ComplaintsforHealthPlanOne, LLC

• Initial Complaint

  01/26/2024

  Complaint Type:

  Order Issues

  Status:

  Answered

  More info

  I am requesting BBB action due to incorrect information that I was provided by a Licensed Sales Agent for ********** Medicare. When I spoke with Sales Agent Yasser S****** ********* on January 24, 2023, Mr. Ferdinand reviewed the names and addresses of doctors and stated that that the specific doctors accepted Aetna Medicare Select HMO plan ********** Based on this information, as Medical Power of Attorney, I selected and applied for these plans for my elderly (** *** ** ***** ***) parents - ****** and ********* *****. On January 25, 2024, I spoke with ****** and *********'s primary trusted physician, *** ****** ********* ** at ###-###-####, and he informed me that he does not accept Aetna Medicare Select HMO plans. *** ******** is a reliable caregiver that my parents have bonded with, and he is critical to the continued healthcare of my elderly and partially disabled parents. On January 25, 2024, based on the misinformation I was provided by a ********** sales agent, I requested that the Aetna Medicare Select HMO plan applications be immediately removed from submission. ********** has not taken any action to date, and this jeopardizes Healthcare coverage for my elderly parents.

  

  Business response

  01/26/2024

  Good morning,

  We are actively reaching out to this agent to get these policies cancelled, I will reply back when this is done and a supervisor will also be reaching out to you to confirm this as well. We apologize for any inconvenience this causes and please know this is not a normal situation for **********. We pride ourselves on finding the right plan for our clients and we take matters like this very seriously. 

  Best,

  ********** Medicare

• Initial Complaint

  02/03/2023

  Complaint Type:

  Sales and Advertising Issues

  Status:

  Answered

  More info

  I was looking for a Medicare supplement plan to cover the 20% that my Medicare parts A and B didn’t cover. I was lied to by this business by Tony A****** he told me that it was a supplemental but it was really a Medicare Advantage plan that is not what I wanted. I specifically wanted a supplemental plan. I am on Social Security Disability. Because of this all of my co-pays went up and I found out that I have a $1000.00 deductible for my psychiatric doctors. My therapist bill went up too and now I have to pay $40. I cannot afford this. This is not what I agreed to. The agent Tony A****** informed me that everything was covered which is not true. My medications went up in price too. I don’t want this agent to do this to anyone else. He took advantage of me and now I am stuck with this insurance until March 1st. I have no idea how I am going to pay my doctors and get my medications that I need on a daily basis.

  

  Business response

  02/17/2023

  Hi there,

  We reviewed the call and the customer did mention that she was already denied by another carrier for a Medicare Supplement. She was outside of her initial enrollment period and wasn't eligible for a Supplement plan. Tony wanted to help her find a plan and a Medicare Advantage plan was discussed with the customer. Tony educated the customer on the advantage plan option, reviewed doctors and prescriptions were covered by the plan; Tony obtained verbal approval from the beneficiary to enroll and she electronically signed her name after the enrollment.

  Customer response

  02/22/2023

  
  Complaint: ********
  
  I am rejecting this response because:I specifically stated in the call that I didn’t want a Medicare Advantage Plan. Tony A****** (the agent) assured me that it wasn’t. He indicated to me that the plan was a PPO. I have proof of bills that we’re co-pays for my doctors and prescriptions. These drastically increased. I am on Social Security and with my original insurance that I had prior my co-pays were much lower. It isn’t plausible that I would want my bills to increase. Also, I do t want this to happen to any other unsuspecting victim. 
  
  Sincerely,
  
  ******** *******

• Initial Complaint

  11/15/2022

  Complaint Type:

  Billing Issues

  Status:

  Answered

  More info

  On November 2, 2022 I began an online search and found a company identified as Healthplan one (877) 567 5267 call record identified as ***** ***** ###-###-#### and spoke to a one KATRINA. This person enrolled me into the marketplace AETNA CVS health plan brokering through the marketplace exchange evidence-see attached document. In addition, I was mislead into purchasing a stand alone dental plan evidence-see attached document. Furthermore, she asked me for credit card information and I provided her with my card number for a total dollar amount of $16.98 to be paid as the first months premium on the Managed ****** ***** ** ********** 2 plan evidence-see attached document. On November 14, 2022 I received a demand for payment from ******** **** ********* ******* ** ******* for 1st months premium of $16.98. I already paid this money to this KATRINA and I demand to know why she took CC information over the phone to satisfy the premium payment when no such payment was made. This KATRINA provided me with the Credit Card payment confirmation number as ******** on November 2, 2022. I was given plan ID information over the phone call identified as ************** when clearly from the evidence provided as per the attached document was incorrect and this number was not to be found. The dental plan information I was provided was NOT correct during my phone call with this KATRINA. Furthermore, this company defrauded me out of my CC personal information and I want accountability for this situation to document for reporting to local law enforcement and state insurance authorities, this agent dismissed from her job immediately and an explanation as to why this KATRINA processed a CC payment on my behalf, took my CC information and did not apply the payment to the correct dental plan in question.

  

  Business response

  11/18/2022

  We are looking into the complaint and are escalating it through the organization. Looking into a resolution

  Customer response

  11/18/2022

  
  Complaint: ********
  
  I am rejecting this response because: I returned a phone call from a one Mr. ***** identifying himself as a supervisory leader in the Aetna CVS chain of command. Phoning Mr. ***** back, we spoke and he asked I complete the following two things. One, Monday November 21, 2022 I was asked that I phone ******** ****** and request once again whether or not the payment made to HEALTHPLAN ONE on 11/02/2022  through the enrolling agent KATRINA was now processed and completed and Two, wait for his phone call on Tuesday November 22, 2022 A.M business hours for an update to this matter. Therefore, since there is a now a couple of items that I have agree on in good faith with this company, I am rejecting the above response for the time being.
  
  Sincerely,
  
  *********** *********

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