insurancetpa.comReviews of insurancetpa.com

Continued account auto withdrawal after acknowledging timely request for termination of contract & unwilling to refund. Deceptive & self-interested business practices. Steer clear of this company.

I started a health insurance policy with Insurance TPA in May of 2025. I waited until October to go to my first doctors visit for an annual check up. They took labs. I received a letter in December from the Lab stating my insurance company needed more information from me to process their claim. I waited on hold for an hour and when I finally spoke with someone, they told me they sent me a form to fill out to indicate pre-existing conditions. I never received this form. They said they would email it to me. The form I have to fill out is for any and all doctors visits I had in May of 2024 - May of 2025! They said it is in order to determine if my labs were for a pre-existing condition! I don't remember what I had for dinner yesterday much less have records of my doctor visits from over a year ago! They said once I fill out the form, they then go back to my doctors to review any procedures during that time, then make a determination of whether my annual check up labs were for a pre-existing condition. Yeah! My condition is that I exist. I have had nothing but the run around from this company and this tops the cake. I dropped them and warn others not to even sign up for this lousy insurance!

Have had a horrible experience with TPA. This health insurance company has been nothing short of a nightmare to deal with. Their customer service is unresponsive and unhelpful, leaving you stuck on hold for hours only to be transferred in circles with no resolution. Claims that should be covered are constantly denied for vague or ridiculous reasons, forcing you to fight tooth and nail for even the most basic healthcare needs. Their policies are misleading, riddled with hidden fees, and designed to confuse rather than help. What’s worse is their complete lack of compassion—patients are treated like numbers instead of human beings who genuinely need care. Choosing this company has been one of the most stressful and frustrating experiences imaginable, and I wouldn’t recommend them to anyone. Spend the money and find insurance elsewhere.

Insurance TPA is excellent at refusing to accept claims, making the claims process needlessly difficult, borderline impossible, and absolutely ridiculous. I received care from two providers six months ago on temporary insurance through insurance TPA. They have repeatedly sent me multiple thousands of dollars of bills. When I call to question why they did not run anything to cover appropriate costs they claim that the providers are not sending them information. I thought it was strange that both providers would not provide information. One provider may have forgotten, but both seems unlikely. So I called both providers and gave them the address to send the claims. I get another letter from insurance TPA stating that the providers have not provided information and that I will be financially responsible for all the costs if they do not. So I call Insurance TPA again, get on a conference call with one of the providers, and facilitate them getting the information sent to the right address. I find out during this call that Insurance TPA does not provide the correct mailing address for claims on the forms that they send to customers or service providers. How are we supposed to send claims if we aren't provided the right address? Insurance TPA also requires a year of previous services provided from any claims because it is a short term policy. I have never received any letters claiming that that information was needed. I called both providers and let them know that information would be required. I called yesterday and neither provider has been able to update the lack of previous service with Insurance TPA. I find it hard to believe that with me calling both providers and specifically stating that the year of previous services is required for the claim that neither one of them would provide such information. This leaves me with no option other than believing that Insurance TPA is purposefully not updating the information to try to stick me with the bills. Further, calling customer service is a nightmare. You have to ask the exact questions that you need information on or they won't provide it. Multiple employees at the call center have been extensively rude to me. I put in a request to talk to a manager, that has not happened. I keep having to call because they will not provide the correct mailing address to send claims to. They also state that they do not place outbound calls. Between refusing to place outbound calls, not providing the correct address for claim submissions, and making things borderline impossible for their customers by refusing to provide any information on claims or the submission process, I fail to see how this insurance company is concerned with anything other than pushing the astronomical costs of medical service onto their customers. Insurance TPA, if you read this and care to improve at all here are some pointers. Provide the correct mailing address for claims on every form that references claims or is to a customer so that the customer can at least do your jobs for you, since you refuse to do your jobs properly in any capacity. Provide a phone number for providers to call to clarify any confusion with required information. Start an outbound call center of people that are specifically trained to request information and give providers all dates of service and any requirements for previous services rendered. Train your staff to provide information without having to be specifically asked each individual question of how to submit their claims properly. Stop making things so difficult for your customers. You will be buried in lawsuits in a very short amount of time from people that you've denied claims from when all information was provided properly. Would it not be easier to do things the proper way than to try to screw over every customer that's ever used your service? Repeat customers are how companies thrive, nobody will have anything good to say about your company if you do not improve. Stop being rude to your customers, provide them the information they need, and call providers to get claims finalized so that they aren't being resolved six years later.