InsuranceComplaintCheck

MEMORIAL HERMANN HEALTH INSURANCE COMPANY — health Complaints in Texas

Detailed analysis of 153 health insurance complaints filed against MEMORIAL HERMANN HEALTH INSURANCE COMPANY by consumers in Texas, based on public NAIC and state DOI data.

Key Statistics

  • health Complaints in Texas: 153
  • Total health Complaints (All States): 153
  • Texas Share: 100.0%
  • NAIC Complaint Ratio: 59.28
  • AI Risk Score: 79/100

Analysis: MEMORIAL HERMANN HEALTH INSURANCE COMPANY health in Texas

MEMORIAL HERMANN HEALTH INSURANCE COMPANY has accumulated 153 health insurance complaints from consumers in Texas. Across all states, MEMORIAL HERMANN HEALTH INSURANCE COMPANY has 153 total health complaints, making Texas responsible for 100.0% of the volume.

The most frequent complaint sub-type is Claim denial with 47 complaints. Other common issues include Delayed payment (46), Premium or billing dispute (19), Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue (9).

The most active year was 2026 with 1 complaint filed.

Consumers in Texas who have health disputes with MEMORIAL HERMANN HEALTH INSURANCE COMPANY can file a complaint with the Texas Department of Insurance.

health Complaint Issues in Texas

Issue TypeComplaints%
Claim denial4730.7%
Delayed payment4630.1%
Premium or billing dispute1912.4%
Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue95.9%
Unsatisfactory Settle/Offer | Contract Language/Legal Issue63.9%
Unsatisfactory Settle/Offer | No Jurisdiction42.6%
Unsatisfactory Settle/Offer | Information Furnished21.3%
Unsatisfactory Settle/Offer; Usual And Customary | No Jurisdiction21.3%
Bad Faith Participation | Company Position Upheld; Corrective Action Taken10.7%
Cust Service Claim Handling; Essential Health Benefit; Maximum Out of Pocket; Unsatisfactory Settle/Offer | Additional P10.7%
Essential Health Benefit; Maximum Out of Pocket; Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Informatio10.7%
Den/N-Pymt MD Nec DME/Supplies; Unsatisfactory Settle/Offer | Referred To; No Jurisdiction10.7%
Unsatisfactory Settle/Offer | Contract Language/Legal Issue; Information Furnished10.7%
Unsatisfactory Settle/Offer; Usual And Customary | Insufficient Information10.7%
Overcharges | Information Furnished; Contract Language/Legal Issue10.7%
Notice Requirements | Contract Language/Legal Issue10.7%
Coverage dispute10.7%
Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue; Claim Settled10.7%
Continuity Of Treatment; Den/N-Pymt MD Nec RX; Material Change To Contract | Failure to Timely Respond; Information Furn10.7%
Den/N-Pymt MD Nec RX | Information Furnished; Contract Language/Legal Issue10.7%
Provider or network dispute10.7%
Unsatisfactory Settle/Offer; Usual And Customary | Information Furnished; Insufficient Information10.7%
Unsatisfactory Settle/Offer; Usual And Customary | Company Position Upheld; Information Furnished10.7%
Access to Care | Additional Monies Received; Corrective Action Taken; Information Furnished10.7%
Unsatisfactory Settle/Offer | Corrective Action Taken; Information Furnished10.7%
Other | No Jurisdiction10.7%

Complaints by Year

  • 2026: 1 complaints
  • 2025: 2 complaints
  • 2024: 1 complaints
  • 2023: 3 complaints
  • 2022: 2 complaints
  • 2021: 2 complaints
  • 2020: 2 complaints
  • 2019: 5 complaints
  • 2018: 69 complaints
  • 2017: 28 complaints
  • 2016: 22 complaints
  • 2015: 10 complaints
  • 2014: 4 complaints
  • 2013: 2 complaints

Recent health Complaints Against MEMORIAL HERMANN HEALTH INSURANCE COMPANY in Texas

Frequently Asked Questions

How many health complaints does MEMORIAL HERMANN HEALTH INSURANCE COMPANY have in Texas?

MEMORIAL HERMANN HEALTH INSURANCE COMPANY has 153 health insurance complaints on file from consumers in Texas, according to NAIC and state DOI data.

What are the most common health complaint issues with MEMORIAL HERMANN HEALTH INSURANCE COMPANY in Texas?

The most common issues are: Claim denial (47), Delayed payment (46), Premium or billing dispute (19), Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue (9), Unsatisfactory Settle/Offer | Contract Language/Legal Issue (6).

How does MEMORIAL HERMANN HEALTH INSURANCE COMPANY's health record in Texas compare to other states?

MEMORIAL HERMANN HEALTH INSURANCE COMPANY has 153 health complaints in Texas out of 153 total health complaints nationwide. That is 100.0% of their health volume.

Where can I file a health complaint against MEMORIAL HERMANN HEALTH INSURANCE COMPANY in Texas?

You can file a complaint with the Texas Department of Insurance. The NAIC Consumer Information Source at https://content.naic.org/cis_consumer.htm also accepts complaints.

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