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  • We have used Nevada Health Co-op as our health insurance since 2014. During calendar year 2014, we visited this insurance company's office more than we visited our physician and lab. We just tried to resolve many issues that occurred. These are few of the issues that continued to occur. 1. Monthly premium. Payment was off one month. We tried to call then had to visit the office few times to fix it. It took about three months to get this fixed. 2. Lab payment. My plan required a $ 10.00 co-pay for each visit to lab. One time I received a $110 dollar bill from the lab which indicated my plan does not pay. After review, my plan should pay. I called and then visited the office to resolve the problem. It took me 4 visits to the Co-op office to resolve this issue. At the same time, I kept receiving nasty "Pay or else" letters from Lab company. My experience with the Nevada Health Co-op is that their representatives are there to get you to go back home, to leave the office with assurance that everything is taken care of. They talk nice and are polite, but they don' t resolve your problem. In addition Co-op web site does not work. We were told that it was up and running, but we were unable to register and sign in. We were always assured it would work. We were told to go home, wait for few hours and try again. After few months of trying, I just get up. In December 2014, I went to Co-op office to change our plan from Platinum to Silver. Since I am dealing Co-op directly (not through Obama Care) I filled out and left my Change Plan Form and paid my January 2015 premium. The Co-op representative told me the change would be made and the Member Account Number will be the same. January 2015 came and we received a new health insurance card with a different Account Number. We went to the Co-op office with all our documents and cancelled check showing change and payment for January. As usual, they were very nice apologized and told me the Co-op decided to issue new Account Numbers to everyone. I was told they will make sure our plan is updated. Two days later I try to update insurance information with the Co-Op's mail pharmacy so I can order my refills. I was not able to do this as the Co-Op was required to send the Mail Pharmacy the new Account Number. I tried to call the Co-op and waited for one hour and still was unable to connect with their representative, at this point gave up and began to look for other health insurance company. In addition to all these issues, we were unable to locate any physicians who would accept the "Tier 1" insurance and only a few able to accept the "Tier 2" coverage under the Plan we were paying. Usually when we mentioned Nevada Co-Op we were told that the doctor did not take that insurance.
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