ComplaintsforPriority Health
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Complaint Details
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Initial Complaint
01/19/2024
- Complaint Type:
- Order Issues
- Status:
- Answered
They are refusing to pay my medical bills because I cant get a home owners policy they are asking for. So because I cant get the information they tell me my bills are my problem. I thought paying health insurance was so these things were coveredInitial Complaint
10/14/2021
- Complaint Type:
- Service or Repair Issues
- Status:
- Answered
I enrolled in Priority Health insurance plan on January 1, 2021. I went online to their website and found a clinic and doctor to enroll in which is **** Health Clinic on ***********************************. I chose a doctor which I thought was in the hmo or ppo for Priority health. I have an outstanding balance in the amount $3850.89 that Priority health is refusing to pay because now they are telling me the Dr. *** is out of the network. Prior to this bill I also had an outstanding bill at **** health that Priority health was already refusing to pay. But I choose the doctor from their website. I called and spoke with an representative if Priority health 2 weeks ago and was assured that I was covered and the bill would be paid because Dr. *** is out of Network. I cannot afford to pay a bill over $3,000 dollars. Please help!Business response
10/15/2021
Business Response /* (1000, 5, 2021/10/15) */ October 15, 2021 Re: *****, ******* Case # ******** To Whom It May Concern: This correspondence is in regards to a complaint filed with your office by the above-named individual. Federal privacy laws prevent Priority Health from disclosing member information without the individual's consent. In order to respond to this complaint, the complainant must first complete and submit a Health Insurance Portability & Accountability (HIPAA) Authorization Form permitting Priority Health to release his/her protected and identifiable information to you. For your convenience, the form may be accessed via our website through the following link: https://www.priorityhealth.com/member/forms While Priority Health looks forward to responding to this complaint, we are in the process of reaching out to the complainant to help resolve the issue. Priority HealthInitial Complaint
09/27/2021
- Complaint Type:
- Service or Repair Issues
- Status:
- Answered
Five months after our daughter was born, we received a bill from Priority Health because they wouldn't cover her hospital bill. They claimed there was a law in ******** that newborn babies must enroll on their mother's insurance. PH failed to let us know of this when we initially enrolled her, which was their job to do so. In addition, they have failed to tell us which specific law this is, and then they changed their story saying this is a priority health policy. Both my insurance, and the hospital of my daughter's birth, have repeatedly told us that they have never heard of such a law. They also agree that Priority Health could be scamming my new family. Please investigate.Business response
09/28/2021
Business Response /* (1000, 5, 2021/09/28) */ To Whom it May Concern: The attached HIPAA form is not signed; therefore, we will be unable to provide your office with a detailed response. However, we will investigate Ms.********** concern and reach out to her directly. If you wish for a response to your office, you may email a signed HIPAA form to me. Consumer Response /* (3000, 7, 2021/09/30) */ (The consumer indicated he/she DID NOT accept the response from the business.) Please send me a HIPAA form. None were available on this site. Business Response /* (4000, 9, 2021/10/04) */ HIPAA Authorization Forms can be found on Priority Health's website in the Member Center through the following link: ***************************************************************************** Consumer Response /* (4200, 11, 2021/10/08) */ (The consumer indicated he/she DID NOT accept the response from the business.) Please provide a free form of this PDF directly to me so I can sign it easily. The form on your website is not accessible. It seems very strange that Priority Health doesn't want to make this easy for my family. They really want to steal $5000 from a new family. Shame on them. Consumer Response /* (-5, 13, 2021/10/11) */ Hi Stacy, I could not access the HIPAA forms provided by Priority Health. Can someone contact them and send me one that I can easily edit on the computer? It seems very suspicious that they don't want to make this process easy for my new family. Thanks, ****** Business Response /* (4000, 14, 2021/10/12) */ Priority Health understands Ms.********** concern; however, federal and state privacy laws prohibit the release of member information without the individual's expressed consent. The below link to Priority Health's HIPAA Form was provided previously and may still be utilized. Unfortunately, this response format does not allow documents to be attached electronically. A HIPAA form will be mailed to the address on file. *****************************************************************************Initial Complaint
09/23/2021
- Complaint Type:
- Service or Repair Issues
- Status:
- Answered
7 months ago I had a medical procedure, I still have outstanding non-paid medical bills. I have contacted both ******** and *************** and neither have come to a consensus on resolving the issue. I'm now in debt collections and getting phone calls and mail asking me for payment. *************** just now informs me to file a aggrievement? This is a lack of there responsibility not mine, *************** still takes my money every month but doesn't pay my bills. This is unacceptable behavior that needs attention.Business response
09/28/2021
Business Response /* (1000, 5, 2021/09/28) */ To Whom it May Concern: The attached HIPAA form is not signed; therefore, we will be unable to provide your office with a detailed response. However, we will investigate Mr. ***** concern and reach out to him directly. If you wish for a response to your office, you may email a signed HIPAA form to me.Initial Complaint
08/26/2021
- Complaint Type:
- Service or Repair Issues
- Status:
- Answered
Priority Health, has received verbal communication, to avoid USPS mail. Only, provide online documents.Business response
08/31/2021
Business Response /* (1000, 5, 2021/08/31) */ HIPAA Authorization Form that is attached is not signed. Please advise and provide a signed form if one exists. Consumer Response /* (3000, 7, 2021/09/02) */ (The consumer indicated he/she DID NOT accept the response from the business.) Only, send online documents. Avoid, all, USPS mail! Business Response /* (4000, 9, 2021/09/07) */ There is still no signed HIPAA form so we will be unable to provide a detailed response to your office; however, we will reach out directly to the consumer and follow up regarding their concern.
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Contact Information
Customer Complaints Summary
30 total complaints in the last 3 years.
15 complaints closed in the last 12 months.