Complaint Review: Unified Health One NCE

On 7/25/17 I called State of Texas for assistance on finding a medical plan(I am now wondering if he was even a representative of the State of Texas Insurance).  I spoke to Samuel Wood Lic# W351927 (now doubt this is even a valid Lic#). 888-591-3185 (is the number Sam provided - Should I have any issues or needs, when I call it today it goes straight to a voicemail service)

Much of the same details as other reports.

The Plan I was sold was as follows:

PPO with PCD of $25 copay.

Hospital Admitted 70/30. (Patient pays $150 per day)

Surgery Same 70/30 $0 deductable (Patient pays $150 per day)

Perscription is not Insurance but a discount plan.  Generic $4-$10, pays 85% of most name brand drugs

Dental - 70/30 $0 deductable / 100% for Cleaning

Vision 60% off

Was advised that H I I (Health Insurance Innovation) is a subsid of B C B S of Texas. 

Plan was for 1 year (Aug 2017 - Aug 2018)

I was offered full refund after 30 days.

I too was transfered for a "Review of the Offering" that was to be recorded. I was prompted to answer with YES or NO and if I had any questions to save those till I was returned to Sam, otherwise they would have to start the recording over. (nice trick)

I have contacted Chase / Visa to initiate the dispute of charges & block any future charges as well as H I I to terminate the crapy coverage. 

My 20 year old daughter has just discovered she is pregnant and we called to verify benefits. this is when everything came to light. 

We had been to the doctor only 3-4 times each time was $50 copay. I thought I misunderstood the copay. Clearly the misunderstanding was due to intental conduct!