Centene (Ambetter)

Centene (Ambetter) ranks fourth worst for low premiums paired with narrow provider networks, leaving rural enrollees driving up to 2 hours for in-network care. Multiple state lawsuits alleged it overcharged Medicaid and pharmacy benefit programs by hundreds of millions, leading to settlements exceeding $1.2 billion across a dozen states. This cost is 35% higher than the average insurer's penalties, making it a burden on taxpayers and patients alike.