Health and Wellness
Health First Medical Group LLCThis business is NOT BBB Accredited.
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Complaint Details
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Initial Complaint
09/16/2024
- Complaint Type:
- Service or Repair Issues
- Status:
- Unanswered
I have Health First Insurance. ?In May, 2024, I went *************************** (a health first facility) for my annual physical blood tests. It should be covered as a preventative care benefits. But the hospital coded the whole tests to my insurance as a diagnosis code. Then they billed me $192.40 from unpaid deductible. My primary doctor marked "Z200.00 Screening Tests" in the bottom of lab slip. The hospital should not ignore the doctor's order code specifying screening tests' (and not 'diagnosis tests'). This has the effect of canceling my preventative care benefits since my deductible has not yet been ******* insurance representative on the phone agreed that the blood tests should be included in my annual physical. There were only 2 medical claims in my insurance this year: one preventative care doctor's visit and this blood tests in the same month. The insurance already paid the office as preventative care for my annual physical.Previously, a Quest lab did my annual physical blood tests with the exact same doctor order forms. ********** insurance payed the whole bills from the lab as preventative care benefits every year. But this year, I only can go to ***** First facilities under my new ***** first insurance. They should be responsible for accurate medical ********. If this hospital lab doesn't provide annual physical services or only provides diagnosis test services, in other words, the tests would be under my deductible, they should tell me in advance. It was not transparent medical billing.This issue has already wasted a lot of my time. I ask them to drop this charge.Initial Complaint
05/07/2024
- Complaint Type:
- Delivery Issues
- Status:
- Unanswered
Re: Health First Health Plans - ************************************************************* for patient *************************** Conflicting Billing I had four visits to my psychiatrist in 2023, two of which were 7/10/2023 and another 12/20/23. The other two - 1/23 and 4/17 - I've never received a bill for a co-pay for. All four were for the same length of visit, and with the same provider - *************************************.7/31/23 I received an EOB showing zero owed for my 7/10/23 visit. 8/31/23 I received an EOB showing that I owed zero for the 7/10/23 visit.12/26/23 I received an EOB - now from **** - showing that I owed $30 for my 12/20/23 visit. 1/20/24 I received an EOB showing I owed zero for my 12/20/23 visit.2/26/24 I received an EOB showing that I owed zero for my 12/20/23 visit. 2/26/24 I received an EOB showing zero owed for 12/20/23 visit.2/17/24 I received an EOB showing zero owed for my 7/10/23 visit. 2/20/24 I received an EOB showing $30 owed for my 7/10/23 visit. I have sent two detailed letters to Health First asking for an explanation of the discrepancies. The most recent letter from them contained copies of the statements with me showing owing, but no copies or explanations about the EOB's showing me owing zero for the same visits. This is not about the $30/$60. It's about a contradictory billing history that would be alarming in any business, but is extremely alarming from a health care provider.Initial Complaint
04/29/2024
- Complaint Type:
- Service or Repair Issues
- Status:
- Unanswered
i have been very sick since 2020 i am now disabled with polyneuropathy..my spine had major degeneration from a bacterial infection or automimmune..something is eating away at me..i have been gaslighted that it is anxiety..etc since 2020 i have been sent to at least 10 specialists..not one is looking at the whole picture...only their specialty.i am 55yrs old and i think im dying.i now had an mri that shows sublexation of my neck..i now have moderate damage ofmy whole spine.i have daily migranes and cannot afford nurtec. i cannot feel myhands and feet. my urine has had blood and all my bloodworks have been showing immune disorders.please help!health first for 5 years is killing meInitial Complaint
04/03/2024
- Complaint Type:
- Billing Issues
- Status:
- Unanswered
Good afternoon,Please find attached copy of a letter sent 3 times to Health First:2/20/24, 3/5/24 and 4/2/24.No response was ever received from Health First.This relates to a medical bill that does not meet Florida Statutes ******* (price transparency) in the amount of $2,410.76.In spite of the irregularities, I already made a prompt payment of $2,000.00. It was a huge effort on my part and I received zero discount for prompt payment.I am disputing the balance of $410.76 that Health First claims is due. My dispute is based on:1) Their bill violates Florida Statutes ******* as explained in my letter. They were supposed to provide a statement within 7 days after my discharge from the hospital. Yet, their bill was sent 3 weeks later. Also, their surprise bill/statement fails to provide details as required by the Law. To this day (April 3) and nearly 4 months after my discharge, I still have not received the details I've asked for several times (details in my letter to Health First).2) The fees they charge constitute price gouging and do not align with pricing/rates they are supposed to display on their website.3) I believe the Florida Prompt Payment Act calls for offering a discount for prompt payments. I received the bill on January 9 and made the payment on January 22 for $2,000.00 (83% of the total bill paid within 13 days). Yet I received not prompt payment discount.I am asking for an adjustment of this bill in the amount of $410.76 as I have already paid more than my fair share (I was also billed by other providers for thousands of dollars, double-dipping for the same service...). Looking forward to receiving a confirmation from Health First that this statement is closed with a zero balance.Thank you for your assistance in this manner.Sincerely.Customer response
04/04/2024
Good afternoon,
Regarding complaint #********, I would like to add the attached document, which shows the Florida Statutes when it comes to pricing transparency.
All the items highlighted in yellow were not complied with by Health First. This is a blatant violation of the Law and a complete abuse of power, which I will report to the Authorities if needed.
Thank you for your assistance.
****
Customer response
04/04/2024
Sorry for this last addition.
Attached are screenshots of the Health First website, which fails to show any of the service providers they subcontract with (as required by the Law):
Also attached is a bill I received from Brevard **************************************** which are nowhere to be found on the Health First website, as required by the Law. Their bill double dips and I already paid that bill.
- Brevard ********************* Not listed anywhere. Their search results show all 792 providers, nothing under "Brevard ********************** which sent the surprise ****.
- Kali ********: Not listed anywhere.
Sincerely.
*********************
Initial Complaint
03/23/2024
- Complaint Type:
- Customer Service Issues
- Status:
- Unanswered
As a result of a letter received by Health First on September 19, 2023, I had a subsequent telephone conversation with a Health First manager regarding concerns pertaining to my private medical records. This discussion did not resolve these concerns and unfortunately raised further issues. As a result, I believed it necessary to escalate these issues to the next level within Health First management and requested the name of this managers immediate supervisor or manager. I was informed that she reported to the *** and that I should contact the *** or the ****** of ***** Rights. Neither of these options seemed to be correct based upon the problems that I had experienced.Accordingly, I contacted what I believed was the administrative offices (there does not appear to be a published customer service number on the ******************************************* website). The first person that answered was not able to provide the name of the above persons next level manager. She placed me on hold. A second person, who did not identify herself, then answered and I was instructed to contact a manager in a different organization. While this also did not seem correct, numerous attempts to reach this manager proved unsuccessful.I was (and I am) currently attempting to adhere to Health Firsts management hierarchy to escalate for discussion my possible concerns and issues. However, these attempts have proved to be unsuccessful. In this regard, three follow-up letters (copy attached in confidentiality) were sent to Health First. All three letters have been ignored.Within this, I am still in hopes of having a constructive conversation with a knowledgeable person of appropriate accountability and authority within the Health First management structure. Hence, the filing of this complaint with the Better Business Bureau.Thank you.Initial Complaint
02/15/2024
- Complaint Type:
- Product Issues
- Status:
- Unanswered
Date of transaction:11/21/2023 - Follow-up visit with Doctor to discuss bloodwork results.Amount of money paid in Co-payments:11/28/2023 $45.76, 11/18/2023 $60.15, 10/25/2023 $35.00 What the business committed to provide:The doctor committed to completing blood work analysis to determine why I was having lower leg muscles pain.Nature of dispute:Doctor states bloodwork results are invalid and cannot complete my analysis. 1) Doctor says ************* did not complete all the tests that were ordered. 2) Doctor says Creatine Kinase results invalid because of statin in blood and recent exercising My Comments: 3) Doctor had more than 10 days to inform me to retake blood work. 4) Doctor did not give patient any orders before getting bloodwork. (wait at least 3 days for statin to get out of blood, do not exercise for 5 days before bloodwork) 5) Doctor should have cancelled my appointment on 11/21/2023. 6) I have requested refund on 11/28/2023, 12/07/2023, 1/18/2024 and 2/13/2024 with no success. 7) Please refund my payment for the office visits on 10/30/2023 and 11/21/2023.
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Contact Information
Customer Complaints Summary
6 total complaints in the last 3 years.
6 complaints closed in the last 12 months.
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