Memorial Hermann Health Plan, Inc. — health Complaints in Texas

Detailed analysis of 27 health insurance complaints filed against Memorial Hermann Health Plan, Inc. by consumers in Texas, based on public NAIC and state DOI data.

Key Statistics

health Complaints in Texas: 27
Total health Complaints (All States): 27
Texas Share: 100.0%
NAIC Complaint Ratio: 0
AI Risk Score: 23/100

Analysis: Memorial Hermann Health Plan, Inc. health in Texas

Memorial Hermann Health Plan, Inc. has accumulated 27 health insurance complaints from consumers in Texas. Across all states, Memorial Hermann Health Plan, Inc. has 27 total health complaints, making Texas responsible for 100.0% of the volume.

The most frequent complaint sub-type is Claim denial with 10 complaints. Other common issues include Delayed payment (6), Premium or billing dispute (6), Coordination of Benefits | No Jurisdiction (1).

The most active year was 2024 with 1 complaint filed.

Consumers in Texas who have health disputes with Memorial Hermann Health Plan, Inc. can file a complaint with the Texas Department of Insurance.

health Complaint Issues in Texas

Issue Type	Complaints	%
Claim denial	10	37.0%
Delayed payment	6	22.2%
Premium or billing dispute	6	22.2%
Coordination of Benefits \| No Jurisdiction	1	3.7%
Unsatisfactory Settle/Offer \| No Jurisdiction	1	3.7%
Den/N-Pymt MD Nec RX \| Information Furnished; Contract Language/Legal Issue	1	3.7%
Essential Health Benefit; Fraud; Maximum Out of Pocket; Overcharges; Unsatisfactory Settle/Offer \| Contract Language/Leg	1	3.7%
Enrllmt/Canc/Rnwl Of Enrollee \| No Jurisdiction	1	3.7%

Complaints by Year

2024: 1 complaints
2023: 1 complaints
2021: 3 complaints
2020: 3 complaints
2019: 1 complaints
2018: 6 complaints
2017: 7 complaints
2016: 3 complaints
2015: 2 complaints

Recent health Complaints Against Memorial Hermann Health Plan, Inc. in Texas

health Complaint #TX-388733-02af822b (2024-03-22) — Delayed payment
health Complaint #TX-379479-6d6a0089 (2023-12-06) — Claim denial
health Complaint #TX-325623-38e80bbc (2021-11-16) — Premium or billing dispute
health Complaint #TX-307906-a6455ba8 (2021-03-04) — Claim denial
health Complaint #TX-307651-52e3e441 (2021-03-01) — Delayed payment
health Complaint #TX-296929-38e80bbc (2020-08-17) — Premium or billing dispute
health Complaint #TX-296925-0d7757c1 (2020-08-17) — Claim denial
health Complaint #TX-296920-38e80bbc (2020-08-17) — Premium or billing dispute
health Complaint #TX-258746-38e80bbc (2019-04-05) — Premium or billing dispute
health Complaint #TX-237071-c43606e1 (2018-10-09) — Claim denial

Frequently Asked Questions

How many health complaints does Memorial Hermann Health Plan, Inc. have in Texas?

Memorial Hermann Health Plan, Inc. has 27 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 Plan, Inc. in Texas?

The most common issues are: Claim denial (10), Delayed payment (6), Premium or billing dispute (6), Coordination of Benefits | No Jurisdiction (1), Unsatisfactory Settle/Offer | No Jurisdiction (1).

How does Memorial Hermann Health Plan, Inc.'s health record in Texas compare to other states?

Memorial Hermann Health Plan, Inc. has 27 health complaints in Texas out of 27 total health complaints nationwide. That is 100.0% of their health volume.

Where can I file a health complaint against Memorial Hermann Health Plan, Inc. 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.