ComplaintsforFlorida Health Care Plan, Inc.
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Complaint Details
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Initial Complaint
02/09/2024
- Complaint Type:
- Product Issues
- Status:
- Unanswered
On 01/01/24 my card was charged $79.65 by FHCP without my knowledge or permission. My current coverage had renewed automatically which I didn't mind. However, my monthly health insurance cost went from 0.68 a month to $79.65. This is not something I can afford.I called to request a refund on 01/02/24. I was told it would be issued. I called again on 01/26/24 to check the status on my refund and I was told it was waiting to be approved by management but that he was out of the office. I was told I should receive it in the next two weeks. Nothing. I called again today 02/09/24 and was told a paper check had been issued and would be sent out soon. This is the first I heard of a paper check instead of the money going back to my account. Nobody verified my address before sending the check so now they sent it to the wrong place.The lady on the phone was extremely rude to me and acted like it was my fault. She told me she will have more information and I should call again on Monday. She also informed me that it will take 4 weeks to recover the check after the resend it.This is absolutely ridiculous. I should not have to call 4 times over the course of 6 weeks. And wait almost 3 months in total to get my money that I did not authorize to be taken. Nobody at FHCP seems to care that I am living paycheck to paycheck and I need my money that was stolen from **** have been extremely patient with these people and have gotten nowhereInitial Complaint
01/17/2024
- Complaint Type:
- Billing Issues
- Status:
- Answered
On September 27, 2023, I was informed by my dentist office (************************) that my Florida Health Care Plan ('FHCP') policy had changed and I was no longer covered for routine exams or cleanings every 6 months as I had been in prior visits. Upon checking with FHCP, I was told that I had been converted to a differert plan that did not cover 6-month checkups and cleanings. The change to my plan was not authorized by me and did not occur during the Annnual Enrollment Period. More over, this was the second time I had been uninrolled from the Premier Advantage Plan ('Premier Plan') and placed on a plan with lessor coverage.The result of my unenrollment from the Premier Plan was that I had to pay the dentist $121.00 'out of pocket' for that previously-covered visit. When I was unenrolled from the Premier Plan, FHCP's dental company, Florida Combined Life, refused to pay my dental claim. Under the circumstances, I do not blame Florida Combined Life Denntal for rejecting the claim. I do however, blame FHCP for unenrolling me in the Premier Plan that I had selected as my plan over a year before. I am requesting that FHCP reimburse me for their 'mid-year' computer error that resulted in my dental claim being rejected by their dental company, Florida Combined Life Dental.I have made numerous attempts to explain the sitution to FHCP ****** Services representaives over the months since, filed a formal grievance with FHCP on November 15, 2023, and sent them a certified letter on December 10, ************************************************************ an effort to resolve the matter. Since then, I've left phone messages for *********************************, Representative (Grievance & appeal Department) on December 28, 2023 and January 10, ****. I have received no response and must now presume that FHCP has closed the case.My FHCP file from the past 2 years (the unenrollment from the Premier Plan has occured twice) is over 1/2" thick with documentation, correspondence, and notes. I am providing the $121.00 dentist bill that I paid on September 27, 2023 and the **** Certified letter to FHCP at this time.Business response
02/26/2024
February 22, 2024
*****************************
******************************************************************
Dear ***************:
FHCP is in receipt of the complaint you ?led with the Better Business Bureau regarding a lack of response
from our ************************** and the Appeals and Grievances staff. I apologize that you were
not satis?ed with the handling of your issue with coverage regarding a routine dental cleaning.
Our records indicate that our ****** Services/Grievance and Appeals staff called the phone number on
record, ************ on three separate occasions and left a message. The dates of those calls were
12/19/23, 12/28/23 and 1/10/24. According to our records, these calls were not returned.
We have veri?ed with Florida ************* that there were two applications submitted within an hour
of each other and Florida Blue, in error, did enroll you onto the Rx Plus plan on two different occasions.
FHCP's enrollment department was able to void the Rx Plus enrollments and correct the errors so you
have been enrolled on the Premier Advantage Plan without interruption.
While that did occur, your dentist did not disclose to you that he had also terminated his contract to
accept ******** patients from FHCPs dental vendor, Florida Combined Life on 2/1/23, well before your
date of service of 9/27/23.
Unfortunately, the $121.00 charge cannot be covered as he was out of network at the time of your visit.
You may wish to pursue this with your dentist as your plan status is not the reason for a claim denial.
Your records were recti?ed and FHCP would have covered the visit retroactively once your record was
corrected within Florida Blue's system.
Again, I do apologize that our ****** Services team was not as responsive in this case, and I have
communicated the situation to the Administrator of that area as an educational/training opportunity.
Sincerely,
******************************* I Administrator of ******ship Growth & Retention
Florida Health Care Plan, Inc.
*****************************************************************************Initial Complaint
11/02/2023
- Complaint Type:
- Billing Issues
- Status:
- Answered
They keep sending mail to my home for *******************************. I want them to stop. They must delete my address from their database.Business response
11/30/2023
A ticket has been submitted to update/delete the mailing address as requested by the claiment.Customer response
12/07/2023
Complaint: 20815640
I am rejecting this response because on December 4, 2023, I received another correspondence for **************************** Please note ****** and *************************** do not live here.
Sincerely,
***********************************
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Contact Information
Customer Complaints Summary
3 total complaints in the last 3 years.
3 complaints closed in the last 12 months.