United HealthCare Services’s earns a 1.4-star rating from 487 reviews, showing that the majority of policyholders are dissatisfied with healthcare coverage.
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unfair and sad customer service
I have called in uhc customer service multiple times over the past 1.5 years to get a copy of my bill ( that I mailed in to uhc) with no luck.
When asked for a reason on why can't I get a copy of my bill, they have wage answers ranging from security issues, policy issues, no bill available and everything else the agent can think of on that day...
I feel being cheated cause the company will have to pay me if I get a copy of my own bill back.
The agent will not transfer me to a manager or promises me that their manager is out and will call back and I never got a call back till date in the last 1.5 yrs.
UHC SUCKS! They are cheats!
harrassment
I am a past employee of UHG. I was an employee for many years and subjected to teasing and bullying from co workers. Adults today need to stop and think what this does to someone. I almost thought one time of filing a lawsuit. My supervisor even knew what was going on and did nothing to defend me. I was the one who had to file a complaint. Working at UHG was a good learning experience for me as far as learning the different components of insurance. But as far as the moral goes it's horrible expecially if you are singled out for no good reason other than people don't like you. I am a very likable person.
These people were completely immature and lacked any self control over their immaturity. They should have been fired for all the anguish that they caused me over the time I was there. No one at all defended me. I even got laughed at and mocked at after I tried to defend myself. Like I was the big company joke.
I know that we shouldn't be saying anything bad about our former employers but when it comes down to someones ability to go and do their job everyday and not even wanting to come into work because of the harassment, then a supervisor needs to step in and set their employee's straight. Harassment policies are not being followed at this company. I look at it this way, I gained a lot of valuable learning experiences and knowledge that will stay with me for the rest of my life. It has taught me that you need to look out for yourself and that work is not the place to be making friends. It shouldn't matter whether or not people like you, not even your supervisor. You are there to do a job. And that is it.
The complaint has been investigated and resolved to the customer’s satisfaction.
failure to pay
My name is Ray Roberson, I was forced to retire from Shell Oil Company in 2003.
I had Two heart attacks prior to my retirement and continue to be under the care of
a cardiologist.
Since 1977 until today I have never missed paying my health care premium this is
34 years.
Today I am told that Shell or United health care whoever is speaking will no longer
pay for my Doctor visits, hospital stays or necessary procedures because in 2011,
eight years after my retirement they think I may be eligible for medicare part B.
I contacted medicare and I was told by a lady named Holly that I do NOT have part
B and will not be eligible till I am “65”, I am 60 years old now.
I will run out of medicine in another month and need to see a doctor to get refills
for the numerous prescriptions I must take, it is past time for my appt. with my
cardiologist and I cannot pay for my last colonoscopy which I thought my insurance
would pay for.
The complaint has been investigated and resolved to the customer’s satisfaction.
problems with the processing of claims
Three times last year after we had reached the out of pocket maximum required by our plan, United Healthcare began processing our claims as if the limit had not been met. It took many hours to be able to resolve this matter. In the meantime the doctors who had provided the services began billing us for what they thought was our portion of the charges. It is hard to understand why the processing system does not show when a person has reached their out of pocket limit when claims are being processed. Even efforts through my company arbitrator did not resolve the issue because they took the answer provided by United Healthcare.
useless medical programs
Ive been going to the Dr. for a few years on a medical condition. Two years ago I got a job that has (what I thought it was anyway) very good healthcare benefits. For my ongoing medical condition, I found out that the insurance claims they do cover prescriptions, but yet, 99% of the presecriptions my Dr. gives me are NOT covered by this medical insurance! And Im not talking about meds you might just need once in a while...Im talking about meds you need to LIVE! My Dr. gave me about 10 different prescriptions to fill, and was told "they werent covered", before I actually got one that WAS covered! Why they HELL doesnt this "healthcare" company just give Dr.s a freeking LIST of what they DO cover? SO much paper and time was wasted due to these ###s at this "healthcare" company...simply because they couldnt be bothered to tell the Dr. what they DID cover! F**K! I could have died, waiting for these freeking ###s to ok one of the many prescriptions I had in my hand!
And now, my Dr. tells me they have an allergy program that IS covered by my insurance, so I sign up for it, and I get my first two shots. Im given three prescriptions that go with the program, and when I tried to fill them, I was told they are NOT covered by my insurance!?!
WTF?!?!?!?!?!?!?!
What kind of ###ED, ###IC, IMBICILIC company pays for a program you cannot use?
The ###s that run these "healthcare" companys need to be denied ANY and ALL medical help for them and their families, and see how they like it!
united healthcare deals with medical coverage. you would have a seperate vendor that covers your prescriptions.
denial of claims
United has denied numerous claims based on a 3rd party reviewing the claims. However, they refuse to give the reason for denial which prevents the doctor's office from correcting the problem or from appealing. That is against the Provider Agreement the insurance company signed. The 3rd party, meanwhile, are paid a percentage of claims they find a reason to deny. The doctor cannot successfully appeal and continues to file the claims "incorrectly" resulting in even more denials. Someone needs to file a class action lawsuit against United.
Ever since UnitedHealthcare Community Plan took over Evercare of Texas my once effective and progressive health care has come to an abrupt and unsettling halt. I have always strived to maintain compliance within the client guidelines of my plan and my position has not changed. I call my service coordinator and ask what information needs to be sent for a pre-authorization and where to send it. I provide my primary care physician the information United "tells me" they require. From that point it becomes a nightmare.
bad customer service
What is your definition of explanation? UHC has their definition which is not in any dictionary I know. I just wanted to know what each line item charge was for - that's all. It took me three times on hold to get ahold of a "specialist" to finally tell me that their "Explanation of Benefits" (EOB) does not fully explain the charges. Further, they will not tell you what the charges are unless you spend an hour out of your day to go through their horrible voice-jail, then go from agent to agent to finally find out! This is their policy! They try to blame this on "privacy" protections! Then, because you are transferred, you cannot rate their service on the "#9" option at the end of the call. So this means most will not complain! And they over charge everyone in America for this amazing disservice! They tell me to go to my doctor and ask what the charges are for! This is like going to the grocery store, going home and looking at the receipt and seeing "food" repeated for each dollar amount listed! Excuse me, but what part of "Explanation" is it that they don't get?
Sent an email to me saying my "EOB" (Explanation of Benefits) was ready. So I go the the site using their link. I cannot get the EOB to display - I get an error message from the site that it cannot be accessed. All the other links work. I call their website support. I spend 3o minutes answering the same questions multiple times. I get another call and hang up. I solved the problem myself. THEY DO NOT SUPPORT TABBED BROWSING! That's right. I can get the EOB by navigating in the same window - not separate tabs for each EOB.
an eob just explains(explanation) how your(of) benefits(benefits) applied to the service you recieved. it wont go into detail of the services you had done that day because of privacy laws. its an explanation of benefits. not an explanation of services
labor and delivery
Long before have my second child I called the 800 line and reviewed my benefits online. Well to my surprise, after have an emergency c-section 3 plus stay at the hospital, I started to receive bills. These bills were not only for my, but my new born. You see the costumer services reps at United and my online benefits stated the mother and child were both covered under the mother as long as they discharged together, if baby stated, it would then assume its own identity, ocpays, and deductiable...HAHAHA! I had to pay my whole $4500.00 out off pocket for me and almost $4000.00 for the baby.
***Here is the kicker. Our work heard of this and changed the insurance plan. We were all assured by the salesman that this plan would cover mother and child completely under the new $2500.00 deductable. (I even asked if the back of the paper, in one of corners had invisible ink with disclaimers?) We were assured nothing would make the payment go over $2, 500.00 as all as mom and baby state and were discharged together...Guess what... This information was a big fact lie. I just called about maternity benenfits and was told by the benefits department that a normal healthy birth for mom and baby would be $2, 500.00. With complications you could reach a $4000.00 out of pocket for each. WOW! ONCE AGAIN HAVING A BABY WENT FROM ONE AMOUNT TO POSSIBLE MORE THAN DOUBLE.
Peopele be aware there are benefits exclusion, diclaimers and riders, that also play a part. When you look at you benefits package, you are only viewing what they want you to see. My own HR Dept. was shocked when the sale gentleman told me I should have consulted her for the exclusion/disclaimers and riders manual, She had no idea that there was such, nor did she know who to access it. I am glad to have insurance, but it would be nice the facts and not all the smoke and mirrors!
The complaint has been investigated and resolved to the customer’s satisfaction.
will not reimburse fsa funds
I submitted a faxed request for reimbursement of a dental bill to United Health Care on December 30, 2010. My fax was acknowledged. When we did not receive reimbursement, I faxed the request and all documentation a 2nd time on January 24, 2011 (acknowledgement received). I checked the website and on January 28th and there was no documenation on the receipt of my request, so I faxed a letter and all documentation to the attention of an account manager on January 28, 2011, and again rcvd acknowledgement of receipt. Still no response. I called on February 3, 2011, and after waiting for a long period of time, I was allowed to speak with an account specialist. He (Richard) told me his our request had been denied as it appeared to be a duplicate request, but that appeared to be a mistake and he would escalate payment to us and we should have the money in our account with in 7 days. I asked him why it takes so long to put money in our account (my current flexible spending plan does it the next day). Not sure if that upset him or the fact that I voiced my opinion on not letting a person know if they are denying their claim, so that I would continue to send faxes with no response, , but found out today, he did not even bother to put notes in our file about his conversation with me. On February 9th, 2011, I called and spoke with Rosemary A (thought she was an account specialist, but apparently not, as she could not authorize immeidate payment). After I had spend another half hour on the phone with them, I was a little upset and advised I wanted a check overnighted to us, as it was uncalled for to wait this long for reimbursement of $132.00. She told me she would have this escalated and account manager would call me this morning. No call ever came. I called againt this afernoon and spoke with Sharon, who had advised me that Rosemary did not bother to escalate my request. I advised I was not hanging up until I spoke with someone that could help me because after waiting on hold for 30 minutes, she told me that our claim had been denied as a duplicate. She said that is not going to happen. I was so upset I hung up. It should not be this difficult to get the last of our funds out of this FSA account. *****This company has by far-----the worst customer service I have ever seen. They must have outrageous phone bills for the amount of time they make people hold on the line. Would never recommend them**************
I submitted a Dependent care reimbursement claim on 17th Mar 2016 by post, My only mistake was of not sending it by registered post and simply dropped my claims documents in the USPS mail box outside my apartment. when I called UHC on 7th April 2016 they denied receiving my claim documents and said that they have not yet received any. So I insisted talking to the supervisor and then was directed to the person in charge one Mr. Brian who then gave me a fax number where I could fax my documents again. I had to call UHC continuously to confirm if they received my Fax. After that I received a letter from UHC saying that they have denied my claims and I could appeal again if I want to. I then appealed again and they denied it second time. Now I have received another mail denying the claim and suggesting that I can appeal for the third and last time if wanted to. I am not sure as I have tried connecting to my HR department and they got an excuse from UHC stating that its IRS guidelines that they could not pay my claims and cannot do anything more to help. The amount here is very large and I don’t want to lose it as I am working hard to pay check to paycheck with my daughter and was looking forward for this money to pay some of my bills. This is ridiculous as I had sent the documents on time what happens at the post office is not within my control. Despite that UHC has a heart to deny my legitimate claim. I feel cheated by them as i am following to claim my money, my hard earned money that UHC is refusing to give back. Please advise what should I do.
Wow, wish I could've seen these complaints before signing up through my employer for the dependent care FSA. We recently switched from another provider that has been nothing but great for the past 3 years! This plan started in October, and they have yet to pay a claim for child care, they keep saying there is a system malfunction and that they'e working on it. This is absolutely ridiculous, they're holding my money hostage! All the while I'm paying nearly double for childcare, between what comes out of my biweekly paychecks, and weekly childcare tuition! Had I known it was going to be this much hassle to get reimbursed for our childcare expenses I would've never signed up for this plan!
I have been using UHC for years now and have received the same explanations: we did not receive your claim, the copies submitted are unreadable, IRS requirements, duplicate claim (when additional UHC documentation is submitted), etc., on and on and so forth. As a participant to my employer provided program I can not choose any other service provider. UHC needs to be FIRED. They are not capable of processing a claim efficiently without numerous submissions and hours of phone calls to straighten out their internal miscommunication. Mind you, they are scattered out across the continental US and can only answer your questions with info provided on their computer screens. If the info isn't on screen then you have not provided what is needed. Regardless of how many times you submit the claim with supporting documentation. If it were possible for me to get rid of UHC it would have taken place years ago. This is all about money and they will try to frustrate and delay you until you give up. This in turn is where they make money. Don't give up, prepare yourself each year for the never ending submissions and phone calls.
I submitted a claim reimbursement for $254 on 12/16/13 for a claim that was on 1/10/13. I submitted this using their on-line system (I have a copy) and they claimed they never got it. I re-submitted this on 1/21/2014 via fax. Today, 2/17/14, they informed me my claim was denied but never sent anything stating that. Their reason for denying the claim was that I was not covered by the FSA until 1/16/13, the card was printed on 1/15/13, and I enrolled as of 1/1/13. I should have been covered the whole year but a year later, the lost my claim and denied my claim without notification so that I couldn't even use my remaining FSA dollars. This is a shady practice by UHC.
I have had nothing but challenges from FSA Claims submission to UHC. My latest issue was on 5/2/13 when I submitted for $324 and only got $274 back. I called today to find out why and I was told one claim receipt for $25 was illegible, but there was a unique receipt number on it. I was also told that one of my 2 pages of documentation for a $25 receipt was not legible, but everything they needed to reimburse was on the first page. Had the processor used common sense, the entire claim would have been paid. After expressing my frustration to the cust svc rep I got a supv who said yes I should have been reimbursed since the documentation received was sufficient. Additionally, one of the rejection reasons was insufficient funds in account, which the cust svc rep confirmed was not true. I have had continual problems with UHC's FSA claims processing. I am going to writing a formal to complaint and if I am still getting poor service, I will be in touch the Attorney general of NC and of TX where they are located. You should not have to go through such work to get reimbursement of your own money -- this is simply absurd.
I will never again get a fsa thru uhc, ever... I just learned they have it set up automatically so when i go to a doctor or buy rx out of my own pocket, they are still Billing my fsa! I only set money aside in a fsa for dentist for my son. I call for info today and find out my fsa is maxed out! I an being reimbursed for all these things billed to the fsa, now i have to Wait for the checks so my son can go to the dentist. Thus complaint does not do thus justice, but i am ticked right now. I have a credit card to use for my fsa, why if the fsa is going to pay for whatever they want without my approval? In a month they billed $700 to my fsa that i was not even aware of. Insane.
YES to all of the above. United Healthcare FSA is terrible. I've used Key Companies with my employer for years, which (with rare exception) distributed FSA funds in a timely and predictable fashion. I switched to the UHC FSA through my husband's employment this year. They take months to pay, they don't notify me when there are disputed claims, the fax numbers for submitting claims don't work, and the customer service is a major hassle. We're no longer covered by UHC, thank God. (On a separate issue: I'm participating in a class action suit against UHC, which I hope will recoup half of my emergency room bill following an auto crash, which they refused to pay in full because the hospital was not "in network." Unfortunately, the ambulance driver didn't ask me whether the closest hospital was in network. Sheesh! We need universal health care. Cut these guys off!)
When reading all your replies, it seems like you are working for the United Healthcare "jbfirebird". If a company like UHC can't manage their company/staff/workload, it is not our fault. I had Flexible Account with them last year and all my claims were done & paid in 5 business days most, which means it can be done. You are talking about how they have to process last year's claims first: I did all my claims & got reimbursed by December 31'st. Since this is the new year, UHC should hire a handful of employees just for the last year's claims, so others can process this year's to not cause any more delays. I never had to re-fax my paperwork last year; this year I was told by their own employees that how some of their staff made a mistake processing my fax/claim and how I have to re-fax it and how it would cause additional 10-15 business days of delay. What? Are you kidding me? They make the mistake and they expect me to be patient & understanding about having to wait even longer, so I can get my hard earned money reimbursed. You are talking about how they have to enter the claims in by hand; well if they pay attention to what they are doing, they might do it right the first time, so people like us don't have to wait months to get their money back. So far, they rejected some of my claims, stating it was a duplicate (when all my claims, receipts had different names as a patient, plus in some cases completely different dates), they denied some of them, stating it had a future date on the claim (and their processing date was a later date than the actual service date, which means it was already in the past), and their latest excuse is this: Our system has a problem that is causing for the claims to be in the "processing" status and not letting us pay for it. Really? What a relief to know that all their problems are caused by computers and the people who are doing their claims from last year and never by the United Healthcare employees. All my latest claims just sitting there, showing payment sent, but no date for the payment, which means UHC is stting on my money, earning interest, while I am suffering with my family. I know for sure that I am never having another FSA, if UHC is doing it. Having a Flexible Spending Account suppose to be convenient for the customer, not another hassle they need in their lives!
your right. it isnt anything new. but it still normally takes 10 business days to do it if there wasnt a backup of claims. right now, there isnt a backup. so, the normal 10 bd applies. you wont be getting paid from any fsa/hra immediately. it sure would be nice, but regardless of the insurance, it wont happen. claims have to get entered in by a human then it processes by the system after its entered.
I completely disagree jbfirebird - this is nothing new. This is a seasonal occurrence. They need to staff their business appropriately to handle this. It's June - halfway through the year. Not seeing it get any better.
mid mangement of complaint, approval then denial then approval then denial
I was a long term employee of At&t untill I suffered an injury
that put me on disability and eventually having 20 plus yrs with
AT&T they retired me. My disability is tough enough to live a quality
of life with the aftereffects of RSD
I the gall of 2010, I was coming up my deck steps
holding the railing, my knee gave out and my arm, causing me
to fall face first on the deck with nothing to break my fall.
I tried to get up but couldn't, my fiancé heard my scream
and helped me get up, not realizing the blood from my nose
and mouth. After finally getting the blood to stop, I had swollowed
a tooth and a piece of another. The pain in my mouth felt like
someone hit me with a brick. I called my insurance for help
because the pain was getting worse and my gums were swelling up.
At first, in calling my At&t benifits it appeared that there was help
under my medical for dental accidents, they got my to
uhc to help me through the process. Since there was no oral surgeon that was covered under both they approved me to see a oral surgeon assuring me that my coverage from the accident would be covered under my medical. It is a matter of co/pay being hard to cover bs impossible.
In seeing the oral surgeon there was so much swelling of my gums and
nose it was hard to determine a course of action. So he medicated and scheduled follow- up. Well as the healing progressed or rather
the result of the fall showing the impact the fall had on my mouth
was aweful. My upper teeth began receeding from the gums, bleeding
and bruising worsened, my lower teeth loosened, broke, chipped away.
What was once manageable with fillings and losing a couple
back teeth due to my heath, became a fact that all the time and
money I had to pay out of pocket over the yrs was wasted. My dentist
dr aiello's put an extensive plan together as required by my insurance
before treating. So months go by with pain and frustration and alot
of hours by my dentists mgr Patti providing medical -dental codes not
knowing as the recovery or disaster in my mouth
was going to continue. Well I faced the facts my teeth
had to go, there were no
guarantees, I heal slow due to my disability.
So, dr aiello's sent a comprehensive pkge in as best
they could looking at whY may occur in process, it was
finally approved, the next step was due to concern
of my health that an oral surgeon was required
by the knowledge of my dentist to do the extractions, so I
could be monitored in case something went wrong.
So know dr santerelli's office had to submit for
their approval for all remaining extractions, now as
many of the teeth were starting to decay, exposed nerves,
teeth becoming worse due to time passing. They got denial, then
approval, then at Christmas when the submitted for
pte approval for sedation, someone looked at it, rejected it
because sedation was already covered under medical. I called in again
so upset and was told we don't talk to patients we talk
to providers... Are you kidding me, my speech, ability to eat and pain were becoming worse and worse. I got a call from UHC representative
that helped dentist who was on special assignment
when oral surgeon approval got cancelled in error.
To sum this up, there iscno one person manage
my case and they were doing me a favor by talking to me.
They won't pay for sedation of 10 plus teeth being
removed with my gums still not healed. My dentist has ordered
a partial for on bottom, otherwise I wld have to
risk surgery to remove 2 bones in my my mouth
that are in the way. They will cover some removals but
not the ones that decayed or fallen apart since which makea
all of this insane, painful, unaffordable, unhealthy
for my condition and let's also not sedate her so
she can suffer more. I begged for one person to handle since
each piece of this was approved in parts, denied in
pards and then changed by someone else.
Had I not fallen, I would not require a partial on the
bottom of my mouth nor a denture on the top.
Even with coverage I am Struggling to find the
co- pay.., . And this pain added to my disability
is inhumainr and barbric.
Last words from UHC, your right this does not
make sense and I can't explain nor get you to
anyone that can... Sorry I guess you have to
appeal again... Goodbye
also covered under mefical
The complaint has been investigated and resolved to the customer’s satisfaction.
covered, not covered, who knows?
My company is covering each employees using health insurance from UnitedHealthcare India.
Recently in november my wife received an operation for fibroids which have been causing her severe bleedings and the insurance covered the surgery.
The fibroids being too big, the doctor didn't take all of it in the first stage. One month later, bleeding started again and the doctor decided to do a second operation, to remove the remaining fibroids. But this time, the insurance denied the credit for some suspicious and non-relevant reason such as our wedding date, saying that because we are married for 3 years, and because they consider this as infertility treatment (?!?!), UHC is only covering it if you are married less than a year!?! then, they brought various topic regarding a 4 years old ectopic pregancy incident, again with no relevant links to this fibroids issue.
We and our doctor had to deal over the phone with some so-called doctor that hang-off the phone without listening to anyone, and just give a feedback by mail, denying the coverage.
Again, the same operation was covered 2 months before...
So it looks like UHC is playing really dirty tricks to not release money, in a very unprofessional manner.
I would strongly not recommend consumers or company using their "services" if it can be call like this. It is bringing more pain in such moment...
The complaint has been investigated and resolved to the customer’s satisfaction.
won't cover typical medication
My infant has had regular ear infections. Every time he gets one, the doctor prescribes a typical amount of antibiotic. The same amount that my daughter was given when she had the same problem. I'm declined for coverage every time I go to the pharmacy, because United expects my child to receive an amount that is so low the doctor says it's unheard of. United is so cheap that they set limits on my child's medication that are unhealthy. I just go ahead and pay the full amount so my child can get well, and wonder why I have insurance at all.
The complaint has been investigated and resolved to the customer’s satisfaction.
I have paid for my United Healthcare Dental coverage for 3 years and now I have had to have a tooth pulled and get a bridge. A bridge is covered on my policy at 50%, I have that in writing in my policy. They will not approve a bridge. My dentist has written them a letter as to why I need a bridge but they will still not approve it. He says this has never happened to him before. Is this insurance fraud? I think so...
United Healthcare sucks. They have gotten worse. My dentist opted out of United Healthcare dental coverage because he felt to use their guidelines was an infringement on his ability to provide quality dental care.
reimburstment claims go into black hole
It is useless to call the 1-800 number because all they do is resubmit your claim and don't know why it got kicked back. It is hit or miss. It seems they ignore submissions or deny them until you submit them several times and call them but they can't answer simple questions like why it got kicked back or not processed. I choose this Insurance because of the reviews i read but i am switching to CIGNA because of these horrible experiences.
The complaint has been investigated and resolved to the customer’s satisfaction.
I have been trying to be reimbursed for out of pocket exspense for a doctor who would not file the claims, and told me that I would have to file the claims myself. Now is 800.00 dollars is due for the total appointments with is doctor. I have submitted claims to a Medicare complete insurance 5 times, and every time I would call, they would want the same information five times now. If I had known that the insurance company would treat members with some appreciation, I would have run far far away.
misleading sales tactics
AARP, a division of United Health Care(UHC), advised that I could reduce my monthly health care payments to zero dollars, and still keep my current doctors.This proved to be untrue.It was a fraudulent attempt to have me change from my existing UHC plan at $200/month to a no fee AARP Complete Solutions plan, also endorsed by UHC.I registered, rec'd my membership card with my doctors name on it.However, my doctor was not part of this plan.My wife was distraught that we could not use our current doctors.We had to opt out of the AARP plan and purchase a more costly plan at $517/month.All my conversations were recorded, however UHC said that the tapes recording my conversations with the unscrupulos sales agent could not be retrieved?Can someone recomean a qualified attorney to help me ?
signed us up for plan without our approval
I was laid off my job oct 2009. I had rx plan that covered myself and husband. We called about getting a rx plan when my plan expired. We told the person we talked with that we did not want rx plan until my rx plan expired. He took our information. Then we started getting bills for the plan. I called several times to the 800 number to tell them that we didnot want plan until my plan expired. I send letters, the 800 agents were rude and didnot handle the problem propertly. My plan expired in june 2010. Since i had so much problems with them i did not want rx plan thru them. . My husband did sign up and was told everything was fine. His plan would start in july 2010. Send them $160. 00 to start and then it would be taken out of his social security check. Then we received a letter saying to send them $322. 80, this was for plan since oct 2009. They had applied the $160. 00 to the plan from 2009. (That we did not use or sign up for) now we are afraid they will take it out of his check. I spoke with a kevin? At the 800 number last night, he was rude and said he would cancel my husbands plan and turn the $322. 80 to collection bureau. . . We did not sign up in oct2009, we did not use plan and they want us to pay something we never used or signed up for. The problem is with the incompelent person who took our call in oct 2009 and signed us, when we made it very clear we had a rx plan and didnt need one until my plan expired. Why would we sign up when we had coverage ? Crazy isnt the word for it.
benefit and coverage docs very misleading
My wife had to go to a specialist because her hearing is getting very bad.Well I go on uhc website to see if the specialist that her primary doctor refer her to is in the network, and he was.I then go to the benefit/coverage page and am under the assumption that all we have to do is pay the $40 copay. So a couple of weeks later we get a bill for $170.On the benefit page it says $40 copay not subject to deductible.I called them and they gave me some bulls%^t! It seems to me they pick and choose what they want to pay. If I would have known that we were going to have to pay out of pocket, we would have waited till the first of the year, since she has to have catscan and surgery also.We pay over $5, 000 a year for coverage and it is thru her employer, so we are stuck with them.We have been with them for quite a few years and have never use it for anything but preventive care ie blood work(lab).I have said it before and I will say it again Insurance Companies are nothing but legalized crooks!
underwriters are heartless
1)Pre-existing riders right from the start - fine, there were a few claims but not any life-long problems... 2)Premium increased $200 each year for two years - dealt with that, I figured that was maybe normal... 3)Now I have gone over 24 months with no problems, but underwriting will not remove pre-existing riders - NOT FINE! POLICY CANCELLED! How do they think I can keep paying for something that they are basically not really allowing me to use. I will be switching to Blue Cross Blue Shield before my next premium becomes due again! UHC won;t see another penny from ME!
denial of claim
UHC's customer Service is non-existent. I received a bill from my former physician for services performed July 2007 through November 2007-yes THREE years ago. I spent 3+ hrs on the phone. I am sure UHC's main customer service site is in India. I was transferred back and forth at least 10 times. I was transferred to an automated survey twice, and once when I asked to speak with a manager, the customer service rep hung up on me. I finally spoke with somebody who seemed to be able to help me but they mentioned by records had been 'PURGED". I somehow doubt that. 'Archived' perhaps, but surely they are 'somewhere' in their system. My former physician has re-submitted the claims twice and each time UHC denies coverage: "Insurance Terminated". Well, DUH! No kidding I am not covered by UHC now, but for the entire year of 2007 I was covered. I have copies of the second submittal by the physician's billing department. Even the form states, "Per the website, this patient was covered 1/1/07 - 12/31/07. Please reprocess for additional payment." I wrote UHC a letter with supporting documentation. I did hear back but they state they have "No record of this claim." Then the form letter tells me to visit www.myuhc.com to view my claims and EOB's. Well I cannot access anything because I am now with Aetna .The stupid letter even tells me to "call customer care on the back of my member ID card..." and to mail a bunch of required info to, "The address on your member ID card."
They infuriate me so much. I am not paying another dime...other than postage to keep sending documentation that I was covered. How can they get away with this crap?!
I'm not to happy with the physician either. Why wait THREE damn years to refile a claim? I do have one of the EOB's with a claim number stating that the physician was paid. At the very least I hope to be off the hook for $140 of the $345 they are demanding.
Follow-up: After HOURS and HOURS of trying to talk to ANYBODY at UHC I finally got to talk to someone is the U.S.. They were extremely helpful. They said all my info had been archived. All of my previous calls to their Customer Support Center in India had somehow been diverted (every single time) to their PROVIDER line. Even when the CS reps would transfer me, my call would go to the Provider Line. When I would ask to speak with a supervisor, they would simply hang up on me. Anyways, the U.S. person I spoke with mail me copies of ALL of my EOB's. UHC had in fact paid the doctor for all of the claims they were trying to say they had not been reimbursed. I simply faxed these copies to the doctor's billing company and everything was dropped. I left a nasty review of the doctor on Healthgrades.com I wonder how many other patients ended up simply paying these bills to get them off their back/not have their credit history affected? Unfortunately, my company's insurance plan is back with UHC this year.
I have varicose vein problems verified by Jefferson Radioolgy 6/30/15.
Once submitted to United Health Care for treatment they denied the claim. This is not for cosmetic reasons it is for health reasons. Leg pain and swelling is a real, not just ugly. Can anyone help with this? I’m so upset by their ignorance and greed this should not be allowed. If this is denied what other problems can this cause that they should be held accountable for? Are they 100% confident this isn’t a necessary surgery?
UHC should pay up - contact your state's Insurance Commissioner. If the doctor did submit the claim in a timely manner the first time UHC should be obligated to pay. I agree, your doctor's office bears a share of the blame here and you should resist paying him more than your would have owed under the terms of your insurance coverage at the time if they (UHC) end up refusing to pay at all. I handle my father's insurance paperwork and one of his specialists failed to file a claim for more than a year after the office visit. The insurance refused to pay anything on it at that point. It must have been one of the terms of being a provider in their 'family' that claims are submitted within a year of the service because we did get a notice that the company had refused to pay but the office never billed us.
emergency room visit
I had to use their doctors, and the only drs they had, I would not take my dog to. I wound up paying cash and seeing my own Dr. The only problem is, I work for Motion Industries, a part of GPC and that is who I have to get my insurance from. Sucks huh? Might as well who drop them and throw myself on the mercy of the government...only problem with that is they run it too! Really sucks to know that when I do get to quit working at the age of 68 I will have to depend on United Health Care to make sure I die before I become a burden, haha...they sure get their share of government spending though, don't they? Wonder who their CEO knows...don't you?
The complaint has been investigated and resolved to the customer’s satisfaction.
not covering amount of prescribed medications
My doctor prescribes 9 Imitrex (the generic) every month. I work as a Firefighter/ Paramedic in the Arizona heat and they sometimes trigger migraines. When our department switched to United Health Care I went to get my prescription refilled. Instead of the normal 9 pills (which come in a nice packet) I only received 4. They said it was a 30 day supply when I called. When I looked on-line at their website it said it was a 10 day supply. So, I am suppose to pay a $15 co-pay every 10 days for my meds. If I don't get treated for the migraines right away as the Imitrex does I end up in the ER. Not a good thing when I am on shift and need to be ready to save lives and help those in need. I have had to go to the ER before on shift before Imitrex was on the market. It was not a fun experience. Not to mention costly. I don't understand how an Insurance company trying to save money can justify this. If I end up in the ER it is extremely costly to them as well as me. So, if I am only allowed 4 in a month during the wicked heat we endure here in central Arizona I can guarantee I will have more them 4 migraines. I catch them quickly and take my meds. it doesn't effect my job performance. If I don't my whole crew is effected and can't go out on a call that could save someone's life. This just makes no sense to me.
The complaint has been investigated and resolved to the customer’s satisfaction.
My employer recently changed from Aetna to United Healthcare and I've run into the same problem. Yesterday I received my first Rx for Imitrex from UHC's Medco Pharmacy and it consisted of just 12 tablets for a 3-month supply. For comparison, Aetna provided 27 tablets every 3 months! It's hard to understand how some bureaucrat who knows nothing about me or my health issues can overrule my doctor's treatment recommendation. I guess I'll have no choice but to visit the ER once my alloted meds are used up. If we start costing them a bundle of $$$, maybe they'll reconsider this ridiculous policy. Sadly, I'm afraid we're going to see this happening more often as the cost of health care continues to rise. The insurance companies will deny treatment for the sake of their bottom line.
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Above poster is correct--documents are destroyed--so the original has been in the trash heap for a year and a half--
when insurances recieve mail, the originals are destroyed. the information gets scanned into a computer so that they can be seen company wide. at that point, there is nothing that gets sent out.. however, since billings are done by doctors and hospitals, you could get a copy of it from them.