ComplaintsforClear Spring Health

• Initial Complaint

  08/02/2024

  Complaint Type:

  Sales and Advertising Issues

  Status:

  Resolved

  More info

  THIS COMPANY KEEPS TEXTING ME, CALLING ME, MAILING ME -- FOR SERVICES RELATED TO PHARMACY PRESCRIPTIONS == I DID NOT ENROLL WITH THEM, I DO NOT HAVE ********* I AM A VETERAN AND HAVE ALWAYS RECEIVED MY MEDICATIONS FROM THE VA! I HAVE TALKED TO THEM SEVERAL TIMES AND I'VE HAD ENOUGH. I DO NOT OWE THESE PEOPLE ANYTHING. THEY ARE RUDE AND TRY TO BULLY ME. I AM A 68 YEAR OLD RETIRED FEMALE AS WELL AS A VETERAN. I WOULD LIKE THEM TO STOP HARASSING ME AND LEAVE ME ALONE.ALTHOUGH I DID NOT ENROLL THEY HAVE ASSIGNED ME A MEMBER ID NUMBER WHICH IS ==********* = *****************************

  Business response

  08/09/2024

  We have reviewed your account and have confirmed that you were auto-enrolled by the Centers for ******** and ******** Services (CMS) into the Clear Spring Health Value Rx (PDP) effective 09/01/2023 and the Enrollment Confirmation letter was sent to you on 07/05/2023. Our records show that you were previously receiving a 100% Low-Income Subsidy (LIS) and had a LIS level of 3, which means that your premiums were covered by your Extra Help; however, your Extra Help was terminated on 12/31/2023 and the plan mailed a loss of LIS letter to you on 9/21/2023 and 12/27/2023 notifying you that your Extra Help would no longer be covering your premiums effective 01/01/2024. Please note that as per the Centers for ******** and ******** Services (CMS) guidelines, Clear Spring Health is required to send written correspondence to all members regarding any plan information or changes to their accounts.
   
  Additionally, we confirmed that your monthly premium in 2024 is $23.30, and your payment method is Direct Self-Pay; therefore, the monthly invoices are mailed to you. Records also show that we have not received your payment for the premiums from January to August 2024, and your current balance is $209.70 which also includes the August premium. Please be advised that as part of the Clear Spring Health premium payment policy, members are responsible for paying the plan premium for each month the plan is active with us. You can make your premium payments through checks, money orders, or online payments using our online payment portal at *****************************************.
   
  The checks or money orders should be sent to:
  Clear Spring Health, 
  PO Box 660907, 
  ****************-0907
   
  You may qualify for Extra Help; you must fill out a Low-Income Subsidy application. This application can be obtained by contacting the ****************************** at ************** (TTY **************). You may also complete an online application at www.socialsecurity.gov or ***********************************************************. The ****************************** will review your application and inform you of your eligibility.
   
  The plan cannot be canceled after the plan's effective date. Please be advised that you can change your prescription drug plans only during certain times of the year. From October 15 - December 7, you can join, switch, or drop a ******** health or drug plan for the following year. Generally, you cant make changes at other times except in certain situations, such as if you move out of Clear Spring Healths service area, want to join a plan in your area with a 5-star rating, or qualify for (or lose) Extra Help to pay for prescription drug costs.
   
  Lastly, if you would like to be disenrolled from this plan, you must submit a disenrollment request by mailing or faxing a Disenrollment Form or just writing a letter requesting to be disenrolled and providing a valid Special Enrollment Period (SEP). The Disenrollment Form can be found under "Plan Documents" at clearspringhealthcare.com. Also, for your convenience, a Disenrollment Form was sent to you on 07/26/2024. 
   

• Initial Complaint

  08/01/2024

  Complaint Type:

  Billing Issues

  Status:

  Resolved

  More info

  This company engages in fraudulent and predatory business practices and billing practices. I am a medically retired soldier with Tricare for Life and CHAMPUS. I recently spent a year abroad and returned to a huge stack of bills from these guys. I was enrolled involuntarily and without my knowledge into their ******** Part D while I was outside of the country-a service I did not need or want. Representatives refused to work with claiming they mailed me a notice of enrollment while I was out of country and I had to opt out within a short time or was giving consent by not responding. I hope any rational human can see how predatory and scandalous and potentially illegal this is. They now harass me 24-7 demanding money after making me jump through a bunch of hoops to get out. They arent listening to me. This company needs to acknowledge that they had no right to sign me up for this without my consent and that due to my physical absence from the country that I did not receive their notices and so I am not liable for a bill for something I did not sign up for, need, or know about. I really believe this CEO probably belongs in prison.

  Business response

  08/08/2024

  The plan has reviewed your complaint and has confirmed that your enrollment into Clear Spring Health ValueRx Prescription Drug Plan (PDP) was an auto-enrollment completed by the Centers of ******** and ******** Services (CMS) for an effective date of 07/01/2023.Additionally, our records show that you received Low-Income Subsidy (LIS)/Extra Help from 01/01/2023 and 12/31/2023. Please be advised that members that receive Extra Help/Low-Income Subsidy may get auto-enrolled into ******** Prescription Drug Plans by CMS unless they Opt-Out. Auto-enrollments completed by CMS are out of our control. Due to your eligibility for Low-Income Subsidy/ExtraHelp you did not have a monthly premium, however, as of 01/01/2024 your monthly premium is $23.30 due to your Loss of Low-Income Subsidy (LIS). A letter advising you of your Loss of LIS was mailed on 09/21/2023 and again on 12/28/2023. It is important that you update your address with ****************************** and CMS to ensure you receive correspondence.
  
  Furthermore, your account shows multiple calls to Clear Spring Health starting on 06/24/2024 but not prior. Our member services representatives advised you that your enrollment was an auto enrollment done by CMS and in order to disenroll a written disenrollment request is required. We mailed you the Disenrollment Form on 06/24/2024. As of 08/08/2024, we have not received a written disenrollment request, but our records show that you are no longer enrolled in our plan as of 06/30/2024 as CMS submitted the disenrollment.
  
  We reviewed your account in our pharmacy benefits manager system and confirmed that you obtained medications in 2023 through your Clear Spring Health PDP coverage.
  
  Lastly, members are responsible for the plan's premium for the time the plan is active. Please note you have an outstanding balance of $139.80.
  You can mail a check or money order to Clear Spring Health to the following address:
  
  Clear Spring Health
  PO Box 660907
  ****************-0907
  
  or you can make your payment online by visiting ****************************************
  
  If you are unable to make the full payment, we can assist you in setting up a payment plan by calling member services at ***************.
  
  We sincerely apologize for any inconvenience caused, and hope that this communication has resolved your concerns with us.

• Initial Complaint

  07/16/2024

  Complaint Type:

  Billing Issues

  Status:

  Resolved

  More info

  My father has had dementia for years. He never signed any contracts with Clear Springs Health, and even if he had, it wouldn't have been valid. This company is simply preying on elderly people. They send invoices to the house repeatedly. There will never, under any circumstances, come a point where anyone in this household will give a dime to Clear Springs Health. If any money has been paid in the past, I demand a full refund immediately.This company, and everyone who works there, should be brought up on criminal charges for fraud and theft. Whoever is in charge of this company should be serving a life sentence in prison.I have read your "policies" concerning disenrollment and reject them completely. This complaint serves as my letter of disenrollment. Do not send another invoice to this address. It will not be paid.

  Business response

  07/17/2024

  In order to investigate this complaint further, please provide the member's name and member ID number with **********************. Thank you.

• Initial Complaint

  06/28/2024

  Complaint Type:

  Customer Service Issues

  Status:

  Resolved

  More info

  I received a mailing from Clear Spring Health offering me a ******** Pard D plan to purchase. I tried to call them to tell them that although I have ******** I have all the other coverages through TriCare For Life and I don't have to pay for it.I further tried to request that they stop mailing stuff to me as I find it offensive and rude to contact me without my permission. At that point in the conversation they got rude and defensive and I don't appreciate being treated poorly.

  Customer response

  06/28/2024

  I don't know why I am required to send clarification of my complaint. I sent you the *** file scans of the documents they sent me in the mail. I never requested them to send me stuff and I don't appreciate unsolicited mail asking me to purchase services from them. With that said I demand this company stop contacting me.

   

  Business response

  07/05/2024

  Thank you for contacting Clear Spring Health. We have reviewed your complaint and have taken the action to remove you from our mail list. You will not receive any Clear Spring Health mailings moving forward.

• Initial Complaint

  04/18/2024

  Complaint Type:

  Billing Issues

  Status:

  Resolved

  More info

  Did not sign up for their services called in Jan. Feb. Told them did not sign up for their services and not paying for it. **** keep Billing me for services did not sign up for or used. **** said I can file a complaint and I did in Jan. **** keep billing for month to month. Never used

  Customer response

  04/18/2024

  Did not sign up for their services called in Jan. Feb. Told them did not sign up for their services and not paying for it. **** keep Billing me for services did not sign up for or used. **** said I can file a complaint and I did in Jan. **** keep billing for month to month. Never used

  Business response

  04/30/2024

  Clear Spring Health has reviewed your account and has confirmed that your enrollment into Clear Spring Health ValueRx plan was an auto-enrollment completed by the Centers for ******** and ******** Services (CMS) for an effective date of 08/01/2023. Plan records show that you have contacted member services, and the same information was provided to you. You were eligible for Low-Income Subsidy (LIS) effective 04/01/2023 to 12/31/2023, for this plan the members premium and deductible is $0, and the copay for the drug is $1.45/$4.30 (Level 2). However, you lost your LIS/Extra Help as of 01/01/2024 and as a result your premium for 2024 is $16.80. The plan mailed the Loss of LIS letter on 09/29/2023 and another on 12/28/2023 advising you that you will no longer automatically qualify to receive the extra help beginning January 1, 2024.

  Please note that you may contact the ****************************** at ************ to inquire about eligibility for a low-income subsidy for 2024.  

  Additionally, we haven't received your premium payment which is why you are receiving an invoice. You can mail a check or money order to Clear Spring Health to the following address:
  
  Clear Spring Health
  PO Box 660907
  ****************-0907
  or you can make your payment online by visiting ****************************************
  

  Lastly, please be advised that you can only change your prescription drug plans only during certain times of the year. From October 15 - December 7, you can join, switch, or drop a ******** health or drug plan for the following year. Generally, you cant make changes at other times except in certain situations, such as if you move out of Clear Spring Healths service area, want to join a plan in your area with a 5- star rating, or qualify for (or lose) Extra Help paying for prescription drug costs.
  
  If you would like to be disenrolled from this plan, you must submit a disenrollment request by mailing or faxing a Disenrollment Form or just writing a letter requesting to be disenrolled and providing a valid Special Enrollment Period (SEP). The Disenrollment Form can be found under "Plan Documents" at clearspringhealthcare.com. Also, for your convenience a Disenrollment Form will be sent to you separate from this letter. Please allow ***** days to receive it.
  

  We sincerely apologize for any inconvenience caused, and hope that this communication has resolved your concerns with us.

  Customer response

  04/30/2024

   
  Complaint: 21595017
  
  I am rejecting this response because: I did not enroll in this and called them in January told them this is not mine and to remove me from what ever the state did not my bill
  
  Sincerely,
  
  ***************************

  Business response

  05/22/2024

  We are unable to cancel the member as per ******** guidelines the member needs to submit a written disenrollment request to the plan. We have provided clear instructions on steps to follow with no success.

   

  Thank you,

   

  *****************************

• Initial Complaint

  04/16/2024

  Complaint Type:

  Billing Issues

  Status:

  Answered

  More info

  One year ago I started receiving mail from Clear Springs Health. The mail contained a bill, charged monthly, for prescription insurance coverage premiums.I thought it was a scam but was informed by a Clear Springs Health representative that I have been enrolled in the plan because I received government coverage and now I am not covered do to no longer being considered income eligible for stated government benefits.I continued to receive monthly bills consisting of a current balance due and a late payment amount due.The late payment increased each month by the premium amount denoting that Clear Springs added each unpaid premium amount together.I have not signed any documentation to accept Clear Springs Health as my insurance provider, or given my consent to be contractually obligated to pay any fees to Clear Springs Health. When I contacted Clear Springs Health to opt out of all connection to their company, subsidiaries and affiliated entities they informed me that I may opt out of the program with a letter stating a valid reason for cancelling the insurance policy along with validating identification markers and my member identification number. I am not a member because I did not attempt membership.I sent the letter via email, one of their listed communication portals. My reason for terminating insurance coverage was denied as not being valid based on their personal standard of acceptable reasons. Once again, I did not sign into a contract.I do not take acceptance of the service and have not given consent to this contract and it is stated clearly on their bills that if the bill remains unpaid for 90 days that Clear Springs Health will terminate coverage which has not happened as the amount due continues to increase each month and I am still considered an active member. They also stated that I may opt out, for any reason during the open enrollment period in October which is another rule they have forced on me in this imaginary contract that they have invented.

  Business response

  04/22/2024

  Clear Spring Health has reviewed your complaint and has confirmed that your enrollment into Clear Spring Health was a reassignment completed by the Centers for ******** and ******** Services (CMS) on 10/10/2020 for an effective date of 01/01/2021. At the time of your enrollment, you received Low-Income Subsidy (LIS) or Extra Help from the ****************************** (SSA) which covered our plan's monthly premium and as a result an invoice was never generated and mailed to you. However, we notified you via letter of your Loss of LIS in 2022 and advised to reapply for the Extra Help. We did not receive any notifications that you were deemed eligible for LIS and therefore, we triggered monthly invoices for the premium due. Please note that our invoices state "Clear Spring Health may disenroll a member if we have not received payment within 90 days of the due date" but this is not enforced. If you are unable to pay the full outstanding balance, you may contact member services at ************** to set up a payment plan. You can mail a check or money order to Clear Spring Health to the following address:
  
  Clear Spring Health
  PO Box 660907
  ****************-0907
  
  or you can make your payment online by visiting ****************************************

  Additionally, plan records show that you recently submitted a disenrollment request, and our enrollment department contacted you to obtain a valid Special Enrollment Period however we were unsuccessful in reaching you. The enrollment department determined that the reason provided was not valid and your disenrollment request was denied. Please be advised that you can only change your prescription drug plans only during certain times of the year as per ******** guidelines. From October 15 - December 7, you can join, switch, or drop a ******** health or drug plan for the following year. Generally, you cant make changes at other times except in certain situations, such as if you move out of Clear Spring Healths service area, want to join a plan in your area with a 5- star rating, or qualify for (or lose) Extra Help paying for prescription drug costs. 

  Lastly, you may submit a new disenrollment request with a valid Special Enrollment Period (SEP). You can learn more about the SEPs available by visiting *********************************************************************************************************************

  You must submit a disenrollment request by mailing or faxing a Disenrollment Form or just writing a letter requesting to be disenrolled and providing a valid Special Enrollment Period (SEP). The Disenrollment Form can be found under "Plan Documents" at clearspringhealthcare.com. Also, for your convenience a Disenrollment Form will be sent to you separate from this letter. Please allow ***** days to receive it. We sincerely apologize for any inconvenience caused, and hope that this communication has resolved your concerns with us.

  Customer response

  04/22/2024

   
  Complaint: 21580640
  
  I am rejecting the response because it simply re-states, in many words, that I was entered into a contact without my consent because I was sent a form in the mail and failed to act or,  in my case may have never viewed the mail. Another point of contention I have with this response is that it clearly states that I must remain in this binding contract until Clear Spring Healths arbitrary rules are followed and until they are satisfied I will continually be charged for services I did not agree to or sign up for. I will again state that this is an illegal act. 
  
  Sincerely,
  
  ******************************* Iii

  Business response

  04/24/2024

  The information previously provided is the Centers for ******** and ******** Services' regulations not Clear Spring Health policy. The disenrollment process and Special Enrollment Periods are regulations set forth by CMS.

  Customer response

  04/24/2024

   
  Complaint: 21580640
  
  I am rejecting this response because:

  It is still immoral and illegal to force someone into a contract without their consent, regardless of who does it, and since the bills are coming to me from documents bearing Clear Spring Healths logo and name I am asking Clear Spring Health to do what is ethical and end this contract, stop charging me and close this unauthorized account. 

  
  ******************************* III

  Business response

  10/14/2024

  Unfortunately, ******** guidelines only allow changes to your prescription drug plan during certain times of the year. From October 15 - December 7, you can join, switch, or drop a ******** health or drug plan for the following year. Generally, you cant make changes at other times except in certain situations, such as if you move out of Clear Spring Healths service area, want to join a plan in your area with a 5- star rating, or qualify for (or lose) Extra Help paying for prescription drug costs. 
  Lastly, you may submit a new disenrollment request with a valid Special Enrollment Period (SEP). You can learn more about the **** available by visiting *********************************************************************************************************************
  
  You must submit a disenrollment request by mailing or faxing a Disenrollment Form or just writing a letter requesting to be disenrolled and providing a valid Special Enrollment Period (SEP). The Disenrollment Form can be found under "Plan Documents" at **************************. Also, for your convenience a Disenrollment Form will be sent to you separate from this letter. Please allow ***** days to receive it. We sincerely apologize for any inconvenience caused, and hope that this communication has resolved your concerns with us.
   
  Thank you,
   
  ******* *******
  

• Initial Complaint

  02/21/2024

  Complaint Type:

  Billing Issues

  Status:

  Resolved

  More info

  I never signed up for this prescription drug program. I get my scripts provided through the ****** Health Services. This company has been mailing me letters for at least 3 years and I've thrown them away. Now they are billing me. I called and asked them to remove me and they said they can't without giving them my personal information, which I refused to. I told them, had I signed up for this, they should have my personal info already. They transferred me to a supervisor (sounded like the same person) and he also asked for my personal info. I wonder how many people would just send them money not knowing, because the bill looks legitimate.Thank you,*********************

  Business response

  02/29/2024

  Clear Spring Health has reviewed the member's account and has confirmed that the member's enrollment into Clear Spring Health ValueRx Prescription Drug Plan was an auto-enrollment completed by the Centers of ******** and ******** Services (CMS) for an effective date of 11/01/2022. ******** and plan records' show that the member was deemed for 100% Low Income Subsidy (LIS) / Extra Help from 11/01/2022 to 12/31/2023. Low-Income Subsidy assists members with their monthly premium and medication copays which is why the member did not receive invoices from Clear Spring Health prior to 01/01/2024. In September of 2023, Clear Spring Health was notified that the member will lose their Low Income Subsidy starting 01/01/2024 and a Loss of LIS letter was mailed to the member on 09/21/2023. The letter informed the member that they needed to apply for Extra Help for the upcoming year to continue to receive the help. As of 02/29/2024, the member does not have Low Income Subsidy and therefore is responsible for the monthly premium of $21.70 for ******** February and March. The member has an outstanding balance of $65.10. Lastly, since the member lost their extra help on 12/31/2023 they are eligible to disenroll from Clear Spring Health by 03/31/2024. Please note that the disenrollment request must be submitted in writing as per ********'s guidelines. A disenrollment form was mailed on 02/21/2024 to the member's mailing address on file. Please complete the form and send back to Clear Spring Health for processing. A disenrollment form is not required, the member can also send a written letter asking to be disenrolled from the plan and mail it to PO Box ****** *******,** ***** for review and processing. We sincerely apologize for any inconvenience caused, and hope that this communication has resolved the member's concerns with us.

  Customer response

  02/29/2024

   
  Better Business Bureau:
  
  I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me.
  
  Sincerely,
  
  *********************

• Initial Complaint

  01/24/2024

  Complaint Type:

  Order Issues

  Status:

  Answered

  More info

  This business has been sending me bills, however, *** never enrolled for services.

  Business response

  01/25/2024

  Clear Spring Health has reviewed the your complaint and has confirmed that your enrollment into Clear Spring Health was an auto-enrollment submitted by the Centers of ******** and ******** Services (CMS) for an effective date of 07/01/2023. Please note that you can only cancel their enrollment into Clear Spring Health prior to the plan becoming effective. Once the plan is active you must send a written disenrollment request with a valid Special Enrollment Period. You can only change your prescription drug plans only during certain times of the year. From October 15 - December 7, you can join, switch, or drop a ******** health or drug plan for the following year. Generally, you cant make changes at other times except in certain situations, such as if you move out of Clear Spring Healths service area, want to join a plan in your area with a 5- star rating, or qualify for (or lose) Extra Help paying for prescription drug costs. If you would like to be disenrolled from this plan, you must submit a disenrollment request by mailing or faxing a Disenrollment Form or just writing a letter requesting to be disenrolled and providing a valid Special Enrollment Period (SEP). The Disenrollment Form can be found under "Plan Documents" at clearspringhealthcare.com. Also, for your convenience a Disenrollment Form will be sent to you separate from this notice. Please allow ***** days to receive it.

  
  Additionally, you received an invoice because you no longer receive Low Income Subsidy/Extra Help for **** which paid for your premium in 2023. A letter was mailed to you on 12/28/2023, advising you to apply for Extra Help because although you received this help automatically in 2023, you will no longer automatically qualify to receive it in ****. As of 01/25/****, the member remains enrolled in Clear Spring Health and therefore is responsible for the premium while the plan is active. 

• Initial Complaint

  01/22/2024

  Complaint Type:

  Service or Repair Issues

  Status:

  Unresolved

  More info

  see below never signed up for this but keep getting a bill for something I never requested. I called the number listed: ************ and spoke to ******, sounds like he was in a major call center in *****. He told me he received my info from ********* I gave him my member ID: ********* and he said he could not cancel it? Claims he had to send me some form in the mail? This business is a scam and will contact ******** as well.

  Business response

  01/24/2024

  Clear Spring Health has reviewed the member's complaint and has confirmed that the member's enrollment into Clear Spring Health was an auto-enrollment submitted by the Centers of ******** and ******** Services (CMS) for an effective date of 03/01/2023. The information provided by the Clear Spring Health representative was correct. Members can only cancel their enrollment into Clear Spring Health prior to the plan becoming effective. Once the plan is active the member must send a written disenrollment request with a valid Special Enrollment Period. Please be advised that you can only change your prescription drug plans only during certain times of the year. From October 15 - December 7, you can join, switch, or drop a ******** health or drug plan for the following year. Generally, you cant make changes at other times except in certain situations, such as if you move out of Clear Spring Healths service area, want to join a plan in your area with a 5- star rating, or qualify for (or lose) Extra Help paying for prescription drug costs. On 01/22/****, a disenrollment form was mailed to the member to the mailing address we have on file. If the member wishes to be disenrolled from Clear Spring Health, they must fill out the form and send it back to Clear Spring Health.

  Additionally, the member received an invoice because they no longer receive Low Income Subsidy/Extra Help for **** which paid for their premium in 2023. A letter was mailed to the member on 12/28/2023, advising the member that they need to apply for Extra Help because although they received this help automatically in 2023, the member will no longer automatically qualify to receive it in ****. As of 01/24/****, the member remains enrolled in Clear Spring Health and therefore is responsible for the premium while the plan is active. 

  Business response

  01/24/2024

  Clear Spring Health has reviewed the member's complaint and has confirmed that the member's enrollment into Clear Spring Health was an auto-enrollment submitted by the Centers of ******** and ******** Services (CMS) for an effective date of 03/01/2023. The information provided by the Clear Spring Health representative was correct. Members can only cancel their enrollment into Clear Spring Health prior to the plan becoming effective. Once the plan is active the member must send a written disenrollment request with a valid Special Enrollment Period. Please be advised that you can only change your prescription drug plans only during certain times of the year. From October 15 - December 7, you can join, switch, or drop a ******** health or drug plan for the following year. Generally, you cant make changes at other times except in certain situations, such as if you move out of Clear Spring Healths service area, want to join a plan in your area with a 5- star rating, or qualify for (or lose) Extra Help paying for prescription drug costs. On 01/22/****, a disenrollment form was mailed to the member to the mailing address we have on file. If the member wishes to be disenrolled from Clear Spring Health, they must fill out the form and send it back to Clear Spring Health.

  Additionally, the member received an invoice because they no longer receive Low Income Subsidy/Extra Help for **** which paid for their premium in 2023. A letter was mailed to the member on 12/28/2023, advising the member that they need to apply for Extra Help because although they received this help automatically in 2023, the member will no longer automatically qualify to receive it in ****. As of 01/24/****, the member remains enrolled in Clear Spring Health and therefore is responsible for the premium while the plan is active. 

  Customer response

  01/25/2024

   
  Complaint: 21180724
  
  I am rejecting this response because: while I was enrolled in ******** prior to my now having ********* I never had any prescriptions filled nor was I even told I had this RX coverage.  I do not see how I can be auto enrolled in a plan that I had absolutely no use for without my written authorization.  I have already contacted ******** and they said they would be cancelling this plan with Clear Spring Health.  I have also contacted my local ****** of ******** General as well as the FTC.  As far as the balance, I will contact the Credit Bureaus ********************** and Equifax) if this is reported.  With all the complaints regarding this company, I don't see how they are able to get away with such flagrant business practices.  As I previously mentioned, I received so much junk mail/advertising from insurance companies when I got ********* that I just shredded it all as it was not something I was interested in nor could afford as I am retired and on Social Security.
  
  **********************************************

  Business response

  01/29/2024

  Clear Spring Health can confirm that the member will be disenrolled from our plan with a termination date of 01/31/2024. A disenrollment notice was mailed to the member on 01/25/2024.

  Customer response

  02/01/2024

   
  Complaint: 21180724
  
  I am rejecting this response because: I received the letter stating I was disenrolled as of 1/31/2024.  This was already done through ******** as I called ******** on 1/22/2024 when Clear Springs would not allow me to do so over the phone.  They also sent me a separate letter asking me to fill out a disenrollment form.  There was no mention as to the balance on the account ($54.40) which I have never authorized or used as I am not on any prescription drugs.  Once they send me documentation that the account shows a zero balance, we can close this complaint.  Thank you.
  
  **********************************************

• Initial Complaint

  12/20/2023

  Complaint Type:

  Order Issues

  Status:

  Answered

  More info

  Clear Spring Health, without my consent or knowledge, entered my name in their system and signed me into their coverage. I need to be completely removed from their system.

  Business response

  12/29/2023

  Clear Spring Health reviewed its records and confirmed that your enrollment into Clear Spring Health ValueRx Prescription Drug Plan was submitted by the Centers of ******** and ******** Services (CMS) as a Facilitated Enrollment for an effective date of 11/01/2023. Per ******** guidelines, when a member is auto enrolled into a plan, there is a Special Enrollment Period (SEP) that allows the member to be able to verbally disenroll within the first three months of the plan being active. We confirmed that you are within this time frame, so if you wish to cancel your plan, please contact our ****** Services at ************** before 01/31/2024, to qualify for this SEP. Please be advised, if you miss this 3 month disenrollment window, a written disenrollment request or a completed Disenrollment Form will then be required in order for your disenrollment from the plan to be considered.

*Some consumers may elect to not publish the details of their complaints, some complaints may not meet BBB's standards for publication, or BBB may display a portion of complaints when a high volume is received for a particular business. ↩