Complaints

This profile includes complaints for Clear Spring Health's headquarters and its corporate-owned locations. To view all corporate locations, see Find Local Branches.

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  Clear Spring Health

  250 S Northwest Hwy Ste 302 Park Ridge, IL 60068-4244

• 

  Clear Spring Health

  3601 SW 160th Ave Suite 450 Miramar, FL 33027

The complaint text that is displayed might not represent all complaints filed with BBB. Some consumers may elect to not publish the details of their complaints, some complaints may not meet BBB's standards for publication, or BBB may display a portion of complaints when a high volume is received for a particular business.

• Initial Complaint

  Date:12/20/2022

  Type:Billing Issues
  Status:

  ResolvedMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  ******** automatically signed me up for a prescription drug program in September through clear springs health. I immediately contacted ******** and told him I did not wish for this and I wanted it to stop. ******** assured me that the problem was taken care of and that I did not have a program through clear springs health. Clear springs health keeps sending me bills for $20.50. I have called them four times and ask them to stop billing me because I did not ask for their program I did not enroll in their program and I even contacted ******** to keep me from being enrolled in their program and they want a check in payment for the $20.50 each month I do not have a checking account I told him that is impossible. I told him I did not want their service I did not ask for their service and I refused their service they keep pounding me and harassing me and every time I call them and talk to them I get passed on to another agent and I get told the same thing over and over. Thank you thank you

  Customer Answer

  Date: 05/16/2023

   
  Better Business Bureau:
  
  I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me.
  
  Sincerely,
  
  ****************************************;

• Initial Complaint

  Date:12/06/2022

  Type:Product Issues
  Status:

  AnsweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  Received unsolicited letter from Clear Spring Health to subscribe. I did not subscribe. Next received letter saying thank you for joining. I did not respond. Then received letter from them saying that ******** had chosen this company for me and I would be receiving a letter from ******** confirming this. I did not receive a letter nor did ******** choose their program for me. Yesterday I received another packet from Clear Spring Health thanking me for being a member and telling me this is my annual member packet. I have never requested any information from this company and have no intention of doing so. Ive read similar complaints from other people of harassment by this company. I am filing this complaint in hopes of preventing Clear Spring Health from taking advantage of other ******** recipients.

• Initial Complaint

  Date:12/05/2022

  Type:Service or Repair Issues
  Status:

  AnsweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  This company is trying to charge me over $674.40 for some coverage that apparently I have but I never signed up for. I have tried contacting the company and all they wanted was my member ID and DOB. I did not want to give them any information.

  Business Response

  Date: 05/16/2023

  Clear Spring Health has reviewed the complaint and has confirmed that a grievance was previously open for this issue on 01/12/2023. The member was mailed a resolution letter on 02/08/2023.
   
  Clear Spring Health has confirmed that the members enrollment into Clear Spring Health Prescription Drug Plan was an auto-enrollment completed by the Centers of ******** and ******** Services (CMS) for an effective date of 02/01/2020. Please be advised ******** does limit how often ********s beneficiaries can change their benefits. Therefore, per ******** guidelines, for members to disenroll from Clear Spring Health, they must submit to Clear Spring Health a letter or a disenrollment form with their signature, member ID number to ********************** and a valid Special Enrollment Period (SEP).
   
  Additionally, please be advised that members are allowed to join, switch, or drop a ******** health or drug plan for the following year during the Annual Enrollment Period (AEP), which runs from October 15th to December 7th. Furthermore, members are not allowed to make changes to their plans outside of this time period except in certain situations, such as if you move out of Clear Spring Healths service area, if you want to join a plan in your area with a 5- star rating, or if qualify for (or lose) Extra Help paying for prescription drug costs.
   
  The Disenrollment Form can be found at ****************************************************************************. A disenrollment form was also mailed to the member on 01/18/2023. Lastly, as of 05/12/2023, the member remains an active member of Clear Spring Health. Plan records show that the member has an outstanding balance of $857.40. If the member wishes to set up a payment plan, they may contact member services at ***************. To protect members information plan representatives are required to verify HIPAA by obtaining the members ID number, Date of Birth and address. Otherwise, the plan representative will be unable to release any information about the members account.
   
  We sincerely apologize for any inconvenience this may have caused and hope that this communication has resolved your concerns with **.
   
  Thank you,
   
  *****************************
  Manager, Appeals & Grievances

• Initial Complaint

  Date:10/26/2022

  Type:Order Issues
  Status:

  AnsweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  *****CANCER PATIENT DENIED PRESCRIPTIONS AT PHARMACY*****This is my prescription coverage provided to me by ******** and they have denied my prescription pick up and care 4 times now claiming I have other coverage. I have provided information that my other coverage terminated as of 12/31/2021 which was my fathers policy that I aged out of. I did not have any issues up until August/2022 and now everything is being denied. I have cancer and my medication is being denied as we as my Covid 19 medication and now my FLU SHOT is being denied. I have called at least 4 times and issue is still not being addressed and corrected. *****CANCER PATIENT DENIED PRESCRIPTIONS AT PHARMACY*****

  Business Response

  Date: 07/07/2025

  Clear Spring Health has reviewed the member's account and has confirmed that a grievance was received on 10/25/2022 for the same issue.

   

  It was resolved verbally on 11/18/2022.

   

  The plan apologized to the member for the inconvenience and advised that the plan has confirmed that the member is now showing primary in plan systems and there is no other health insurance on file.

   

  The plan asked the member if they have been able to obtain their medications and the member stated they haven't been able to get around to it yet.

   

  The plan advised the member that they should now be able to get their medications without any issues.

   

  Member understood and thanked the plan for the call.

   

  The member was disenrolled from the plan on 12/31/2022 and has been enrolled in H9572-004 effective 01/01/2023.

  
  

  Thank you,

   

  

• Initial Complaint

  Date:10/18/2022

  Type:Order Issues
  Status:

  AnsweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  A bill is being presented, repeatedly, for a membership that never existed. I have contacted Clear Springs six times on the phone. I am told that I was automatically enrolled into their drug plan by the ********* I was not enrolled into ******** until July 2022. I can prove this. I have spoken to Social Security, and they told me that they do not automatically enroll anyone into any health care plans. I have called ******** and they told me that my coverage did not start until July 2022. I had coverage through private insurance from my workplace at the time that the bill represents. It makes no sense that they think I needed, wanted or was assigned to their company. I want Clear Springs to apologize and send me a letter that states that I never had any business with their drug coverage. I have asked repeatedly for any authorization from ******** with my name on it. They do not have any documentation to support their claim that I was automatically enrolled and owe them $165. I am tired of their harassment.

  Business Response

  Date: 04/11/2023

  Case #: 18240975
  Date Filed: 10/18/2022 1:52:03 PM
   
  Plan records show that the beneficiary filed two grievances regarding their enrollment into the plan and the invoices being mailed. Both grievances were addressed, and a written resolution was mailed to the beneficiary. The beneficiarys enrollment as stated in the complaint was an auto-enrollment completed by the Centers of ******** and ******** Services (CMS) for an effective date of 02/01/2021. As per ********s system the beneficiary was eligible for ******** Part A and D as of 2020. ******** Part B is not required to be enrolled into a Prescription Drug Plan. On 10/08/2021, the plan mailed a Loss of Low-Income Subsidy letter to the beneficiary informing them that although they received help automatically in 2021, they will no longer automatically qualify to receive it beginning January 1, 2022. As a result, the beneficiary started receiving invoices of the monthly premium. As of 04/06/2023, the beneficiary is no longer enrolled in Clear Spring Health; beneficiary was disenrolled 06/30/2022. Lastly, the last invoice mailed to the beneficiary was on 11/23/2022.
   
  Thank you,
   
  *****************************
  Manager, Appeals & Grievances

• Initial Complaint

  Date:09/29/2022

  Type:Service or Repair Issues
  Status:

  AnsweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  I cannot reset my password without calling a out of county call center. I am a customer, Made many attempts to reset my password through email. but this option does not work. please fix your website so your customers can reset their passwords without have to call in. This is so frustrating.

  Business Response

  Date: 05/01/2023

  We have reviewed the member's account and have confirmed that the member does not have a monthly premium as they receive Low Income Subsidy/Extra Help from Social Security. Additionally, there's no account in the plan's premium payment portal for the member. If the member has additional questions or requires further assistance they may contact member services at **************.

  Customer Answer

  Date: 05/10/2023

   
  Complaint: 18146472
  
  I am rejecting this response because:

  My reason for rejecting the company response. Company says because of my low income insurance they dont have to provide online account access. Then why did the company prompt me to create a login with password? Where I have seen my prescription information. Ive called customer service over 12 times to get password reset. It works once then never again causing me to need to call the company to do my business and again reset password. Finally about 2 weeks ago I got a customer service rep to upgrade my issue to the right department tech. This is a company company tech problem! not a problem with me not qualifying for the service.

  
  

  Sincerely,

  
  *****************************

  Customer Answer

  Date: 05/10/2023

   
  Complaint: 18146472
  
  I am rejecting this response because:

  My reason for rejecting the company response. Company says because of my low income insurance they dont have to provide online account access. Then why did the company prompt me to create a login with password? Where I have seen my prescription information. Ive called customer service over 12 times to get password reset. It works once then never again causing me to need to call the company to do my business and again reset password. Finally about 2 weeks ago I got a customer service rep to upgrade my issue to the right department tech. This is a company company tech problem! not a problem with me not qualifying for the service.

  
  

  Sincerely,

  
  *****************************

  Business Response

  Date: 05/11/2023

  It's unclear what access the member is referring to from the initial complaint. Now that the member has mentioned viewing her prescription, this would be visible through our pharmacy benefit manager, Express Scripts, and not directly through our website. Please contact pharmacy services to **************.