Detego Omdömen 

Approved for service over a year ago. Now detego is not answering my providers calls or through their portal.

They have not released payment after a year.

This company should NOT be in business. They deny claims saying we are not covered when we are. They changed primary insurer from BCBS to Aetna mid-Year!! With a higher deductible. That should not be legal. They must not have sufficient support to operate their business and their members suffer. Waiting on hold for hours, Explanations of Benefits never appear and while they tout their app "Covered 365" it provides zero relevant information and is useless. STAY CLEAR of this complete rip off!!

Detego Health is literally a collection of criminals. Their objective is to collect your premiums and then deny your claims by any means necessary. What they put in writing to you is irrelevant because it is ignored. They will contact your providers and tell them an already approved pre authorization is now denied, nothing in writing. Then, when the provider contacts them again, they offer partial coverage instead of the 100% stated policy coverage. Another example, they gave me a phone # for CPAP coverage, that number was disconnected, no longer in use. Pure criminal behavior, avoid at all costs.

Detego Health has been extremely difficult to deal with.
My wife had multiple medical claims in 2026. Several claims remained listed as “New” for months, one approved claim showed a plan payment but no payment date, and the provider confirmed it had received nothing from Detego. We received almost no EOBs, and one of the first EOBs we received showed claims marked “duplicate” even though we never received the original determinations.

I made repeated calls, experienced incorrect transfers, and had to escalate claims. I eventually paid one provider myself because they had not been paid. I also filed a complaint with the South Dakota Division of Insurance.

My advice to anyone considering Detego is to carefully document every claim, save screenshots of the member portal, keep every provider bill and EOB, and verify that approved claims are actually paid.

As a Mental Health Provider, I can tell you emphatically they are the WORST insurance company available. They force you to use an automated AI system to contact them that does not allow for a live representative and refers you back to their portal for assistance. The portal is extremely inadequate and does not provide the assistance you need, thus creating a round robin on "how do we contact someone." In terms of claims, they are slow to process and pay, if they do decide to pay regardless of the member's coverage. Do yourself a favor, if you want health care coverage, STAY AWAY and find someone else.

I have paid this company $13,300.44 in premiums. I had a life threatening allergic reaction in June 2025 and had to go to the ER. They have denied the claim, saying that
emergency room visits are not covered. The only reason we got this policy is for emergencies. We have had no other claims while under this insurance. When on the phone with a representative, she was unable to give me an address to send a letter, only an email, and would not tell me how to appeal this decision. In an email from
Detego Health, which was sent to us by the insurance
broker; it explicitly says, "The limited indemnity portion gives a fixed amount of money for each day you’re in the hospital or for certain events, like a doctor visit or emergency room visit. This helps you pay for some of the costs when you get medical care." The bill from NewYork-Presbyterian Brooklyn Methodist Hospital that I have received is for $2,537.39. I have also paid $300 the day for this visit.

With this insurance company, you only pay and receive absolutely nothing in return. They are the worst.

I’m extremely frustrated with Detego Health. They are refusing to pay a preventive claim that should have been covered 100%. I’ve submitted multiple letters, emails, and faxed appeals, and I’ve been trying for almost a year without resolution. I’ve been promised call backs from managers (Andrew J. and Mario G.) within 24–48 hours, but I never receive them. Please don’t use Detego Health—they’ve been unreliable.

The WORST CUSTOMER SERVICE EVER CANT WAIT TO CANCEL THEM..THEY IGNORE EMAILS.NEVER A RESPONSE

I HOPE THIS IS THE CORRECT PLACE TP POST MY CONCERNS WITH DETEGO HEALTH!
I am filing a formal complaint regarding my experience with America's Choice Detego Health as a current member.
I have experienced ongoing delays, poor communication, and unresolved claim issues that have negatively impacted my financial standing and resulted in the loss of two of my primary doctors.
A claim for services dated September 3, 2025, was approved by Detego Health, yet my provider still has not been paid. Additionally, another claim dating back to 2024 remains unpaid, even though Detego Health stated that two checks had been submitted and mailed, which were never received by the provider.
I have been attempting to resolve these issues since February 2026 and have made numerous calls to customer service and the escalation department. On the few occasions I was able to speak with supervisors, I was repeatedly told they were still “waiting for an answer” regarding when payment would be issued. Considering these claims date back to 2025 and even 2024, this response is completely unacceptable.
Each time I contact the company, I am told someone will return my call, but I have received no follow-up, no meaningful updates, and no resolution. Due to these delays, I have now been sent to collections for bills that should have already been handled.
In addition, I recently received an Explanation of Benefits (EOB) stating there was no authorization for services I received in November 2025. This information is inaccurate, as proper authorization was obtained before the service was performed.
I am extremely disappointed with the services provided by Americas Choice / Detego Health, especially considering I pay out of pocket for this coverage. The lack of accountability, communication, and timely claim handling has been incredibly frustrating, stressful, and financially damaging.
At this point, I had no choice but to seek assistance from the State Insurance Commissioner’s Office and other appropriate regulatory agencies.
I hope this complaint encourages the company to address these issues immediately and provide members with the level of service, professionalism, accountability, and responsiveness they deserve.