Clover HealthReviews of cloverhealth.com

great plans, but horrendous customer service fro non caring, non professionals - almost impossible to get phone call thru on a timely basis, + impossible to get reliable answers - they gave their pharma administration over to cvs/caremark, which is a total fiasco + totally inadequate -

I have had multiple problems with Clover Health. First one it took me 7 minutes to go through the prompts to talk to someone. I had to call to see if a procedure was covered. It was the only question asked of me was it at a Surgery Center or Hospital. I was give a copay amount I knew that there would be one. But when checking in for the procedure was now out of network and the copay was doubled.. I was in shock. I called and asked why and was told that it was out of network. So make sure before having work done. ask, ask questions about every think so you don't end up surprised..

I am surprised by all the low ratings. As a senior on Medicare, I have been very happy with this advantage plan. With a $0 premium, affordable co-pays (incl. out-of-network), and the fact that they have approved my higher-tiered formulas for most prescriptions, I worry that if and when I relocate out of the 5-state area they cover, I may not find a similar satisfying insurer. As for the Healthy Benefits VISA card, I used it today, and it covered items not usually considered within their "required list", such as a passport photo at CVS, or buying food at the supermarket not considered "healthy" (desserts, hot buffet takeout). That was a real surprise and treat. One star left off, for some confusing billing that had to be defended MULTIPLE times (one was 3 years later!) before my appeals were transferred to the higher Medicare team.

Awful, so tired of this place. So many things to say about Cover Health but eventually you will find out on your own. Writing out grievances don’t also even help, they keep doing the same things over and over again. Grievances are a waste. When you talk to a Supervisor they are all on the same level, and do nothing as well. I tried to see if I can talk to the CEO, they won’t let you, it’s that same team of a waste of time and coverups.

Does not like my health provider organization? Have Piedmont Medical. Had annual Dr visit and updated shots in January. Bill rejected 3 times by Clover. "Automated" system reject reason to my provider: I am not a covered member". But each time I call, Clover says the Provider must not be submitting the bill correctly. Provider eventually tried 3rd time via paper to a mail box. Still declined. So I paid bill to prevent it going to collection agency. Now I will deal with their "Service". Not renewing with Clover in Oct.

I agree with Drew. From the beginning, very professional and they even spoke fluent understandable English as the three people I spoke with all had British accents. My agent, Malachy, made sure I understood everything, and made certain I wrote important things down. Like his name, the application number, his phone number. I even received a copy of everything from right off the link I was texted to sign. Furthermore, I go from Health Insurance (United) with a $5400 deductible and $9200 out of pocket max to zero deductible, $1300 out of pocket max, plus $537 a month Flex Card subsidy. Any other time, I can’t understand anyone. Even though they spoke English, the Indian (dot not feather) accents are so heavy, I can’t understand anyone barely keep up. Aside from that, I chose my own plan on Marketplace however, a good friend used these “Indian” agents and for 14 straight months ending February, at the beginning of 13 of them, she had a different health plan that required her to spend hours on the phone as she takes medication she has to have. I told her what was probably happening was these agents get a fee for taking your Marketplace application down and submitting it (like$50). They were doing it EVERY month. She complained with good reason. Ultimately Marketplace stopped her insurance altogether saying something was fraudulent. I know personally, for a fact, it wasn’t anything she did. February this year was the last she had health insurance. So I do a little research and sure enough, it’s a big deal and the government says what is happening is just what I suspected. It’s like Marketplace, all the cell companies, and certain entities use the same call centers.

Very customer service very unprofessional and Inexperience staff not know how to resolve issue and misguiding a lot flex benefits

We are a medical office and working with this company to obtain reimbursement has been a NIGHTMARE. This company does anything possible not to pay. As a provider, I would avoid working with them.