ComplaintsforOne Medical

• Initial Complaint

  04/06/2024

  Complaint Type:

  Service or Repair Issues

  Status:

  Unanswered

  More info

  Hello - I was incorrectly billed for a follow -up appointment. The provider asked me to schedule an appointment with her because a prescription she prescribed was not working well. Then, we had a 10 minute call to explain the situation and no resolution was taken.

• Initial Complaint

  03/29/2024

  Complaint Type:

  Order Issues

  Status:

  Unanswered

  More info

  I was told by both my insurance (cigna) and One Medical that my sponsored plan was in network for my insurance. I specifically verified multiple times and ONLY went there because they were in network. After my tele-health (not in person) visit, I was sent a bill for over $400. I called and was told it was a mistake (both Cigna and One Medical confirmed last year this was a billing mistake and it should have been covered). Finally, my last call with One Medical on 2/1/24 I had ***************** (business manager at One Medical) verify that "They are on contract with Cigna" and would "request with *********************** to pull the claim back from collections and resubmit to Cigna". He told me he verified the coverage is currently active (as of 2/1/24) and was active at the date of service (1/2023). He assured me he would keep me informed, resubmit to the insurance verifier and if they still denied coverage he would give me the details for the reason of denial. He promised to have the claim pulled back within ***** hours because he knew how impactful that was and wanted to make sure it did not get reported to my credit. I called **** back a couple weeks later after not hearing back and he told me he was still going back and forth with them. I sent him another message on the app for **** to tell me that he is not able to pull anything from collections and there was nothing he could do if that was the case (even though he specifically told me before he could and would do this). As of 3/1/24 my sponsored plan is inactive so I know longer have the ability to communicate through the app. I tried calling 3 separate times today and was disconnected every single time. The collection agent, *********************** has told me the provider IS able to adjust the amount owed / discount etc. and the information I received from **** was invalid. I have paid the deductible that should have been due for in-network and I would like this additional bill completely waived.

• Initial Complaint

  02/01/2024

  Complaint Type:

  Order Issues

  Status:

  Unanswered

  More info

  I requested to have a manager call me regarding coniuance of care but it seems as though I ambeing declined services. I am not following what exactly is going on. I pay for the mebership so i am not sure what is going on I am *** I am paid up.

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