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I received a notice from administrative concepts inc, saying they will not pay for my hospital bill in Albuquerque New Mexico Presbyterian hospital. I am having issues having anything covered by Getmecare health plan. I am started my policy in August 2020. I called a couple of times and talked to customer service regarding issues I am having with Getmecare health plan. I went to the hospital in 2020 in New Mexico. I paid for several things myself. I keep calling and felt like I am not getting any help regarding my plan. I have law enforcement and other people watching and can testify I have called for help regarding my coverage. I had a customer service representative tell me the bills were not submitted to the insurance company. Then I called and talked to them about radiology.
I need to know why Getmecare health plan is not covering all my doctor bills, and hospital bills. I pay over $200.00 a month and also was paying for life insurance. I cancelled my life insurance policy. I have Getmecare health plan deducted each month from my checking account and I am not getting any coverage for my hospital bills in Albuquerque New Mexico. I have other bills that were not paid for. I emailed the company and within one or two minutes I had a phone call from a number I have never seen before. Then I received an email saying they will forward my complaint to the right department.
I am confused. When I first contacted Getmecare health plan about insurance coverage in another state. The female customer service representative said they can not cover me in the state I live in now, however they will cover New Mexico. So I signed up for other insurances so I can get coverage for the state I am in. Then Getmecare health plan sends me an explanation of benefits in the mail stating that they covered one bill from the state I currently live in at a different hospital.
However, they will not cover my bills from Albuquerque to New Mexico. (This is according to explanation of benefits they sent me in the mail.) They did pay for a radiology bill after I paid for it, that was it. Now I have to call radiology in Albuquerque New Mexico and explain to them that I paid for the radiology bill first in 2020 and then the insurance company paid for the bill after I did.
I talked to a female customer service representative from Getmecare insurance company in 2020 and talked to them about paying the radiology bill because the hospital in Albuquerque New Mexico sent my radiology bill to a collection agency. Radiology in Albuquerque New Mexico did not hear from insurance company and I was tired of waiting, so I paid for it.
Getmecare is not a reliable source. I am cancelling my insurance policy this year.
This company also goes by Tobias and associates.
I was on the phone with law enforcement when I was asking questions.
