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Healthcare/Medicaid/Medicare December 05, 2023

Scam Type

Healthcare/Medicaid/Medicare Scam

Business Name Used

Unavailable

Date Reported

December 05, 2023

Postal Code

15129

Total Dollars Lost

$ 510

Scam Description

Purchasing medical insurance (ACA like) off gov’t market (did not have behavioral health benefits required by HHS/CMS) I had requested quotes from 2 major insurers so he got my cell phone number somehow. Bill called me said he was working as an agent of the state exchanges. He said he could help me find an affordable plan. When the ACA PPO plans were quite expense, he said he could find a less expense “off the market” product that did not have the behavioral health benefits that are required on the gov’t plans. He found a plan that required a $508.90 payment of the first month which included a one-time $125.00 processing/service fee for insurance to start December 15, 2023, and the monthly pay’t would be $383.90/month on January 15, 2024 and forward. He provided me with a Member number and Confirmation number.
When I was unable to download the disclosure paperwork I started to investigate A1 Healthcare which took me to Adroit Health and CSR Benefit. I logged into Adroit and sent a message thru their portal on 11/29/23 requesting copies of Disclosures and Benefit Plan. I did not hear from them.
I called the number that Bill gave me 844-571-0004 – no one picked up and just told me to log in to portal, the CSR Benefits Member Services 800-269-3503, which only tried to sell me a medical alert necklace. I have disputed the payment of $508.90 with my credit card company and cancelled my card.

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