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Via Benefits Reviews (132)

Satisfaction rating: 
User Reviewer11224181

On August 3, 2015, a representative from OneExchange
contacted MrJ*** to discuss his claims.
In order for his claims to be paid, we needed additional information. Our representative told him specifically what
he needed to submit (documents). We
explained why we needed the detailed documentation. Our representative also told MrJ*** we
can get his claim paid this week if he can provide the documentation that was
discussedMrJ*** feels this is an inconvenience and told our
representative he did not want to send us anything else.
We are sorry that MrJ***
feels we are trying to keep his funds.
That is not at all the case. We
feel we have done everything (and will continue to) to assist MrJ***

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User Reviewer12229144

We will contact the customer within 1-business days to review the different requirements between our departments and we will update their file with their POA information. We believe this will resolve the issue

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User Reviewer12376714

This issue has been escalated to a specialized team. Members of this team have been attempting to reach the participant and have left messages. We will continue to reach out to the participant directly to assist

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User Reviewer11840558

This issue has been resolved We spoke with the participant on 5/and advised of the resolution

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User Reviewer13135549

Complaint: ***
I am rejecting this response because:Even in this response it is stated that I was only covered until when in truth I was covered thru 2017. The answer I keep getting from Domtar Indis that One
Exchange is doing the denial even though they have never offered an insurance policy to me.Thank you Revdex.com for trying to help and hope you realize the problem that I am having dealing with this companyIf that is their final answer the only recourse that I know of is the Federal insurance commin Atlanta, Gaor small claims court in Sullivan County Tennessee
Sincerely,
*** ***

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User Reviewer11672216

We discussed the enrollment options available to Mrs
*** on 1/13/17. We assisted Mrs
*** in speaking with the insurance provider and her options with them
were discussed. If we can be of further
assistance we are happy to help

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User Reviewer12854289

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution is satisfactory to meI want to thank yougreatly for your helpMy reimbursement has taken eight months to receive when it should have taken weeks, so I know that your help was invaluable
Sincerely,
Gail D***

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User Reviewer12004347

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID ***, and find that this resolution is satisfactory to meThis was corrected because I had to complain to Revdex.com and the Insurance CommissionIf I did not take the actions, I would still have an issue because they refused to correct the problem
Sincerely,
*** ***

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User Reviewer11913016

Via Benefits Insurance Services reached out and spoke to the participant on 4/2/2018. The issue has been resolved and the details of the complaints were discussed. We apologize for any inconvenience

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User Reviewer12701297

We assisted the participants with requesting claim forms on January 3rd. We will reach out to the participants directly to assist with any claims questions and/or concerns

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User Reviewer12250331

Complaint: ***
I am rejecting this response because: Not resolved! I have been at nearly this same position twice before with no positive outcome and similar situation on other occasions but no solutionRecently I filed a claim for several months in and got a letter back saying that one item of information was missing and that I should resend the claim There was no indication of what the missing item was! Your associate was only days late with promised call as he was “under the weather” or something; I have been told that I only have days to file claims for a previous year and other statements that contradict that.statement Yes, your people seem to blame Blue Shield for sending wrong info or none at all On my last call to your associate on January he connected us with Anika H*** at Blue Shield and she promised to send info via email by end of day She sent info late the next day but the info is a little questionable, looks like a typo; your associate seemed to think you could sort it out We will see! We are three years behind on claims for Blue shield insurance and this will not be resolved with words alone
Sincerely,
*** ***

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User Reviewer11950112

Per our records Mr*** was enrolled in a plan through Via Benefits Insurance Services from July - December 31, 2015. The requirements in place to qualify and the timeframe that qualified funds will be provided are set by the participant's former employerVia Benefits Insurance Services will continue to reach out to the participant directly to assist with resolution. We last reached out to Mr*** on 3/9/

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User Tenne

Very disappointed that I was not told any changes to my insurance had to go through via and ended up losing my funding and said nothing I could do would let me be untitled to be reinrolled to get my funding benefit would gladly change back to original insurance but once they get you out it's their chance to pay you your benefit and less for them to pay

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User Reviewer9495205

We are looking into this and will contact the participant directly
to address their concerns.

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User Reviewer9082438

Towers
Watson's One Exchange is private Medicare exchange that is contracted by a
number of employers, including IBM, to work with its retirees and their spouses
and dependents in transitioning from group health care coverage to individual
Medicare health plans. Many of these employers...

have also set up a Health
Reimbursement Account (HRA) for their retirees who are losing group coverage to
help offset the cost of the individual Medicare plan.
We were
aware that Mrs. [redacted] had questions concerning reimbursement of her
prescription claim. We have tried several times to reach her. Our
Representative, Rhonda [redacted], which is mentioned in the complaint, was
finally able to reach Mrs. [redacted] on June 10, 2015. She confirmed that Mrs.
[redacted]'s reimbursement is scheduled to be sent on June 11, 2015. Mrs.
[redacted] was on this call and is aware of this. We are sorry for any inconvenience
Mrs. [redacted] experienced.
We trust
this is acceptable. Please feel free to contact us should you need any further
information.
Thank you.

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User Reviewer9132663

Complaint: [redacted]
I am rejecting this response because:The business does not get the point. The point is that I want them to deal with my daughter in resolving my health reimbursement claim, as I do not understand an unresolved claim reimbursement from 2014 and their funding department was unclear, too.  Their funding department would talk to my daughter, but their customer service department would not. Having a survey analyst contact me early one morning and leave a message and not give me his direct line to return a call is not what I consider a resolution to my problems with OneExchange.  Their response is a non-answer. Are they going to deal with my daughter or are they not? If they don't require an authorization form on file to talk with her, why were we told to do this in prior conversations and why is their own form (NOT a POA form, but their own authorization form for release of personal information) available on their website and why did we complete one and have it faxed into their system?  I think the business was more concerned with a negative survey and this complaint, than actually helping me resolve my claim, with my daughter's assistance. 
Sincerely,
[redacted]

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User Reviewer9011993

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.
Sincerely,
[redacted]

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User Reviewer9141559

OneExchange is contracted with EmblemHealth. At this time, there is nothing more we can do for this person. They are welcome to contact us again during open enrollment to look at other plans options.

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User Reviewer9020234

A portion of this customer’s complaint seems directed at BCBS and their inability to provide the material that the customer asked to receive. As an insurance exchange we can assist the customer in requesting information from an insurance carrier, but unfortunately we do not have the ability to...

ensure that the carrier complies with the customer’s wishes. The customer complained that our associate promised to call him at 9am on 1/15/16. Our records indicate that our associate did call the customer on 1/19/16 at 11:47 am. On this call, our associate explained to the customer the information that was needed to file a claim and how to file a claim for reimbursement from his HRA account. Also, on the same call, our associate spoke to the customer’s wife to answer her questions about her plan and made a 3-way call with the insurance carrier to make sure that her needs were addressed with the carrier. At this point we believe we have done everything we can do to address the customer’s concerns and we are very sorry for any inconvenience that we may have caused.

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User Reviewer8999891

After reviewing Mr. [redacted]'s account, we have verified that her funding has been reinstated back to October 2015. This is resolved.

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Address: po box 25184, Lehigh Valley, PA, 18002

Phone:

(844) 620-5732
6502884800
(650) 288-4800

Website: http://my.viabenefits.com/funds

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