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          Medicare

          C2C Innovative Solutions

          This business is NOT BBB Accredited.

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          Complaints

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          Complaint Details

          Note that complaint text that is displayed might not represent all complaints filed with BBB. See details.

          Showing all complaints

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          Complaint Status
          Complaint Type

          • Initial Complaint

            11/14/2024

            Complaint Type:
            Product Issues
            Status:
            Resolved
            Greetings C2C, ****** was charged an LEP due to the incorrect actions of the health plan. I have submitted the form for a reconsideration, left a voice mail and waited the 90 days for a response. The LEP is still being deducted from the client's account and my phone hasn't recieved a call back from your company. The voice mail machine said you will call back. Please return my call ************. Please help with the reconsideration request we submitted over 90 days ago. Thank you, ******

            Customer response

            11/19/2024

            Hello, my name is **** ******* and I'm the Power of Attorney for my ****** ** *** - ********* ******* I'm writing this statement to provide additional information concerning this troublesome situation with Aetna/Medicare.

            My Insurance Broker, ****** ****** and myself conducted a phone Attestation in late May 2024 with a Sales Representative from ***** to confirm that ********* indeed did have Insurance coverage for medication and hospital visits with Tricare/US Family Health Insurance from 1995 to May 31st, 2024. The Aetna Sales Rep processed the paperwork incorrectly for the Attestation, resulting in ********* having $75.00 per month taken out of her social security monthly checks. Whenever I would call ***** to make sure the Attestation went through correctly, they said yes. Also, I received statements in the mail after the Attestation from ***** saying that a Late Enrollment Penalty was going to be applied to her Account. When I called to ask why, they told me to disregard the statement. 

            But ***** was wrong, and it was too late, and I received a letter from Medicare saying that the $75.00 payments would be taken out of social security starting in August 2024. We filed a formal complaint/grievance with *****. When ****** and I called ***** once the LEP went into affect, they said all we could do is file an appeal through C2C to have these payments taken out of her social security reversed.

            C2C has not responded back to the appeal, and it is now November.

            They need to stop the $75.00 payment being taken out of her social security as soon as possible, and it was the fault of the ***** sales rep that this whole situation happened in the first place.

            This is by the worse experience I've ever had with an insurance company, and I feel like C2C is not taking this matter seriously. The social security monthly checks are what ** ****** ** *** depends on to live her life, and because of the mistake that ***** made, she is unfairly having crucial funds deducted from her social security for no reason.

            Please help.

             

            Thank you,

             

            **** *******

          • Initial Complaint

            05/30/2024

            Complaint Type:
            Product Issues
            Status:
            Answered
            I submitted a LPE Reconsideration Request Form on 5/10/2024 through fax to your office. I sent the form, a letter, my employee benefits letter and requested you contact me if more information was required. To this day I have not received any kind of confirmation that you re lived the Information or a status on where it stands. My ******** Part D plan with Wellcare will be canceled on 6/16/2024 if you do not remove the erroneous LPE.I'd just like to know you received my info and are working on it.Thank you,*******************

            Business response

            05/30/2024

            Dr. ****************** C2C Innovative Solutions, the only Qualified Independent Contractor (QIC) to ******** for processing Late Enrollment Penalty (LEP) appeals, has 90 days to process LEP appeals.  Appeals are processed in the order they are received.  Your appeal is still well within this 90-day window.   Thank you.

            Customer response

            05/31/2024

            My ******** *************** account will be canceled on 6/16 if this issue is not resolved in a timely manner. 

             

            I still do not have confirmation they have received my appeal.

             

            Thank you,

            *******************

            Customer response

            05/31/2024

            [To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the response. If no reason is received your complaint will be closed Administratively Resolved]

             Complaint: 21777542

            I am rejecting this response because:

            My ******** *************** account will be canceled on 6/16 if this issue is not resolved in a timely manner. 

             

            I still do not have confirmation they have received my appeal.

            Regards,

            *******************

            Business response

            05/31/2024

            Dear ************:  I can only reiterate that your appeal is still well within the 90-day window and that we process appeals in the order they are received.  *****************************, **************

            Customer response

            06/10/2024

            I still have the issue.  My insurance will be discontinued the Friday, June 16th if C2C does not resolve the issue.  They stated they have 90 days but I apparently don't for them to cancel my insurance.  I can not reach Wellcare at all now. Somehow my phone number can not be verified.

          • Initial Complaint

            06/21/2022

            Complaint Type:
            Service or Repair Issues
            Status:
            Answered
            On May 12, 2022 I sent this company a letter requesting an independent review of the denial of Medicare prescription drug coverage for the prescribed drug canakinumab (ILARIS Solution). I have attempted to contact the company numerous times to obtain a status report of my appeal. The company has failed to call me back despite their recorded messages saying they would do so. Their is no way to contact and speak to a real person at the company. They only have pre-recorded voice prompts and never call back.

            Business response

            07/06/2022

            Please see attached 

          • Initial Complaint

            05/25/2022

            Complaint Type:
            Billing Issues
            Status:
            Answered
            see Attached document

            Business response

            06/29/2022

            Please see attached

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          BBB Rating & Accreditation

          B+

          This business is not BBB Accredited

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          Reasons for BBB Rating

          Contact Information

          PO Box 45309

          Jacksonville, FL 32232

          Visit Website
          (904) 224-7396

          Customer Complaints Summary

          7 total complaints in the last 3 years.

          2 complaints closed in the last 12 months.

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