Insurer profile · NAIC + CMS

AmeriHealth Caritas VIP Next, Inc.

AmeriHealth Caritas VIP Next, Inc.'s complaint record, claim-denial rate and reputation grade, drawn from published NAIC complaint data and CMS Transparency in Coverage.

F
Reputation grade
29.6%
Claims denied
1
States (CMS data)

The verdict

AmeriHealth Caritas VIP Next, Inc. earns a F reputation grade - a significantly worse record than peers, according to CMS Transparency in Coverage filings, 29.6% of its marketplace claims were denied across 1 state.

F
reputation grade
29.6%
claims denied (CMS)
FFF
Reputation grade F (composite score 15.1) - A=Excellent, F=Failing. Based on NAIC complaint ratios and CMS denial data.

Graded on 1 of 3 measures: claim denials. The score is rescaled across the measures available, so it is not directly comparable with a carrier graded on more of them.

How we calculated this grade →

NAIC CIS filing desk

NAIC NAIC F · 15.1

GRADE-F · INDEX-UNK · DENIAL-HOT · RANK-UNK · PHOTO-SOLO · LINES-0 · BOOK-MID

  • GRADE-F F · 15.1
  • INDEX-UNK Index blank
  • DENIAL-HOT 29.6% denied
  • RANK-UNK Rank pending
  • PHOTO-SOLO No peer gap
  • LINES-0 No lines
  • BOOK-MID 3/7 fields

Instrument codes from this carrier’s NAIC Consumer Information Source filing: grade band, complaint index, CMS denial band, corpus rank, photo-finish peer, line book, and field completeness. Not an official NAIC rating.

What the NAIC filing desk shows for AmeriHealth Caritas VIP Next, Inc.

AmeriHealth Caritas VIP Next, Inc.'s filing desk summarizes the NAIC complaint record and any CMS marketplace denial data on file.

See where AmeriHealth Caritas VIP Next, Inc. sits against every reporting carrier in the claim-denial rate ranking. Appeal notes for AmeriHealth Caritas VIP Next.

Nationwide insurers with similar scores or complaint volume

Two corpus-wide peer sets for AmeriHealth Caritas VIP Next, Inc.: nearest national-scale carriers by composite score and by NAIC complaint volume. These are cross-market neighborhoods, not the corporate-family list or same-grade chips above.

Similar composite score

Nearest carriers by composite score (15.1 here). Floored at 50+ complaints and 5+ states.

Esurance (Allstate) 20.8 Ambetter (Centene) 6.8 Dairyland Insurance (Sentry) 6.4 Hippo Insurance 6.4
Aggregates only, not advice. Full terms on the disclaimer.

Questions about AmeriHealth Caritas VIP Next, Inc.

What does AmeriHealth Caritas VIP Next, Inc.'s grade mean?
AmeriHealth Caritas VIP Next, Inc. received a grade of F, indicating a significantly worse record than peers.
How many complaints does AmeriHealth Caritas VIP Next, Inc. have?
NAIC's public bulk data does not include a complaint-volume estimate for AmeriHealth Caritas VIP Next, Inc. - the carrier may be new, small, or file under a parent company. Absence of an estimate is missing data, not evidence of zero complaints.
How do I file a complaint against AmeriHealth Caritas VIP Next, Inc.?
File against AmeriHealth Caritas VIP Next, Inc. through your state's Department of Insurance or the NAIC consumer portal at naic.org.
Is AmeriHealth Caritas VIP Next, Inc. a good insurance company?
PlainInsurer's F grade for AmeriHealth Caritas VIP Next, Inc. reflects a significantly worse record than peers relative to peers on published complaint and denial data.
What types of insurance does AmeriHealth Caritas VIP Next, Inc. offer?
Detailed line-of-business data isn't currently available for AmeriHealth Caritas VIP Next, Inc.. The carrier is licensed in 0 states.

Source: NAIC published complaint index + CMS Transparency in Coverage PY2026 Complaint index, reputation grade and per-state claim denial rates for AmeriHealth Caritas VIP Next, Inc. · 2024

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The full PlainInsurer extract, covering every insurer including AmeriHealth Caritas VIP Next, Inc., is available as CSV and JSON. Underlying federal data is public domain; see our methodology for the compilation and grading method.

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Data: NAIC published complaint index (2024) · CMS Transparency in Coverage PUF PY2026. Not affiliated with NAIC or CMS.

Every figure on PlainInsurer comes directly from NAIC MCAS and CMS Transparency in Coverage data; no editor types in numbers. See our editorial standards or methodology, or report an error. Data current as of 2026-08-11. Grades measure only the published complaint/denial data; we don't recommend any insurer or policy.