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Medical insurance plan not paying claims

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Medical insurance plan not paying claims Reports & Reviews (1)

- Cape Girardeau, MO, USA • Oct 21, 2024
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I signed up in 2023 after searching for Marketplace insurance during open enrollment they were the first ones I contacted at the time there was not negative reviews I asked them multiple times if they was a legit company I had a benign brain tumor and I needed to be able to travel out of state to a surgeon and I needed insurance for brain surgery they told me multiple times how they were legit it would be covered I would be able to travel out of state and so on. Fast forward to June of 2024 I underwent neuropsychology testing and started the whole work up for my procedure I called and verified that they would be covered they told me it would be covered at 80%, I would pay the remaining 20% after they would reprice the services that I was receiving from the hospital. I had my surgery in August of 2024 after being told it would be covered at 80%, I would pay the remaining 20% here we are in October 2024 I find out that they are not a real Insurance Company and they will not be paying anything the hospital cannot get in contact with them at the numbers provided they have mailed the claims four times to the claims address provided on the insurance card and every time I call Innovative partners they tell me they have not received a claim and they will not speak with the hospital. I have paid Innovative partners almost $2500 and now owe the hospital over $200,000 for a brain surgery. I contacted Innovative Partners when I found out about this and asked them why they were scamming people and why it was a fraud company and was informed they could not discuss that with me. I have recordings on my husbands phone of them where they told me my surgery, MRI's, testing would be paid for at an 80/20%. Thankfully I had it billed monthly to a credit card and I never gave them my bank account information but now I have no idea what to do.

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