Moda Health Plan, Inc. — health Complaints in Texas

Detailed analysis of 25 health insurance complaints filed against Moda Health Plan, Inc. by consumers in Texas, based on public NAIC and state DOI data.

Key Statistics

health Complaints in Texas: 25
Total health Complaints (All States): 25
Texas Share: 100.0%
NAIC Complaint Ratio: 81.35
AI Risk Score: 82/100

Analysis: Moda Health Plan, Inc. health in Texas

Moda Health Plan, Inc. has accumulated 25 health insurance complaints from consumers in Texas. Across all states, Moda Health Plan, Inc. has 25 total health complaints, making Texas responsible for 100.0% of the volume.

The most frequent complaint sub-type is Delayed payment with 8 complaints. Other common issues include Premium or billing dispute (6), Policy cancellation (2), Claim denial (2).

The most active year was 2026 with 2 complaints filed.

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

health Complaint Issues in Texas

Issue Type	Complaints	%
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%

Complaints by Year

2026: 2 complaints
2025: 3 complaints
2024: 9 complaints
2023: 5 complaints
2022: 3 complaints
2019: 1 complaints
2018: 1 complaints
2017: 1 complaints

Recent health Complaints Against Moda Health Plan, Inc. in Texas

health Complaint #TX-452469-c3839e13 (2026-04-03) — Delayed payment
health Complaint #TX-443951-4bc3d389 (2026-01-07) — Policy cancellation
health Complaint #TX-422496-6cd2b271 (2025-04-30) — Delayed payment
health Complaint #TX-422489-bdd227c6 (2025-04-30) — Delayed payment
health Complaint #TX-421608-4d28d7d5 (2025-04-21) — Policy cancellation
health Complaint #TX-408008-a86daf94 (2024-10-28) — Unauthorized Acts | Referred To; Contract Language/Legal Issue; Information Furnished
health Complaint #TX-407621-4ed10def (2024-10-22) — Delayed payment
health Complaint #TX-406539-904caf0a (2024-10-09) — Premium or billing dispute
health Complaint #TX-405983-87a6a71c (2024-10-04) — Pediatric Care; Unsatisfactory Settle/Offer | Corrective Action Taken; Information Furnished; Additional Payment Expecte
health Complaint #TX-398840-12518a32 (2024-07-24) — Cust Service Claim Handling; Maximum Out of Pocket; Unsatisfactory Settle/Offer | Information Furnished; Company Positio

Frequently Asked Questions

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

Moda Health Plan, Inc. has 25 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 Moda Health Plan, Inc. in Texas?

The most common issues 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).

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

Moda Health Plan, Inc. has 25 health complaints in Texas out of 25 total health complaints nationwide. That is 100.0% of their health volume.

Where can I file a health complaint against Moda 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.