ComplexCare Solutions, any info?

[sam_gordon]

These folks have been bugging the heck out of us (DW & myself). They're supposedly contacting us on behalf of our health insurance provider. They want us to schedule a "personal health visit" (either in home or virtual) by the end of the year. In exchange, we can each get a $50 GC (although they don't say from what vendor).

I'm slightly "encouraged" because they are (supposedly) working with our health insurance (one letter we got has the insurance logo/address in the upper left) and $50 is $50.

However, what's THEIR end goal? Health insurance already knows about our doctor visits and prescriptions. What more do they need to know? Could this be a precursor to dropping coverage for some reason (yes, that's the paranoid part of me coming out)?

Anyone, anyone have any experience with them?
https://personalhealthvisit.com/

TIA

 

[Christine]

These folks have been bugging the heck out of us (DW & myself). They're supposedly contacting us on behalf of our health insurance provider. They want us to schedule a "personal health visit" (either in home or virtual) by the end of the year. In exchange, we can each get a $50 GC (although they don't say from what vendor).

I'm slightly "encouraged" because they are (supposedly) working with our health insurance (one letter we got has the insurance logo/address in the upper left) and $50 is $50.

However, what's THEIR end goal? Health insurance already knows about our doctor visits and prescriptions. What more do they need to know? Could this be a precursor to dropping coverage for some reason (yes, that's the paranoid part of me coming out)?

Anyone, anyone have any experience with them?
https://personalhealthvisit.com/

TIA

I haven't worked with them specfically, but a few years ago I had an insurer who did something similar.

I probably can't articulate this well enough this morning, but your health insurance company has hired them on to do these wellness visits because there is data/evidence showing that if they can do the minimum type of outreach to those people that don't go to the doctor enough, they can catch things early and save money in the long-term solution. The $50 is a carrot for a lot of people to do something, at home, rather than continually putting off a check at a primary care place.

If you go to the doctor routinely and get checkups, you're probably not really who they are after but I'd probably take the $50 GC and visit anyway.

 

[lanejudy]

DH had something similar through his Medicare plan (I'm not on Medicare). The nurse (?) came for a short visit, took his blood pressure, talked about various wellness appointments for his medical conditions. They may have talked about medications, I don't recall. Then when he notified them he'd had a wellness check-in for things like eye doctor he got an additional gift card.

As PP mentions, the health insurance providers are finding that spending up front for preventive saves them costs on medical care.

 

[kdonnel]

Does your insurance not have a healthy rewards program?

Both my wife's and mine have programs you can participate in to accrue health dollars that are either applied to health expenses or paid out directly as cash.

15-20 years ago when insurance companies started the programs they would pay you based on the biometric screen results. You would get lab work done, get weighed, and have your BP taken. Based on the results you would get some or no money. If your numbers were within normal range you got the most money, if they were not, you could get as little as nothing.

Then the insurance companies realized they were not getting participation from the employees who would benefit most from knowing their blood work, BP, or weight, indicated they might have a future health condition that could cost the insurance company lots of money.

Within a couple years of the programs starting the insurance companies switched to a system of just paying for participation in the program.

I can earn up to $75 a quarter through my company by interacting with an app every day. I track sleep, steps, activity, etc and earn points each day for interacting.

My wife's is more like the original style and she can get up to $960 each year. $480 in cash and $480 towards medical expenses incurred that year. She earns the money by completing a biometric screening, coaching calls, and having certain preventative care procedures done line getting a flu shot or annual physical.

 

[sam_gordon]

Does your insurance not have a healthy rewards program?

Both my wife's and mine have programs you can participate in to accrue health dollars that are either applied to health expenses or paid out directly as cash.

15-20 years ago when insurance companies started the programs they would pay you based on the biometric screen results. You would get lab work done, get weighed, and have your BP taken. Based on the results you would get some or no money. If your numbers were within normal range you got the most money, if they were not, you could get as little as nothing.

Then the insurance companies realized they were not getting participation from the employees who would benefit most from knowing their blood work, BP, or weight, indicated they might have a future health condition that could cost the insurance company lots of money.

Within a couple years of the programs starting the insurance companies switched to a system of just paying for participation in the program.

I can earn up to $75 a quarter through my company by interacting with an app every day. I track sleep, steps, activity, etc and earn points each day for interacting.

My wife's is more like the original style and she can get up to $960 each year. $480 in cash and $480 towards medical expenses incurred that year. She earns the money by completing a biometric screening, coaching calls, and having certain preventative care procedures done line getting a flu shot or annual physical.

No. My former employer (who coincidently used the same insurance provider) had it for a year or two, but we were talking about MAYBE $100 over the entire year.

 

[amcnj]

I had similar calls fairly frequently at times during the past couple of years. Now they seem to have stopped again. I don’t leave my ringer on, and don’t pick up a call if I don’t recognize the number. A couple of times the name showing was my health insurance company and so I did pick those up.

It was always the same speech/voicemail saying they were from my insurer and letting me know about a “valuable benefit”. I don’t know if it is related, but I seemed to get these calls clustered in the period shortly after my annual checkup visit. So I would always respond that I just had my visit and this would be duplicative and a waste for me.

 

[lanejudy]

It was always the same speech/voicemail saying they were from my insurer and letting me know about a “valuable benefit”.

We've had those periodically. It's offering a "case manager" or similar -- often triggered by a diagnosis (so following your annual if you have an ongoing diagnosis of hypertension, diabetes, etc.). Complete waste of time in my opinion. You spend 30 minutes on the phone going over your current status and then they'll call to remind you to do certain checks at home.

 

[tvguy]

We've had those periodically. It's offering a "case manager" or similar -- often triggered by a diagnosis (so following your annual if you have an ongoing diagnosis of hypertension, diabetes, etc.). Complete waste of time in my opinion. You spend 30 minutes on the phone going over your current status and then they'll call to remind you to do certain checks at home.

That was my experience, and their timing always was off. They call within days of when I had a Doctor's appointment. I'm on Medicare now with a Cadillac private Medigap policy, and I don't hear from them ever except to send an EOB. However, the hospital medical group my Doctor is part of does send automated e-mail reminders, some in conflict with what my Doctor feels is best for me. However, the other issue I am running into is some of the Specialists he has referred me to, have different views on what treatments I should and should not be getting.

 

[Skippy918]

Are they cold calling you? I would reach out to your insurance to see if they even have a partnership with this company. I was getting calls a few years back from some wellness company that said they were affiliated with my insurance but they really weren’t. Sorry, not giving out personal info to companies I don’t know.

 

[sam_gordon]

Are they cold calling you? I would reach out to your insurance to see if they even have a partnership with this company. I was getting calls a few years back from some wellness company that said they were affiliated with my insurance but they really weren’t. Sorry, not giving out personal info to companies I don’t know.

Yes. Cold calling and mailing. Good idea about reaching out to insurance!