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Business Profile

Dental Plans

Moda Health

This business is NOT BBB Accredited.

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Complaints

This profile includes complaints for Moda Health's headquarters and its corporate-owned locations. To view all corporate locations, see

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    Customer Complaints Summary

    • 1 complaint in the last 3 years.
    • 1 complaint closed in the last 12 months.

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    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.

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    • Initial Complaint

      Date:06/01/2025

      Type:Service or Repair Issues
      Status:
      Resolved
      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.
      In September, 2024, my wife and I went to Primary Health, on Broadway in ***** to get flu shot and covid booster. Was told that we were not covered by insurance. Went home and called ******************** (our provider), and asked why we were not covered. Our premiums were up to date, and were told we would be covered for the vaccines. My wife and I were covered on the same policy. Moda called the Primary ***** office that turned us away, and verified that we did in fact have coverage, and that the vaccines would be covered.We talked to the office manager at that facility and she said we would be covered. We went down, got the vaccines, and later, I was billed for my vaccine ($335). My wife was covered (we have the same policy, I am on her insurance). ************ billed the wrong insurance for my vaccine initially, then months later tried to **** Moda. By then, my wife switched us to another health care provider. Moda denied my claim because I am no longer with Moda. Now, in May, 2025 I am getting collection notices from ************ for $335 for my vaccines. I did open a complaint with Moda, and they still denied me, even though they paid my wife's vaccines, and not mine, even though we are on the same policy, and policy was in effect when we got the vaccines. These acts are arbitrary and capricious. Moda, and ************ need to be investigated for injury and anguish because of their actions and false statements made to patients, and wrongful business practices.

      Business Response

      Date: 06/02/2025

      Moda Health does not have a claim on file for ***** ***** for the date of service 9/12/2024, this is the date ***** ***** had her vaccines.  The provider has 12 months to bill Moda Health for services.  Mr. ***** should contact the provider and have the office send the claim to Moda Health.  Thank you.

      Customer Answer

      Date: 06/02/2025

       
      Complaint: 23404893

      I am rejecting this response because:
      I refused to be put into collections for this, as Primary Health sent me nasty letters wanting paid.   Typical response from Moda that it is someone elses fault.   Take responsibility and pay me the $335 as the reimbursement for the amount I paid.   

      You have my permission to contact Primary Health to about this and ask them why they never billed you.  

      I will continue to complain about this until it is handled to my satisfaction.  I will not accept anything other than Primary Health and Moda correcting this wrong. 

      Sincerely,

      ***** *****

    Moda Health is NOT a BBB Accredited Business.

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