Business ProfileforRocky Mountain Health Plans

RMHP is underwriting my healthplan from **************** ***. They are fraudulently representing my coverage in order to trick me into paying for medications they claim are covered. (a) They say the medication Zaleplon was rejected pending prior authorization, which my doctor submitted. They told my doctor it was accepted. The pharmacy re-ran the prescription, and they approved the medication automatically, charging me $5 on 01/17/2023. They are now denying they received the medication and are attempting to bill me over $70. I would not have purchased this medication if it was denied. (b) My asthma specialist prescribed Zileutin. They denied as being non-formulary, which my doctor's office appealed. They told my doctor they accepted the appeal, my pharmacy re-ran the prescription, and they told my pharmacy the prescription was approved. The co-pay is $351. However, via phone they are now saying the medication is NOT approved, and will send me a bill of over $700 **on top of** the $351 co-pay. I would not have purchased this medication if it was not approved. I filed a written complaint, which they have not repsonded to. I called three times. The first time they refused to tell me which medications were covered, then placed me on hold "to get a supervisor". After one hour the call disconnected. The third time I spoke to a supervisor. She gave conflicting information. When I asked how I can know what medications were covered, she placed me on mute and 20 minutes of silence later she hung up the phone. This is clearly intentional, illegal, fraudulent behavior. I have audio recordings to support these events, if required.