Colorado HealthOP

Reviews 10

TE

Tel Tel

Incorrect, inaccurate, and inconsistent information….then members pay for it. I am shock at the adverse impact Colorado HealthOps has on their member. They provide incorrect, inaccurate, and inconsistent information (or no information at all despite repeated request) --- then the member is stuck with the bill that results. Their premiums may be low but you end up paying. I spent over 6 weeks emailing the CEO, COO and Director of Operations at Colorado HealthOps trying to get information about the benefits I am paying for. They were evasive and far from forthcoming. I had to push and push for the information. When they did provide the information much of it was inaccurate so I had to find ways to verify it. The indifference to their members is stunning. Colorado HealthOps prides itself as being better than the typical health insurance company. They are worse. I finally filed a complaint with the Colorado Department of Insurance. The unwillingness to provide member information about the benefit they pay for in their monthly premium --- and their inability to provide consistent and accurate information --- cost me time, money and headache. They should be embarrassed that members are forced to pay for their mistakes and misinformation. Here is the story…. I had an appointment with one of Colorado HealthOps approved doctors to get the no charge annual preventative screening that comes with my policy. After the physical they took blood and wanted me to provide a urine sample. This seemed to be beyond a no charge preventative screen/labs. I questioned whether these test were part of no charge annual preventative screening covered by my Colorado HealthOps policy. The physician’s office (one of Colorado HealthOps approved doctors) acknowledged they do NOT know what the no charge preventative screening covers. Further they do not tell the patient this. They do not tell the patient that they plan just order a battery of test that may or may not be covered. When the insurance company refuses to pay for the services the physician orders, guess who pays for it? The patient must pay for it. If the patient refuses to pay they are sent to collections. But this gets even better. The physician’s office suggested I reached out to Colorado HealthOps to ask specifically what test/labs/screening the no charge annual preventative appointment covers. So I did. At first I was told, “that is between the physician and the patient.” I continued to ask, what specific test, labs, screening etc. are covered in the no charge screening. I spent over 6 weeks emailing the CEO, COO and Director of Operations at Colorado Health Ops. They were evasive and far from forthcoming. They were unwilling or unable to tell me the specific benefits I purchased in my policy. They could not tell me what I was paying for. I even filed a complaint with the State of Colorado Department Insurance. Finally I was able to piece together the information I was seeking. This was only due to my research and effort --- not their wiliness to provide me the specific labs/test that are part of the no charge screening/lab/etc. In addition the information they provided continued to be inaccurate. I am truly speechless at the consumer unfriendliness --- more accurate consumer abusiveness --- of Colorado HealthOps and their contracted providers. Their unwillingness to provide their member accurate and complete information about the specific benefits they are paying for in their monthly premium in inexcusable. The fact that their approved providers ignore the request of a member (for a no charge screening), run a battery of unwanted test and then bill the patient is abusive to patient and inexcusable.

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JO

johan visagie

I cannot comment on the insurance company as they could not even get my enrollment right. I tried to enroll on 09/14/15 as the agent told me I have to enroll before 09/15/15 to be covered by 10/01/15. I had to pay immediately on enrolment, which I did. On 09/16/15 I received an email that I owe them over $2300 additional to the $774 that I had already paid as they have enrolled us retroactively from 08/01/15. On 09/17/15 I tried to get this corrected to no avail, calls everyday, tons of call references that do not mean a thing, by 09/18/15 I just had enough and said I want to cancel the application and I want my money back. So here the fun and games started. I called at least once a week. Initially I was told it would take 48 - 72 hours for my money to be paid back, a week later I was told O NO it will take a week (although a week had passed by then) a week later I was told, O NO now it will take 2 weeks (even though by now 2 weeks had passed already) a week later I was told it would take a month... Now we are at the month mark and now everybody is dumb... My last call Friday 10/16/15, the lady promised me that I will get a call back today Monday and my money will be paid back... Guess what... NO call and NO money... So today the bank decided to change my card with the new chip card, so I am on the phone again to get the account where the money has to be paid back into, changed, (O and they cannot send a check it has to go back where it came from EFT trf) and now we are back to wait a week... I asked to speak to a supervisor, and of course I was put on hold for about 10 min, and later at least Tony came back and said the supervisor told him she will be on a call for about 15 - 20 minuets I should leave a message... What a joke, no-one calls back... The saga continues and I still do not have my money back, and even though I received an email that my enrollment date is correct it is still not corrected on my profile... I will for sure post on this site again and keep you up to date if/when I receive my money... seriously people... Stay away from this company!!!!! Wish there were minus stars....

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TI

Tiffany Cross

This insurance company is the biggest pain in the rear end to deal with!!! They are VERY disorganized and cannot get their information straight. I have now received 3 letters that they were going to put a hold on my account and will eventually cancel my policy because I am behind on payments. How can I be behind on payments when it is automatically withdrawn from my account??? I have proof that all payments have been made ON TIME and that I have not missed one payment! I have already called and complained but they just told me to disregard the letter. That was with the first letter! How can I trust a company that threatens that when I have not missed any payments? I receive several of the same items in the mail from them as well; packets, my insurance cards... It is like they cannot keep their records straight. I am almost too scared to go and actually use my insurance because of the hassle I have already dealt with. They cannot get their information straight! If you have ANY other option, I suggest using a different company. I know I will not be using them for much longer! MY word of advice... BEWARE.

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SA

Sarah Nickerson

I have to agree with the previous reviews. I signed up for recurring payments to pay my monthly premiums, using my credit card, in December. In mid-January, I got an email from them saying they charged my card, per my request. Yesterday, however, I got a hard copy statement in the mail which stated that my January payment had not been made, and is now overdue. Sure enough, when I checked my credit card statement, no charge had been made in January (even though they sent me an email saying they charged me!) When I called, the customer service agent, who was kind but unknowledgeable, told me it was "probably my computer and that I should reboot it, because their system is working fine". huh? First of all, that makes no sense, and second of all, especially after reading the reviews posted here, it is obviously an error on their part. I am definitely not a satisfied customer right now. I hope they get their logistics straightened out, and fast, or I will surely not be a repeat customer.

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DA

Dale Sekuler

I was signed up with CO health op last year and had no problems. I re-enrolled in my plan this year and they apparently switched to being an operation run by monkeys! Their billing people told me for weeks that I was enrolled and had paid for my bill through my bank like I had the previous year. Nothing ever went through my bank. So I called and spoke to numerous agents who all said that I was paid. I was not. Finally I spoke to someone about the problems I was having and they told me I had to set a up a new date for the bill. That was why nothing had come out. So I sent the 28th. Then Feb 1st comes around and they tell me I have not paid Feb yet and they will drop my coverage. They are the ones who set me up with that date! I have canceled and gone with my private insurance that I get my car insurance through. Colorado Health Op needs to figure out their billing system and I would start with training your people. Then maybe get your computers to work correctly. You guys suck!

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MA

Matthew Taylor-Rennert

Having tax issues with them. Anyone else experiencing this? Their autopay system seemed very messed up. I had autopay set up, and sometime around September they failed to run my autopay. I never got any notice, until about a month later they told me my policy had been terminated. I got on the phone and got all the payments sorted out and got the insurance back up. Now, I received my 1095 tax form from Connect For Health Colorado, and it shows that I dont have coverage for Sept-Dec, which is not true, I made 12 payments for the entire year. Put in a claim with connect for health who in turn is requesting info from co health op. They told me it would take 10 days to resolve and it has been over a month. Although connect for health colorado is also terrible to deal with, I think it is mostly being held up on health ops side. I wish I never would have gone with this insurance company.

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LA

latici24

Terrible. They told us on three separate occasions that the provider we were using was in network. Their website confirmed this. They then told us that the provider we were using was not in network, they had no idea why we thought that they were, and that were responsible for four months of OBGYN visits. When pressed, they said that they would review the recorded phone calls (three of which they had conveniently lost - even though our phone company records say otherwise) but that nothing would change, even if it turned out that they had in fact given us the wrong information. So much for doing the right thing. The worst part about the entire interaction, and something Colorado HealthOp could fix for free, was that they came off as completely unconcerned about our situation. The manager I finally spoke with was the worst one.

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KE

Keith Anderson

Their online bill pay is amateurish at best. There is no clear balance due when I log in and I have to enter all my information every time. Give Amazon a call and see if someone there can teach you how to do it right. Then I have to manually enter an amount to pay. This should automatically pull up my full balance. This led to an underpayment of .$78. The response to this underpayment of less than one dollar? A threatening letter about canceling my insurance. Sadly, I was in the middle of moving. After getting my mail forwarded I find I am past the date so as far as I know, my insurance is canceled. No phone calls. No emails. No further customer service follow up. This is unacceptable and a business following these practices would never survive in a competitive market.

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JO

John Meurer

When I enrolled in this insurance I signed up for auto-pay. Within a couple weeks I got a paper bill requesting payment. I assumed their was a technical glitch, so I signed up for auto-pay again. So January, February and March I was charged twice. When I called in March they were able to refund my March double payment and then they were not going to charge me a premium for two months because of my over-payment in Jan. and Feb. Well on April 5th there was another payment charged to my credit card. I have called 3 times and spoke to very nice people, but the overcharge continues. Today I spoke to another very nice customer service person who said they would refund me for two months of over-payments. We will see if this month we can get it right!!

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SH

Sherri Parker

So far there is nothing to like about this company. I have had nothing but problems with this company since January. Four months in and still having problems. Payments going to wrong policy, prescription policy being canceled in January because of payments going to wrong policy. Then supposedly everything was fixed and I called today as found out I still had no script policy and they said my whole health policy was canceled in April. How can that be when its six days into April? Oh I see its because payment was being sent to wrong policy, again. I am calling the complaints dept for Insurance Commission of Colorado. So tired of this b.s.

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