Report: #1018182

Complaint Review: PJP Insurance Agency, Melville, NY

  • Submitted: Thu, February 21, 2013
  • Updated: Thu, February 21, 2013
  • Reported By: barkingmad — New York United States of America
  • PJP Insurance Agency, Melville, NY
    3 Huntington Quadrangle, Suite 400
    Melville, New York
    United States of America

PJP Insurance Agency, Melville, New York Directly from BCBS: there's no such thing as a $485/mo BCBS individual health ins plan in NY! Melville, New York

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Beware of this agency.  They give a verbal quote over the phone for "the least expensive Blue Cross Blue Shield policy in NY", $485/mo including prescription discount plan. 

A few months after buying coverage, I got sick and needed to use my coverage.  I realized that my multiple requests for coverage cards from BCBS had not been fulfilled.  So, I called from the doctor's office and asked the agent to fax me cards.  When that didn't happen, I started asking for BCBS' direct contact number, and was re-routed to a "plan administrator" in Chicago who does not work at BCBS.  Every time I asked for the direct contact information of the carrier, I was told I couldn't contact the carrier directly.  They finally emailed me an 800 number for BCBS that said to call the number on your benefits card for service, but of course, I couldn't do that because I didn't have a card!  I have been insured with BCBS several times, and I always dealt with the carrier directly whenever I needed anything, so this sent up a red flag.

I purchased a policy directly from BCBS today, and they explained that they do not have a plan at that premium in NY State for individuals at a rate of $485/mo, either with or without a "prescription discount plan".

Asking PJP for a breakdown of my premium as to basic coverage plus what was evidently an add-on prescription discount plan that I was told was "included" in my coverage, I (of course) did not receive a response.  That's when the lines of communication went dead with PJP.  All of this is recorded in emails, and I'm thankful I saved them as they are all being forwarded to the appropriate authorities as backup documentation! 

I have called the fraud unit of BCBS, am contacting the other appropriate authorities so they can take appropriate action.

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