ComplaintsforCareSource

• Initial Complaint

  12/08/2021

  Complaint Type:

  Sales and Advertising Issues

  Status:

  Answered

  More info

  When I first starting going to this doctor (CMS) they had just switched from being premier. They are located at 1380 Dublin Rd - I was told I was covered from CMS and called Care source to confirm and they said the same thing. They then starting sending me bills so I paid them and I can hardly put food on the table. I have record of all the payments I have made to them. I am very confused as to why Care source said this would be covered (due to the nature of my need). I would very much like to be refunded what should have been covered in the first place

  Business response

  12/16/2021

  Business Response /* (1000, 5, 2021/12/16) */ Thank you for sharing Mr. ******'s complaint. To protect the member's PHI a CareSource Grievance Specialist spoke with Mr. ****** on 12/15/2021 and conferenced in the members counselor. After the member and counselor were educated on how to provide the information needed the member confirmed he was ***** with the resolution and thanked CareSource and his counselor for the work regarding the issue. CareSource appreciates the inquiry and believes this resolves the matter. Please contact us if we can provide any additional information. Consumer Response /* (3000, 13, 2022/02/16) */ I received a letter from caresource saying yes I was rewarded the sum and that where I had received the $850 from CMS so they deducted that from the sum but CMS had received a payment from me after the 1-15 date to February so they took that money even though I was covered by caresource so the payment of $850 from cms should have that payment deducted from the $850 because i had coverage and then February i was covered by united Healthcare. Then on the back of the letter caresource sent it said I owed numerous $35 copay which makes no sense it only cost 17 dollars a day if I just paid, so from the 9 hundred dollar amount and sends me a $505 check, but there's 2 things that need fixed, I couldn't find the letter they sent i was pretty much in shock and showed my mother and I forgot where I put it Business Response /* (4000, 19, 2022/02/25) */ Thank you for sharing Mr. ******'s follow-up complaint. To protect the member's PHI a Grievance Specialist contacted and spoke with Mr. ****** on 2/23/2022 to provide more information regarding the members issue. CareSource appreciates the inquiry and believes the issue is resolved to the best of our ability. Please contact us if we can provide anything further.

• Initial Complaint

  12/02/2021

  Complaint Type:

  Sales and Advertising Issues

  Status:

  Answered

  More info

  We purchased insurance from the Marketplace through CareSource in August 2021 to bridge the gap between new company insurance. We cancelled the insurance plan at the end of September 2021. We received a rejection from our son's ENT for dual insurance policies ( the only way we found out about this ) and come to find out we have to cancel the account as well as the plan to be completely removed, but we were still being charged even without a plan. CareSource stated as soon as the monthly statement is printed, the bill has to be paid ( even with no plan attached to the account ). So we are on the hook for $358.43 ( for October & November ) even after being told we did not have coverage in October or November ( plan was cancelled in September ). We are being charged for October & November even with not having coverage. If the plan was cancelled, that would basically give CareSource the right to charge any plan amount to that account, if they choose to do so since, by their standards, the account can still be charged. This amounts to me having a $0 balance on a credit card and still having an active account. I'm not paying for an account I owe nothing on.

  Business response

  01/04/2022

  Business Response /* (1000, 5, 2021/12/17) */ Thank you for sharing Mr. *******'s complaint. To protect his PHI, the CareSource resolution was sent to him via secure email on 12/17/2021. CareSource appreciates the inquiry and believes this resolves the matter. Please contact us if we can provide any additional information.

*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. ↩