Health insurance companies play dumb when they screw up
Lindsey and I had a bit of a run in with our old health insurance company, Blue Cross/Blue Shield, this month. Behold their deceptive customer service:
We started this new policy in September of last year. We then set our online bill pay to start sending scheduled payments at the end of each month. Note: we wrongfully and unknowingly assumed payments were due every 30 days, when in fact, our first premium acted as backpay for part of September and Blue Cross — like everyone — requires prepayment of premiums on the first of each month, thus our second payment was technically due in 15 days from our first payment. But that is neither here nor there, because we didn’t find this out until our return from Christmas break, and that’s not the issue I take with the company.
Once home in early January, we received a letter from Blue Cross stating that our policy had been terminated on November 1, 2006 citing “delinquent payments” and/or “failure to pay” as the reason. Oh really??!!! Lindsey quickly logged on to our bank account to see we had been sending payments and caught our fifteen day discrepancy. It appeared the company was “backpaying” for previous months and ultimately decided to terminate our policy because of it. Fair enough, our mistake. A notice would have been nice before cancellation, but it was our responsibility. But that wasn’t the problem. The problem was that Blue Cross was faithfully cashing our checks without hesitation even after they terminated our policy. They cashed checks in October, November, December, with a new check likely to be cashed at any moment before we stopped payment. “But Blake, didn’t they cancel your policy on November 1?” you ask. Right your are, they did, but I guess they figured we owed them another check.
First Lindsey called to explain the situation. Blue Cross acknowledged the mix-up and said they would reinstate our policy. But after the incompetence, we didn’t want them as a provider anymore. We just wanted our money back. They said they would send us a letter. They then sent a very cryptic “Welcome Back letter” totally disregarding our prior request for a refund. Lindsey called again, and they told her the policy holder would now have to call. That was me.
I called and said they owed us one month’s premium because they cashed a check on December 1 even though they cancelled our coverage on November 1. The lady on the line was obviously perturbed by my probing and first asked, “Didn’t you get a letter?” I replied that I had but it didn’t solve the issue of a refund. She then denied my claim and said everything was correct and that I was mistaken. Having the check sitting in front of me with its number and the date it was cashed by them, I called her on it. She got really quite for a moment. And then playing dumb said, “Oh… now I see it. Sorry. We’ll send you a refund.” Had we not initiated and documented the error, I can only imagine the company would have tried to stiff us as I’m sure they do thousands of other customers when the opportunity arises. And you know the attempt to avoid refunds comes from the top. How couldn’t it? Regardless, we now have a new policy with a new provider. Still, health insurance companies are a scam. Until you get really sick that is. 🙂
5 Comments
So do you use those online tools to find health insurance policies (I’m assuming that you don’t have a employer policy)? If so, do they offer good coverage? Are they expensive? One of my concerns about going full-time with my start-up is the cost of health insurance. Having seven dependents without reasonable insurance is a bit scary.
David,
We pay $290/month for three people with Select Health. I know my wife got the stup up insurance even so it could be a bit cheaper.
And though scary, paying for health insurance while self-employeed isn’t that big of a deal (assuming you have good health). Really, its not as scary as society makes it out to be.
David,
I used ehealth insurance and was very pleased. You can find all different types of insurance and the price depends on how great of coverage you need/want.
Lindsey
(Blake’s wife)
Thanks for the feedback. I suppose the only thing I should really fear at this point in my life is my 17 year old daughter…
A few corrections my love:
1. We never received a letter stating that our policy had been canceled. I called early January to ask a question about our benefits. This is when I was told. Had I not called, who knows how long it would have been before we knew.
2. They told me that they had never received payment and that they showed no proof of cashing our checks. I had to request copies from our bank and fax them to BlueCross before they would even look into it.