• Pivot Health

Overview

Pivot Health has a rating of 1.57 stars from 14 reviews, indicating that most customers are generally dissatisfied with their purchases. Pivot Health ranks 317th among Health Information sites.

  • Service
    8
  • Value
    8
  • Shipping
    1
  • Returns
    1
  • Quality
    7

This company responds to reviews on average within 15 hours

Positive reviews (last 12 months): 0%
Positive
0
Neutral
0
Negative
5
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How would you rate Pivot Health?
Top Positive Review

“Wonderful and very affordable plans available”

Rebecca J.
7/3/20

My initial doubts flew out the window after I spoke to their amazing staff! They helped me with all my worries and assured me well while being extremely patient and polite with me which I was so grateful for. I recommend them because it is so easy to decide on a plan and the process was easy.

Top Critical Review

“Total scam”

Danny C.
3/7/22

They are a total scam I spent 6 hours calling doctors to find one that would crept them. Literally everyone I called said No we don't take that insurance and then they say we'll keep trying. Total scam

Reviews (14)

Rating

Timeframe

Other

Thumbnail of user dannyc370
1 review
4 helpful votes
March 7th, 2022

They are a total scam I spent 6 hours calling doctors to find one that would crept them. Literally everyone I called said No we don't take that insurance and then they say we'll keep trying. Total scam

Service
Value
Shipping
Returns
Quality
Thumbnail of user colleenm409
Colleen M. – Pivot Health Rep

If it's difficult to find a doctor who accepts reference-based Medicare reimbursement pricing for a medical claim, our patient advocates can help you find a doctor. Call 855-827-9806 to speak with a patient advocate who can help connect you with a physician.

Thumbnail of user windyz3
Rebecca J.
1 review
0 helpful votes
July 3rd, 2020

My initial doubts flew out the window after I spoke to their amazing staff! They helped me with all my worries and assured me well while being extremely patient and polite with me which I was so grateful for. I recommend them because it is so easy to decide on a plan and the process was easy.

Thumbnail of user colleenm409
Colleen M. – Pivot Health Rep

We're so happy you had a positive experience, and appreciate your business!

Thumbnail of user rpmfxtrader
1 review
1 helpful vote
September 1st, 2023

We had this insurance for 18 months before trying to catch up on some regular screenings. Wed called four providers and none of them accepted...they hadn't even ever heard of it. This whole time we thought we had coverage. I can't imagine the financial pain we'd be in had we had a real emergency under this plan.

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Value
Quality
Thumbnail of user davidf3569
1 review
5 helpful votes
August 5th, 2022

Dont use this health insurance.! They rip you off! Had a mild heart attack and then they dropped me like a rock! Said they would rescind all my payments which should have been about $ 12,000 back to me. They sent $2099. That's it! Please save yourself a lot of frustration DONT USE PIVOT HEALTH!

Products used:
Health insurance

Service
Value
Quality
Thumbnail of user lisaj1791
1 review
3 helpful votes
August 10th, 2022

Offers very little coverage for $160 monthly fee. Will try to deny you for pre-existing condition!

Do not use.

Service
Value
Quality
Thumbnail of user codym341
1 review
3 helpful votes
January 31st, 2023

We've waited for months for our claim to be processed, and every single time we reach out to them, it's another excuse. The change the requirements every single time we get a hold of them. Customer service is absolutely horrible. STAY AWAY from them. Not worth the smaller premiums.

Service
Value
Thumbnail of user argeryg1
1 review
3 helpful votes
March 28th, 2023

Don't cover what they say. They sit on claims for 8 months and had to pay out of pocket to see my doc because Pívot didn't process or pay their end. The agent CHRISTIAN is a scammer and is never available. I payed a full year of coverage but not renewing I have another provider.

Tip for consumers:
Don’t waste your money.. won’t cover anything

Service
Value
Quality
Thumbnail of user elijahd92
1 review
0 helpful votes
May 19th, 2022

Thank you JEFF for taking the time to explain to me my first time signing up for healthcare in the middle of coverage. You explained very well, were fast and did not delay in answering my questions. His extension is 0163 for whoever needs a solid guy to help with insurance!

Thumbnail of user scottp1730
1 review
2 helpful votes
June 23rd, 2023

My wife had this fake insurance for about 6 months. During the last 4, the doctor's office submitted claims for weekly services, initially using the claims address printed on the insurance card. No response, so the office and I called Pivot (4 hours on hold) and were told that that address is wrong, please resubmit to address #2. We did. No response. I called again and was told that address #2 was wrong, please resubmit to address #3. The office did so. No response. Then my wife went to the emergency room for a severe hand laceration. The hospital submitted a claim, and later told us we had no insurance. During this entire period, address #1 was still listed as the correct claims address on the Pivot website.

Products used:
Fake medical insurance

Service
Value
Quality
Thumbnail of user laurieh579
1 review
2 helpful votes
January 17th, 2023

Paid month after month of premiums and got absolutely nothing in return except outrageous medical bills! So exasperating!

Service
Value
Quality
Thumbnail of user kierrapride11
1 review
0 helpful votes
December 13th, 2023

They keep taking or keeping money they owe me. I had to wait a month for a refund and now they've taken another charge after I cancelled.

Thumbnail of user jfuller4014
1 review
1 helpful vote
August 21st, 2023

I receive my bill at my email but when I try to login with that email it's says it doesn't exist. So how can that be. We will see if they reply to this. I am not one to do reviews actually this is the second one I have ever done.

Thumbnail of user colleenm409
Colleen M. – Pivot Health Rep

We're sorry to hear you cannot log in to your Pivot Health portal. We recommend you first change your password by starting at https://members.pivothealth.com/forgot-password and following the email instructions. If you don't get an email or have trouble logging in, please call us at 844.630.7500 so the billing administrator can help.

Thumbnail of user jeremyw572
1 review
7 helpful votes
September 3rd, 2021

They don't pay their bills. They claim everything is a pre-existing condition and deny your claim. Please read the policy very carefully. If your Dr. is out of PPO don't buy... they won't pay. If they can find a reason they won't pay... SCAM stay away.

Thumbnail of user colleenm409
Colleen M. – Pivot Health Rep

We're sorry you had an issue with your claim. If you would like to have your claim reviewed again, please contact 844.630.7500 and our claims administrator can review the codes to make sure everything was accurately attributed. We sincerely appreciate your business, and if you want help reviewing your claim, please to reach out to us at memberservices@pivothealth.com.

Thumbnail of user lauras498
2 reviews
1 helpful vote
February 12th, 2024

I was encouraged to get this plan by my agent with details on their more reasonable premiums and service and in network providers.(( I wanted to give ZERO STARS but only could do one star)
I moved to this company of pivot health under umbrella of cigna which has nothing to do with this underwriter. Pivot health has collected monthly premiums for 2 years and has paid nothing for any visit whether it be wellness dr visits or procedures. I had colonoscopy 8 months ago and they still not paid a dime. My agent told me there were be less than 500 out of pocket expense and I have paid over 6,000 dollars already to the facility dr pathology anesthesia lab med surgical supplies Pivot health is the worst company on this planet they never respond to claims. I cannot even get on their website! They keep making change password so many times and still no access I also tried mobile app and you cannot access any claim information I NEVER RECIEVED AN E-O-B FROM THIS COMPANY because they never pay anything and ignore providers enough so they end up directly billing me. I call these providers begging them to resubmit and pivot health never answers them back. I am ready to report them to my state for misrepresentation and fraud I will stand by this statement because I have the proof of all these statements that I had to pay over last 2 years I blame my lousy agent for recommending this company and pivot health for being a piece of crap of a company. So to summarize: collecting premiums with service, no contact, no EOB of claims no service, no respond or return calls for help and non payment of claims you can say your sorry but sorry does not pay all these bill for wellness care preventative care I am nervous if I ever get sick and use this policy that I have. I cannot even print out proof of insurance card!
Pivot health get your act together and fix all this

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From the business

Pivot Health is the proprietary brand of HealthCare.com, a health insurance organization using data, technology, and expert service to answer your questions and help you make the right decisions. Every month, we help over 100,000 people manage their healthcare expenses.

Our goal is to make it easy to shop plans, find savings, and compare premiums, copays, deductibles, and coverage levels. If you need assistance while shopping, we have licensed agents on hand ready to help answer your questions.

Depending on your coverage needs and life situation, we have short-term health insurance, limited medical benefit plans, dental and vision insurance and accident and illness supplemental plans. If you need an Affordable Care Act (ACA) plan, we have access to multiple carriers. For individuals 65 years and older, we have supplement plans to complement your Medicare coverage.

From infancy to your senior years, we have a health insurance plan to help protect you and your loved ones. Contact us to learn more.

Company Representative

Thumbnail of user colleenm409
Colleen M.
Typically responds within 15 hours

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