DO NOT SIGN UP FOR BRIGHT HEALTH CARE
DO NOT SIGN UP FOR BRIGHT HEALTH CARE! Even rating one star is too many. I will be SO happy to get out from under them and am going to file a complaint with the Texas Board of Insurance. They literally have zero providers for simple things like mammograms. My first phone call to them regarding where to get a mammogram, I was given the names of 3 companies. None of them took Bright Healthcare and none of them even did mammograms. Second phone call regarding this issue, I was told that to get an in network mammogram, I would have to drive over an hour and a half from where I live, which is not feasible. Third phone call to them, I was talking to a very nice lady who understood my frustration and assured me that she was going to stay on the phone with me until we got a resolution. She did stay on the phone with me and after having exhausted all of the options she had for me, (one of which involved driving 5 hours) we both came to the same conclusion which was that I would pay out of pocket and file a claim for reimbursement, which I did. I went online and filed out their claim form (after having gotten the correct codes from mammogram place) and mailed it to the address listed on their claims page. Turns out the address on their claims website page, is not the address you mail claims too. The correct address is not even in the same state as the address listed on their website. I submitted again and followed up with a phone call to the claims department, who informs that there is no claim pending and that I should "fax it in." I finally received a letter yesterday informing that my claim had been denied, because "out of network pre authorization was needed." At no time during any of the phone calls to them, was I told that a pre authorization was needed. I will be fighting this and will file a complaint to the insurance board.
You have a choice- do not choose Bright Healthcare! This company causes more stress than is warranted.
23 juillet 2022
Avis spontané