Amerigroup is a managed healthcare company that provides health insurance plans and services, primarily serving Medicaid and Medicare beneficiaries. The company operates as a subsidiary of Anthem, Inc. and focuses on delivering healthcare coverage to government-sponsored program participants across multiple states. Amerigroup works with healthcare providers and community organizations to coordinate care and services for its members.
Amerigroup receives a mixed but generally positive reception from its customers. Many reviewers appreciate the solid healthcare coverage and the quality of customer service, noting that representatives often go above and beyond to resolve issues.
The mental health benefits and wellness programs are highlighted as valuable features, with users finding the mobile app helpful for managing their healthcare needs. However, some consumers express frustration with disappointing customer service experiences, particularly regarding long wait times and conflicting information from representatives. Additionally, the prior authorization process can be slow, leading to delays in receiving necessary medications. While the overall experience is satisfactory, there are areas for improvement, particularly in customer support efficiency.
Summary generated with AI from recent reviews
Same method for every company: overall rating, legitimacy checks, the average rating of reviews mentioning each area and the 6-month trend · Health Insurance.
| Company | Overall | Legit | Trend | Reviews |
|---|---|---|---|---|
| — | 67 out of 100 | — | 0 | |
| 4.6 out of 5 (good) | 100 out of 100 | — | 1,000 | |
| 4.3 out of 5 (good) | 100 out of 100 | — | 100 | |
| 1.1 out of 5 (poor) | 100 out of 100 | — | 100 | |
| 1.8 out of 5 (poor) | 100 out of 100 | — | 100 |
12 reviews of Amerigroup. Filter by what matters to you.
The basic coverage is fine but the prior authorization process is frustrating. Had to wait weeks for approval on a medication my doctor prescribed. Customer service eventually sorted it out but it shouldn't take that long.
The medical coverage itself is solid but navigating the system can be confusing. Had several instances where different representatives gave me conflicting information about my benefits. Once you figure out how everything works though, it's pretty good.
It does what it's supposed to do but nothing particularly stands out. The network is adequate for my area and claims are processed in reasonable time. Would be nice to have more flexible appointment scheduling options with in-network providers.
Quick answers to the questions people ask most.
Amerigroup is a managed care health insurance company that provides Medicaid and Medicare plans to eligible individuals and families. They offer comprehensive healthcare coverage including medical, dental, vision, and prescription drug benefits through a network of healthcare providers.
Eligibility for Amerigroup plans typically depends on income level, family size, and state residency for Medicaid plans, or age 65+ and disability status for Medicare plans. You can check eligibility through your state's Medicaid office or by calling Amerigroup directly.
You can search for in-network providers using the online provider directory on Amerigroup's website or mobile app. You can also call the customer service number on your member ID card for assistance finding providers in your area.
Customer service hours vary by state and plan type, but most Amerigroup customer service lines are available Monday through Friday from 8 AM to 8 PM local time. Some locations offer extended hours or weekend availability for urgent matters.
Prior authorization requests can be submitted by your healthcare provider through Amerigroup's online portal, fax, or phone. You can also check if your medication or procedure requires prior authorization using their online tools or by calling customer service.
If your claim is denied, you have the right to appeal the decision within 60 days of receiving the denial notice. You can file an appeal online, by phone, or by mail, and Amerigroup will review your case and provide a written response.
Yes, Amerigroup plans typically include prescription drug coverage with a formulary (list of covered medications). You can check if your medication is covered using their online formulary tool or by calling customer service.
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Some claims go through smoothly while others seem to take forever to process. The mobile app is convenient for checking benefits but crashes occasionally. Customer service has been helpful when I've needed to call, which makes up for some of the technical issues.
You can update your information through your online member account, by calling customer service, or by contacting your local Medicaid office if you have a Medicaid plan. It's important to keep your information current to ensure you receive important communications.
Amerigroup covers emergency medical services 24/7 at any hospital, including out-of-network facilities, when you have a true medical emergency. Emergency room visits, ambulance services, and urgent care are typically covered without prior authorization.
You can access your benefits, claims, and account information through Amerigroup's member portal on their website or mobile app. You'll need to register for an account using your member ID number and personal information to get started.
Amerigroup is a managed healthcare company that provides health insurance plans and services, primarily serving Medicaid and Medicare beneficiaries. The company operates as a subsidiary of Anthem, Inc. and focuses on delivering healthcare coverage to government-sponsored program participants across multiple states. Amerigroup works with healthcare providers and community organizations to coordinate care and services for its members.
