor 30 minutes away that I was seeing). After I finally leave my old doctor and get in with the new one, I get another letter telling me to disregard the first one, that I could keep my old doctor. Best believe I called these people screaming like a lunatic. They made me fight for weeks, making dozens of phone calls daily, sitting on hold and losing my mind all for nothing. This company is a joke and if you have the option to go elsewhere for insurance, do it. You'll get nothing but a headache from Amerihealth.
Reviewed June 13, 2018
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.
Reviewed May 14, 2018
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!!!
Reviewed April 9, 2018
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.
2. I had a medical emergency, but instead of going to a hospital 6 miles away, (of course Amerihealth doesn't cover this facility), my wife drives me 40 miles to a Tier One hospital. I end up with the bill because Amerihealth states I had a Tier Two doctor look at me. First of all, I am in the ER and have very little to no choice of picking who the doctor is or was going to be. So, I am stuck with the bill even though my wife drove 40 miles to a Tier One facility. As of this review, Amerihealth has not taken care of the issue or paid this bill.
3. My local doctors are no longer Tier One doctors according to Amerihealth. So, I find a Tier One doctor, specialist, 40 miles away. My wife drives me to the doctor, very good doctor, but I receive a bill because Amerihealth codes him as Tier Two even though their website states Tier One. As of this review, that has not be taken care of or paid by Amerihealth. I worked in the insurance industry for over 22 years and as an officer of the company, this would never have been tolerated. Amerihealth on the other hand, doesn't seem to care.
Reviewed April 8, 2018
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!
Reviewed April 3, 2018
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!
Reviewed March 18, 2018
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 went for my second refill that was due on March 9. The pharmacist told me that they won't authorize it because I was supposed to refill it exactly 30 days after receiving their "official approval". I was in danger of being without my medicine for days. Again, I paid $70 in cash. I have turned this over to the Attorney General. 2 facts cannot be disputed: 1. My refill schedule cannot be toyed with by an insurance company. THEY HAVE NO JURISDICTION and are blatantly DISCREDITING MY DOCTOR. 2. By forcing me to be abruptly cut from my health-sustaining medication with NO REGARD that not taking my medication "As prescribed" is DRUG ABUSE. They have overstepped their boundaries and must be held accountable. My requests for reimbursements are still being ignored.
Reviewed March 12, 2018
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!
Reviewed Feb. 23, 2018
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.
However, upon further investigation it clearly states in their member's rights section that members "have the right to prompt notification of termination or changes in benefits". Amerihealth clearly violates their own stated policies. What kind of company can just cancel someone's coverage without being required to clearly notify them of when and why and leave them without health coverage or any way to reinstate said health coverage!? These are people's lives they're dealing with not just some small insignificant thing. This company should be more than ashamed of themselves and their backward ideas on how to treat their consumers. I will never use or recommend this company to anyone ever again. Disgraceful.
Reviewed May 1, 2017
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.
I called the company several times and kept getting a run-around. Then I went to the county assistance office and was assigned a caseworker who looked into it and found out that somewhere along the way, the wrong SSN had been entered. So everything was sent to Harrisburg to be resolved. After about a month the caseworker informed me that everything was straightened out. But my relief was to be short-lived. I'm still getting bills and calls from collection agencies. Calling Amerihealth is, of course, fruitless.
Reviewed April 5, 2017
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.
Reviewed April 4, 2017
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:
Failure to reimburse out of network claims for many, many months at a time, at one point leading to over $9,000 in out of pocket costs. Sending payment to the wrong party time and time again and a vast variety of claims, thus delaying reimbursement of the proper party while everything gets resubmitted. Failure to work out a billing issue to the point that we were taken to collections for the bill, which should have been covered from the start. Failure to pay in network doctors and acupuncturist for months on end, due to a variety of issues, leading to uncomfortable discussions with providers who start to ask me to cover their costs until AmeriHealth can get their act together. Hours upon hours of lost productivity as I follow up with every single claim that has an issue.
Reviewed Feb. 20, 2017
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.
Reviewed Feb. 5, 2017
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.
Reviewed Dec. 28, 2016
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!
Reviewed Dec. 15, 2016
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.
Reviewed Oct. 13, 2016
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!!!
Reviewed Sept. 23, 2016
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!
Reviewed Sept. 22, 2016
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.
Reviewed July 11, 2016
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.
Finally, a CSR (confirmed with the supervisor) told me that I could visit a doctor that would be covered under my medical plan. They gave me the address and name of the doctor I could visit. I make and attend the appointment. THE CLAIM GETS REJECTED. They told me the info that is listed on my medical cards AND the policy on the Amerihealth website under my login is not correct. They also said the rep was incorrect for giving me the information and they refuse to pay the claim. To top it off, I was told it's MY fault for not knowing if the doctor would be covered under medical. They said I should have known that the info was incorrect on the website and my medical cards. Please stay away from this company. The CSRs are terribly rude and will yell at you.
Reviewed May 23, 2016
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.
I have been given the excuse that I am seeing an out-of-state provider when the provider was and still is in NJ. I've been told my claim was marked as seeing an international provider. I haven't traveled outside the country in years. I was also told I wasn't supplying the PROVIDER ID CODE. What's that? After further questioning of the customer service rep I found out that is an internal code to Amerihealth. How would I even have the number, but in an effort to get my claims processed I got all the PROVIDER ID CODE numbers for family's providers and mark each and every invoice with that number. That hasn't worked either. I am at a loss of what to do. I call the reps, they can't answer my questions, they send my claim back for review (that takes 30 to 60 days to process) and then I get an Explanation of Benefits (EOB) with the same response (denied).
I just called for the third time today regarding my own doctor bills that keep getting denied with the Remark Codes on my EOB indicating I don't have out-of-network benefits and I haven't met my deductible. Both statements are untrue. I got a less than helpful customer service rep who had an attitude and told me all she can do is submit it again. I asked her how is this going to be different than the last three times I submitted these bills and she couldn't answer me. So, I suspect in 30-60 days I will be calling them again. These are just a few examples of the issues I am having. I feel like I am trapped in a black hole with no end in sight. How am I suppose to get my reimbursement when all I get is excuse after excuse. Amerihealth is by far the WORST health insurance I have ever had.
Reviewed May 16, 2016
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!
Reviewed May 10, 2016
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.
Reviewed April 16, 2016
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.
Reviewed Feb. 29, 2016
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??
Reviewed Feb. 23, 2016
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.
Reviewed Feb. 15, 2016
Please be advised: I was made to lay out payment for my wife's heart medication ($375.00) and was told I would be promptly reimbursed. That was on Nov. 11th, 2014... a full sixteen months later I have yet to be paid. Although I sent them proof several times I was, once again, told they did not receive the proof. This is just plain wrong.
Reviewed Feb. 5, 2016
This insurance company is one of the worst. Like others have said they are cashing my checks but telling me that my daughter had no health insurance. There was apparently one missing payment that I thought my bank had sent electronically. I explained that there's was some sort of error made a double payment & was told I'd be reinstated. Well I wasn't. Called again. Was told someone would call me back. Nope. I call now mind you. They are still cashing my checks & have over $600 of my money. They now deny reinstatement with no reasoning & it's 5 days past open enrollment.
Reviewed Jan. 25, 2016
This company needs to be investigated for fraud against the consumer. We have had a similar situation to one of the reviews listed. Amerihealth deducted 6000 from our account over the months and has not covered one medical expense. You cannot get one competent person on the phone to help you. I have four children. I had a child this past year, and all expenses were paid out of pocket because they kept promising to fix the situation and never did.
We went back and forth with the marketplace and our child under the assumption that since they were withdrawing money that our medical expenses were being covered. Not one pediatric bill was ever covered with this insurance. After fighting with inept people, after taking our money, they said we were dropped. No notice, nothing. They claimed that we were delinquent in one payment, that was never the case because we have the bank statements to prove that they withdrew our money. They are criminals! Now we are waiting for a new insurance company while my family has no coverage at the present moment. The rest will be handled by our lawyer.
Reviewed Jan. 19, 2016
Amerihealth took 7,000 of our $$ bank receipts shows our payment. Husband was informed at the hospital he was ineligible. Hours trying to figure out what the issue was. Tons of call to ins co. Not one supervisor ever returned my call. Finally reach supervisor bank statements show month payments over 2,000 a month paid and we were dropped as of 11.1.15 with any knowledge! I recently had 2 surgeries done one in December 15 and last week. Advised they will send info to reinstate could take up to 72 hours! Meanwhile 5 family members with medical issues no coverage yet. Amerihealth has my payments! Very upset!! Still no answers to where our $$ is!!!
Reviewed Jan. 18, 2016
I tried calling Amerihealth to discuss enrolling in them via the affordable care act. I was on hold for over 30 minutes and no one answered the phone. I will switch to United Healthcare.
Reviewed Nov. 29, 2015
The biggest problem I have had with Amerihealth happened back in July. On July 4th I was released from the hospital with 7 broken ribs and a broken wrist. I was in severe pain for weeks and on July 14th my Doctor wrote me a prescription for a stronger Fentanyl patch. My plan it turned out required prior authorization. The pharmacist faxed my Dr. the phone number to call at Amerihealth which they did and were told the necessary document would be faxed to them. By 4pm they had not received the document. I call customer service and was given a total runaround.
I explained that my Dr. needed the required form for the prior-authorization. I was asked a few questions and put on hold. When the representative came back on the phone she said they have no record of a prior-authorization being submitted so I explained again my Dr. needed the form. I was put on hold again and she came back with the same comment. This happened about three times. I hung up and went online to see if I could find the form, but I was not able to determine the correct one to use so I called again and got the same runaround. On this time it was worse. The representative put me on hold and when she came back she said she called my Dr.s office and asked them if they could go online and get the form themselves. They refused.
I asked the representative if they could fax or email the form to me and she had no idea how to do that or who to ask for help. By this time my Dr's office was closed and I was in too much pain to wait another day, so we paid for the prescription ourselves, it cost us $231.11. The complete incompetence of Amerihealth representatives in this matter is appalling. My first call to Amerihealth lasted 20 minutes and the second lasted 33 minutes.
Reviewed Nov. 28, 2015
I have attempted to contact them to make a change in the plan. When told to hold for a representative I was disconnected 5 times. Emails have been ignored. Perhaps because it is the time for open enrollment they are overwhelmed. Since I was completely unable to reach Americare NJ after repeated attempts I enrolled with AARP insurance United Healthcare and found them to be easily accessible, responsive and knowledgeable.
Reviewed Oct. 31, 2015
I have tried to get approved providers to go to and have consistently over many days and many efforts not been successful. This company is terrible and I will not be with them in 2016. I sure hope other insurance companies are better, although it would almost be impossible to be worse.
Reviewed Sept. 2, 2015
This is the worst company that I have ever dealt with. They changed my policy at the end of the year without my consent. Billed me a higher amount than they had quoted and then were unable to change the policy to that which I requested. I called every month since January to be left on hold for long periods of time without anyone seemingly interested in helping. The only thing they have been able to do consistently is bill me and threaten to cancel my policy if I didn't pay (even if they have billed me incorrectly for most of the year). I had asked to add an additional dental plan in January (and was paying for it) but for 6 months they have been unable to confirm what the plan was.
Many of my claims have been unpaid and each department sends me to another (sales, customer service, billing, Dental provider...). I finally managed to speak to a supervisor who sounded more helpful, explained that somehow they had registered me on 3 different accounts and promised to solve my issues... but subsequently never responded. I have sent her 3 emails since without reply. I have continued to pay extremely high monthly premiums for little to no benefit. They should not be able to treat customers in such a way without some sort of recourse for their actions. I would recommend using any other service provider.
Reviewed Sept. 1, 2015
I have an individual exchange plan with Amerihealth. Recently, they sent me a new ID card with a new account number with a letter that advised me to activate the card by phone and dispose of the old card which I did. I pay my premiums by direct debit but for some reason they did not debit my account for September. When I called customer service I was given the runaround. One rep told me that they had no record of my account. Another rep told me that they were changing to a "new system" and that I would have to re-register for premium debits or I might lose my insurance! I tried to re-register but was put on hold and eventually disconnected.
Their website was down and I could not pay my premium online or by phone. At no time was there any written communication to me that I had to re-register. Now I am worried that because I am not able to pay my premium I may not have health insurance and all because they are so poorly managed! Their communications to their customers is the worst of any health insurance carrier that I have ever used.
Reviewed Aug. 6, 2015
My wife has been taking a specific medication for nearly 10 years. Amerihealth declined to pay for it. The doctor sent in a prior authorization form and Amerihealth denied it again. The doctor knows my wife's situation and prescribed this medication knowing it would help her. Now, she has to live in fear that her chronic pain, heretofore managed, will come back.
If you are considering this company as a provider you are doing a disservice to your company and your personnel. They and you will be very unhappy and frustrated. It's not uncommon to be placed on hold for an hour when you call. Questions are rarely answered, they have to call you back. They never call you back. Their people do not understand the differences between family and individual deductibles. In fact, they know almost nothing about the plans and what they provide. It took two months to straighten out enrollments for our employees with FutureScripts and they have taken months to send out insurance cards for dependents. This is the most poorly operated insurance carrier we have had over my 40-year career. Worse yet, they have no interest in improving customer service or educating their personnel.
Reviewed Aug. 6, 2015
I have been diagnosed with a nodule and need a biopsy. Have called several listed doctors in my network and they are all telling me they have been in negotiation with Amerihealth for over a year of nonpayment to them and are not taking Amerihealth insurance. I have called Amerihealth and have been promised a call back from a Manager and never receive a callback. I keep trying everyday to contact them and after 30 to 40 min keep getting the runaround with no answers. I am extremely upset and need a biopsy and can't get a Dr. so my primary care doctor can write a referral. This is insane. Day 5 of this nonsense and still don't have any answers, nevertheless a return call. Please help. My health is in jeopardy!!!
Reviewed July 22, 2015
So many things to list. But most recent my husband needs an MRI for back issues. Goes to GP and she sends to Specialist. He is given a referral for the MRI. He calls to make apt at radiology facility. They say they don't take Amerihealth NJ, and for us to tell that to Amerihealth (why would that be our job). Anyway we do call and the customer rep tells us "yes you can go to that facility". I have him email me a list of all facilities in our area, and yes they are on there. We then get a written approval from Amerihealth with that specific facility on there, so my husband now goes to facility in person to show them this letter with approved referral for their facility.
They tell him that this local value network is a new division of this Amerihealth and that they have seen nothing but problems with this plan, everything from referrals to payments. And that again we should tell Amerihealth this! Mind you, we pay over $1200 a month for this insurance we can't even use and it's our job to make Amerihealth aware. Also I got this insurance through the government website and that is a whole other nightmare!! Please, if looking into insurance do yourself a favor and look elsewhere!! There should be a way we can sue this company for misrepresenting what they say they are going and can do for you, and they do nothing but take your $$$$.
Reviewed July 20, 2015
I have been calling 2-3 times per month regarding an issue with the dental portion of my health insurance and it is now almost August and I still don't have a resolution to my problem. Every time I call, I am told they will put a request in and someone will call me back, and so far I've never gotten a call back and no one will handle the issue.. So I am being overcharged every month and when I don't pay the extra amount I get letters stating that they are going to cancel my coverage, when they are the ones who gave me the new lower premium. And on top of all that, I called 7/10/15 to inform them that my children will be covered under a different insurance as on 8/1/15 and please expire their insurance as of 7/31/2015.
They went ahead and cancelled the insurance as of 7/1/2015 when I had already paid for July and requested exp date of 7/31/2015!!! The phone calls are all recorded so they know it was their error and I have now wasted several hours for the past few days on the phone trying to get my children covered for the month I already paid for and yet I still have not gotten any help... No one is willing to help in any way, they always want to '' call you back'' and never do or put in a request and never call back. It's absolutely frustrating and aggravating and I have never been so unhappy with any company ever in my life!
Reviewed June 28, 2015
I have amerihealth insurance. I have a serious condition called cholesteatoma I need surgery for. I need a radical mastoidectomy done. It's an advanced infection and neither my ear drum or bones can be saved. I will also need to get an implant in the future so I can hear. I have to wait till Aug 31 just to talk to the Dr about my ct scan results and I already have them. If you don't get this surgery done fast enough you can get a brain abscess or meningitis which can be fatal. Why would a Dr who swore under oath wait on this? I have headaches every day and now I'm getting bloody noses when I wake up. I really feel this is an insurance issue because they wouldn't even help me find a ENT surgeon to begin with.
Reviewed May 6, 2015
I am the group plan administrator for this plan. It was effective 1/1/2015. One employee had minor surgery in March and was denied for no pre-authorization. The surgeon, hospital, etc. are all still attempting to get paid as they obtained pre-authorization. Another employee obtained a referral from his primary care physician for 3 months of chiropractic care. The employee has not been able to continue his treatment as his first three visits were denied for no referral! The office manager has repeatedly resubmitted the referral but the claims are still denied. When called, an AmeriHealth customer rep told the employee, "yes we have the referral" but the claims are still denied. I will be taking this up with the NJ State Department of Ins.
Reviewed April 23, 2015
Nightmare with this company. I bought it through Obama care. I spent only 5 minutes with my doctor in 2015 but at least 20 hours with AmeriHeath solving my date of birth problem they created and premium payment. Every time they told me the problem would be resolved in 3 to 5 days, but it has been two months and I am out of medication and I had to cancel all my doctor appointments. I wonder if there is any responsible person out there and does not lie.
Reviewed April 7, 2015
I have been with Amerihealth for more than a year. The only thing they have done right is collect my money and whenever I went to the doctors they would not pay for the visit or the bloodwork taken. They double charged me twice once in February and when I called they told me they would "look into it" and never did. When I asked for my money back they told me they couldn't give us our money back and we wouldn't be charged for March. But they did charge us again in March and they still did not give us a reason why.
Then when my husband went to get the pills that he needs we were told we were not insured and he had to pay out of pocket. When he called they told him that since it was a new year we had to wait a month in order to be insured again. But again no issue taking our money even though we were not insured with them. We stopped automatic payments with them after they double charged us the first time and we asked that they send us a bill.
Then today, my husband was checking our banking and we had a charge for $900.00 which is nowhere near our monthly payment. They took the money out without our permission since we got rid of Automatic payments and when we called all they could say was "we will look into it". They won't even give you an explanation why. I feel we are getting screwed over and they are getting away with taking our money and not even giving us the proper insurance coverage they claim they give their customers.
Reviewed April 3, 2015
I went through the Marketplace to get a plan with Amerihealth starting in January 2014. Went with their Gold plan to fit my medical needs. All went well for 6 months. When we had "lifestyle" changes in our family, I contacted the Marketplace as required to inform them. They then contact Amerihealth to make required changes to our family plan. What a nightmare... It took months to remove my daughter from the plan as she now had her own insurance through her job, all the time being charged for her.
My other daughter turned 26 but had special needs so a request was approved to keep her on the plan after much adieu! But the premium amounts were all over the place. When we renewed in 2015, they dropped my disabled daughter from our family plan and said she had to get her own plan as that family plan no longer existed. What? So now our premiums go up for my husband and myself and also have to pay for separate coverage for my daughter. The invoices come... My daughter's separate from ours, but on ours- they have her on our plan also- and charging us even more! This took 2 months to get them to understand what they did. But now we have been billed over $300.00 more a month than what the Marketplace has quoted and confirmed.
After going back and forth with Amerihealth and the Marketplace for over 6 months, (even having 3 way calls) they still have not resolved the issue. They have all the correct information when I speak to them on the phone but it is never reflected in my bill. As a result, they are denying an authorization for medication till my premium is paid in full, but I was told not to pay it, wait for the correction to be made in my next invoice.
Every aspect of this company is a mess! They are not the same page there at all! If you call with the same question more than once you are bound to get a different answer from customer service. It's unbelievable that this company exists! I have lots of health issues and all the stress from dealing with their incompetence for the past 6 months has definitely affected my health. I will definitely find a new carrier for 2016!!!
Reviewed March 16, 2015
Overcharged on premium with threats of cancellation of coverage unless the 70 dollar overcharge was paid. I finally paid it for fear of cancellation. Months of ongoing requests for my wife's ER doctor at bay shore hospital, now a 3000 Gastro bill. Months and months of calls and rerouting of calls, no follow up, or accountability.
Reviewed March 8, 2015
Although the insurance coverage provided may fit your needs, just hope and pray you never need assistance from Customer Service or Billing. I have spent hours on hold and speaking with representatives regarding my now former account. Rarely was an issue addressed in one phone call even though each rep promises to do their job and resolve the issue. Thankfully I moved out of NJ and can no longer avail myself of coverage from AmeriHealth.
I have made THREE telephone requests since December asking for a letter documenting my premiums paid in 2014. My CPA requires this information for tax preparation. I was told each of the three times there would be no problem and yet I still do not have the information I need. I am mailing a letter to the Supervisor of Customer Service today, hoping written correspondence is treated with more respect than a telephone request.
If you are wondering why I don't have copies of the invoices for 2014 it is because the invoices I received were utter nonsense. They show past due amounts even though the account was NEVER in arrears. It would be nearly impossible for anyone to review the invoices and actually determine what was paid. In fact one payment was made via credit card. I was told I would have to show proof of the credit card payment for that payment to be acknowledged. This was ultimately resolved but it took MONTHS to straighten out their oversight.
Reviewed Feb. 25, 2015
I had scheduled on Monday to be picked up for Wednesday at 11:25am. However, when I was ready to be picked up at 10:25am, and after 10:40am when I did not receive a phone call I then called the hotline to find out where was my ride. I was then told that they were unable to pick me up and due to the fact that something had happened to their driver and that they were trying to locate another driver for me. My concern is why didn't they tell me earlier? This is not the first time. On another occasion I was stranded for at least an hour because of their driver who claimed that she was unable to locate my address. Their customer services sucks. The people that they have hired to respond to your calls, you can't understand a word that they are saying.
Reviewed Feb. 4, 2015
I absolutely recommend to purchase this plan. First of all, they give you the best plans for the price. Believe me, I did research last year, and this year too. Nothing beats Amerihealth. 0 deductibles, 0 coinsurance? Show me another plan in NJ having that, you won't find any! We use this plan for the second year. Me and my children visited doctors multiple times, labs, tests, I even had microsurgery. Plan covered everything as promised with 0 headache.
But let me mention the Cons too. They have the worst possible customer service. So signing up for Amerihealth can be really painful and time consuming. It took us almost a year to solve all mistakes they made during application for the plan. Once that done, I can say only good things about this company. They cover everything as promised. No need to call and beg for something. 100% Happy!
Reviewed Feb. 2, 2015
Someone below said they are worse than Comcast, and though that is hard to do, it is so true. I could not log onto their website to review my benefits - of course, I never received a booklet -- because every time I entered my User Name (as verified by email from them) it defaulted to another name. No matter what I did, I could not log on. Sooooo I call them and the woman, to her credit, tried many times to log on herself, to no avail. After more than an hour of nonsense, changing my password from my end and then hers, she could not correct the problem. Though I repeated over and over again that the problem was with my user name, she seemed to ignore what I was saying and stayed fixated on repeatedly changing my password.
I simply wanted to know my benefits, and she could not even access that for me. Finally, I said "how about this -- back me out of the system entirely, then I will re-register." She could not do that. She could not do anything, actually, whatsoever to give me an answer or help in any way, except to tell me that she will send a request in to have my online information looked at and I will get a response in about 30 DAYS. "You mean to tell me that a medical insurance company does not have an in-house tech department??? And how did this glitch end up in my online registration in the first place?" Of course the call ended with her asking me, "Was your problem solved to your satisfaction?" Um, NO! How could she have even considered following her script after all I went through for naught. I was seeing stars. Well, back to the Health Care Exchanges I go. I wish I had read this website before signing up. My fault for that.
Reviewed Jan. 30, 2015
I am writing this review on their recent billing and my last 6 mos. with Amerihealth. When we started with Amerihealth in July of 2014, they couldn't get our start date correct so we were double billed until Dec. 2014. This despite me calling repeatedly to straighten it out wasting hours on end. I literally was in tears some days with them being bounced to department, etc. Never mind the fact that while doing so, they cancelled my insurance on me twice. TWICE! Once I found out while checking in to the doctors office. Then whenever a claim went through, it wouldn't be processed correctly. Once again back to waiting forever to straighten that out. They would tell me they were in the wrong and would reprocess it. Great! However, they would get it straightened out only to several months. Later, for some reason, they would take their money back from the doctor's office saying it was a mistake. Back to square one again!
Now on to the billing. When I didn't receive an invoice for Jan. by the end of Dec. I called. They told me bills wouldn't be out until around the 7th of Jan. I didn't receive mine until the 20th of Jan and I promptly paid it. They cashed my check on the 23rd and then on the 27th sent me a threatening past due notice. How funny that the letter states it was due on Jan. 1st and is now overdue and my policy may be terminated. Not only did they say I was overdue for Jan. but also for Feb. which is due Feb. 1st. Who in this world makes these letters up? Please don't blame a computer as somebody is generating these. Every month I have to call and waste my time trying to straighten out THEIR mess. For this aggravation, we pay over $1,400 a month.
Reviewed Jan. 12, 2015
It took one and a half hours just to find out if my eye care physician was covered under my insurance. Not only did I have to speak with several people before I got the info I was hung up on once and no one tried to call me back. It was one of the most frustrating calls I have had to deal with. AND it wasn't even routed through another country. These were Americans!
Reviewed Jan. 12, 2015
I purchased Amerihealth insurance through the Marketplace. It was the worst decision I have made through my 62 years of life. My insurance went into effect 5/1/14, though it took an additional two months for my pharmacy to accept it because Amerihealth typed in the wrong birthdate. It was a "simple" matter of Jan 16 typed in as Jan 15. I was told by a customer representative that it would take two weeks for the correction to be made. It never was.
In early summer, I developed a benign tumor on my left cheek. My ENT doctor does not accept Amerihealth but because I trust him I paid out-of-pocket for his office visits. When it came time for tests, I used AmeriHealth with its rather large deductible so in effect I was still paying out-of-pocket. The tumor grew to the point of it affecting my hearing and became painful. Once again I went to my ENT doctor who informed me that surgery would be necessary. He then referred me to a colleague who did accept AmeriHealth.
In all fairness, during this time, I became delinquent with a few payments because of the out-of-pocket expenses. AmeriHealth sent me a letter stating that I was behind in my payments and that the sum of $900+ dollars was needed. In that letter they stated their "concern" and guaranteed me that I would not be dropped if payment were made prior to Dec 20, 2014. I paid them immediately on Nov. 24 and the check was cashed on Nov. 27.
Meanwhile, I followed my ENT doctors advice and ent to a doctor who DOES accept AmeriHealth. I was scheduled for surgery on Dec. 5. Everything went well until... billing time! The hospital informed me that my insurance was not valid and that AmeriHealth had dropped me for non-payment! Every other bill I get says the same thing. I received the letter that I was being dropped, post marked DEC. 13.
Now I am looking at a $59,000 hospital bill and about another $30,000 dollars of tests, participating physicians, etc. Once one gets sick, watch out! This company will use every tool at its disposal to screw you over. They Do NOT want to pay anything. I could go on and on about the deception used but I am going to have to save that for my attorneys to deal with. And as a final "kicker" I just got a letter yesterday from them requesting payment to continue my coverage in 2015!!! I will go to the MarketPlace and be sure NOT to select these thieves!
Updated on 5/21/2015 - I will make this as short as possible: When "Obamacare" or the "Affordable Health Care Law" went into effect I signed up... went through the initial glitches, etc., thinking "this is great!" because my former medical insurance payments got ridiculously high. Because the initial Health.gov site was ill-prepared to handle the influx, I decided call the 800 number and sign up by phone. The representative I spoke to was ILL-ADVISED!!! She entered the wrong numbers regarding my income (entered GROSS not NET) and so I was FORCED to purchase my insurance from providers and I chose Amerihealth at $192 a month in NJ.
In May of 2014 I developed a tumor suddenly... A hospital visit to Hackettstown Hospital in the emergency room led to an ER-doctor saying to "not worry... go home and eat lemons" ... (I assumed a calcium build was on his mind, because my Dad had this problem as well). But for that 15 minutes of "sage advice" I was billed about 2 months of wages. ENTER AMERIHEALTH. I slowly slipped and got behind a few months in my payments for premiums I was taking care of the bills stacking up for their Co-payments, I received a letter from Amerihealth stating that I was behind my premiums and that they would not cancel my coverage if I paid by Dec.10, 2014.... I sent them a check and thought all was OK. The check was cashed (proof available) on Nov. 28.
On Dec. 5 I went into surgery at Hackettstown Hospital. No one thought there was a problem... I spent 2 days in the ICU unit and 1 one day in Recovery before I was dismissed. The VERY NEXT DAY Hackettstown Hospital called me up and told me that AMERIHEALTH dropped my policy on 9/30/2014. They would pay NOTHING. AMERIHEALTH continued however by even revoking bills they paid to LabCorp, etc., even to the point of using the excuse of "unnecessary" for my family doctor to request blood transfusions!
And... if this isn't bad enough... what did Amerihealth do with my payments to secure my insurance... The GREEDY ** that run this Insurance Agency took my payments and applied them to a NEW INSURANCE POLICY for 2015 that I DID NOT WANT! Including a letter that stated that (paraphrased) states that since there was a "lapse" in my insurance, that they would consider any and all requests for payments for this issue to be void. THANK YOU AMERIHEALTH! You have placed me into a $95,000 debt! I am in the process of hiring a legal team to look into this matter... but I have little hope.... Debt collectors call everyday... incessantly... and I know that I cannot tell them to contact my lawyers until a case is actually filed. (And I am sure it WILL BE!!!) I advise EVERYONE that is shopping for health company at all cost.
Reviewed Jan. 7, 2015
It takes more than 1/2 hour to get anybody live on the phone at this company. When you write via email, they never reply. When you ask them questions, they never give you a straight answer. And all for $500 more per year. This company needs oversight. It is a horror.
Reviewed Dec. 13, 2014
Joined Amerihealth NJ after my Cobra Ended in July 2013. Since then I paid them a $1450 monthly fee. As of today they have not paid for any of our services. If I am in PR they don't pay, if we go to the doctor office they don't want to pay, Medications, they don't want to pay. The last one on medications is went to Walgreen's to get my Blood Pressure Medication as I did for 5 years to find out Amerihealth NJ said they won't pay for the medication, they wanted the pharmacist to call the doctor and change my medication for something generic. This was during Thanksgiving weekend so no doctor available.
Had to pay $175 for medication and still waiting for resolution. Latest one is we received letter from them Dec 11 saying that my policy is going to be up over $200 a month due to OBAMA CARE!!! My Question is: How is possible that companies like AmeriHealth NJ abuse and exploits New Jersey Families in such a way and nobody do anything about it? Is there any Government Office here to protect us?
Reviewed Nov. 30, 2014
My wife resident in rehab facility whose financial department of Alaris, Cherry Hill, N.J. kept bugging me about co-pay and even had audacity to suggest to disenroll me from current Amerihealth and go with Medicare so that they could get their co-pay. Ironic thing is that they sent me bill for $500 which, would have the check in mail right now. In any event, rehab was worse ever so I went to another home and was promptly told that my wife no longer had coverage with Amerihealth! No notice was ever given. Two checks were cashed by them and the invoices indicate coverage for that pay period was from 12/01/14 to 12/31/14. I also have power of attorney over the wife. Now this seems downright criminal to me in view of the fact that she is at a critical point in her care and their response is to dump her. I should be able to do something about this! She should be re-admitted to the hospital to be re-evaluated. I need help and advice here.
Reviewed Nov. 24, 2014
Customer service is not knowledgeable about any information regarding plans, status of plans, status of enrollment, etc. I purchased my policy through Healthcare.gov and they have no status that the plan is in effect and as a result I cannot pay for the insurance. The wait time on Amerihealth is always upwards of 30 minutes and then there are no answers because they have no evidence that I have a plan in effect. This is 4 business days after signing up on Healthcare.gov and Healthcare.gov has a definitive status the plan is in effect. If can't pay for the plan by the start date I can get dropped. Since when do you have to jump through hoops to give a company your money?! We need more options for insurance carriers in New Jersey. This company cannot effectively manage the demand.
Reviewed Nov. 18, 2014
Purchased insurance thru the marketplace 2013 for 2014. My experience with Amerihealth NJ has been nothing but stress and aggravation. They switched my plan from the one that I picked thru the marketplace. They have yet to get my bill correct. You sit on hold forever. There is no customer service. This company needs to be investigated and shut down!!! We are into November now and no correction. I paid what I know my premium is minus the subsidy. Called my bank and blocked any attempt by Amerihealth to withdraw any funds. Worst company ever!!!
Reviewed Sept. 30, 2014
When Obamacare took effect, I could not keep my BC/BS policy of many years, so I signed up for AmeriHealth directly (NOT through the healthcare exchange). There were multiple enrollment glitches from day one (November 19, 2013). AmeriHealth was unable to resolve multiple errors through their customer service, which has been and remains in a state of utter failure. In exasperation, I filed a formal complaint with the NJ Division of Banking and Insurance on March 1, 2014. Over the next six months (despite countless attempted phone calls, faxes, e-mails, and letters), AmeriHealth failed to resolve the outstanding (but easily resolvable) glitches, potentially leaving me with non-ACA compliant insurance.
Finally, 200 days after the filing of the complaint, they sent me a letter stating the action they would take to resolve the complaint. Sadly, though, they failed to do what their own letter said they would do. I did not think it possible, but AmeriHealth is so incompetent that they are truly WORSE THAN COMCAST. The NJDBI should shut down the AmeriHealth organization and forcibly merge it with an insurance carrier capable of providing at least a minimally competent level of service.
Reviewed Sept. 8, 2014
For two days I have been trying to speak with someone at Amerihealth regarding whether a provider is covered under my plan. The doctor is showing on their website as a provider but when I called to make an appointment, the doctor's office was not sure whether they were covered under my particular policy and told me to check with Amerihealth. Such a simple question and yet I was on hold for over 40 minutes on Friday, and have been on hold for over 30 minutes today with no response. I should note that the billing office answers the calls immediately. What is going on? I will be changing insurance companies at the next opportunity.
Reviewed Aug. 22, 2014
We signed on with amerihealth through the market place when we were forced out of our old plan. We did receive a subsidy so let me state that we are grateful for that. The policy was sold to us with vision care. My account online states that my family has vision care. The site directs us to Davis Vision in which we have to choose our provider from their list. Upon calling three different providers on the list two said they don't accept Davis Vision and didn't understand why their names are on there. The third did accept and proceeded to take my acct number so she could verify that I actually have vision. Imagine my surprise when she called back and said "you're not covered". She asked that I call to clarify this which I did. Are you ready for this response? Not only do I NOT have vision, I'm forbidden to get it through my subsidized policy. I'd have to buy a separate vision policy if I wanted those benefits.
I took snapshots of my acct where it clearly states I have vision along with my ID card that states I have vision benefits. This policy was sold to us with these benefits. I'm sure I'm not the only one since the woman to whom I spoke with said this has been happening time and time again. This should be investigated big time. The woman at Amerihealth went to double check this for me but when she came back to the phone she said that she already knew the answer to this since she has dealt with this quite a bit throughout the last few months. Last time I checked when you put something into your policy and it's stated on your account, you should be able to depend on receiving "it". Talk about fraud! What to do next...
Reviewed July 23, 2014
After canceling my insurance plan (as my current employer now provides coverage) I continue to be charged monthly by AmeriHealth. Not only have they continued to bill me, I have spent hours on hold, multiple times, and only to get nowhere.
Reviewed July 17, 2014
I had purchased my Amerihealth plan through the marketplace in May of 2014. The approval was quick and I made my first payment with my Visa card all in the same afternoon. A week later, I received a letter from the marketplace stating my approval and the amount of my subsidy. I waited another week before inquiring about my Amerihealth card and booklet. I was told that even though they had withdrawn from my Visa, and gave me a confirmation number 2 weeks earlier, I was not yet in the system, BUT that my coverage (that I paid for) would be retro to the 1st. That is just about as useless as anything.
So I waited another week to ask about my card and was told they would be sent out in 7-10 business days. When I asked about my booklet, I was told the same thing. My cards did come (over a month after I signed on and wasted a month's payment) but I never received a booklet. Another call. Held on the line nearly 45 minutes just to be told that one would be sent in another 7-10 business days. Nothing came. Called again. Asked for supervisor. Was told that she (the supervisor) would contact the company that handles the booklets and have one expedited for me. She did keep her word and did call me back a few hours later to tell me I should be receiving one within the next couple of days via UPS. 6 days later I did get a "booklet" in the mail, NOT UPS. It was copy paper stapled together. Oh well with that, at least I had one.
Now... billing issues. I also had never received a bill. When I contacted them for that, they verified my address and said I should have received one. I explained again that I didn't and asked to make a payment over the phone. I was placed on hold a second time (30 mins) and was transferred to Billing. I gave all of my information again and told her I was going to be paying with my Visa card. NOPE. Apparently they want your banking information. Routing number and account number. That is the ONLY way to make a payment online or over the phone (unless when they are reeling you in with that first payment... eh-um..paid with my Visa). So due to not having a bank account, my ONLY option is to purchase a money order and send it to some shady PO box in Philadelphia. This company is a joke and it is a chore to manage your account. I haven't even needed to use it yet and it is a headache. Come on open enrollment (Nov. 15th)!
Reviewed July 3, 2014
I contacted AmeriHealth on February 17, 2014 requesting my benefit handbook (a hard copy). I have called almost every month since requesting the same thing. I have been given one excuse after another. I have written letters to the Philadelphia, PA office and the Cranbury, NJ office. As of today's date, July 3, 2014, I am still getting waiting. The letters I have received from them have indicated that they were overwhelmed, etc. etc. That they will check into this matter. However, they never include a telephone number to reach them. They just say to contact customer service... which gets you no satisfaction at all. I asked for a telephone number for the person who sent me the letter, but they will not give one to me and instead tell me that they will have someone call me.
Their letters tell you that you should create an online account, which I have, but when you look up information, it is limited. I still want a hard copy of a booklet and it is such a simple request. Why is there such a problem? In their last letter to me the Specialist of Executive Inquiries says that they apologize for the delay in sending one out and to look online. They say that the purpose of their letter was to confirm receipt of my booklet. How can I ever confirm receipt when it never arrives? The have my address correct as I have verified it with them.
Reviewed July 3, 2014
On June 27th, I discovered on Amerihealthexpress.com that my son's health insurance was cancelled on March 31, 2014. I continued to receive by mail monthly billing statements and payment due as usual up to and including June 2014. Had I not looked on his account online, I would have never known of this termination. I called insurance company and after staying on hold for over 45 minutes I finally spoke with someone in customer service. Told I had to hold on to be transferred to Member Services. Spoke with Member Services and was told they sent out three letters informing us of the termination because it did not meet the requirements of the Affordable Care Act minimum coverage and that we should select another insurance plan.
The new law states that Individual Plans have until the Anniversary date in 2014 before they have to switch (I have September and they have April). We never received any such letters and the period of time called the "life event" period only allows you 60 days from date of termination. I spoke with a "manager" and was told the letters were sent and when she checks the file as to the dates they were sent, she would call me to re-confirm the fact that there was nothing they could do to help me. In my defense, I explained I never received any notice. I did received billing statements and continued to make payments up to and including June 2014. We also received a new health insurance card in April 2014 (a month after they terminated the insurance).
Bottom line...it is he said she said and the ball is in their court (as I was told). They also informed me that a refund check was processed for all of the payments I made. Question??? Isn't the fact that I am getting a refund check proof that I never received notice(s) of termination? Why would anyone continue to pay for something they no longer had... and... why would the company continue to accept my payments and send me statements in the mail that I did receive??? Because the 60-day period has passed, I cannot get Health Care for my son until open enrollment in October 2014.
He had Labs done at Lab Corp on June 26, 2014 and used his insurance card without any problems. Lab Corp is the lab he must use and when they swiped his card as usual, all was fine. This was the day before we discovered he was terminated. I was told we will have to pay for the labs out of pocket. I need the copies of the supposed three letters sent to me. I have asked but have not received. My son will have no healthcare from now until open enrollment in October.
Reviewed June 18, 2014
Never in my life have I had an insurance co. like this one. Only had for 6 months and if I could find another ins. co. I would. Twice now I have been pummeled with medical bills that they don't cover. Never told I was going to have to pay something and then out of the blue I get 2 big bills. I am on a fixed income and this doesn't help matters. This company doesn't even have a dental supplement. I have dental work that needs to be done and twice I got a 45 minute runaround just to find this out. All my previous insurers had dental. Customer service is a nightmare.
Reviewed June 9, 2014
Consumer Alert!!! Do not do business with AmeriHealth!!! I bought an off exchange policy effective for 1/1/2014. I paid FULL price for this plan. No subsidy. They never covered me. They refuse to refund my premium. I bought a plan from Horizon which began on March 1, 2014. I contacted the NJ Dept. of Banking and Insurance and filed a complaint.
So far, I'm keeping my fingers crossed. AmeriHealth's customer service - rude with attitude! These Gorillas have no clue what day it is, they simply hang up on you (or they just keep you on hold before they disconnect you.) Now I'm out a significant amount of money. I pray that they eventually go out of business or the State of New Jersey shuts them down. DO NOT EVEN THINK ABOUT PURCHASING A HEALTH PLAN WITH AMERIHEALTH OF NJ!!!!!
Reviewed May 7, 2014
Just recently, got my Amerihealth insurance card 2 days ago. I tried making a appointment with a Dr and was told to call my insurance to make sure they took the insurance. I was on hold for 5:30:16 sec. amazing... frustrated... wanted to scream. As I was on hold, little messages came on. One was to get their app on your phone. I did... I found more information on that phone app than I did on the website. Check it out. Oh, by the way, no one answered and I finally hung up because the 2 portable phones died and I just couldn't take it anymore. I figured since March 30 was the last day to get the insurance, everyone waited for the last minute like me. So the lines were ringing off the hook. I would say in a few weeks it will calm down. Whew... and stay in good health till then. Have a nice day. BTW, when you are able to get customer service, they are very nice and helpful.
Reviewed May 6, 2014
Amerihealth cancelled my policy without any significant warning and continued to withdraw funds from my account. After contacting them and getting reassurance that withdrawals will stop, they continued to withdraw funds. I was unable to access my "payment method" from the website due to cancellation of policy evidently caused by Obama's Affordable Care Act. Finally had to get my bank to stop payments to this "Black Hole" and reimburse me for the loss. Their performance has been excellent while my policy was in effect but this transition to welfare-style health care has killed my commitment to this Health care provider. Through this entire ordeal, they sold me a new ACA compliant policy to replace my old one but nothing ever came from that. Trying to call them to get information or status about your "new" policy is next to useless and the quality of their associates has dropped to a zero grade. Because they tried to steal my money, provide no services and don't answer the phone anymore is the reason I recommend you AVOID THEM AT ALL COSTS!!!!
Reviewed May 1, 2014
I called them up for many issues on my recently bought health plan and no representative picks up the call and I never got a chance to talk a real person. I hate this... Very intolerable!!
Reviewed April 30, 2014
I had a grand mal seizure on April 11, 2014. Doctor increased medication from 250 mg to 500 mg on April 14. That medication needed approval from AMERIHEALTH. Medication approved on April 29, 2014 (2 wks later). Doctor requested an EEG, GLUCOSE, & MRI on April 14. All were approved and done w/ exception of MRI. Went for MRI on April 30. Was not approved. Got home & called AMERIHEALTH. Was told MRI go through a 3rd party & the doctor sent it to the wrong department. I asked to speak to a Manager after being on hold for 46 minutes, spoke w/ manager & voiced my concerns. Upon hanging up I heard Manager laughing w/ someone else. AMERIHEALTH IS A JOKE. They think it’s a joke when you complain about the confusion. Your health, medication, requested tests & concerns should be the focus, not explaining to a customer how wrong the doctor was or third party associates. Never experienced this type of behavior & problems with Charter Health!!!!
Reviewed April 28, 2014
I signed up with Amerihealth via healthcare.gov. In the first few months I really had issue with customer support. I couldn't even get down to paying my monthly premium. To some extent I could understand that as they could have been bombarded by subscriber because of the new health care law. The real issue I have is, them not covering prescription drugs they claim they do. I check the drug name on their website whether they cover before I signed up. That is one of the reasons why I signed up. They are giving me a run around in accepting my doctor authorization letter. I have been trying to do this almost every other day for the last two months. My doctor has faxed the letter to 8886715285 multiple times. When I call 8886787012 to check if they have received it, they tell me they have not. They are just too cold about it and say "well, we haven't received, there is nothing we can do." Come on! We live in a techy age. When my fax machine is giving positive sent reports how come they cannot receive it? I think the idea is to have the consumer keep trying and finally the consumer will drop dead!
Reviewed April 25, 2014
No one possibly has this much time to manage health insurance without even having an illness. I signed up for this garbage, thanks to Obamacare discontinuing my Horizon policy and have spent endless hours on the phone trying to get my payments resolved. They accepted my payments but refused to credit my account. Now their latest curve ball is they sent me a new ID card and changed my primary care physician to be 2 hours away in South Jersey. Wasn't that nice of them? And I have an appointment with mine in a few days just to get a referral to see an eye doctor. Complete waste of time and money!!!
Reviewed April 18, 2014
I became ill on 1/24 and was placed on Disability by my Physician on 1/27/14. My employer had "outsourced" their disability Insurance to AmeriHealth recently in 2013 which most of the employee force had refused to agree to this changes when we were notified, even though we were told it was for the best, NOT. I have exhausted calls and even written to their CEO Judith L. Roman to no avail. Their MO is to tell you in a very curt tone that: "they have NOT received your Physician's paperwork" via fax which is the norm for doctors to fax to insurances and as such they can't make a decision! Hence no check.
I took it upon myself to investigate this issue and the Doctor indeed had proof of it being sent through their fax confirmation logs. I proceeded to re-fax to them and finally they could not deny it any longer since I had my own fax log that it had gone through. However, I was then told that I would have to wait even though they had received the paperwork despite of their denials back in early February! Strangely enough I have found through coworkers that (4) four other employees were told repeatedly as well the same as me that they had not received their doctors faxes (how is this possible in this day and age?) and how does this company gets away with treating those enrolled in their plans so poorly with such heartless scams and why do they prey on the sick and those in need?
Reviewed April 16, 2014
I signed up on the government website (Healthcare.gov) in March of 2014. Was told by site we have coverage and a bill will be sent to us. Our old policy WAS NOT AVAILABLE anymore with new Obama Care. What happened with "YOU STILL CAN KEEP YOUR PRESENT POLICY"? Anyway we went on the site and sign up. For 3 weeks now we have been trying to reach Amerihealth to see when a bill will be sent out and when we can expect coverage. The Confirmation stated coverage starting June 1st. Every time we call we are put into a never-ending hold pattern, hear "ALL REPRESENTATIVES ARE STILL BUSY. PLEASE CONTINUE TO STAY ON THE LINE."
1st time we called waited 45 minutes, no answer; 2nd time 1-1/2 hours, no one picked up; 3 time 45 minutes, no one picked up. Today 4/16/14 30 minutes, so far no one picking up. This is a private business, not a government agency. No excuse, and the plans not cheap either. Maybe a total government takeover is necessary. It appears this is a ploy to get everyone aggravated with the new healthcare system, so the companies can go back to the old programs and rake in the bucks. Or as FOX News would state, Obama is manning the phones at Amerihealth.
Reviewed April 8, 2014
I actually liked this company and had always recommended them to friends. But you really come to learn about a company when you try to close your account. I now getting benefits through another provider and have been trying to close my Amerihealth account. I have been given the runaround for 2 weeks and still no cancellation. Instead they keep charging my account for payment. I would recommend that you stay away from Amerihealth.
Reviewed April 8, 2014
We signed up over a month ago and still don't have ID cards. My kid is sick and needs to go to the doctor. I was on hold for over an hour, and transferred back into the hold line twice, before a representative was finally willing to help locate our member and group numbers.
Reviewed April 7, 2014
I've been trying to get through to this company for 2 weeks after signing up for healthcare. The website doesn't function and nobody answers the phones. However they did charge my credit card promptly. I'm supposed to have coverage but have no idea how to use it and can't find out. How does the insurance commission let them (not) function like this?
Reviewed April 1, 2014
Please investigate this company that is so incompetently run. After you pay online, you cannot reach anyone. The telephone is always busy, and no one can verify or send coverage information. It is a crying shame to pay $2,300 for a monthly policy and receive no information or get through to the company. It makes me embarrassed to be an American. Medicine in this country is all about making as much as you can and ripping off as many people as possible, as quickly. The CEO should be sued and investigated by the state. I would imagine she is too busy shopping for a new Mercedes E class 2015 to really care about running a company properly or not.
Reviewed March 29, 2014
I went on the Gov. healthcare website… added all my information and was surprised to find coverage that seemed best (Amerihealth) but was unable to talk to anyone from their website number. Finally found a number and called. Was put on hold for 1 hr 15 mins... just to end up with an operator that apologized and took my number to call back (this was Monday 03/24/14). She said the sales and enrollment person would call back anytime from the day of my call to 03/26/14.
Today is 3/28/14, and still no call. So I called them back and again was on the phone for almost 2 hrs!!!!! Finally they got on and I was told a sales person would be right with me. I waited an addition 25 mins and got disconnected! We only have until 3/31/14 to get coverage. I believe this Insurance Co and its plans do not exist and are false advertising to us the public! They advertise on the gov. website and seem to be very reasonable in premiums but I cannot even get a person to answer a question to see if my doctors are on the plan.
Their website does not show this. I have wasted precious time, got nowhere and I would never recommend this insurance nor enrol before speaking to a service member employee. They should cover their enrollees as they advertise and for the premium shown! The way they handle their calls for enrollment is a perfect indicator of how well their insurance company cares about their members. Customer service gets 0%. Someone needs to address this Insurance Company and see if they are following rules set in compliance of the Healthcare Reform Time frame for enrollment.
Reviewed March 25, 2014
I enrolled with them via healthcare.gov and the website said I'd be contacted within a couple days. 5 days later I called them because I had heard nothing. After a considerable wait, I was told that my info hadn't been processed and to call back today (more than 9 days since original enrollment). I have been on the phone on hold with them for an hour and a half now. I spoke with someone an hour ago, and after I carefully explained my situation I was quickly put on hold again. If you have this much call volume then maybe you should hire some more people. I sincerely doubt you'll have trouble finding qualified people in this market. In the mean time I will be switching to another company.
Reviewed March 7, 2014
This is the worst customer service I have ever experienced. It is next to impossible to get them on the phone. Just got a bill from our Dr. Husband went for office visit to the P/C and they PAID NOTHING, $0. Have been on hold for 30 minutes now waiting to find out what the problem is. Also asked for a member guide 3 or so times, when I was on hold for over 30 minutes. Was told it would be in the mail. NEVER CAME. Emailed Customer Service several times, NO REPLY. I am very worried that if I need serious medical care I will not receive it.
Reviewed March 4, 2014
All I want to do is change my address, and of course, you can't do it online. The first phone call I was on hold for 35 minutes before someone picked up, gave her my info, and then she said she was transferring me to Amerihealth. (Which I don't understand because that's who I called in the first place) I waited another 30 minutes before hanging up. I called back, put my info in the automated system, and got a busy signal 3 times. I am currently on hold so far for 45 minutes. I can only imagine how bad it would be if I actually had a real problem.
Reviewed March 3, 2014
I'm a member since 09/2013. In March of 2014 I decided to upgrade my plan and add my kids. I did that on 22 of February. Got previous plan cancellation confirmation via email. But guess what... On March 3rd I'm charged for the canceled plan, and for the new one. And I still have no information about my new plan enrollment. So I called them today, waited 30 min. on hold just to find out they can only take callback info, without answering any of my questions. I have little hope to to get that callback and get the answers of this situation. I have no coverage, but paid for 2 plans at this moment. Phone number they have on the member card 888-968-7241 is useless, you get busy signal after answering all the questions to the automated system. If you want at least hear a live person's voice in minimum of 30 minutes wait time, call this number 877-456-8548, but don't expect to talk to the person who can help you.
Reviewed March 2, 2014
I signed up on Healthcare.gov easily in Dec. and paid Jan. premium. Set up ACH payment from my money market and they took next payment Jan 29. Okay. Now I went online to check some info since I'm having a procedure done this week, and I get a message that "Unfortunately you are no longer a member and your online account has been disabled" WTF??? I check my MM acct. and I don't even see an attempt for payment for March. They screwed up, today is the weekend and like ALL insurance co. no one is ever there to help on weekends. They make billions and cannot provide that??? Now I am anxious and won't be able to sleep till tomorrow when I can call. And because of the snow, my guess is they won't be there to answer the phone!!!
Reviewed Feb. 27, 2014
This is a scam to get your money and provide minimum services. The system is setup for extended wait times on the phone (minimum 30 minutes). No easy way to pay your premiums (only through bank account, no credit cards accepted, except ironically first premium). Web site is very poorly designed. No flexibility in cancellation - only on the phone and only in the beginning of each month. Emails with cancellations never confirmed or responded to. Very unhelpful and technically inept support.
Reviewed Feb. 27, 2014
It took three days before I could reach someone about my invoice. They are ruined and unprofessional. I still have not have my invoice problem resolved. You can never reach them on the phone ever. I will not pay my bill and I am will be dropping this awful company. They have gotten over 1600.00 dollars from me in two months. I think this is what they do. They get you for money and then give you horrible service. I wish I never got involved with this company EVER.
Reviewed Feb. 24, 2014
I received a card for my wife's Advantage Plan. Not sure why she received it since neither one of recalled applying for it, so I decided to call them. I dialed the number on the letter to an automated system that asks a lot of questions only to be asked the same questions later by their rep. It also notified me that as usual there is a large number of calls and to expect a longer than wait time to speak to an agent. So after waiting 22 minutes, I get a representative who informs me that she would have to transfer me to an area which resulted in another 20-minute wait at which time I hung up and canceled my account and called Aetna which response time was less than 5 minutes. I am not sure why companies treat it's customers like they don't care. Instead having adequate staffing it benefits them to treat their customers like second class citizens. I think if more people voice their opinions the practice would stop...
Reviewed Feb. 12, 2014
As a result of being thrown off of my current plan (Aetna), I signed up for the Amerihealth Plan Silver Pos+ some three weeks ago. I have tried to contact AmeriHealth to ascertain when my account would be established. In the three instances that I called, I was placed on hold for over thirty minutes. When the representative came on I asked if there were enough staff members to handle the volume of calls. I was treated poorly after that - no apology or explanation. If this behavior is representative of what Amerihealth has to offer, I am not sure I will continue with them when my policy renews. In the end I found out that my registration had been accepted and will become effective at the first of the month.
Reviewed Feb. 11, 2014
This is the single worst company I have ever dealt with. I had health insurance for years with Anthem Blue Cross and I switched to Amerihealth because I believed their advertising about better healthcare.
I joined in Dec 2013 and have had nothing but problems. They never sent me an invoice and then claimed it was overdue - but then they told me to pay on the website and for two weeks straight I tried to pay and the website error message said I wasn't authorized. Then I called customer service again (each time you call they keep you on hold for at least 30 minutes) and they said they were experiencing website issues but "try again in 24hrs". It is now Feb 11th 2014 and I am still not able to get on the website and pay my invoice.
THE WORST COMPANY EVER. And by the way, this is not user error, I am very good with computers. To me this looks deliberate on Amerihealth's part- get your money to sign up and then make it impossible to pay so they can drop you and keep getting more suckers.
Reviewed Feb. 5, 2014
I went on their website to find a provider. Out of the nine I called six had the wrong number, two was not even the doctor that was on the website. One claimed not to accept the insurance. When you try to call Amerihealth they just leave you on hold all day.
Reviewed Nov. 30, 2013
As per my experience in dealing with AmeriHealth, I found the company to be uncommunicative, penny pinching beyond belief and unwilling to live up to their policy commitments. The company appears to be unable to offer anything qualifying as decent customer service; getting a valid and reliable answer from this entity has been an impossibility. I have never dealt with a more anti-consumer company than this and am so pleased to be able to move on to a decent company. BUYERS BEWARE!
Reviewed Sept. 30, 2013
I am an individual policy holder w/ AmeriHealth NJ and have been having trouble PAYING them for the past year on and off. For the past 5 months, I have been on the phone BEGGING them to send me a bill so that I may pay it and they never do. Finally, I get a bill for three months and I pay it and 15 days later, I get a call that I am overdue and they will cancel my account. What they did not tell me is that they rec'd my check and sent it back. So I now believe that since they can no longer kick individuals off when they get sick (new law), they will refuse payment, claim the policy is unpaid and cancel the policy. I am at the end of my rope!!!! Is there anyone else out there w/ this experience?
Reviewed Aug. 2, 2012
They refuse to reimburse a claim form that was apparently filled out incorrectly, thanks in part to none other than their own customer service instructions. All necessary information, charges, diagnosis, and receipts were submitted with said claim form; however, I can't get reimbursed unless I go through the whole process again. Give me a break. I've paid them $300 + a month on time for over a year and barely go to the doctors. It's kind of petty that they refuse a claim for $190 because I was given the wrong instructions. Having worked in various sales / customer service positions over the last 10+ years, I'm quite confident that someone can make sense of all of this in the back office and reimburse me without forcing me through a lengthy process (3 weeks). I find out later that a partial reimbursement was issued to the provider even though I clearly submitted copies of receipts paid. There was zero balance with the provider.
Policy cancellation "processing" takes 10 to 14 business days and even something as simple as canceling auto-draft takes 7 to 10 business days. Who has processing times of this long anymore? Never again with Amerihealth.
Reviewed Jan. 27, 2012
Applied for Health insurance family. It took 3 weeks to process the application, that too my family members were not added to the coverage. I received the member ID card after 4 weeks. I contacted customer service and requested to add family members. He told that he added them and I would receive the cards in three weeks. Finally My family members added after two months. I received billing statements for family coverage fee. Family coverage started after I requested, after two months. First two months, family was not added but charged for that.
Again contacted customer service and explained the problem. He told that he could not reverse the charge. Please contact the account manager to change effective date, then the charge would be reversed. I contacted the account manager Pamela ** , Amerihealth NJ. She refused to change the effective date for family and harassed me. Behaved like animal.
Reviewed Aug. 17, 2011
Amerihealth administers a mail order prescription through Futurescripts. FS has a computer glitch where it is not accepting my credit card from my HSA account. I had to figure this out by researching with my Visa (HSA) people and they told me why they were denying the card. Futurescripts was not sending over secure data with the established IIAS (whatever that is.) So I had to give the systems folks at Futurescripts the information.
Any attempt to do anything with my scripts (reorder, check status, etc.) is prevented by the pop-up message and so I am out of two cholesterol drugs.
Everyone knows there's a computer problem, but no one seems concerned and will do a workaround and perhaps take an order by paper while their systems engineers fix this. It's been three weeks and I've got complaints filed with NJ Department of Insurance and PA Pharmacy board.
They spent two weeks blaming me for not knowing how to use their website until I went back to them with the explanation of the problem. Even if I were a blithering idiot, is that a reason I should be denied or be delayed in getting my scripts?
Reviewed May 14, 2011
My husband is a double amputee also partial paralyzed on his left side. He is in need of a new wheelchair. Amerihealth states he is only entitled to one every five years. His is broken due to the fact it gets a lot of use. He spends all his time in it. The man has no legs,what do they want him to do? They are making me fight for it with lots of phone calls and letters. I am not asking for anything that he does not need. The chair needs repairs and due to this he falls out and we have to call 911 to get him back up. I have even taken it back to where is was purchased and they submitted repairs to Amerihealth and they are still making me fight.
AmeriHealth Company Information
- Company Name:
- AmeriHealth
- Website:
- www.amerihealth.com
Newer reviews available
Get the most up-to-date feedback from recent customers.
See the latest reviews