ComplaintsforStaff Benefits Management and Administrators
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Complaint Details
Note that complaint text that is displayed might not represent all complaints filed with BBB. See details.
Initial Complaint
07/19/2024
- Complaint Type:
- Product Issues
- Status:
- Answered
In may 2024, I purchased from this company, through a service they call quick health **************) health insurance. They are also under (iPHCS) I told them I was looking for health insurance I could use out of network and the young man said that he would sell me that exact insurance. I paid about ****** dollars for the insurance.Shortly after, I found out from my cardiologist office that this insurance does not cover visits out of network and specialty visits. I called this company in May to cancel the insurance and they have been giving me the run around. I asked them to cancel the insurance in may and refund me my money, because their associate sold me insurance that I am not able to use. Basically, I was misled by their associate. I just called them, they have not cancelled the insurance, and they are still passing me around to this number that no one answers. I have been holding on this quick health line for almost 45 minutes and they just hung up the phone. I have never used the insurance and they have not refunded me my money. I just want my money back. Thank you for assistance in this matter.Thank you,Sincerely,******************Business response
07/31/2024
Dear Ms. ************* style="color: rgb(0, 0, 0); font-family: proxima-nova, Verdana, sans-serif;">
We are in receipt of your BBB complaint. We apologize for your experience. SBMA does not collect premium payments from members. As a Third Party Administer, we provide eligibility and claims related services.Sincerely,
*********************************Initial Complaint
04/01/2024
- Complaint Type:
- Billing Issues
- Status:
- Answered
During the period of my *** service, SBMA served as my insurance provider. I visited my regular healthcare provider, who performed the necessary *** services during my appointment. However, on 02/27/2024, I received a letter from SBMA informing me that my claim had been denied, but no reason was provided at that time. I then received a bill from my provider indicating that I had an outstanding balance. As a result, I contacted SBMA to investigate the reason for the denial.SBMA informed me that the *** services were not covered due to an error in the coding of my provider's office. However, neither SBMA nor my healthcare provider have been willing to make changes to the coding to settle this bill. Both parties have suggested that the other party change their stance or coding. In the meantime, I am being asked to pay for a service that is covered under my plan with SBMA.Business response
04/11/2024
Hello,
I empathize with the challenges you're facing, ************. I've taken the initiative to escalate your concerns to our claims department manager, who will ensure that a member of their team promptly reaches out to you. While we're unable to alter the provider's CPT codes or billing statements directly, rest assured that once any updates are made to the coding and resubmitted, we'll be more than willing to reassess it for payment.
Sincerely,
*********************************
Initial Complaint
08/11/2023
- Complaint Type:
- Product Issues
- Status:
- Answered
I bought a **************** from this Company in March 31, but I cancelled next day. They are aware that I cancelled the policy. I've been calling ************** to get my refund of $8500 USD + $ 600 of interest. Now, they don't answer the phone. It's been 4 months already and no sight of getting my money backBusiness response
08/21/2023
According to our records, **************** was enrolled for coverage on 4/1/2023. He is still active in our system. Coverage was requested by an entity not under the control of SBMA.
SBMA does not bill **************** directly or conduct a payroll deduction. Despite this,SMBA did reach out to the group and confirmed that a refund has been issued today. Upon receipt of notification of termination of benefits via file feed,our records will be updated accordingly.
Please do not hesitate to reach out should you have any further questions.Customer response
08/23/2023
I cancelled my account the very next day, Thats not true. I cancelled 4/2/2023 ( best I remember)
They deposited the $8400 in my account on 8/21/2023 and then disappeared one day later
I don't accept business response
Business response
08/29/2023
I am sorry to hear that the payment did yet post to **************** account. ********************** does not bill **************** directly or conduct a payroll deduction. Despite this, SMBA did reach out to the group and confirmed that a refund has been issued. Could it be that the reimbursement was pending and therefore not showing in the banking portal at the time of his response? Please advise if the refund has been posted now that some time has passed. If it hasn't, we will make another attempt to assist with obtaining a refund.
Please do not hesitate to reach out should you have any further questions.
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Customer Complaints Summary
4 total complaints in the last 3 years.
4 complaints closed in the last 12 months.