PJP Health Agency review: Fraud 127

I have been receiving a bill from a medical provider since January 2011 for services received on December 2010. I have called and spoke with the service provider who states PJP Health Agency has not paid the bill; however, every time I call PJP health Agency, I have to speak to a different person and describe the whole situation all over again. PJP Health Agency has given me many excuses such as, "We paid it, " "We asked for a refund but we have still paid it, " and "We don't know why they are billing you."

I have been told that the service provider has been sent a letter to stop billing me, that it will be taken care of, and that I am not responsible for any of the charges by every person I spoke to on the phone at PJP Health Agency. Now, I get a letter saying my bill has been sent to collections for lack of payment. Again, I call PJP Health Agency and talk to yet another customer service representative who knows nothing about the situation. She kept me on hold over 30 minutes to call the service provider in order to find out what happened with the payment. Then she tells me, "I have to call them back tomorrow morning to get more information." She says, "I will call you at 10 am tomorrow to tell you what is going to be done about this situation."

At 10 am the next morning, there was no phone call at all. I call the service provider at 4 pm and she remembers talking to PJP Health Agency about the situation and says, "They were supposed to call me this morning to get a file number, but they never called me back." Again, I called PJP Health Agency and talked to a new customer service representative who says, "Systems are down. Will you call back in 30 minutes?"

I have never been treated so poorly by a company, and now, my 800+ credit rating is about to be ruined because PJP Health Agency did not pay a $300 bill that they were responsible for, and they admitted to me every time I spoke to them that they were responsible for it. What's worse is that after 9 months of calling and asking for it to get taken care of, nobody there seems to know why I am still getting billed and why it hasn't been paid. Nobody can give me any answers. I am currently looking for new insurance.

What else can I do to get them to pay?

I had insurance with PJP Health Agency. I have been trying since december of 2010 to file a claim for medication. When I first sent the claim in there I was missing a diagnosis code and another code. The doctor's office that I go to called PJP Health Agency and sent them a letter with all of the information that they requested. However I keep getting the run around. One person will say that they have all of the information and the next person will say no we have never recieved anything. I asked if I could speak with the same person when I call and I have been told no.

Everytime I call I get a different person who has no idea what I am talking about. I have never in my life delt with such a horrible company with the worst customer service EVER! The claim is for over $200 and to be honest I just don't think they want to pay me any of the money. I desperatly need help! All it would take is for one person to take just an hour of their time to look over my account and FOLLOW THROUGH! I had to cancel my insurance with PJP Healthy agency because they refused to pay any claims.

thanks shame shame shame; i wondering if you have any contacts at mvp to cancelled my coverage promptly...

I purchased insurance from PJP and was under the impression that all medical, dental and vision would be covered...but first a $10, 000 deductible had to be met and vision/dental are only a "discount card" that anyone can apply for. No benefit at all to me.
Only well visits covered after copay..sick not covered! Called and emailed to complain but received no response from PJP!

I found this broker/agency on the internet while looking for health insurance options. The agent, Phillip Gropper offered what appeared at first to be a much better deal than any other I'd found. Cheaper premiums... it even included some vision and dental.

He said that the reason he had such a good deal was that he could put us into a group package. He could put us in with something called ENA (Employers Network Association.) He said we'd be made a part of the National Allied Workers Union, which would help get us the discounts.

Long and short of it is this: there is no such thing as the ENA or the National Allied Workers Union. These are a sham, a front that this brokerage created to swindle potential customers like me.

When I questioned "Phillip Gropper" further, he sent me a clearly bogus letter from 'CNA', trying to make this seem legit. The letter offered no contact info for 'CNA', no website, no further info. I could not get 'Phil' to email me a copy of the contract he would want me to sign; blue cross/blue shield (whom he said would be providing the insurance) doesn't know anything about any of the above mentioned parties...

Long and short: this is a credit card and check scam. They just want your info. It's fraud, folks. Don't fall for it!

I should have read the reports about this awful service!

I signed up thinking "what a great deal on insurance" only to find out it was a sharing program. Okay, fine. I can deal with that.

My rep ( Ben Ruvinov ) was fine. His assistants were slow and stupid though. I would ask for something and it would take days before I got results.

I signed up Feb. 21. I didn't get my card until March 1. I could not schedule ANY medical visits without the card. So when I finally was able to make appointments (and mind you, with no success. Every place we called on their list of "networks" denied multiplan even though their list is "updated every week"), I had to drive out of my way to get there!

I was told I should only have to pay my "reduced rate" that I get through PJP Health when I got to the doctors office. TWICE I went to the doctors and both times I had to pay full out of pocket. Nobody knows what "multiplan" even IS!

TODAY I was so angry and in tears (this isn't the first time my frustration with this company reduced me to tears), I called to cancel but was told "it's past the 10 days." I explained that I couldn't even make an appointment without my card which didn't arrive until March 5th. My 10 day period in which I could get a refund (and only partial, since the $150 "member fee" is non refundable, period) had passed...by only 3 days! Ben (my rep) argued with me. ACTUALLY ARGUED WITH ME saying that if I were to go with Horizons, or Blue Shield, I wouldn't get a refund there either. Of course, with either of THOSE companies, I would be seen without having to pay full out of pocket either. To cite LEGIT insurance companies to compare to this scam is a JOKE! He also said I wasn't getting the best care because if I wanted better care, I could pay over $500 a month with another plan they have. I was FLOORED! PAY MORE?! FOR ### SERVICE? when I didn't get ANY BENEFITS FROM IT AT ALL?! I told him "So, I am getting bad service because I can't afford that each month? Are you saying I don't deserve that as your client?" He had to back peddle. So, I was treated worse because I can't afford good health care. Clear example of that, I guess!

He also accosted me about how I could pay out of pocket and why didn't the office call him if they had an issue. I said "THEY CALLED THE NUMBER ON THE BACK OF THE CARD AS INSTRUCTED! It shouldn't be that hard!" He said I would not get a refund no matter who I talked to.

I am going to try again. I am sure I won't get my money, but STAY AWAY FROM THEM! If what he's saying to me is "you get what you pay for", when don't pay for this ### service... YOU WILL GET NOTHING! GO WITH A REAL COMPANY!

I too was fooled by PJP, I id not do my research properly, they told me I was getting health insurance, when the cards came it was discount cards for RX and dental, called agent Freddy Lara and was told that my medical card would come later, it was because they do no have my correct address, I gave them my correct address and received the same cards, they misinform customers and need to be stopped