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Business Profile

Health Insurance

Ambetter from Buckeye Health Plan

Complaints

This profile includes complaints for Ambetter from Buckeye Health Plan's headquarters and its corporate-owned locations. To view all corporate locations, see

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Ambetter from Buckeye Health Plan has 2 locations, listed below.

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    Customer Complaints Summary

    • 16 total complaints in the last 3 years.
    • 3 complaints closed in the last 12 months.

    If you've experienced an issue

    Submit a Complaint

    The complaint text that is displayed might not represent all complaints filed with BBB. Some consumers may elect to not publish the details of their complaints, some complaints may not meet BBB's standards for publication, or BBB may display a portion of complaints when a high volume is received for a particular business.

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    Complaint status

    Complaint type

    • Initial Complaint

      Date:12/28/2022

      Type:Billing Issues
      Status:
      ResolvedMore info

      Complaint statuses

      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      I have health insurance through Ambetter Buckeye Health for the full calendar year 2022. During the open enrollment period for 2023, I have purchased health insurance through a different company. In my online account through Ambetter I noticed a message that they automatically enrolled me for a new policy for 2023 which I do not want or need. I called Ambetter on Dec 5th 2022 to notify them that I did not wish to have this new policy nor would I be paying the new bill I could see in my online account of 384.10 which was the premium for the 1st month of the new year 2023. This process was frustrating and took almost an hour but I finally was told that the policy would not be extended and not to worry about paying the new bill. I was given a reference number of this conversation I-90276110. On 12/27/2022 I noticed that my online account still showed a new policy being active for 2023 and still showed a bill for the first month of 384.10 due 12/31/22. I called again... My first call of the day lasted 1 hr 8 minutes. This agent repeatedly tried to tell me to call the healthcare marketplace as ambetter cant cancel my plan. Starting about 30 min in I began asking for a supervisor. I believe over the second half hour i asked 8 times for a supervisor and was never given one. I told the agent I would just stay on the line as I will not accept the answer. 1 hour in she said she would call the health care marketplace and 3 way me in. She connected me to a person at the market place and she was present. The marketplace agent took my info and told us both that he has no record of me using them, and cannot see or do anything (which i already knew). When he said that I demanded the ambetter agent to get me a supervisor. She hung up on me and transferred me to a exit survey from Ambetter. I then made a 22 min (was hung up on), and a 1 hour 22min call to Ambetter with similar results. As of 12/28/22, I still show a new plan for 2023 that I do not want, and a 384.10 bill due 12/31.

      Business Response

      Date: 01/27/2023

      Good afternoon,   Buckeye Ambetter has completed our review of the BBB # ******** for Christopher Veppert.  We have attached a copy of the calls from 12/5/2022, 12/27/2022 and 12/31/2022 and coaching was provided to the call representatives.  

       

      Please advise if you have any further questions. 

       

      Thank you,

      ***** ******

      Grievance and Appeals Coordinator

      Buckeye Health Plan

      ************************

      Customer Answer

      Date: 01/31/2023

      I accept the business's response to resolve this complaint. The content of Ambetters summary of the calls is so unbelievably false it would be shocking if I hadn’t received the same lies in my multiple attempts to interact with them. They either did not listen to any of my multiple calls or the management team there is taught to lie to anyone that questions them. Their summary of the calls lists none of the issues I experienced over the multiple calls and hours I spent begging for help. 

      While their response to the BBB answers 0 of my asks in my original BBB complaint, I guess I will assume that my plan is cancelled and that my ask for that in writing was too much effort for them. I will be submitting a complaint to the states attorney general next. No Ohioan should be subject to the abrasive lack of help Ambetter provides. 

      Regards,
      *********** *******
    • Initial Complaint

      Date:11/14/2022

      Type:Billing Issues
      Status:
      AnsweredMore info

      Complaint statuses

      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      I obtained healthcare for me and my family (Wife and two songs (3 and 1 yo). I set up an automatic payment within their system linking directly to my Chas Bank account. Every month the payment would process, I would get a confirmation notice in email form and within their internal system. Thinking everything was taken care of I would move on. And then the next month I would get a notice that my payment was overdue. Something was happening in their internal system that would accept my payment and then later reject and "refund" the payment. However the payment never went back to my bank account. I spent hours upon hours on hold and in calls with agents and escalations team members within the company to try and resolve the issue. Taking time out of my hourly paying job (losing income) to try and resolve this. I was told multiple times by multiple team members that they were either attempting to solve the issue or that the issue was in fact solve and that my account was current and paid in full. Leading to today when i received a notice that my account was cancelled and after a 2 hour long call I was told that the only way to reinstate my account was to file a grievance and then pay in full the back pay amount that I had already paid.

      Business Response

      Date: 11/18/2022

      Good afternoon,   Buckeye Ambetter is still review the member complaint may we please have until 11/30/20222 for a response.   

       

      Thank you,

      ***** ****** 

      Buckeye Health Plan

      *****.******@*******.com 

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