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Bright Health

219 N 2nd St Ste 401, Minneapolis, Minnesota, United States, 55401-1452

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Bright Health Reviews (%countItem)

Denied a payment for an MRI when I was eligible on the day of service.
Bright Health withdraws from my bank my premium of $847.30 monthly for the worse policy (bronze), and the only time that I used was on August 31/2022 for an MRI, and the claim was denied because according to the EOB, I was not coverage on that day!
I can understand that they make a mistake in processing the claim, but it is unacceptable, that I spent around one hour trying to talk over the phone to someone around 2 months ago, and the person told me that the claim was going to be reprocessed. Still has not been reprocessed, and University of Miami wants to send me for collection.
I wrote a ticket in my portal, and when I try the check, the function is not working.
Finally, I try to call the company today and when I was waiting for answer, the call got disconnected twice.
This situation is very frustrating, I feel that the company is avoiding to pay, specially now that is leaving FL.

I called on 6/22/2020 to ask if the Little Clinic near home was in-network.
Jen S. was wonderful! She answered my question plus she took the time to show me how to navigate the online website for Bright Health to find additional information .
She was patient, friendly and SUPER helpful!
If I could give her a 10 Star , I would!
I don't know if you reward staff, if so please reward her .
If you don't please start rewarding wonderful staff members like her!
Thank you again Jen S. !!!!

Horrible at processing and paying claims. Network in Denver area is not good. Our daughter had Breight Health and was diagnosed with cancer. When she went to have her surgery, there wasn't a GYN ONC on their plan that operated at a hospital covered by their plan. How crazy is that! Had to postpone surgery until we could get a prior authorization approved and that was just a comedy of errors on the part of Bright Health. We mailed in a complete claim with the all the proper codes and bills for her wig - which was covered up to $500. When I called because the claim had not been paid, they had no idea who the person was who signed for certified letter. So I faxed them to claim. Then they found the mailed claim and didn't process either one of them because they were "duplicate" claims! They keep telling me they need more info to process the claim - like the NPI of the doctor and the Tax ID of the wig provide - all clearly stated on the receipt and prescription along with the proper billing and procedure codes. It's now been 6 months still have not received a dime and received yet another call from Natasha asking for the same info I've given Mya and Jen. Their people are very nice on the phone, but honestly their training and knowledge level in processing claims is horrendous! I would steer clear of them. Honestly, I think they give you the run around just so they don't have to pay your claim. They're playing the odds, hoping most people will just give up. Our daughter changed insurance companies, thankfully! She now has Cigna. Much better to deal with I am filing this complaint for our daughter because she is too ill to do it herself, let alone fight with Bright Health to get her claim paid.

My insurance plan with Brighthealth was purchased through the government marketplace. The Marketplace has my plan as an effective date of 3/1/2020. Brighthealth has my effective date as 2/1/2020. They are demanding payment for the month of February when I had no coverage as per the Marketplace. I have had numerous 3 way phone conversations with both entities resulting in the Marketplace stating and filing escalations reiterating the 3/1/2020 effective date. Every month Brighthealth bounces the date back to 2/1/2020 expecting payment for the month of February. This is a monthly occurrence and no amount of speaking with supervisors in various departments of Brighthealth have resolved the issue.

Bright Health Response • May 22, 2020

Hi Sandy, thank you for reaching out to Bright Health! I believe our team has already been in touch with you today to talk directly about this issue. If you still have questions after speaking with our team, feel free to send us another message!

Bright Health Response • Jun 08, 2020

Our team just spoke with Ms. on 6/2/2020 ( Complaint #*** She hasn’t reviewed the email we sent with the breakdown yet (attached below), because she’s out of town at this time. We did explain to her that we bill a month in advance. She started her plan in March. 1st Payment was for March premium when she started her plan.The 2nd payment in March was for her April premium (we bill a month in advance)April was for MayMay was for JuneJune was for JulyThe member should have paid for 5 months worth of coverage ($254.71 x 5 months is $1,273.55). She has only paid $1022.65, leaving the balance of $250.90. We did mention that once she pays the $250.90, that she will be paid up through 7-31-20.

If there are any remaining questions, please let us know.

Customer Response • Jun 12, 2020

I am rejecting this response because: The error was not on my part. It took MONTHS for the membership and billing department to correct the errors found. More errors were found in my billing as we went month by month showing inconsistencies in premiums paid. Even when the corrections were made and I called to pay, the individual in billing tried to increase my premium to match previous WRONG amounts. Thank you Revdex.com for mediating this situation. I think that all has now been resolved. The customer service for Bright Health is terrible and after months of trying to resolve this on my own I appreciate the Revdex.com intervention and ultimate resolution.

I noticed that 2 different prices were reflected on my account. One for $191.63 (x2) 12/23/19, one for $191.63 for 1/22/20. The next several payments were $181.63. When I signed up in December 2019, I understood a one time membership fee of $6.00, not a fee every month. I signed up for this policy on Connect for Health Colorado.

Bright Health Response • May 22, 2020

Hi Ken, thank you for reaching out to Bright Health. Our team has taken time to look into your situation and we have attempted to call you twice. In this case, we will give you a call again and leave a voicemail with more detailed information about your specific case if you do not answer. If you have any follow-up questions regarding this issue after you hear the voicemail, you can give our team a call back or send us another message.

Bright Health Response • Jun 01, 2020

Hi Ken, we have tried to contact you multiple times via phone call to explain the monthly payment. We received information from our BHP PEAK partner that can provide additional details to your case regarding the fees that are assessed. This partner advised our team that you had been given a breakdown of the fee during your enrollment and were informed that it would be a part of your bill. Unfortunately, this is something that Bright Health has no control over.

The Q&A about PEAK is on this link: https://peakhealthalliance.org/faq/

Please let us know if you have any outstanding questions or concerns.

Customer Response • Jun 02, 2020

I am rejecting this response because:

at this point, the business (Bright Health) has no idea that the person that set up my auto pay is the source of the problem. they keep trying to call and email me, to the point of harassment, I feel, when i've instructed them to go through you (Revdex.com) in an attempt to atone for their serious customer service issues. they act like they have nothing to do with their error and look like they're trying to blame it on me. now i'm going to get this large bill added to my monthly payment for the fees. connect for health colorado doesn't really explain very well that these fees are added on a monthly basis and to me it seemed it was a one-time fee. at any point, there has been no apology by Bright Health for their customer service and any lack of understanding on the fees. the latest email did explain most of the issues with the fees but no solution/resolution offered.

i'm to the point, that I wish I never signed up for their service because of the hassles involved.

I saw a charge on my bank account from this business without ever having an account set up with them. I contacted Connect for Health Colorado and they did not know the company and I was never referred to by them to use this service. Somehow they got my information and charged me two monthly charges for health insurance. I called the number I found online for them and they could not find me in their system. I disputed it through my bank and only one charge was removed. I'd like them to be investigated for stealing personal information.

Bright Health Response • May 08, 2020

Hi ***, thank you for reaching out to Bright Health. We're sorry to hear about your experience and we appreciate your feedback. Our team is actively looking into the situation right now. We will have a representative reach out to you within the next 24 hours with more information.

Bright Health Response • May 13, 2020

Thanks for sending over the additional comments. After doing a deeper dive into this issue this is the information that we have found:

-Ms. is not a Bright Health Plan member. She lives in Idaho, a market that Bright Health Plan does not service.-We have called Ms. 3x and have sent her a couple of emails trying to get some additional information from her regarding the charge on her bank statement so that we can call the number listed to obtain more information about the charge.-The charge was not initiated from Bright Health Plan, so we have no way to credit her account $150.41, as we did not draft any money from her account.-As for the screenshots that she sent, yes someone from Bright did call her based on a voicemail that we received. We have provided coaching to “Terrence” that is referenced in the screenshot, as he is a relatively new employee who just called without vetting out to see if she was truly a member and a refund was due. Him stating that she would receive a refund, may have provided her some false information, but she has not paid anything to Bright Health Plan and is not a member who has paid any premiums to Bright.-We suggest that she call the number that is associated with the charge so that we can follow-up and try to find out the company that the charged was sent to. Without her calling us back, we are unable to do any additional research to assist with where the charge could have been initiated from, but it was not us. Please let me know if you have any additional questions or concerns. Thanks!

Customer Response • May 13, 2020

I am rejecting this response because:
I returned every call I received and the matter has been handled. I do not like having so many people dealing with one situation. It is clear that information is not being passed along properly. I was charged by Bright Health, that was made clear early on in this issue. It shows on my bank statement as Bright Health and no phone number was attached to associate with the company. The tracking number attached has been investigated and someone I believe has found where the charge originated because as of yesterday, Bright Health refunded the charge that was incorrectly processed on my account. You are providing Revdex.com with false information if you are saying I was not charged by your company when in fact, I was. A mistake has been made so just take accountability and work to improve. I just hope you spoke to the account holder who had the incorrect info and made sure they weren't stealing info and it was miscommunication. Please investigate the matter appropriately.

Bright Health chose to terminate my coverage rather than apply my premium payment during a grace period. I paid 2 months of premiums in December 2019 and still have not received these funds returned. Bright Heath admitted these funds were owed to me but still have not issued the refund after more than 30 business days. My bank will not process a dispute because it is not fraud. I would argue this is fraud - they collected funds and appear to have no intention of returning them while denying all health care costs from even in-network providers.

Bright Health Response • Apr 14, 2020

Hi Anna, thank you for reaching out to Bright Health. We take issues like this very seriously and want to work with you to find a resolution. In this case, we will have a representative reach out to you within 24 hours via phone call.

Bright Health Response • Apr 24, 2020

Hi Anna, thank you for reaching back out. Our internal team has been working on this issue and they were able to issue a refund on 4/15. If you have any additional questions about this issue, please don't hesitate to ask.

Customer Response • Apr 27, 2020

Revdex.com:

I have reviewed the response made by the business in reference to complaint ID, and find that this resolution is satisfactory to me. The company’s refund was received April 21, 2020. I also received guidance as to re-submit claims that we’re improperly denied.

We are very pleased with Bright Health. We love the provider network which is considered the best in our state. My daughters primary care Dr. and OBGYN are in this network. My daughter is pregnant. When all is said and done, she will have very little out of pocket costs including low co-pays and affordable premium. My daughter will get free rides to and from the hospital when the baby is born and for follow up checks. She will also get free meals on this plan when the baby is born. She is thrilled! It has a great drug/pharmacy plan too, low cost affordable meds. The member service line is very knowledgable, helpful and always pleasant to work with. If I have questions about the plan I just call the member service line or go to my member portal online. I also get money back for doing things on the member portal. The broker my daughter worked with who got her on this plan was a great resource for finding great health care. Good experience and coverage so far.

Bright Health Response • Apr 09, 2020

Hi Wendy, thank you so much for your review! We are so happy to hear that you and your daughter are pleased with your Bright Health plan. Please don't hesitate to reach back out to our Member Services team if you have any questions in the future.

I work for ***. I obtain prior authorization from insurance companies to provider service to a patient. I have been trying to get prior auth for Chemotherapy for a life threating diagnosis for 3 months now from Bright Health Plan. I have submitted all the documentation they requested and now I can't get them to return my calls. I have called a total of 6 times and have received only 2 call backs with no resolution. The patients treatment has now been withheld for 3 months due to not being able to obtain the prior authorization from the insurance company. This is unacceptable. Like I said, the patient has a life threatening illness and Bright Health Plan is hindering her care.

Bright Health Response • Mar 03, 2020

Hi ***, we’re very sorry to hear about your experience and we want you to know that we take this issue very seriously. In this case, we will have a representative reach out to you directly within the next 24 hours.

Customer Response • Mar 03, 2020

I am rejecting this response because: I do not believe 24 hours is an acceptable time frame. Their voicemail also states they will get back to me within 24 hours and it never happens.

Bright Health has through glitches and mistakes hurt us. Husband was denied a ct scan. Then we were approved a ct scan. Weeks passed. We called for updates and told to just wait. Then we got told there was a glitch were the ct scan was being denied even though it had been approved, In the meantime my husband is too sick to stand up for more than 10 minutes at a time. He can't work. On my off days, I call Bright Health and weep. Nothing happens, Supposedly now we are approved, but nothing has happened yet.
In addition we need to see an Ear, Nose, and Throat doctor, but there isn't one in our network. In theory a contract signed by a doctor and sent back to Bright Health. I sit and wait and weep as my husband gets sicker.

Bright Health Response • Apr 09, 2020

Hi Carmel, thank you for your review. We know that you have been in contact with our team about this issue. If you still have any outstanding questions or concerns, please let us know and we will have a representative from our special services team reach out to you directly.

We have paid the Bright Health monthly payment on time for the last 3 months and have yet to receive health care benefits. Every time we try to use our healthcare benefit we are told that the policy is cancelled. We have receipts to show that we have paid, which the company agrees with. (they can see it on their computer). Payment made to: Bright Health Ins Co, *** Denver CO 80256 Multiple call to them have yielded promises that it is fixed each time but we are still denied service.
*** submitting for my spouse

Bright Health Response • Feb 17, 2020

We are actively looking into this issue and we will have a representative reach out to the member directly within the next 48 hours in order to work towards a resolution.

Customer Response • Feb 22, 2020

I am rejecting this response because: I have not received any response except that Bright Health will contact me within 48 hours. That has not happened, so I continue to wait for a response. WE paid for 3 months of health care coverage and on the 3rd month tried to use it and was told it was cancelled. Bright Health has now reinstated the policy for Feb 2020, which means we did not have coverage for 2 months and I would like a refund for months of Dec 2019 and Jan 2020 when we paid but did not receive coverage.

***

Acct #***5

Bright Health Response • Feb 24, 2020

Hi ***,

Thank you for reaching back out. We're sorry that you did not receive a call within 48 hours. In this case, we have escalated this issue and you should be receiving a call from an escalation expert within 24 hours. Please let us know if you have any additional questions or concerns in the meantime.

Best,

Bright Health Team

This was the worst health plan ever. I paid my premiums in 2019 and every claim was denied. Took too many phone calls to try and straighten out. Still waiting for a return call from 2019!

I was a victim of this plan's surprise medical bill. I called before I saw a dermatologist, they said everything was " covered". 3 months later the dermatologist sends a bill for $382.74. Bright health plan paid .17 cents. I paid them $6563.00 in premiums in 2019. They still say I was covered.

I would give them negative stars if I could.

So when shopping for new insurance, I saw they said they covered the prescription drug I need and the price was close to what I had been paying. Using this insurance is very difficult. Over 1 month and counting to get pre authorization for a drug the doctor prescribed. Held hostage so I had to pay for prescription out of pocket the last2 months. I only have this insurance for this drug and if I have a bad accident. This pre authorization tactic is BS! Try to get people to just give up on it and pay themselves. I would not recommend bright health. They want you to die so they can collect premiums.

Bright Health Response • Feb 24, 2020

Hi ***,

We're sorry to hear about your experience and we would love to help resolve this issue as soon as possible. In this case we will have an escalation specialist reach out to you within the next 48 hours. Please don't hesitate to reach back out with any additional questions or concerns in the meantime.

Customer Response • Feb 26, 2020

Revdex.com:

I have reviewed the response made by the business in reference to complaint ID, and find that this resolution is satisfactory to me. Although this should not have been so difficult for a simple prescription.

This review is for Bright Health Insurance Member services, I have now been on hold for over an hour and the line keeps telling me “...please keep holding and we’ll be right back with you” this is ridiculous and waste of customers time. The option to have a call back doesn’t work. I would love the Revdex.com to Publish my review.

Antti

Bright Health Response • Apr 09, 2020

Hi Antti, thank you for your review. We're very sorry to hear about your experience with Member Services. If you still need assistance, please let us know and we will have a member of our special services team reach out to you directly.

I really love this company! The drug plan was better than I thought - they paid almost everything. Very extensive network.

Bright Health Response • Apr 09, 2020

Hi Scott, thank you for your review! We are happy to hear that you are satisfied with your plan and network.

They now use 5 separate deductibles in their Affordable care act coverage. EACH one of these is a $6850 deductible: Primary care, specialty care, ER, Urgent care and inpatient. If you were to have a catastrophe and use even just 4 of these, your ACTUAL deductible would be $27,400! I get the subsidies to reduce premiums but it would take a year for me to pay off this amount.

Bright Health Response • Jan 03, 2020

We are unable to verify the complainant as a past or current member of Bright Health. We do not offer any plans that require you to meet 4 separate deductibles. We do not have any record of an interaction with this consumer.

Bright Health Response • Apr 09, 2020

Hi Susan, thank you for reaching out to Bright Health. We're very sorry to hear about your experience. In this case, it would be best for you to contact our Member Services team directly at 855-827-4448. Our team of specialists will be able to answer any questions that you have and help you work towards a resolution.

We signed up for a health plan to begin January 1st as part of open enrollement. The plan costs well over $700. They have charged us teice for January 1st and when we called about it, they said they could return it but it would take 30 business days. That is completely unacceptable for a payment of that amount. It completely leaves us in trouble for January rent payments due to their mistake. It seems to be a tactic as they really wanted us to just apply the payment to February instead. We want our money back.

Bright Health Response • Dec 31, 2019

In reviewing the members account and payment history it was determined that the member set up an ACH with a future date. While not realizing that the payment had not yet been pulled the member processed an on line payment. While it is unfortunate that this took place we have submitted an EXPEDITED request for refund. Our normal refund process takes 30 days. Customer Service was correct in their response to the member. In light of the situation and the timing of the payment I have submitted the EXPEDITED request. I spoke to the member this morning and explained the process going forward. I will continue to follow up until the refund is deposited back into the members account. Member was satisfied with our reply.

Customer Response • Jan 09, 2020

Revdex.com:

I have reviewed the response made by the business in reference to complaint ID, and find that this resolution is satisfactory to me.

Although their response on this message compared to when we spoke on the phone was quite different. This response places all responsibility on us, though there were many issues with the process from the side of Bright...we are satisfied to receive a refund, but still unhappy with the policy and the way the website payment works.

We will ultimately accept the response because we received an expedited refund.

Does not appear to be an ethical company. My local lab has submitted bills to them for 5 months & have not even received the courtesy of a response. I am going with a non-profit next year. I no longer trust Bright Health.

Bright Health Response • Dec 12, 2019

In reviewing this account I show no communication from the member or from any lab. We will reach out directly.

Customer Response • Dec 12, 2019

Bright Health contacted me via email today. The customer service representative is being helpful and giving suggestions to help resolve my issue. [Original poster]

Bright Health has been deceptive about their policies and billing. I paid a $35 co-pay for an office visit. The lab work was done in the doctor's office. I had three more lab tests done at the doctor's office, three separate visits. A few months later I received a separate bill for the lab work from a different business. Bright Health stated that the lab work was in-network, but since I hadn't reached my full deductible amount, they wouldn't pay the lab bills, almost $4,000. For four blood tests. If the lab operation is a separate business, inside the doctor's office, it should be clear to the patients that this is the case. I've been blindsided by this little arrangement they have, and so far am on the hook for an outrageously high lab bill. The previous Bright Health representative, months ago, stated that I pay the amounts from the column on the Bright Health website, under "claims" where it says "you still owe", which I did. Two different stories, another scammed consumer. I see that others have similar complaints about not-so-Bright Health. Not surprising, as the industry is a multi-billion dollar wrecking ball scam of all scams. People are dying because of it. I suppose consumers are "lucky" if it only ends up in a bankruptcy.

Customer Response • Dec 09, 2019

Revdex.com:

I am sending you an email to withdraw my complaint, as my case was lacking information. After looking further into my health plan, I was told that until I reach my deductible amount, Bright Health will not pay for my lab work. This is contained in my particular health plan choice. After the deductible is/was reached, and only thereafter would they would pay 80% of the cost of lab work. I now have to find out why 4 lab tests from Quest Diagnostics (blood screens) is costing me almost $4,000. Seems criminal.

I received a grant for the medication that I got. Stands to reason that the follow-up blood work should be a part of the treatment, to be sure the medication was working. But this is health care for profit, after all. I am in the process of trying to find another grant or some kind of assistance to pay this $3,457.26 bill from Quest. The first bill will soon go to outside collection. I have paid $464.68 toward these four bills so far, as this was the advice I got from a Bright Health rep many months ago. This amount would have satisfied my debt to Quest. I got bad advice from Bright Health, I'll assume, because the rep didn't look at my plan. I apologize for any inconvenience. I will be looking to see how many Quest Diagnostic complaints are out there.

I signe up for Bright Health insurance through the Colorado health insurance marketplace. I went to receive assistance in signing up as well. After reviewing all plans I chose this plan because I can go to the doctor 2 times/year with a $35 copay, and if anything else happens I would have a $75 co pay for urgent care. On every piece of information provided it states that urgent care is a $75 co pay. I looked up the urgent care facility before going to it to make sure that they are in network for Bright Health insurance, and they confirmed they are. I paid my $75 co pay directly to the facility when I received treatment. I talked to both Bright Health and the facility and they both confirmed that all of the procedures performed do fall under the Urgent Care Visit. I received a bill from the urgent care facility. I called them and they said that the bill I have is not my bill and that they have to work it out with the health insurance company. The next thing I know I received a bill for $357.27 from a collection agency. I called Bright Health to figure out what is going on. The man told me that the only thing covered under my $75 co pay is walking in the door. If I want to see a doctor in urgent care then that is not covered and that falls under a $40% co insurance. I told him that nothing that I read prior to signing, nor any of the information they sent me states that their definition of an Urgent Care visit does not include getting to see the doctor. He told me he would send me where it states that information. I have not received this information. Currently I am being harassed by this collection company for the $356.27 that Bright Health is refusing to pay the Urgent Care Facility. Please help me resolve this issue. I pay my premium, and I paid my co payment. I should not be strong-armed into paying additional bills that are supposed to be covered.

Bright Health Response • Sep 27, 2019

Thank you for forwarding this complaint to Bright Health. We are committed to operate a consumer-centric health plan with the member’s best interests at heart. Due to privacy restrictions under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), we are unable to provide detailed comments. We are reaching out to the consumer directly to resolve the matter under separate cover.

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Address: 219 N 2nd St Ste 401, Minneapolis, Minnesota, United States, 55401-1452

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