ComplaintsforFirstEnroll

• Initial Complaint

  09/26/2022

  Complaint Type:

  Order Issues

  Status:

  Answered

  More info

  I got health insurance through first enroll paid 211 for 1 year went to doctors that were supposed be covered under their plan did not cover any bill. Called them numerous times and was passed from representative to another and nothing was solved this went on for months. I requested that they reimbursed the monies I paid so I could pay the bills that were outstanding because the policy was bogus and didnt cover anything. very upset. I was very upset that it took months to get through customers service before they did anything. It was clear that I was scammed out of money for no coverage. They reimbursed me ***** but would like more if adjustment but could only get that because it took so long to get this settled and some of the bills went to collections and could reign my credit. I think I should have gotten most of money back.

  Business response

  10/11/2022

  Good ********************************************************** does not sell insurance nor did we sell you insurance. I am sorry for any confusion, but we are just the premium billing company. Your Insurance Sales agent is *********************** of Optimum Health Associates ************. However, we were able to pull your account and saw that refunds have already been credited back. Please see the provided refund transcript. If there is anything further that we can assist you with please let us know. ************.

   

  First Enroll

   

• Initial Complaint

  09/24/2022

  Complaint Type:

  Service or Repair Issues

  Status:

  Answered

  More info

  The healthcare policy from First Enroll was purchased for someone else but I have been paying for it for over a year. Recently, I found that another party has also been paying for it . I attempted to contact the company but to no avail. I have now been charged another month so I turned off my card. My attempts to contact the company have taken me nowhere. They have been collecting double payments for the same policy for well over a year and I would like to be reimbursed.

  Business response

  09/27/2022

  ************, 

  First Enroll **************** support center is open 5 days a week 9am-5:30 pm. The number is ************ - getting a live representative should be no issue.  As you are not in the system and have not provided the name or member number for the person allegedly covered, we have no way to research this case for you. However, double billing is quite literally NOT POSSIBLE within our system. Each policy can only be billed one premium payment per month, so please be assured that the scenario that you are suggesting can not happen under the safety billing standards that we have in place. 

  Please have THE MEMBER call the number provided above, as we can only speak to the person named on the policy as per current HIPPA laws, and we will happily look into the matter and provide the policy holder with all of the information that they require.

   

  Many Thanks,

  First Enroll 

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