United HealthCare Services
Reviews and Complaints

case number [protected]
In November of 2016 I completed the Health Provider Screening Form and faxed it over. I was then sent a message on 11-17-16
"Your form was rejected due to missing or incomplete information. The value for "TC/HDL Ratio" is listed as "N/A." An actual value must be written in here. If it is left blank or shows"N/A, " it will not be accepted.

Please complete the form in its entirety and fax it back to Wellness Inc. (OptumHealth) at [protected] by December 31, 2016 for processing."

I was sent a new form and went to the health care provider for a second time, this time all values were completed properly. Which then turned into this case number [protected].

This was faxed in the last week of December 2016 well before the deadline and I have fax documentation that it was received on your end.

After not seeing my credit I e mailed and was told this "After further research, we found that we did not receive a corrected Health Provider Screening Form for your 2016 biometric screening. Unfortunately, we are unable to process forms based on a fax confirmation receipt as there are many issues that may cause faxes to not be received.

Since we did not receive a completed form prior to the 12/31/2016 deadline, you are no longer eligible to receive the reward for your 2016 plan year biometric screening.

We do apologize for any inconvenience that this may have caused."

I have completed my biometric screening and had it turned in on time. With proof. This is not the first time your office has had problems receiving a simple fax. I have sent NUMEROUS e mails and have received zero response. Your e mails plainly state "The company does not discriminate on the basis of race, color, national origin, sex, age, or disability in health programs and activities."

Your members right and responsibilities plainly state "Receive timely responses to your concerns."

I have no doubt that my complaint will not fall on deaf ears and that my issue will be resolved in a timely matter, even though I have been trying to resolve this issue for 3 months.

Michael Hernandez [protected]
[protected]@gmail.com

My name is Lien Grimm and currently ill with cancer and every time I need some service it is being deny. per the hospital they are being told that I don't have coverage and I have a letter that states I do have coverage. When I truly need the medical services that I have paid for and worked hard. I am being treated like know one cares. It totally sad the way your treating senior citizen. It being more than 60 days to get approval for decipher and was call the day before and was to they had to reschedule because my insurance carrier United Healthcare denied my coverage.

I am a United Health Care subscriber through my employment in N Y State.
As a member of the Empire Plan I and my wife are eligible to receive medication prescribed by a physician. My wife primary care physician prescribed a medication he believed would help her sleep at night relieving her of pain in her legs which causes her to wake up constantly. The pharmacy has been unable to fill the prescription due to alternate medication you preferred her doctor to prescribe. He has insisted that the medication he prescribed is the only one he believes will work to relieve her pain.
I have watched now for more than a week my wife suffer through the night because of the delay in receiving the prescribed medication from the pharmacy. If inflicting pain and suffering on patients is United Health Cares object, you have succeeded completely.

On 2/28/2017, I ordered dental insurance. Representative told me I would receive a form to sign agreeing I wanted it to send back, I never received it. I was given my dentist name who took your insurance, I called my dentist who said they no longer took united health due to your company denying numerous claims, too many problems. So I was given another dentist in avon, ny, I called that dentist who also said they no longer would be accepting your claims due to the same problems as the pavilion dentist. So at that point, I became frustrated and was told I would be sent out a list of dentists in my area. I decided to cancel on 3/10/2017 dental as too many problems with your company. I called today to say why a bill when I advised you, I couldn't use. I had coverage for 12 days so I am not paying ths bill. I talked with kendra who said it wasn't cancelled, then I asked for supervisor who gave me jennifer who said I had to pay the bill 72.00 and kendra told me 36.00. Jennifer said it was cancelled. Client #[protected]. I want this bill wiped out as I was never able to use it. You can call my dentist pavilion dental to verify that we talked. Also the dentist in avon who told me the same thing. This is fraud when one hand doesn't know what the other one is doing!Jennifer said she would send me a cancellation letter but I am not holding my breathe as I got nothing in the pass. I believe when I talked with someone, they had an address of 5429 not 6429 which may be why I never received anything!Please resolve this asap!

After I reached maximum out of pocket, insurance company started denying treatment back to back. I was diagnosed with sleep Apnea in month of January(my insurance expires in March'17). From doctors stand point I was supposed to start using sleep CPAP machine but insurance company denied to provide me treatment. They told me that I don't meet the criteria. When I asked if I don't meet criteria then what is the treatment, I was told that they don't know, I should check with my health provider. My health provider consistently kept saying that you should use sleep cpap machine.

I went back and forth multiple times but they were non- cooperative. They kept killing time so that next year starts and they can save money.

I was not treated well, I strongly recommend to not go for United Health Care Insurance.

They also denied varicose veins treatment to my wife. It's all because of money.

Thanks
Pankaj Bansal

I lost myjob as a Corrections Officer due to severe depression and had to get the UHC Community Plan. long story short, they offered Dental Services to my surprise, almost every root canal, pulling crowns, post, cavities filled has been consistently DENIED, for ridiculous reasons, I appealaed all of them, , still denied so I am now in the process of having a Fair Hearing with the State of NJ, last but not least I will sue them as they left me with doing half of the procesures with no follow up Posts, Crowns or bridges, 2 of the teeth broke already due to being unstable without the crowns and posts, they thought I would just walk around with broken teeth or a gap in my front tooth. not happening, The Dept. of Banking and Insurance will look into this as well, I hate UHC, all they do is deny, deny, deny, make you spend countless hours on the phone with them just to get no answers. I have had enough. oh and they denied to pay my medication which I have been on for years and was $500 a month! Enough!

I want charges with access to my social security number health administration and learned of debt instrument where it has been a cult as to access and suspect regional insurance and employment providing some form of retirement and other where it has been bribes with my security access and quality and health care where a comment and was dating in 1/08 with private

I am hoping that they can figure out and get United Health Care admit that they screwed up. They claimed that I had a health insurance policy since 2004 with them through an old employer. Which is a lie because I have always had my husband's insurance. I want them to admit why is took over 13 years to figure this out and why it took them almost a month to figure things out. I want to know why when I called on February 24th, I was told that they would have a letter to me in 7 days showing I never had any insurance. I want to know why when I called back, it showed that they never sent the letter. I want to know why when the letter was faxed to me that it had the wrong address and the wrong information on it. I want to know why I have sit on the phone for over half an hour and nothing was resolved. I want to know when they plan on getting the corrected information to me so that I can send the letter to my actually insurance company so that they stop denying my bills since I am a cancer patient and have to go to the doctor and have scans all the time.

I have a rare condition called Schuermanns disease and have been a UHC customer for 11 years.

Over these 11 years I've seen specialists, surgeon's, chiropractors, physical therapist's and accupuncturist.
I've had spinal epidurals, massage therapy, MRI's, countless tests, you name it, I've had it done.

The only way I can live a normal life is because of the medications that I take. It's not much of a normal life, I can't play golf anymore, I can't ski in the snow anymore but I can still work and spend time with friends but at times even this is difficult as any type of physical activity like long walks causes pain.

After years of trial and error, my Doctor and I found a medication that works, Oxycontin. Late January, when I attempted to fill my monthly meds, my Pharmacist informed me that UHC was not going to cover the medication.
Neither my Doctor, my Pharmacist or myself, was given any prior notification of this change. I was told by a representative that I should have been given 90 days notice and received nothing!

I've been on this medication for 9 years.

I was provided with a list of alternative pain meds that I could take, I went to my Doctor with this list, he wrote me a script and guess what happened, UHC would not cover the medication that they were forcing upon me stating, I needed a prior authorization to get it filled.

I'm sure everyone on this board has similar types of stories where UHC denied them coverage, denied claims, gave them misinformation or didn't seem to care about their situation.

I hate stating this but I think it's time to seek legal actions not only against UHC, but also include direct legal actions against the person/s that you spoke with.

I work within the Financial industry and have to be especially careful with what I say as any of my clients can file a suit directly against me.

Maybe if we start filing suits against these uhc reps personally, things will change!

Hello,
I am writing this complain to express worst experience of my life with united health care. I joined north dakota state university as a visiting scholar on october 12th 2016. I got an insurrance plan for three months from october 12th to december 30th and I paid 560 us dollars for the period of three months. During this period I visited a clinic only once in the month of october. I purchased medicine from cvs pharmacy and I paid full amount at pharmacy and then I submitted my claim to united health care. After one month when I called to your good office that your claim was denied because you were supposed to send it optumrx. Nobody didnt bother to inform me. Then I sent a set of claim documents then they told me after month that you have sent a wrong form when I called for inquiry. Optum rx said me to contact me united health care and united health care reffered me to optumrx. Then I submitted correct for to optum rx twice by a mail but each time they said that they didnt receive anything. Im the meanwhile I left north dakota state university and joind montana state university and got another insurrance plan from iso. I was continuously trying all the time to contact with united heath care and optum rx but nobody listened me. Yesterday I called again to optum rx an the person david told me that this not related to us we canot do anyhting this is a matte between cvs and united health care. Now I am leaving us on 4th of march. I paid 560 dollars for three months and I was getting sick to get a claim of just 64 dollars. The experienced I got from united heath care was totally a bull ####. Please consider my particular below
Regards
Muhammad ikram ul haq
March 16 1990
[protected]@yahoo. com
[protected]

UHC refused to pay several of my bills during 2016 stating their was no prior approval even after the doctors office stated they had done it. And said that they had not received the supplement part of the payment one month. I have investigated and called everyone I can find because per the UHCbillingexchange it shows the advanced Premium tax Credit every month along with my payment. UHC finally sent me a bill for the 441.00 for the tax supplement and I paid it. (12/10/2016 Bank Account: SUNTRUST BK 3774 $441.00 Processed ) I never was told that I had a stop in coverage but now I have 3 tax forms with different end dates and it should never have been ended. I always provided any information that was requested and did it on time. I ended up and paid over 8000.00 just for medical out of pocket.

One bill is for Ortho Carolina 2, 023.00 acct [protected] date of service 6/27/2016 for surgery to remove a cyst from my finger that caused a lot of pain. I contacted the doctors office prior to to surgery and asked if anything I needed to do as far as insurance and she said everything had been taken care of. After the surgery UHC has refused payment stating there was no prior approval. Now I am receiving letters stating it is going to collections.

I had to have emergency gall Bladder surgery and ended up paying over 6000.00 for it which alone is well over my deductible. They have reallocated the payment and it is way to confusing to try to explain. But it was at Novant in Matthews on 6/4/16 one of many of the bills included in the reallocation was 2069593.

My primary doctor got authorization and sent me to a dermatologist on 5/11/2016 to Darst Dermatology acct 0040975 originally about my finger and that bill was for 202.00 which UHC also refused payment and gave me several different reasons why, I have paid it.

Now there is a charge on my credit report of 218.00 that I have no clue of .

While dealing with all of this last year and it seemed like a constant struggle with UHC I was dealing with a dying mother. I had searched for any way to do a dispute or voice my aggravation with UHC and finally found this site. I just don't know what to do at this point but I know beyond a doubt that the billing and processing of my accounts are incorrect and I am hoping to find someone that can make sense of the mess they made in 2016 & fix it.

The only thing that I see on the break down sheet for my billing summaries is there was a C dropped of the account type on 6/1/2016 all other ones are listed as a Compass 5000 C and the 6/1/16 is only a Compass 5000. Not sure if that will make a difference but I am praying this will all be corrected.

Please contact me for any questions or explanation.

Thank you,
Rebecca Sutton
[protected]

My mother called into customers service line to speak with a Michael troutman...representatives was very rude, my mother was just trying to get general information yet the representative seem unwilling to explain anything about United health care nor seem even 2 care about her current situation..it was very unfortunate because we have heard such wonderful things about United health care but just in the initially phone call we had a bad taste put in our mouth

Wasnt informed that you only have 4 fills in one month because i get a prescription every 7 days and i had to pay out of pocket yesterday the 30th of January for something i never had to pay before and they wont reimberse me i want my money back.. I want a refund for what i had to pay for.. I had to pay $29.99 for my medication refill... Plz help me resolve this problem..

4 complaints filed, first over a month ago, only response is a hidden message for private, non relevant personal info thru a cisco system that requires multiple link clicks and time wasted

AARP should use an insurer who does not play games, does NOT hide messages They refuse to telephone and they refuse to send direct emails

I will probably cancel them I do not like roundabout games or delays I have filed against them and against AARP

[protected]-11

I need simple blood test to refill a prescription. United Health Care doesnt
cover any cost when vacationing out of state. Very bad benefits when I have no claims that they had to pay. So catch 22 so how do I fill a prescription.
My doc wants blood test but have to pay full amount out of pocket because my insurance is in CA. Wow. I don't have any claims prior.

I have been working for more than 2 weeks trying to get coverage for Synagis for my twin boys, born 11 weeks early. The babies meet all the requirements for the drug, however I still have not received an approval. I have called and tried to escalate multiple times. I get transferred, explain the situation again, and have been told to give it one more business day at least 4 days in a row. My boys HAVE to have the shot tomorrow, and as of now I have not received the approval that was due no later than yesterday. Nobody wants to take responsibility and escalate the matter.

On Dec 23, I went to my local pharmacy (Walgreen) to get my Travatan eye drops refilled. I was told that the prescription was not going through but there was no reason showing. After trying several times, the pharmacy technician advised me to get a new prescription from my ophthalmologist since the present prescription was over a year old. It still had a refill on it. On Wednesday, December 28, 2016, I contacted my ophthalmologist's office regarding a new prescription. Later on I received an e-mail from my pharmacy stating there was a problem with my insurance processing my prescription. Having had earlier problems with United Health Care, (seems I was listed as a male), I contacted them. I did not get the agent's spelling of her first name. It was something like Corriana. I explained the problem to her. She told me she would have to speak to a representative in the pharmacy and it would be 4 or 5 minutes. She came back and told me they could only pay for 3 pills not the quantity of 5 that was showing. I then explained that this prescription was not for pills but EYE DROPS. Obviously there was a problem with communication. This makes me wonder how many other mistakes have been made because someone at UHC does not bother to find out about the medication he/she is approving or not approving. The representative put me back on hold so she could talk to the person representing the pharmacy again. This time when the representative came back on the line I was told that I could get my prescription but it would cost me $85 per bottle because the prescription was showing 5. So I asked if I got a new prescription with 3 on it the cost would be $45 a bottle but if I kept the 5 the cost would be $85 a bottle. I was told yes. I told her I had been told that UHC sucked and I had to agree.
Let me explain what the prescription was for. The 5 was the milliliters. This solution does not come in 3 milliliters it comes in 2.5 and 5. Once more whoever was dictating my prescription did not know what they were talking about. If I can only get a 2.5 milliliter instead of my previous 5 milliliter I will need an additional quantity and will end of up paying more yearly.
My next complaint has to do with your mail order pharmacy. I have tried this before and prefer not to use it. I prefer to keep all my medications at one place that has a record of everything and I can pick up when I need a refill. Since becoming a UHC member I can no longer receive a 90 day supply of either of my required medications. I can only get a 30 day supply at a cost of $15 per prescription ($30 every month) This costs me more per prescription than both cost me for 90 days. However, now I am being told I can get a 90 day quantity of both and it will cost me only $7.50 per prescription but only if I use UHC's mail order pharmacy. I can not get an explanation for why I have to use this mail order pharmacy in order to order to get a better price and quantity. I should mention I can not get my eye drops through the mail. Due to the problem I had just getting my eye drops, I really do not trust any pharmacy dictated to by UHC.

I was on Trulicity before going to United Healthcare thru a employer with my spouse and I was told that I had to have PA because of the step program that I have never heard of in my life making me have to go back to Victoza, Trulicity which is a once a week injector vs the daily injector of Victoza, you need to get rid of the step program policy and not make people who are already on a prescription change what they are getting just because you want them to try something different .

Not sure the exact month but mid year of 2016 I received a check from united health care stating that I had a credit on my account. When I called to verify they said that it was correct. I cashed the check and a year later i'm now getting a letter from collections stating I owe the amount that was refunded to me. When I called and spoke with an agent they stated it is my responsibility to pay this even tho it was in error.

I had hand surgery in 2015. Umr paid some of the bills, denied some of bill because they claim I did not answer the "were you in a car accident question" which I did numerous times when I could get through to overseas agents and the rest they did not pay because they say I did not have insurance. Now that I am bringing this up to their grievance board they withdrew payments to mayo leaving be with a bill that went form $3k to $20k.
I attempted to review each of the more than 50 pages of invoices I have and after an hour the agent said I would have to call back because my call was increasing her aht.
Now I have to get a lawyer. This should be illegal.