Kathleen C. on Birdeye 3 years ago
01/06/2020, 10:41 AM
Update January 2020: Community Health Choice is now removing all payments made to the doctor for the hearing aides my husband has been prescribed. My husband will be calling them today to chat with them. Once again CHC is proving that they are not a trustworthy insurance company to work with. They do not cover the areas they promise to cover (at least as far as hearing aides go) in their insurance. We have been working on getting hearing aides for my husband for over a year. Even though he has hearing aides, CHC is refusing to pay the 85% that was listed in our coverage. The doctore we got the hearing aides to was recommended by their customer service and now CHC is taking all payments away from that doctor.
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June 2019 - Community Health Choice does not have providers for the benefits they claim to provide. My husband has been trying to get hearing aids for the past six months. He was given the run around. He was sent to different providers and the providers would tell him they are not in-network. Now Community Health Choice finally admits that they don't have a provider for hearing aids and we are being told to wait until they do have a provider. There is nothing to be done about it. Community Health Choice has wasted our time and money.
Update. It has been a month since my complaint was made. Trying to follow their complaint procedures and they have not acknowledged the receipt of our appeal that we sent in on July 12th (confirmation is supposed to be given within 5 days of receiving appeal). I have tried calling to find out if the appeal was received and still can't get confirmation. Most recent call customer service said it will take 24-78 hours for me to get an update on if the appeal was received.
Got a call back on July 31, 2019. I was told the acknowledgment of my appeal was sent out on July 29th. I received a letter from CHC dated July 29th, but it is not confirmation of our appeal. It is a complaint form, to file a new complaint. Out right lying. Nothing new here. If I could rank CHC with zero starts, I would.
Update. In August 2019 I went to their customer service offices. I spoke with a customer service agent and he gave me a different doctor for my husband to go to. The customer service agent said the doctor had helped another CHC member that was having the same problem as my husband (so we are not alone in how we are being treated).
The doctor was great, very helpful and prescribed a set of hearing aids to my husband. However, CHC still will not pay the 85% that is mentioned in our policy with them. They will only pay a flat amount that does not cover even half of the cost for the hearing aids.
It is now November 2019, coming ever closer to the end of the year when policies will change and this matter is still not resolved.