Moda Health Plan, Inc. — health Insurance Complaints
Analysis of 25 health insurance complaints filed against Moda Health Plan, Inc., based on public NAIC and state DOI data.
Key Statistics
- health Complaints: 25
- Total Complaints (All Types): 25
- health Share: 100.0%
- NAIC Complaint Ratio: 81.35
- AI Risk Score: 82/100
health Complaint Issues
| Issue Type | Complaints | % of Total |
|---|---|---|
| Delayed payment | 8 | 32.0% |
| Premium or billing dispute | 6 | 24.0% |
| Policy cancellation | 2 | 8.0% |
| Claim denial | 2 | 8.0% |
| Unauthorized Acts | Referred To; Contract Language/Legal Issue; Information Furnished | 1 | 4.0% |
| Pediatric Care; Unsatisfactory Settle/Offer | Corrective Action Taken; Information Furnished; Additional Payment Expecte | 1 | 4.0% |
| Cust Service Claim Handling; Maximum Out of Pocket; Unsatisfactory Settle/Offer | Information Furnished; Company Positio | 1 | 4.0% |
| Cust Srvc Policy Holder Srvcs | Information Furnished; Corrective Action Taken | 1 | 4.0% |
| Other | Corrective Action Taken; Information Furnished | 1 | 4.0% |
| Provider or network dispute | 1 | 4.0% |
| Access to Care; Cust Service Claim Handling | Additional Monies Received; Corrective Action Taken | 1 | 4.0% |
health Complaints by State
| State | Complaints |
|---|---|
| Texas | 25 |
Recent health Complaints Against Moda Health Plan, Inc.
- health Complaint #TX-452469-c3839e13 — Texas (2026-04-03)
- health Complaint #TX-443951-4bc3d389 — Texas (2026-01-07)
- health Complaint #TX-422496-6cd2b271 — Texas (2025-04-30)
- health Complaint #TX-422489-bdd227c6 — Texas (2025-04-30)
- health Complaint #TX-421608-4d28d7d5 — Texas (2025-04-21)
- health Complaint #TX-408008-a86daf94 — Texas (2024-10-28)
- health Complaint #TX-407621-4ed10def — Texas (2024-10-22)
- health Complaint #TX-406539-904caf0a — Texas (2024-10-09)
- health Complaint #TX-405983-87a6a71c — Texas (2024-10-04)
- health Complaint #TX-398840-12518a32 — Texas (2024-07-24)
Frequently Asked Questions
How many health complaints does Moda Health Plan, Inc. have?
Moda Health Plan, Inc. has 25 health insurance complaints on file, according to NAIC and state DOI data.
What are the most common health complaint issues with Moda Health Plan, Inc.?
The most common health complaint issues for Moda Health Plan, Inc. are: Delayed payment (8), Premium or billing dispute (6), Policy cancellation (2), Claim denial (2), Unauthorized Acts | Referred To; Contract Language/Legal Issue; Information Furnished (1).
Which states have the most health complaints against Moda Health Plan, Inc.?
The states with the most health complaints against Moda Health Plan, Inc. are: Texas (25).
health Complaints by State
Moda Health Plan, Inc. Complaints by State
- Moda Health Plan, Inc. Complaints in California
- Moda Health Plan, Inc. Complaints in Texas
- Moda Health Plan, Inc. Complaints in New York
- Moda Health Plan, Inc. Complaints in Florida
- Moda Health Plan, Inc. Complaints in Illinois
- Moda Health Plan, Inc. Complaints in Pennsylvania
- Moda Health Plan, Inc. Complaints in Ohio
- Moda Health Plan, Inc. Complaints in Georgia
- Moda Health Plan, Inc. Complaints in North Carolina
- Moda Health Plan, Inc. Complaints in New Jersey