I currently have insurance with Common Ground Health and am completely frustrated with this supposed health insurance group It is literally impossible to contact anyone--whether via phone, email, letter, etc I have tried for literally almost a month attempting to contact someone at this company and am put on hold endlessly Emails are never responded to and the one time I did get to talk to someone, they promised to do "research" on my issue and get back to me--I have yet to receive a call back and it's been almost a week If I had another choice, I would go elsewhere I absolutely do NOT recommend this business to anyone...I can't even say they have the worst customer service ever because they have NO customer service at all! Look elsewhere--please--or the sake of your health care needs
Dear Mr [redacted] Thank you for contacting us to express your dissatisfaction regarding the above subject matterWe take this concern very seriouslyand want you to know that we have taken steps to ensure careful and complete consideration of yo Jr grievance working toward a timely resolutionThe Common Ground Healthcare Cooperative Grievance Committee has investigated your concern by carefully reviewing all the information we have receivedUpon completion of the reviewthe committee has determined the following: • Claim [redacted] for $will be reprocessed and the provider will be paid as "In Network." • We deeply apologize for any inconvenience this may have caused youThank you for keeping the lines of communication open with usIf we can help you with anything else or answer any questions you haveplease call me at [redacted] or email me at [redacted] Sincerely [redacted] LPNBBA Member Health Services Director
Since Common Ground Health Care changed their payment system in October there has been non-stop issues with paymentsThe most current situation is that I was charged 2x for my February premiumI contacted Don in customer service on Monday 2/15/and he confirmed that I was indeed over-charged(by a few hundred dollars) and was assured by him that he would get a ticket going and call me back with in daysI called Don back on 2/19/16, as I was never given a call back from himDon, indeed said that the management department closed out the ticket for an unknown reason and he would not have noticed had I not called backDon then said he was getting his manager Caroline for me to speak withI waited and waited and Caroline never picked up the phone, instead Don didI said like would like to speak to Caroline and he said sureI again waited for a while and then was eventually put in to her voicemailI called back and spoke to another representative who stated there were no supervisors to talk to...maybe they all left early for the weekendNone the less this company has shown lack of follow through and poor customer service, for a customer that has been severely over-chargedI have spent hours on hold and talking to customer service reps when I did nothing but pay my premium on time and have proof of thatI would NOT recommend this company
Almost impossible to contact by phone Tried e-mail but received no response I am not sure how they arrive at their bills; they do not make sense to me; however, they are in our favor I tried getting an accounting of what they charged and what we paid but no response The Health Insurance Market Place paid them for months we were not even covered under their plan Would not recommend them to anyone unless things change
[A default letter is provided here which indicates your acceptance of the business's response If you wish, you may update it before sending it.] Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and find that this resolution is satisfactory to me Regards, [redacted]
I reached out to this member to apologize for the errors on her invoicingThis member has made her payments but I believe the issue that created the incorrect invoices was the late start in getting payments made Judith’s insurance was effective 1/1/but we didn’t receive the first payment until 3/14/at which time she paid (3) months premiumsI worked with our IT department to make sure her invoices are corrected The system shows that the invoice which was just mailed out is correctI have asked Judith to reach back out to me if there are other issues or concerns that I can help her with but for now, all looks to be good Thank you for bringing this issue to my attention Regards, [redacted] [redacted] ***Common Ground Healthcare Cooperative Director of Operations Direct: [redacted] Cell: [redacted]
Thank you for contacting us to express your dissatisfaction regarding the above subject matterWe take this concern very seriously, and want you to know that we have taken steps to ensure careful and complete consideration of your grievance working toward a timely resolutionThe Common Ground Healthcare Cooperative Grievance Committee has investigated your concern by carefully reviewing all the information we have receivedUpon completion of the review, the committee has determined the following: • A refund in the amount of $was processed on April 1, o The above amount of was deposited to your checking account ending in o Thank you for bringing this to our attentionWe apologize for any inconvenience this may have caused youThank you for keeping the lines of communication open with usIf we can help you with anything else or answer any questions you have, please call me at [redacted] or email me at [redacted] Sincerely, [redacted]
[A default letter is provided here which indicates your acceptance of the business's response If you wish, you may update it before sending it.] Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and find that this resolution is satisfactory to me Regards, [redacted] ***
Thank you for contacting us to express your dissatisfaction regarding the above subject matterWe take this concern very seriously, and want you to know that we have taken steps to ensure careful and complete consideration of your grievance working toward a timely resolutionThe Common Ground Healthcare Cooperative Grievance Committee has Investigated your concern by carefully reviewing all the information we have receivedUpon completion of the review, the committee has determined the following: • We will refund the $340.81, which was Inadvertently drafted from your bank account after your Insurance was termed• Your letter did not Indicate the amount of overdraft fees assessed as a result of our errorPlease feel free to contact me with proof of the overdraft fees in question so that we may consider reimbursementThank you for keeping the lines of communication open with usIf we can help you with anything else or answer any questions you have, please call me at [redacted] or email me at [redacted] Sincerely, [redacted]
Common Ground Healthcare Cooperative (CGHC) has received your written complaint regarding the above subject matterCGHC has forwarded your written complaint to the Grievances Department for review and possible investigation The Grievance Department takes all member complaints seriously They will review your written complaint and any medical records, if applicable, and make a decision on whether to investigate and/or track your concernYou will be notified in writing when the issue has been resolved or closed within thirty (30) days of receiving your written complaintPlease contact [redacted] by telephone at [redacted] or by email at [redacted] if you have any questions or concerns Sincerely, [redacted] Director, Member Services & Claims
","sans-serif">RE: Your complaint expressed via email
on April 26,
Dear Mr***
This letter is in
response to your complaint received by Common Ground Healthcare Cooperative
about termination of your policy and the ability to obtain a specialty
medicationYour issue has been thoroughly reviewed and investigated by the
Complaints DepartmentOur research resulted in the following:
Prescription
meds:
I
worked with Internal staff (*** *** ***) and Catamaran to research what
occurred with your medication requestIt looks like you had a call with
Catamaran on March 5th at which time they advised that the
medication you were seeking is a specialty drug which requires you to use the
specialty pharmacy for refillsIt sounds like there may have been some
confusing information exchanged but the bottom line is that your medication
requires fills through BriovaAlso, I believe that this drug comes at a higher
costIf the payout for the medication is over $Catamarans Mail Order
service requires approval before charging to a cardSome higher amounts
require Prior Authorization because they exceed the plan dollar limitTo date
we do not see that you have filled your medication through BriovaPlease let
us know if there are any further questions to be answered so that you can move
forward with getting your medications
Termination
Request:
I
asked the Enrollment and Billing department to take a look at your account
Your policy had been termed but the end date was 4/30/I see per your email
communication that you wanted to be terminated on 3/31/The Enrollment and
Billing department has corrected this and your policy is now termed effective
3/31/No further premiums are owed, no refunds are duePlease consider this
matter resolvedIf for some reason you receive an additional invoice after
this notification, please know that based on timing of terminations done in the
system, an additional invoice can sometimes be system generated after the
termination work has been completedIf you do receive one, please disregard
it
Common Ground
Healthcare Cooperative (CGHC) is sorry for any inconvenience this may have
causedThank you for letting us know about your concernWhen we hear from our
members, it helps us find areas that might need improvementWe can then find
ways to make our health plan better for our members
We appreciate
hearing from youIf you have any questions or concerns please feel free to
reach out to me at ***
Sincerely,
*** ***, RN,
BBA
Member Health
Services Director
I went on the obummercare website and filed an applicationI deleted the application once I realized I was still eligible for BadgercareObummercare website must have transmitted my info to this company and refused to help me contact them (because that app was deleted)Now common ground healthcare is sending me bills and getting payments from the government on my behalf and I have never authorized them to give me a health policyNever got a card or bookletJust billsFinally got through and the call escalated to *** *** She told me to send her an emailI did so on June 20thJust got another bill from them and have been on the phone over two hours for two days in a rowAlso sent *** another emailNo replyThis is the worse excuse for a company I have ever ever experienced
I had this rip off plan last yearI have to say one thing Run run run as fast as you canIt's called a scamLegalized pyramid scheme!!!! Run while you still have your shirt
I have to pay my premium twice this month because Common Ground chose to extend due dates for open enrollment and they're now changing their due date back to the 25th of the monthI tried to talk to a supervisor and nothing was resolvedI was only told I could file a grievanceThis is just one of many issues I have hadTheir customer service personnel give out incorrect informationBills don't come on time, if they come at all and I've had to call in multiple times to ask that payment be made to facilities and doctors that are in networkI am very unhappy with the service they provide
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below
[Yes, to this date I have never received anything from their office stating on the wise of cancelling my medical insurance, and I have not received my money backSo in resolve of the matter, I still would like to have my $returned back to me.]
Regards,
*** ***
Good morning! This is in response to the complaint issued on 6/30/with ID # ***I have resolved all issues noted by *** and have reached
out to him to make him aware
I apologized for *** receiving continued notices for payment and lack of refundHis request for cancel was received in late March when our office was overwhelmed with Open EnrollmentI believe his paperwork fell through the cracks
We have processed a refund for *** ASAP and can assure that no additional invoices, notifications will be mailed to himI also assured him that Common Ground Healthcare Cooperative does not turn any member over to collectionsThe only attempts we make to collect funds are through written notificationsAgain, I am very sorry for the frustrations and inconvenience this has caused ***As we look forward to bringing our Call Center to Brookfield on August 1st , I know that the customer service issues we are currently experiencing will be in the past as we look to provide exemplary service right here in Wisconsin
Thank You,
*** ***
*** ***, LPN, BBA
Common Ground Healthcare Cooperative
Director of Operations
*** ***
*** ***
***
[A default letter is provided here which indicates your acceptance of the business's response. If you wish, you may update it before sending it.]
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution is satisfactory to meThey have credited my account all payments that were billed and refunded my original payment. This matter is now resolved as along as the billing has stopped
Regards,
*** ***
This is one of the worst companies I have ever had to deal withThe customer service is terribleI was put on hold for over minutes, disconnected, called back, was told someone would call me back, never heard anythingSent emails...nothingThey *** up my bill from day oneThey were sending my bills out only every other monthWhen someone did finally call me back she acted like it was my duty to make sure, even though I was not receiving my bills, that I contact them to pay it because I should know that it is dueLast I check it was not my job to do their jobDo not use this company, unless you want to deal with being *** over and headaches
I've had to call on numerous occasions because my claims were being denied even though I've been making my paymentsToday when I called I spoke with Dustin at first he seemed nice, after I addressed my concern that my bills weren't getting paid and I wasn't sure why and that this has happened in the pastHe said that my insurance coverage was terminated and I wasn't covered during that time frameAfter arguing with him for a few minutes, he put me on holdHe came back and said that I had two accounts with different id numbers and that's why the bills weren't coveredI remember that in the past I spoke with someone and they told me that I would have the same id numberI never received a different number or cardHe kept saying that I didAfter going round and round with him, I asked for a supervisorHe said that there was not a supervisor there that he could have them call me backThat it could be days before I would hear somethingWhat kind of customer service is that? This company is impossible to work with
This is the worst healthcare insurance company I have ever have had to deal withEverIt is almost impossible to get a hold of anyone over the phone(I have had to wait over one hour several times)And my plus emails have all gone unansweredFrom the very beginning they had billing issues and unfortunately the consumers are having to suffer....it's now August and my monthly premium statement that I just got in the mail is STILL wrongI think that they have had plenty of time to figure out their billing issues by now....but nomonths later and still the same "we are having billing issuesWe are working on it."
Also--their phone reps are extremely rude and never knows an answer to any questions you might haveThe claims department is always "unavailable"BUT they are fast to deposit my checksTerrible companyTerrible service
I currently have insurance with Common Ground Health and am completely frustrated with this supposed health insurance group It is literally impossible to contact anyone--whether via phone, email, letter, etc I have tried for literally almost a month attempting to contact someone at this company and am put on hold endlessly Emails are never responded to and the one time I did get to talk to someone, they promised to do "research" on my issue and get back to me--I have yet to receive a call back and it's been almost a week If I had another choice, I would go elsewhere I absolutely do NOT recommend this business to anyone...I can't even say they have the worst customer service ever because they have NO customer service at all! Look elsewhere--please--or the sake of your health care needs
Dear Mr [redacted] Thank you for contacting us to express your dissatisfaction regarding the above subject matterWe take this concern very seriouslyand want you to know that we have taken steps to ensure careful and complete consideration of yo Jr grievance working toward a timely resolutionThe Common Ground Healthcare Cooperative Grievance Committee has investigated your concern by carefully reviewing all the information we have receivedUpon completion of the reviewthe committee has determined the following: • Claim [redacted] for $will be reprocessed and the provider will be paid as "In Network." • We deeply apologize for any inconvenience this may have caused youThank you for keeping the lines of communication open with usIf we can help you with anything else or answer any questions you haveplease call me at [redacted] or email me at [redacted] Sincerely [redacted] LPNBBA Member Health Services Director
Since Common Ground Health Care changed their payment system in October there has been non-stop issues with paymentsThe most current situation is that I was charged 2x for my February premiumI contacted Don in customer service on Monday 2/15/and he confirmed that I was indeed over-charged(by a few hundred dollars) and was assured by him that he would get a ticket going and call me back with in daysI called Don back on 2/19/16, as I was never given a call back from himDon, indeed said that the management department closed out the ticket for an unknown reason and he would not have noticed had I not called backDon then said he was getting his manager Caroline for me to speak withI waited and waited and Caroline never picked up the phone, instead Don didI said like would like to speak to Caroline and he said sureI again waited for a while and then was eventually put in to her voicemailI called back and spoke to another representative who stated there were no supervisors to talk to...maybe they all left early for the weekendNone the less this company has shown lack of follow through and poor customer service, for a customer that has been severely over-chargedI have spent hours on hold and talking to customer service reps when I did nothing but pay my premium on time and have proof of thatI would NOT recommend this company
Almost impossible to contact by phone Tried e-mail but received no response I am not sure how they arrive at their bills; they do not make sense to me; however, they are in our favor I tried getting an accounting of what they charged and what we paid but no response The Health Insurance Market Place paid them for months we were not even covered under their plan Would not recommend them to anyone unless things change
[A default letter is provided here which indicates your acceptance of the business's response If you wish, you may update it before sending it.] Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and find that this resolution is satisfactory to me Regards, [redacted]
I reached out to this member to apologize for the errors on her invoicingThis member has made her payments but I believe the issue that created the incorrect invoices was the late start in getting payments made Judith’s insurance was effective 1/1/but we didn’t receive the first payment until 3/14/at which time she paid (3) months premiumsI worked with our IT department to make sure her invoices are corrected The system shows that the invoice which was just mailed out is correctI have asked Judith to reach back out to me if there are other issues or concerns that I can help her with but for now, all looks to be good Thank you for bringing this issue to my attention Regards, [redacted] [redacted] ***Common Ground Healthcare Cooperative Director of Operations Direct: [redacted] Cell: [redacted]
Thank you for contacting us to express your dissatisfaction regarding the above subject matterWe take this concern very seriously, and want you to know that we have taken steps to ensure careful and complete consideration of your grievance working toward a timely resolutionThe Common Ground Healthcare Cooperative Grievance Committee has investigated your concern by carefully reviewing all the information we have receivedUpon completion of the review, the committee has determined the following: • A refund in the amount of $was processed on April 1, o The above amount of was deposited to your checking account ending in o Thank you for bringing this to our attentionWe apologize for any inconvenience this may have caused youThank you for keeping the lines of communication open with usIf we can help you with anything else or answer any questions you have, please call me at [redacted] or email me at [redacted] Sincerely, [redacted]
[A default letter is provided here which indicates your acceptance of the business's response If you wish, you may update it before sending it.] Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and find that this resolution is satisfactory to me Regards, [redacted] ***
Thank you for contacting us to express your dissatisfaction regarding the above subject matterWe take this concern very seriously, and want you to know that we have taken steps to ensure careful and complete consideration of your grievance working toward a timely resolutionThe Common Ground Healthcare Cooperative Grievance Committee has Investigated your concern by carefully reviewing all the information we have receivedUpon completion of the review, the committee has determined the following: • We will refund the $340.81, which was Inadvertently drafted from your bank account after your Insurance was termed• Your letter did not Indicate the amount of overdraft fees assessed as a result of our errorPlease feel free to contact me with proof of the overdraft fees in question so that we may consider reimbursementThank you for keeping the lines of communication open with usIf we can help you with anything else or answer any questions you have, please call me at [redacted] or email me at [redacted] Sincerely, [redacted]
Common Ground Healthcare Cooperative (CGHC) has received your written complaint regarding the above subject matterCGHC has forwarded your written complaint to the Grievances Department for review and possible investigation The Grievance Department takes all member complaints seriously They will review your written complaint and any medical records, if applicable, and make a decision on whether to investigate and/or track your concernYou will be notified in writing when the issue has been resolved or closed within thirty (30) days of receiving your written complaintPlease contact [redacted] by telephone at [redacted] or by email at [redacted] if you have any questions or concerns Sincerely, [redacted] Director, Member Services & Claims
","sans-serif">RE: Your complaint expressed via email
on April 26,
Dear Mr***
This letter is in
response to your complaint received by Common Ground Healthcare Cooperative
about termination of your policy and the ability to obtain a specialty
medicationYour issue has been thoroughly reviewed and investigated by the
Complaints DepartmentOur research resulted in the following:
Prescription
meds:
I
worked with Internal staff (*** *** ***) and Catamaran to research what
occurred with your medication requestIt looks like you had a call with
Catamaran on March 5th at which time they advised that the
medication you were seeking is a specialty drug which requires you to use the
specialty pharmacy for refillsIt sounds like there may have been some
confusing information exchanged but the bottom line is that your medication
requires fills through BriovaAlso, I believe that this drug comes at a higher
costIf the payout for the medication is over $Catamarans Mail Order
service requires approval before charging to a cardSome higher amounts
require Prior Authorization because they exceed the plan dollar limitTo date
we do not see that you have filled your medication through BriovaPlease let
us know if there are any further questions to be answered so that you can move
forward with getting your medications
Termination
Request:
I
asked the Enrollment and Billing department to take a look at your account
Your policy had been termed but the end date was 4/30/I see per your email
communication that you wanted to be terminated on 3/31/The Enrollment and
Billing department has corrected this and your policy is now termed effective
3/31/No further premiums are owed, no refunds are duePlease consider this
matter resolvedIf for some reason you receive an additional invoice after
this notification, please know that based on timing of terminations done in the
system, an additional invoice can sometimes be system generated after the
termination work has been completedIf you do receive one, please disregard
it
Common Ground
Healthcare Cooperative (CGHC) is sorry for any inconvenience this may have
causedThank you for letting us know about your concernWhen we hear from our
members, it helps us find areas that might need improvementWe can then find
ways to make our health plan better for our members
We appreciate
hearing from youIf you have any questions or concerns please feel free to
reach out to me at ***
Sincerely,
*** ***, RN,
BBA
Member Health
Services Director
I went on the obummercare website and filed an applicationI deleted the application once I realized I was still eligible for BadgercareObummercare website must have transmitted my info to this company and refused to help me contact them (because that app was deleted)Now common ground healthcare is sending me bills and getting payments from the government on my behalf and I have never authorized them to give me a health policyNever got a card or bookletJust billsFinally got through and the call escalated to *** *** She told me to send her an emailI did so on June 20thJust got another bill from them and have been on the phone over two hours for two days in a rowAlso sent *** another emailNo replyThis is the worse excuse for a company I have ever ever experienced
I had this rip off plan last yearI have to say one thing Run run run as fast as you canIt's called a scamLegalized pyramid scheme!!!! Run while you still have your shirt
I have to pay my premium twice this month because Common Ground chose to extend due dates for open enrollment and they're now changing their due date back to the 25th of the monthI tried to talk to a supervisor and nothing was resolvedI was only told I could file a grievanceThis is just one of many issues I have hadTheir customer service personnel give out incorrect informationBills don't come on time, if they come at all and I've had to call in multiple times to ask that payment be made to facilities and doctors that are in networkI am very unhappy with the service they provide
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below
[Yes, to this date I have never received anything from their office stating on the wise of cancelling my medical insurance, and I have not received my money backSo in resolve of the matter, I still would like to have my $returned back to me.]
Regards,
*** ***
Good morning! This is in response to the complaint issued on 6/30/with ID # ***I have resolved all issues noted by *** and have reached
out to him to make him aware
I apologized for *** receiving continued notices for payment and lack of refundHis request for cancel was received in late March when our office was overwhelmed with Open EnrollmentI believe his paperwork fell through the cracks
We have processed a refund for *** ASAP and can assure that no additional invoices, notifications will be mailed to himI also assured him that Common Ground Healthcare Cooperative does not turn any member over to collectionsThe only attempts we make to collect funds are through written notificationsAgain, I am very sorry for the frustrations and inconvenience this has caused ***As we look forward to bringing our Call Center to Brookfield on August 1st , I know that the customer service issues we are currently experiencing will be in the past as we look to provide exemplary service right here in Wisconsin
Thank You,
*** ***
*** ***, LPN, BBA
Common Ground Healthcare Cooperative
Director of Operations
*** ***
*** ***
***
[A default letter is provided here which indicates your acceptance of the business's response. If you wish, you may update it before sending it.]
Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution is satisfactory to meThey have credited my account all payments that were billed and refunded my original payment. This matter is now resolved as along as the billing has stopped
Regards,
*** ***
This is one of the worst companies I have ever had to deal withThe customer service is terribleI was put on hold for over minutes, disconnected, called back, was told someone would call me back, never heard anythingSent emails...nothingThey *** up my bill from day oneThey were sending my bills out only every other monthWhen someone did finally call me back she acted like it was my duty to make sure, even though I was not receiving my bills, that I contact them to pay it because I should know that it is dueLast I check it was not my job to do their jobDo not use this company, unless you want to deal with being *** over and headaches
I've had to call on numerous occasions because my claims were being denied even though I've been making my paymentsToday when I called I spoke with Dustin at first he seemed nice, after I addressed my concern that my bills weren't getting paid and I wasn't sure why and that this has happened in the pastHe said that my insurance coverage was terminated and I wasn't covered during that time frameAfter arguing with him for a few minutes, he put me on holdHe came back and said that I had two accounts with different id numbers and that's why the bills weren't coveredI remember that in the past I spoke with someone and they told me that I would have the same id numberI never received a different number or cardHe kept saying that I didAfter going round and round with him, I asked for a supervisorHe said that there was not a supervisor there that he could have them call me backThat it could be days before I would hear somethingWhat kind of customer service is that? This company is impossible to work with
This is the worst healthcare insurance company I have ever have had to deal withEverIt is almost impossible to get a hold of anyone over the phone(I have had to wait over one hour several times)And my plus emails have all gone unansweredFrom the very beginning they had billing issues and unfortunately the consumers are having to suffer....it's now August and my monthly premium statement that I just got in the mail is STILL wrongI think that they have had plenty of time to figure out their billing issues by now....but nomonths later and still the same "we are having billing issuesWe are working on it."
Also--their phone reps are extremely rude and never knows an answer to any questions you might haveThe claims department is always "unavailable"BUT they are fast to deposit my checksTerrible companyTerrible service