Third Party Claims Administrator
Detego HealthThis business is NOT BBB Accredited.
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Complaints
This profile includes complaints for Detego Health's headquarters and its corporate-owned locations. To view all corporate locations, see
Customer Complaints Summary
- 37 total complaints in the last 3 years.
- 34 complaints closed in the last 12 months.
If you've experienced an issue
Submit a ComplaintThe 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:10/29/2025
Type:Billing IssuesStatus:UnansweredMore 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.
Purchased insurance with Detego health for my wife for 298.00 per month , we had for couple months before she got pregnant. When purchased they told us the plan doesn’t cover pregnancy. So I called Mass health to get a program through them , it took almost a month to get everything set up and the plan would cover most of our costs. In the meantime we had an er visit and doctors appointments which added up to nearly 2k out of pocket. Also when we tried to cancel they would not do it unless we told them what program we currently purchased when we told them , they said this was not real and would not cancel . I had to Call 4 times and speak with different people until someone finally said they would cancel after being so unprofessional, and denying my right to cancel the policy. I did not receive any confirmation of cancellation or had any money returned for cancelling policy even though it was only couple weeks after payment.Initial Complaint
Date:10/22/2025
Type:Billing IssuesStatus:UnansweredMore 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 have Detego Health as my medical insurer for my small business. They are notorious in processing and paying claims on time. I have providers not getting answers from them, and sending me bills to pay. These claims are as old as 6 to 8 months. I contacted them multiple times but they were not able to provide any satisfactory answers.Initial Complaint
Date:10/13/2025
Type:Billing IssuesStatus: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 bought a health plan from Detego Health also known as First Health on 7/4/2024. The sales person made it sound like a great plan and said it covered yearly physicals at 100% as well as sick visits and paid a percentage of lab work and other services. It also said there was a dental discount card. After having this insurance for 13 months and paying $469 a month to them as a premium, they have found a reason to deny almost every claims and I’d have to do appeals. Many times they wouldn’t even negotiate down the price with the provider. Their dental discount card is also not accepted by anyone. We owe thousands to doctors that the insurance wouldn’t pay. In these 13 months, my daughter went to the doctor only once and it was for a physical. We got a bill for $29. I called and told the customer service agent that I was told physicals are covered at 100%. The man said they negotiate down the price and pay $150 toward it. I said so did the person we buy the plan from lie? He said yes they lied. The insurance gives you $150 and that’s it. You owe the rest. It might sound silly to complain about $29 but this is just one of 10 examples of how corrupt this company is. We have paid them over $6,000 and received nothing but a couple doctors appointments paid and that was after me having to beg, spend several hours on the phone and file appeals. This company is a scam and posing as health insurance. They are leaving customers with thousands of dollars of medical debt. They need to be investigated and shut down.Business Response
Date: 10/16/2025
Thank you for bringing your concerns to our attention. We take your feedback very seriously and want to assure you that we are conducting a comprehensive review of your account and all related claims. Our team is carefully verifying your coverage and payment details, and we will provide you with a detailed update as soon as our review is complete.
We appreciate your patience and understanding as we work through this process. If you have any additional information or questions in the meantime, please don’t hesitate to reach out.
Member
Services: ***** ********
Best regards,
Compliance & Legal Affairs
Detego HealthCustomer Answer
Date: 10/16/2025
I appreciate the quick response from Detego. In addition to my complaint of the $29, I have sent them appeal of two of our other bills. I didn’t mention them in this complaint since they’ve already been sent to their appeals department, but I hope they will agree to negotiate down $65 for bloodwork. They also only paid $150 toward that sick visit leaving us with a balance of $110 and we’d like them to try and negotiate those prices down or pay more toward the sick visit.Initial Complaint
Date:09/09/2025
Type:Billing IssuesStatus: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.
I purchased private insurance from Detegohealth and was charged monthly premiums. I received multiple past due complaints from healthcare providers (Olathe Health/KU Med/Quest Diagnostics) due to lack of payment by Detego. The claims are “approved” but not paid until I call and insist on immediate payment. After 5+ months, some claims are still not paid.
I called to cancel my insurance mid Aug, effective Sep 1. They said I could cancel any time and sent me an email form to verify. I immediately completed it and returned it. I never received an acknowledgement or notice that my request could not be completed. Today, I spoke to member services about another unpaid claim and asked about the additional monthly premium I was charged on Aug 21. They still show me as an active member. The representative looked into my files and saw my cancellation email but said I didn’t give them enough time to cancel my policy. I’m requesting a full refund of the last premium payment of $449, confirmation of cancellation of my membership as of Aug 31 and cancellation of all future premium payments.Customer Answer
Date: 09/09/2025
Hello! I have been informed by Detegohealth that they refunded my money. I guess just my statement that I would report them to the BBB was sufficient for them to change their stance. You can cancel my complaint. I thank you for being such a valuable resource!Initial Complaint
Date:09/05/2025
Type:Customer Service IssuesStatus: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 received notification to go to their 365 app to fill out a health survey that will be due to continue my health plan. I tried to login, reset the password over 10 times in the past 2 weeks. Deleted the app as I sent an email 2 days ago, and this was the email response. Ive uploaded the app again and nothing seems to work. I get a message to contact support. I have called the past 2 weeks. One person says there is a problem with the app, other people want to have you do the steps again. There is no tech support. Supervisors don’t call back (been 2 weeks) no response. Today, 9/5/2025, Isa D wanted me to enter a new password and I told him that will not be done as I have done it more than 20 x to no avail. He refused to put a supervisor or give the director’s name. Said I had to wait for a supervisor to callback (well no one calls cause I called around 1 pm and was told I would receive a call). It is now 6:16 pm. I hung up with Isa and called again. ***** verified and said the 365 system is not working and they can’t cancel my plan because the system does not work. It’s upsetting the lack of communication and poor knowledge of what’s going on with the app. Poor communication.Business Response
Date: 09/12/2025
Thank you for bringing your concerns to our attention. We are committed to addressing such matters with the utmost care. Your case is currently under a detailed review of both your account and associated claims. Our team is verifying all coverage and payment information, and we will share an update with you once the review is finalized.
We value your patience and understanding during this process.
Best regards,
Compliance & Legal Affairs
DetegoHealthBusiness Response
Date: 09/25/2025
Attempted to call the member and left a voicemail. We reset her account and also have another resolution below.
Please follow these steps to help resolve the login
issue:
Trigger a password
reset from the Salesforce side.
This will send an email
to the member with a reset password link.
Ask the member to click
the link and reset their password.
Have them fully close
the Covered365 app if it’s running in the background.
Ask them to reopen
the app and log in using their email and the new password.
They should now be able
to log in successfully.
If login still fails,
ask them to try logging in via the Member Experience Portal in
a browser to confirm the new password works.
Background:
This issue stems from how our backend is integrated with Salesforce. When a
password reset is initiated from the app, Salesforce sometimes fails to update
the system correctly. That’s why we recommend resetting the password directly
from Salesforce or via the Member Experience Portal.
We understand
this can be frustrating for the member, and we appreciate your help in guiding
them through the process. We're actively working with Salesforce to resolve
this issue permanently. Until then please follow the above steps if any other
member face similar issue after they try to reset the password.
Let us know if you have any questions.
ThanksInitial Complaint
Date:08/15/2025
Type:Billing IssuesStatus: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.
To whom it may concern:
On July 29, 2025, I pur*****d healthcare coverage from Detego Health for $473.31, which would have been for September. The problem that occurred was that not one of my doctors was in the network. I found that out a couple of days after they received my payment. After the customer service representative told me that, I asked how I could go about cancelling Detego Health before September arrived, and I would have a problem cancelling it. His response was no, and that it would take 24 to 48 hours, I believe, for me to be reimbursed. The problem today is August 15, 2025, and I still haven't received any emails yet, nor is there a billing telephone number available that I could call. I'm not sure if this is a scam, and the broker is involved with this, and her name was Amber Maressa Banfill, who works for Health Insurance ********, Telephone number ###-###-####. I sent at least 3 emails to Detego Health and received no response. I even went as far as calling my credit card company, *****, and putting in a dispute on the amount of $473.31, which is still open and was created on August 11, 2025. They are processing this dispute as I type. The name of the billing company on my credit card is NEOINSURANCE. They are the company that charged my credit card.
PS The Customer service number for Detego Health is ###-###-####, and my Member ID number is *********
I'm sorry, I have been trying to upload paperwork for you, and your website won't allow me to do so. I keep getting this message (Error while uploading your files. Please try again)Business Response
Date: 08/19/2025
Thank you for bringing your concerns to our attention. We take these matters seriously and want to assure you that your case is currently undergoing a thorough an account and claims review. Our team is working to verify all details related to your coverage and payment, and we will provide you with an update once the review has been completed.
We appreciate your patience as we complete this process.Best Regards,
Incidence & Compliance, DetegoHealth
Customer Answer
Date: 08/29/2025
To whom it may concern:
I wanted to keep you folks down at the BBB informed on what is taking place. I have attached a pdf file from ***** Bank showing a recent credit of $473.31 and it appears the credit finally went through. So, I will let you handle things from here and I guess close this complaint. I'm sure you have a process you follow whatever that may be and I thought the least I could do was keep you posted on all transactions. I hope I have helped, and I know you have helped me, so thank you. I'll let you take it from here. Sincerely, ***** *******
Initial Complaint
Date:07/22/2025
Type:Billing IssuesStatus: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.
I called to cancel my healthcare plan within my allotted time and I was first transferred 3x to finally get to the “cancellation” department which I was told is a 3rd party for the insurance company. The woman I spoke to would not support the cancellation until I told her what other plan/company I had purchased from. She was badgering to the point I was in tears and asked for a supervisor. The supervisor came on the line and also refused to cancel since I was not being “compliant” in reveling the other company name. Once I gave in and told them my other plan I had enforce he proceeded to tell me how bad they were, how many thousands of complaints they have. I asked repeatedly to please stop and cancel this policy and he said saying stop and please will not get this cancelled for you and proceeded to put me on hold. after a 45 minute call I hung up and called back. Again being transferred to the “cancellation” department l. This lady did the same thing badgering and insisting their policy was better than the other one I purchased. She asked me to please go to both portals and compare before canceling theirs. Another 15min call trying to cancel this policy. She put me hold and finally came back to tell me that she had submitted the request and would be notified by email “if” it was approved!
This is unacceptable how they badger you to keep their policy and badmouth another company and keeping me on the phone two different times trying to wear me down into keeping theirs.
I just want my $349 premium returned to cancel this policy.Business Response
Date: 08/06/2025
Dear ********
We want to start by sincerely apologizing for the frustration, stress, and lack of support you encountered while trying to cancel your policy. What you described is completely unacceptable and does not reflect the standard of service we strive to provide.
We are truly sorry for the way you were treated—being transferred multiple times, pressured for personal information, and spoken to in a way that caused emotional distress. No one should ever feel badgered or dismissed when making a personal and important decision regarding their healthcare coverage. Your request to cancel should have been handled promptly and respectfully the first time. Please know that we take your concerns seriously and have escalated this internally to ensure it is addressed appropriately with the third-party team involved. Your feedback is not only valid—it is critical in helping us improve the experience for others moving forward.
Solution:
Your policy has been cancelled in full, effective immediately.
A full refund of $349 will be processed back to your original method of payment. You will receive a confirmation email once the refund has been issued (please allow 5–7 business days depending on your bank).Again, we sincerely apologize for the inconvenience, frustration, and distress this situation has caused. Thank you for your patience, and for giving us the opportunity to make this right.
If you have any further questions or need additional assistance, please don’t hesitate to reach out directly to our support team.-DetegoHealth
Business Response
Date: 08/06/2025
BBB: Detego Health resolved this by:
Policy has been cancelled in full, effective immediately.
A full refund of $349 will be processed back to your original method of payment.-Detego Health
Customer Answer
Date: 08/07/2025
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:07/01/2025
Type:Billing IssuesStatus: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 purchased health insurance from first health network. I have no deductible no out-of-pocket expense no co-pay until I go to urgent care or the emergencyhospital. I had a returning office visit and blood work done in March 2025. I have received three EOB’s indicating that my plan doesn’t cover thatmust be the bloodwork the office visit and perhaps prescription. I am trying to get a hold of the insurance company the phone number that they gave me to call which is *** ******* one. So far I’ve been on hold for 15 minutes and 32 seconds.
Someone did pick up and and I spoke to her and she told me that my one of the charges which is a general blood panel was denied because I havea limited policy. Which I do not I asked to speak to somebody who could tell me why they’re telling me I have a limited policyand what is covered under my policy. The office visit I went for a wellness visit and I was told anything after January for wellness would be covered. I couldn’thave a wellness visit within the first 30 days of the policy, which started January 1. when I asked to speak to a supervisor, they gave me a phone number and they also transferred me. They transferred me to a billingdepartment of some other company so they’re just transferring people to anywhere. They gave me a phone number. I called that phone number again. It’s a billing company for somebody else. I’ve called customer service now and sending me back to claims which they’re gonna tell me the same thing. I just want my doctor Bill the bloodwork and the prescription paid foras it all should be covered. This is not a limited policy.Business Response
Date: 07/08/2025
Please see the attached.Detego Health, LLC respectfully acknowledges receipt of your complaint and sincerely appreciates the opportunity to respond and cooperate with the Better Business Bureau’s (“BBB”) inquiry. We recognize and respect the BBB’s vital role in consumer protection and regulatory oversight and submit this response with the utmost regard for that mission.
We sincerely apologize for the frustration Ms. Platenik has experienced. We can either have Neo terminate your plan and issue a full refund, or you may keep your account active and receive a refund less the amount in claims.
Please let us know how you would like to proceed.Customer Answer
Date: 08/13/2025
Please tell me you didn’t close this case. I’m still waiting for them to pay my bill bills which equal about $130. I have the coverage and I have confirmed it is preventative care or wellness care is for a check up and it should’ve been paid in full. They can either pay that or terminate my policy and refund my money for for the entire year, which equals about $3000. I have the coverage they need to pay the $130 to the medical provider..Initial Complaint
Date:05/20/2025
Type:Billing IssuesStatus: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 was originally solicited via text from the company offering healthcare insurance. I bought separate policies for both of my children and they charged me $349.11 times 2 starting in December via credit card. I am wondering now if this is not a scam. I am now trying to change insurances and needs some answers which I am not getting from this vendor.Initial Complaint
Date:05/08/2025
Type:Billing IssuesStatus: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.
I signed up with Detego Health on April 16 and I am in the waiting period of 30 days to May 16. I can no longer afford the insurance and need to cancel. I called to cancel and they tried to keep me in the insurance. I cannot afford it.
I paid $618.00 on April 16, 2025. We are in May now and I cannot afford the insurance monthly which will be $518.00 a month. I need to cancel the insurance.Business Response
Date: 06/03/2025
*** ********
First
and foremost, I sincerely apologize for the delay in our response. For some
reason, we have not been receiving notifications from the Better Business
Bureau when complaints come in as of late. In addition, I am sorry that you
were kept on your plan when you called and attempted to cancel. We have issued a refund on the premium.Customer Answer
Date: 06/03/2025
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 although I have not seen a refund yet.
Sincerely,
***** *******
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