ComplaintsforAtrio Health Plans

• Initial Complaint

  02/15/2023

  Complaint Type:

  Service or Repair Issues

  Status:

  Answered

  More info

  I signed up for Atrio health plans because it was free. In December we got paperwork saying $65.00 was coming out of my social security every month. I called them and asked why when you said it was free. They said they sent me paperwork, I forgot to fill out. Because I didn't fill it out and send it back I'm getting charged $65 a month which is coming out of my Social security. I called Social security and they said there's nothing they can do about it because it's already set in there from Atrio. Now I'm receiving a bill from Atrio for $65.20 a month. I called them to ask them what this fee was, when they're already taking it out of my Social security every month. They said it was because of a late enrollment fee. When I signed up I was told it was all free free free. I feel like I've been scammed. How could something Free end up costing me $130.40 a month. I refuse to pay this enrollment fee, when I got sent home papers saying everything was free and I'm already paying $65 out of my social security that I can't afford. They said I can't cancel it, the $65 will come out of my Social security every month no matter what. I feel like this business is taking advantage of seniors. I've never even heard of this fee nobody ever said nothing to me about it. How can a business can just throw that on later? This business is fraudulent.

  Business response

  03/02/2023

  This member was made aware of possible ******** Late Enrollment Penalties prior to the enrollment effective date through mailings and phone calls.  The mailings included the opportunity to refute ********s records and provide evidence of creditable coverage for ******** prescription drug coverage.  ******** Late Enrollment Penalties are not determined by ATRIO, but instead are calculated by the Centers for ******** and ******** Services in accordance with their guidelines.  It is not up to ATRIO whether to charge or not charge a Late Enrollment Penalty.  ATRIO offered guidance verbally and via mailings explaining what a ******** Late Enrollment Penalty is and how to appeal ********s determination.  ATRIO also provided guidance regarding the ability to cancel the plan prior to the effective date.  To-date ATRIO has not received any indication from the member to indicate they have appealed their ******** Determination regarding previous creditable coverage.  ATRIO has also confirmed with the ****************************** the premiums are not getting deducted from the members social security; instead the member signed up to pay premiums directly.  The ******** Late Enrollment penalty is $65.20/month not $130.40/month (the $130.40 invoice is for the months of January and ******** Determination regarding previous creditable coverage
  

  Customer response

  03/07/2023

   
  Complaint: 19409951
  
  I am rejecting this response because:
  
  Sincerely, *************************;
  
  ***************************

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