Ambetter of Tennessee Health Insurance Review & Ratings (2024)

Ambetter of Tennessee provides customizable insurance coverage for Tennesseans. Several plan types can be tailored to your needs with additional benefits.

Plans are available online and include many perks and discounts. 

The company has not been rated by any major financial rating agencies. Customer reviews are generally poor, with many complaining of lousy customer service and coverage issues. 

Overall, Ambetter of Tennessee gives you access to some practical individual and family health insurance plans. Depending on your location, the coverage options include dental and vision, and the rewards program offers valuable discounts.

Ambetter of Tennessee might be a good choice for you and your family. But remember, always do your research. Compare multiple companies and the coverage they provide to find the best option for you and your loved ones.

What You Should Know About Ambetter of Tennessee Health Insurance

Welcome to our comprehensive guide on Ambetter of Tennessee Health Insurance, your trusted source for reliable health insurance information. Explore the various coverage options, benefits, and features offered by Ambetter of Tennessee. We’ll discuss key topics such as individual and family health insurance plans, network coverage, prescription drug benefits, preventive care services, and more.

To find the best insurance rates and providers in your area, simply enter your zip code below and compare rates. Take control of your healthcare journey today and secure the ideal health insurance coverage that meets your needs. Don’t miss out on the opportunity to protect your health and well-being.

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Ambetter of Tennessee Health Insurance Coverage Options

Ambetter of Tennessee provides essential health benefits with all of its plans. A health insurance plan through Ambetter gives you access to the following health and wellness features:

• Emergency care. All plans cover trips to the emergency room.
• Outpatient or ambulatory care. Outpatient treatment is covered in all plans.
• Preventative and wellness care. All of Ambetter’s plans provide coverage for preventative care.
• Maternity and newborn care. Ambetter of Tennessee’s health insurance policies include coverage for pregnant mothers and newborn infants.
• Pediatric care. Ambetter of Tennessee’s health insurance plans can cover your children.
• Mental health and substance abuse care. All plans cover mental health care and substance abuse treatment.
• Laboratory services. All policies cover lab work, such as blood tests.
• Prescription drugs. Prescription medications are covered with all of Ambetter’s plans.
• Therapy services. Your Ambetter of Tennessee insurance policy covers therapy sessions.
• Hospitalization. All plans include coverage for stays in the hospital. 

Whether you choose a bronze, silver, or gold plan, you’re covered for these essential services with an insurance policy from Ambetter of Tennessee. 

Ambetter of Tennessee Health Insurance Additional Features

Insurance plans with Ambetter of Tennessee include many additional features and coverage options. Value-adding features include telehealth, a 24/7 nurse advice line, and access to a program that rewards you for exercising. 

Ambetter of Tennessee provides customers with access to a wide range of benefit options. These benefits can be added to most of Ambetter’s plans and provide you with flexibility when choosing your coverage.

Ambetter of Tennessee Dental & Vision Insurance

Health insurance plans with Ambetter of Tennessee provide affordable dental and vision insurance access. 

Pediatric vision is available with all Ambetter plans. Adult vision and dental insurance coverage are available depending on your location.

Ambetter of Tennessee Pharmacy program

Ambetter has a mail-order pharmacy program to deliver your prescriptions to your home. Additionally, you can choose from any in-network retail pharmacies near you. You can find pharmacy information and the Ambetter of Tennesse doctors list in the provider directory.

Ambetter partners with doctors and pharmacies to provide coverage for a wide array of medications.

Ambetter of Tennessee Telehealth

You have access to 24/7 medical aid with a $0 co-pay with Ambetter telehealth. This program allows you to connect with doctors for non-emergency health issues and questions. You can request a prescription refill or ask for medical advice by phone or video. 

Ambetter of Tennessee Care Management Services

Ambetter’s care management program connects you with care managers who can support your other healthcare needs. These professionals can help you coordinate healthcare services and locate community resources.

Care managers work with you and your doctors to design care plans specifically for you and your needs.

Ambetter of Tennessee Start Smart for Your Baby

The Start Smart for Your Baby program is designed with maternity health in mind. It provides resources and support for mothers during the pregnancy and infancy stages. 

Ambetter of Tennessee Health Management Programs

Ambetter’s health management programs provide you with personalized help managing chronic health conditions.

This program gives you access to telephone support, educational tools, and mental health services, such as depression management programs.

Ambetter of Tennessee 24/7 Nurse Advice Hotline

You can get answers to your health questions night or day with Ambetter’s nurse advice line. 

Registered nurses are available to speak to you by phone. You can ask questions about medication, health, and whether or not you should visit the emergency room 24/7. 

Ambetter of Tennessee Health Insurance Rates Breakdown

Ambetter of Tennessee offers three types of health insurance plans. The three different levels of plans provide you with the ability to choose the best option for your situation and budget.

Each policy includes essential health benefits, and you can customize them further with additional features. You can enroll in Ambetter’s plans online by providing a few details about your family size, income, and health condition.

Ambetter of Tennessee Bronze Level Plan

The bronze-level health insurance plan from Ambetter of Tennessee is also known as the essential care policy. It covers basic healthcare needs. With the bronze level plan, you pay the lowest monthly premiums. However, the premiums are lower in exchange for potentially higher out-of-pocket costs, should you require extensive medical treatment. 

Ambetter of Tennessee’s bronze-level plan is best for healthy people who rarely need to use their health insurance.

Ambetter of Tennessee Silver Level Plan

Ambetter of Tennessee advertises its silver plan, or balanced care plan, as the best value. It has higher premiums than the bronze level plan but lower deductibles and out-of-pocket expenses. 

The silver plan may be convenient if you qualify for financial assistance. 

Ambetter of Tennessee Gold Level Plan

Also known as its secure care plan, Ambetter of Tennessee’s gold-level health insurance plan provides you with the lowest deductibles and out-of-pocket expenses.

The gold plans have the highest premium payments and are best for someone with costly medical expenses. The secure care plan might be a practical choice if you have an expensive drug prescription or need to undergo extensive medical treatment. 

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Ambetter of Tennessee Health Insurance Discounts Available

Ambetter of Tennessee gives customers access to many perks and discounts with their insurance plans. 

Ambetter’s perk program includes features such as:

• Local gym memberships. Ambetter partners with local gyms, such as 24 Hour Fitness, Anytime Fitness, GlobalFit, and Jazzercise.
• Home gym equipment. You can receive discounts on gym equipment from Total Gym and Horizon Fitness.
• Digital fitness. Ambetter provides discounts on services from Evolutions Yoga and BurnAlong.
• Health food. Plans with Ambetter of Tennessee include discounts on Home Chef and Blue Apron services.
• Mental wellness. You can receive discounts on services from Calm and Talkspace.

Additionally, Ambetter gives you access to discounts on office supplies, computers, restaurants, car dealers, retailers, and hotels.

Read more: Business Insurance for Gyms: Gym Insurance Explained

Ambetter of Tennessee Rewards Program

Besides its numerous perks and discounts, Ambetter of Tennessee provides a rewards program. The My Health Pays program is available to all Ambetter customers and can provide you with savings on your insurance premiums and other healthcare expenses.

After activating your account, the My Health Pays program pays you to complete certain healthy activities, such as eating right and exercising. You can convert the rewards you earn into savings on your monthly premiums, co-pays, and deductibles.

You can also use your rewards for non-healthcare purposes. You can convert rewards to help pay for costs of education, utilities, rent, transportation, and childcare.

Navigating Ambetter of Tennessee Health Insurance Claims Process

Ease of Filing a Claim

When it comes to filing a claim with Ambetter of Tennessee Health Insurance, policyholders have the convenience of multiple options. The company offers a user-friendly online claims filing process, allowing customers to submit their claims through the official website or mobile app.

This digital approach simplifies the claims process, enabling policyholders to initiate a claim from the comfort of their own homes or while on the go. Additionally, Ambetter of Tennessee provides a phone-based claims filing option for those who prefer speaking directly with a representative.

Average Claim Processing Time

The efficiency of the claim processing system is a crucial factor for policyholders. Ambetter of Tennessee Health Insurance aims to streamline this process to ensure that claims are handled promptly and efficiently.

While specific processing times may vary depending on the nature and complexity of the claim, the company strives to maintain reasonable turnaround times, allowing customers to receive their claim settlements in a timely manner.

Customer Feedback on Claim Resolutions and Payouts

Customer feedback plays a vital role in evaluating an insurance provider’s claim resolutions and payouts. Ambetter of Tennessee Health Insurance has garnered both positive and negative feedback from customers in this regard. Some policyholders have expressed satisfaction with the company’s responsiveness and fair claim settlements.

However, others have reported issues with claim denials or delays. It’s essential for prospective customers to consider these experiences and reviews when making an informed decision about their insurance provider.

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Unveiling Cutting-Edge Digital and Technological Features by Ambetter of Tennessee Health Insurance

Mobile App Features and Functionality

Ambetter of Tennessee Health Insurance offers a robust mobile app designed to enhance the overall customer experience. The app provides policyholders with convenient access to their insurance information, including policy details, coverage status, and claims history.

Additionally, users can easily file claims, view their digital insurance ID cards, and locate nearby in-network healthcare providers. The mobile app’s user-friendly interface and array of features contribute to a seamless digital experience for Ambetter customers.

Online Account Management Capabilities

For policyholders seeking efficient online account management, Ambetter of Tennessee Health Insurance offers a comprehensive web portal. Through this portal, customers can manage their policies, make premium payments, update personal information, and track the status of claims.

The online account management system is designed to empower policyholders with convenient self-service options, reducing the need for time-consuming interactions with customer service representatives.

Digital Tools and Resources

Ambetter of Tennessee Health Insurance recognizes the importance of providing policyholders with digital tools and resources to support their healthcare journey. The company offers a range of online resources, including educational materials, wellness programs, and access to telehealth services.

These digital tools aim to empower individuals and families with the information and resources they need to make informed healthcare decisions and maintain their well-being.

How Ambetter of Tennessee Health Insurance Ranks Among Providers

When considering health insurance in Tennessee, it’s essential to explore various options to ensure you make an informed decision. Ambetter of Tennessee has its strengths, but it’s always beneficial to compare it with its competitors. Here are some main competitors in the Tennessee health insurance market:

• Bluecross Blueshield of Tennessee: A well-established player in the health insurance industry, Bluecross Blueshield of Tennessee offers a range of health plans, including individual and family coverage. They are known for their extensive network of healthcare providers.
• Cigna Health Insurance: Cigna is a global health services organization providing health insurance solutions. In Tennessee, Cigna offers a variety of health plans, focusing on personalized and preventive care.
• Unitedhealthcare: Unitedhealthcare is a widely recognized health insurer offering a variety of plans, including individual and family coverage. They are known for their innovative health management programs.
• Humana: Humana is a leading health and well-being company with a range of health insurance products. In Tennessee, they provide diverse plans with a focus on holistic health.
• Aetna: Aetna, now a part of CVS Health, offers a variety of health insurance plans. They are known for their integrated healthcare approach, combining insurance and pharmacy services.

While Ambetter of Tennessee provides customizable coverage and unique perks, exploring alternatives is crucial to finding the best fit for your healthcare needs. Consider factors such as coverage options, network size, customer service, and additional benefits when comparing health insurance providers in Tennessee.

Ambetter of Tennessee Reviews & Financial Ratings

When searching for a health insurance company, it’s essential to consult a couple of sources of information. A company’s financial ratings and customer reviews can provide excellent insight into its reliability and how it treats its customers.

Ambetter of Tennessee Financial Ratings

Financial ratings are third-party, unbiased estimations of an insurer’s ability to meet its obligations. They provide us with insight into the company’s financial strength and stability.

None of the significant financial reviewers have rated Ambetter of Tennessee.

Ambetter of Tennessee Reviews

Customer reviews are a valuable source of information, and they can give us a good idea of what the customer experience is like. 

Ambetter of Tennessee is accredited with the Better Business Bureau. The company has a B+ rating based on customer-submitted complaints and information. Ambetter also has a 1/5 star rating with BBB based on three customer reviews. 

Ambetter has a 1.4/5 star rating with BestCompany based on 897 customer reviews.

The negative customer reviews and complaints about Ambetter of Tennessee generally cite poor customer service and issues with coverage as reasons for their dissatisfaction.

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