Core Insights - The article highlights the challenges faced by consumers when dealing with potentially fraudulent health insurance plans, specifically focusing on a case involving a company named Cambridge Health PHCS [1][2][3] Group 1: Consumer Experience - A consumer, Elizabeth Gildersleeve, experienced significant financial loss totaling around $12,000 due to charges from a health insurance plan that was either limited-benefit or fraudulent [1][2] - The consumer sought help from the North Carolina Department of Insurance, which stated that the plans were not under their jurisdiction as they were not licensed insurance companies [2][3] - After purchasing the plan, the consumer discovered that promised coverage, such as 70% payment for an MRI, was not honored, leading to further financial distress [3][4] Group 2: Company Practices - The health insurance plan underwent multiple name changes, complicating the consumer's attempts to resolve issues and obtain refunds [4] - The company associated with the plan, Cambridge Health PHCS, was misleading in its representation, suggesting compliance with the Affordable Care Act while providing inadequate coverage [3][4]
NC woman canceled her ‘health insurance’ — then $12K in charges hit her card. Why regulators say they’re powerless
Yahoo Finance·2025-10-26 22:00