UnitedHealthCare Reviews
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About UnitedHealthCare
- Helpful customer service
- Quick claims processing
- Comprehensive coverage options
- Affordable premiums
- High out-of-pocket costs
- Frequent claim denials
UnitedHealthCare Reviews
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Reviewed March 13, 2018
United Health Care AARP Medicare Advantage Plan 2 - On 1/31 my PCP initiated orders for replacement of my deteriorating CPAP machine. It went downhill from there. He didn't know what Medicare required and he and his office let it hang in the air for a week. When the vendor they referred me to called me to say they did not serve United HealthCare I called and spent 2 hours on UHC's cust service line who referred me to another vendor. They never contacted me, week 2 gone. I called the USC rep who told me that 1st vendor was the correct one. Called them and they said MD prescription was wrong and not fillable. MD disagreed. Again with another USC rep who finally recommended getting referral for a new sleep apnea test to comply with Medicare regs.
Week 3 done as my sleep deteriorates. PCP refers me to a sleep lab who referred me to their specialist before my appointment only to be called 2 days before the test they did NOT accept UHC... You guessed it. I lost another week. Then found a sleep lab who DOES accept UHC. Got test done. Diagnosed severe sleep apnea (I knew this as I have used CPAP 5 yrs). Now hoped the Pulmonary specialist would order machine. But no, he needed to see me face to face before he could order machine. Min you do I'm out $100 ridiculous co-pays. See MD, office sends new orders and support documents. Call back vendor next day... They denied receiving orders (Though MD had confirmation from Preferred Homecare). Call the vendor who says not received. Called UHC rep, 50 min hold and then disconnect.
3/13 and still no machine or recourse. UHC reps just make up things and never really resolve anything. Some good elements in a plan that is imploding on itself. You'll spend more with other plans but AARP UHC will leave you high and dry. I'm an RN and have worked the system 35yrs. I've never been so ashamed of my colleagues and their sheer hubris to lie and fail their patients. We are in trouble my friends. Caveat emptor! God help me if I was a frail individual who depended on the ethics and diligence of people in this Health HMO in AZ. Will leave UHC at first opportunity.
Reviewed March 13, 2018
My big problem is with the pharmaceutical coverage. The tier system of covering the meds makes it difficult to see any benefit of having the coverage.

Reviewed March 12, 2018
I had a terrible problem with Hi-Health Innovations Hearing Aid, a subsidiary of UHC, that was sold to my brother who has a UHC Medicare Advantage Health Care Plan. He was charged $565.00 for a hearing aid mold and a poorly manufactured hearing aid. The mold broke off of the aid and Hi-Health Innovations wanted $130.00 to replace the mold. The hearing testing results conducted by hearing aid dealers, not Audiologists did not reflect the results when a battery of tests was performed by a licensed Audiologist performed in an acoustic enclosure. An accurate battery of tests is essential in order to select the right hearing aid. My brother was never given any option to purchase any aid other than the one BTE aid UHC was selling. There was minimal support for the UHC purchased aid.
Reviewed March 12, 2018
Prescription was my complaint. The Donut hole leaves a lot to be desired. Probably going to change next year. I don't like my medication being held hostage. I don't understand that I am trying to get better.
Reviewed March 9, 2018
Zero stars for demanding PA for birth control. Crappy company obviously trying to save $ for stock holders by emphasizing short term gains. Does the CEO need another private jet? "United Health CEO's compensation swells in 2016 to $17.8 million. United Health Group CEO Stephen Hemsley made $17.8 million in total compensation in 2016 for running the nation's largest health insurance company. Apr 21, 2017". Shame on all board members who create this climate of $ before patients! This is why we need single payer system. We will be switching to BCBS who at least doesn't need PA for BCPs!
Reviewed March 9, 2018
I am pregnant and filed a referral for a midwife in January 2018 and as of March 8, 2018 still have not gotten an answer, meanwhile I have been told that I need to refile due to the referral stating expected due date rather than exact date of birth. Got that fixed then they said I needed a 6 digit ID number, uuhhh it was already on the paper. Then I have filed several grievances with them and believe it or not they canceled them. What right do they have to cancel my complaint. Meanwhile I am pregnant, being denied prenatal care and getting physically sick from the stress.
Reviewed March 8, 2018
I had short term insurance which expired. I was called by an agent that said he had an upgrade to my previous insurance. He was lying. My Dr told me this is in fact not even insurance but indemnity coverage. Companies like this should be legally allowed to operate. Do yourself a favor and avoid these scam artists.
Reviewed March 6, 2018
United Health Care (avoid if possible) is in the business of selling insurance and denying coverage-- typical insurance company but these people are unbelievable. Since having their coverage (involuntary on my part) there is nothing they won't deny. Not on our list of covered drugs, subject to certain limits, you must try other medications (do they get a kickback from some drug companies?). Why do we bother getting medical opinions and recommendations when these money grubbing, corrupt companies make decisions about which they know nothing? It's enough to make you sick!
I have been keeping records to provide my successors in interest a pathway to sue UH if I don't survive their abuse. God forbid I should ever need serious medical attention. I am healthy for my age and have good medical care. I collaborate with my Dr on what's best for this or that. But, United Healthcare is always trying to interfere with, control or override the Dr's recommendations. My Dr and even my pharmacist comment on how dangerous it is to have these people in your medical life. If you have ANY choice in the matter, avoid this company if at all possible. Watch out; they buy up their competitors and impose their draconian and idiotic ideas on innocent people.
Reviewed March 1, 2018
My wife recently renewed a refill for insulin and the copay was a staggering $1785 up from last year's of $450. We paid a total of $1680 for all of 2017. She gets 5 refills a year. Called to find out why the copay was so high and got an uncaring reply - "Our cost went up but don't worry. The next refills will be only $254 each." We already paid $100 more for the first refill than all 5 refills in 2017 and will be charged another $1100 for the balance of 2018. My wife is on 16+ medications and with this unannounced increase just for this one medication I should not worry!!! My Plan D premium increased approx. 60% and my Plan F premium increased approx. 25% in the last 2 years. Who is raking who over the coals? There must be a better Company out there and when I find it United Health Care will be history.
Reviewed Feb. 25, 2018
My husband has numerous health issues and one of them is osteopenia, his bones are degenerating in his body and has severe pain that really can't be treated any other way than by pain medication. He has been seeing a pain management doctor and has been on ** for over 9 months. We were told that each year an approval process has to happen and submitted the form for this drug to be covered. It was covered in January only to get a letter in February that it was denied. No real reason given as to why. He has been taking the drug, with same strength since 2017. He now is in withdrawals and I am sure he will be hospitalized.
I have spent numerous hours on the phone but comes down to it they just don't want to pay for it. They have directly impacted my husband's health and well being. This should not happen and plan on appealing, filing a lawsuit and ensuring that they never never do this to someone else because of greed, side deals with different pharmaceutical companies and overall incompetence.
Reviewed Feb. 20, 2018
I have United Health Care insurance for last 4 yrs. I called them today 2/20/18 to ask them when was a certain last test conducted as the insurance doesn't cover the test more than once in 2 yrs. Rep was absolutely discourteous. I explained to him that my records don't show the description of the claims made, so I needed help. He asked me how is he supposed to look it up if I didn't know when I got it done...duh! That's why I am calling. I asked him he could generate a pdf of the claims and search for the short description I gave him and he said "no I cannot". Absolutely rude. People like this should be fired- clearly in the wrong job.
Reviewed Feb. 20, 2018
Very simple, and along the same lines of nearly every other complaint. I take a specialized medication, and due to "contracting", basically greed, they decide that an alternative will work for me. My doctor disagrees, but United HC does not care. If their stakeholders get an extra penny and I die, they seem fine with that. Pathetic!
Reviewed Feb. 16, 2018
I have Narcolepsy, and the ONLY med that worked, they denied when my other Medicaid paid for it. These people & this company SUCK!!! I can't believe they would destroy my life like this. I'm falling asleep at my job...
Reviewed Feb. 13, 2018
All insurance companies are terrible today because they fail to offer a coverage option that is growing by leaps and bounds the integrative/functional medicine and naturopathic categories, and we all know why... There has got to be collusion going on between the docs and the pharma companies. That category treats the whole body with better options and we all wonder why it is growing... The insurance carriers need to wake up about this and offer these options. I have struggled and fired four docs in my plan... So frustrating!
Reviewed Feb. 13, 2018
I'm trying to use the UHC website, but it's so full of script (Windows task manager = 2,133,522k+) it's not usable. All transactions need to be done through their website, but is so slow you can't use it. I would guess this is by design.
Reviewed Feb. 12, 2018
I have insurance In-Network Only (INO) and with it I pay for everything but if I could take the money spent on Premiums and put it in an HSA I would be set.
Reviewed Feb. 11, 2018
We never have had a problem with UH either paying for covered procedures or helping out when a mistake was made by a provider or Medicare. They also have given us good information when needed.
Reviewed Feb. 10, 2018
They just made you use mail pharmacy instead of you choose what pharmacy do you want. When you have lifetime medications prescription they don't let you have them at your local pharmacy and if you go you have to pay almost the total of the medication cost.
Reviewed Feb. 10, 2018
We have United Health Care Medicare supplement plan F and have paid no co-payments for any services for the 4 years we have had it. It is a pricey supplement but totally worth it in my opinion.
Reviewed Feb. 8, 2018
Constant runaround with ‘prior authorization’ claiming they only will cover ‘Drug A ER’ then deny at pharmacy... say will only cover ‘Drug B ER’ submit prescription. Denied again. They say, "No we only cover ‘Drug A non-ER’." Submit prescription and denied again. At this point I've been without ANY MEDICATION for over a week now. And people wonder why there’s a mental health crisis.
Reviewed Feb. 6, 2018
So, basically, we signed up for insurance through my husband's jobs and he received a welcome packet and was told that coverage would start on the 1st. We hadn't received any ID cards yet but we expected to at least be able to sign in. Nope. Not only can we not sign in, when we called, no information came up either. We emailed the agent we went through, named Tanya several times and called but no answer back except "it can take a week or two to go through". He told her it had been almost 4 weeks and she said she would check it and get back to us. She never did.
We never received a call or an email. I'm guessing she just didn't care enough about her job or she knew she screwed up. This is unacceptable. Also, I have to pay out of pocket to see my oncologist due to Miss Can't Do Her Job. Needless to say, I'm furious, my husband is furious, and his boss is furious. According to his boss, she has 24 hours to complete the task before suing her and having her fired. No one should have to threaten to sue or have someone fired to force their lazy butts to do a simple job. Tanya seems to be an exception.
Reviewed Feb. 2, 2018
Over The Counter Essentials benefit dropped. I have been with UHC for several years. Until 2018, we have been given a quarterly benefit for over the counter items. I just tried to place my first order for 2018 but am told that my plan, Secure Horizons, no longer offers this benefit. I received no notification of this change from UHC. In addition they also greatly raised the cost of several of my medications. Stay away from this pathetic excuse for a healthcare company!
Reviewed Feb. 1, 2018
My company that I have worked for, for 19 yrs went with United Health Care after being with Blue Cross/Blue Shield for all other years, except the last 4 or 5, and we have been with UHC, since then. I have never had any issues with BC/BS. When I see a doctor that is out of network, I have to send in the receipt where I paid and also the paper with all the medical codes that claims needs to process. Well, they never receive faxes that I send, that comes back saying ok on my end, UHC, doesn't receive, really? What did it do? Disappear in mid air? You have to stay on top of YOUR CLAIMS, don't expect that they will. If you fax something, you should call the next day and make sure they got it. I'm still waiting on a refund from a Dec, 6th, 2017 office visit, and had I not called to see whats going on, I still wouldn't know anything.
They don't communicate with you to let you know of any issues, They will put processed on the website, when it's not! Then after, getting refunds, from the same doctor, same medical issue, same place, everything the same, all year long, the last month of the year, they decide they need a place of service code, and cant process until they have! Funny, they processed every one before with no issues, It's always something with this company. I'm so upset that my employer went with this company, I miss BC/BS so very much!! So, if you can get insurance somewhere else, I would def recommend elsewhere, not here! ONE VERY UNHAPPY CUSTOMER, WISHING I HAD ANOTHER CHOICE WITH MY HEALTHCARE NEEDS AND INSURANCE COMPANY! OH, Ps, every agent tells you something different.
Reviewed Feb. 1, 2018
Once again I am an idiot to think that you can get insurance and have honesty at the same time. Took money out of my account and the ink was not even dry. Hell to cancel, agent mad, no help at all. Now I have to wait for almost 2 weeks to get money back and they pushed it through last night. Jan. 30 did app, Feb. 1 cancel, that is how fast they rob you. Tell you every Dr. and/or hospital takes, they DO NOT!!! I read reviews and ignored, shame on me! Please do not take this out, please!!! Thieves, sad state of affairs when this is what we have become as a people. I will do without any coverage, I am not taking any more chances. This was through an agent, a real insurance company. :( 1/30/2018
Reviewed Feb. 1, 2018
My son has Medicaid and he had an appointment to be seen by his dentist. We don't have dentists nearby that accept Medicaid so I had to schedule transportation services, considering that I'm disabled myself and that the facility where we had to go is an hour away. So I did, I called Medicaid and they booked the service for the right day. However, they called me back the next day to tell me that I had to book it through United Health Care and that's when my nightmare started. So I called United and they told me that because it was not a medical emergency, they couldn't book the trip, that it was too late. I explained to Dotty ** and Becky ** that the delay was because I was not given the right information and that I couldn't reschedule the appointment for a near date, considering that they take forever to schedule an appointment for Medicaid patients.
I also explained to them that even it's not a life threatening event, my son has a real problem with his teeth and that he also had already a cavity but they just didn't care at all. I'm changing my son out of United Health Care because they are actually United We Don't Care. All their customer service people are trained to not give their names and their service is all but caring. Very horrible and frustrating experience. That's when you see a different treatment when you're a disabled person who sadly depends on Medicaid.
Reviewed Feb. 1, 2018
Here is the corruption/scam schema. Beware! When they rips off people, when they get into Emergency situation, what makes it even more unethical and outrageous. I used the United Health Care website to find "in-network" hospital and selected it for the visit. After I've got a bill, I found that 3 doctors were charged/billed as "out-of-network". In this case, the United Health Care covered only the maximum allowable, applicable for their "in-network" doctors and made me responsible to pay the rest of the bill, so that I had to pay something like $500 more, than I was supposed to!
All attempts to appeal within a company failed. UHC ** me that repeating that "we processed it correctly", chronically ignoring the part that they lied that the facility is not fully "in-network". I requested an external appeal and they simply said that they are not dealing with it and advised me to use a private lawyer. So, why am I supposed to be responsible for this? They didn't say any kind of information that the facilities which they list as "in-network" can still have "out-of-network" doctors. I believe they simply don't want to pay them and this is how they do this "optimization" of their expenses. The most outrageous part is that they do that to patients, which are in emergency situation and have no way to check status of each doctor, as well as I found this totally illogical that why their "in network" hospitals have "out of network" doctors.
And what is a point of medical insurance in this case, if some doctors can be easily out of network and you can't control it, since you are in emergency situation? What if 50% or 75% of doctors can be "out of network" in their facilities which this list as "in network"??? It's a new way Americans found how to scam and rip off people, so that more and more people get unexpected expenses and would be stuck with huge bills and get into debt. How I hate United States, that there is no protection for people from this scam/corruption and I no longer want to live here. I am shocked how far the system went scamming people like that! Got to hell!
Reviewed Jan. 31, 2018
I tore my left hamstring, no in-network orthopedic doctors will see me, due to no in-network doctor treats torn hamstrings. 4 weeks so far, UHC keeps denying the referral to go out of network for me to get treated, due to, "Doctor is out of network". They are sooooo stupid. So basically... They are denying me medical treatment. If they do not have any in-network doctors to treat me, they MUST approve me to go out of network and pay for it... But they keep giving me the runaround. So now I just live on pain pills... Gee, maybe I will get addicted and then I can also sue them for that!!!
Reviewed Jan. 31, 2018
I just joined UHC because of AARP recommendation. Sadly have come to realize AARP is only a sales vehicle. I am new to Medicare and the "system". All I, to date, have attempted to do was to establish doctors in my new city. Easy task: right? The UHC web site is antiquated (sorry: "we have been having problems") and the information once you get to it is out of date. The list of doctors (including the one they put on my card) aren't accepting new patients. Had the same success when I contacted one of the many customer service numbers. I can't wait to be able to leave UHC and AARP. Sadly I have to wait for the open enrollment period.
Reviewed Jan. 31, 2018
Most is done on website and the site is well done. I had better coverage as an employee of Verizon, but all things considered I am happy with the service and grateful to have it.
Reviewed Jan. 30, 2018
When I decided to sign up for this plan for 2018 I did some research to make sure that my doctors accepted this plan. It a plan that bills Medicare first, and the balance is picked by Medicaid (Ohio). Not until I had gone to the doctor twice did I get a bill wanting me to pay what Medicare didn't pay. When I called them they said that they do not bill Medicaid. Of course they did not tell me that when I signed up. I think anyone would assume that if you accept a dual plan for Medicare and Medicaid that this would be normal policy. No one will help me now. Not the doctors office, not UHC, not Medicare, not Medicaid. They tell me I am stuck with the bills, which are not small. I have no means to pay this so they will not allow me to see my doctor until I do. I am at a loss as to what to do about my meds. What can I do? Any advice? Thanks much.
Reviewed Jan. 30, 2018
United Health Care is the worst insurance company ever! Here's the story so far... My mom is a massive stroke survivor and lost the ability to fully function as a individual. She now needs 24 hour care to help her live life. I decided to become her caregiver so we applied for a CDPAP program called Freedom Care. Unfortunately Freedom Care didn't accept the insurance she had, but UHC was 1 they did accept so we switched on 12/1/17. All the paperwork was approved and completed for Freedom Care by 12/6/17. All that was left to start was to get a home nursing assessment to determine how many work hours her case gets each week. There's local nurses that could easily had completed the assessment that same week, but UHC won't accept a 3rd party assessment, so they have to provide it with 1 of their nurses. All was to be done is have my mother's doctor sent pre or prior authorization in order for UHC to schedule the assessment.
This was 12/6/17 and today is 1/30/18 and we still in the same position. Every time we call UHC half the people don't know what we be talking about and the other half gave us bad information. Her doctor sent the pre/prior authorization multiple times over the last 2 months but each time UHC said it was sent to the wrong place. The places he sent it to was provided by multiple UHC employees and they all gave different answers. UHC they provided my mom with a case manager which suppose to handle situations like this but even she provided my mom's doctor with bad information. I never been so stressed out talking to customer service in my life. When I asked employees to tell me the exact location that her doctor needs to send the pre/prior authorization they either give me the same bad information or tell me her doctor should have his contacts within UHC. What the hell does that mean?
I mentioned that to him and he said he don't have a contact for pre/prior authorizations and was using the numbers we gave him from the UHC employees. I truly don't understand why it's so hard just to schedule a assessment that won't take more than 10 minutes to complete. To make a long story short, UHC is terrible! How they been around so long is comical and goes to show they been stealing money for decades. The sad part is I can't switch her insurance again until 12/1/18 so we gonna have to keep getting the runaround, bad info and incompetence until then. Has anyone else been through this with UHC? If so how did that turn out? I'll repost as soon as the pre/prior authorization eventually goes through but I'm assuming that'll be like 3 or 4 or 5 months from now because UHC is that terrible.
Reviewed Jan. 30, 2018
Just began Medicare due to disability. United Health Care offered opportunities and opened doors that Medicare at this time is not able to offer. United Health Care gave me hope things will be ok in many areas of concern.
Reviewed Jan. 29, 2018
The nurse who came to my house was very nice and knew what she was doing. All the reps I have talked to are very knowledgeable and very kind. Also I found that the services provided are less expensive than other insurance companies.
Reviewed Jan. 28, 2018
The agent we chose, Stephen **, made United Health Care Advantage sound like this was an answer to our prayers, that nothing compared to this coverage that is totally free. It's the answer to get free medical and drug prescriptions coverage. We continuously were told that it costs nothing, that all drugs will be free, etc, etc. Well one month into this coverage we already spent over a $1,000.00 and afraid to think what the rest of the year will look like. My husband's eye drops for pre and post cataract surgery has cost us over $700.00, cataract surgery deductible $200.00 and that's without hospitalization. The day of my husband's eye surgery we find out from his doctor that we do not have Medicare, that we replaced it with United Health Care. So, us thinking that United Health Care was our supplement insurance, covering what Medicare will not, we are told by the surgeon that that's not the case. That was a total shock to us.
We consider ourselves to be reasonably intelligent people but oh boy how we were misled. We were never told all these things and never received proper plan information books. So mostly we are blaming the agent, Stephen **, for either his neglect or lack of knowledge of the product or not giving a darn about the people like us what he was selling or what he wasn't telling. We also blame ourselves for totally believing in what we were told without asking more questions. And we also blame United Health Care for having people like Stephen ** misrepresenting their company.
We are not the only ones that feel tricked for enrolling in this plan, there are few others on our street alone who are furious with him and United Health Care. We all feel tricked and we all agree that none of us knew that United Health Care Advantage will replace Medicare and that we will be left without supplemental coverage. This agent is only looking out for himself and the commission he pockets. Now we and few are stuck with this coverage for a whole year. I am angry beyond words!
Reviewed Jan. 26, 2018
I have been forced to use Briova that is owned by United Healthcare. I am waiting on my transplant medication right now. I was under the impression they call into the doctor and get the prescription. I had to do that myself. SO tell me what is the benefit I am getting. They messed up last month and I had to fill it through my local pharmacy which took 6hrs, once UH goes through the "proper" process. The process was that they kept calling me to see if I got my meds. I did not. Now yesterday I went refill and was told I needed a new prescription, even though the bottle said 3 refills. Got the prescription and now I'm told I have to wait 24-48hrs for pharmacy to review the doctor’s prescription. This has been an ongoing since I have been forced to use them. My pharmacy is a block from my house and I think it’s not right that I don't have an option.
I am forced to use them because United Healthcare is not only my insurance provider but they own Briova. I think that should be a clear conflict on interest. When I had my transplant 12 years ago, ** and ** were not specialty drugs. Pharma decided that because they were not making any more profit in regular medications, another way to screw sick people these drugs all of a sudden became specialty. I am so fed up. I am so frustrated. I have had to literally chase down a FedEx van for my medication. They leave it at the wrong place. The service is terrible. UPS is even worst. I do not need the stress. I have SLE with renal failure and Sjogren's and I need heart surgery in a few months. I am only 46 yrs old. Plus I have to fight with my insurance company/Briova each month and fight for my life.
All I want is the option to pick up my meds at my local pharmacy, they know who I am, seen me for the last 13yrs. If my doctor calls in prescription I can pick it up in an hour not 3 days and then it gets lost. When I call Briova they say they need to ask compliance question about my condition, has it changed, any new allergies, last I check customer services are not qualify to ask those question "compliance". This is such a farce. Unfortunately that is the only insurance employers are offering today. SAD.
Reviewed Jan. 26, 2018
Needed a MRI with contrast after DVT. My doctor submitted the request and I was pre-approved. I am claustrophobic so I have always had open MRI and never had a problem from UHC. This time I could not find a open MRI so UHC assisted me in finding a facility with stand up. My old facility was out of network as on previous occasions and UHC would still pay if the facility accepted the amount. The facility declined and UHC found another facility without stand up but with a bigger bed and UHC gave me the number. I got my preapproval paper and made my appointment and did the MRI, now 3 months later UHC denied the claim and I was billed $2200.
The facility say that UHC said in their deny letter that I was not approved and the MRI was unnecessary. When I talked to UHC in October they were very pushy for me to have the MRI to find out if my DVT had moved from my leg to my pelvic area. Now when the results was ok they refuse to pay. They also say that preapproval don't mean they will pay for the service. A big question for me is why do you need to waste 2 week to wait for preapproval if they still don't pay for the service. This is unacceptable for me.
Reviewed Jan. 25, 2018
We had Kaiser which was a big disappointment so we change to United. My wife was in an accident and lost her ability to walk. We live in a rent controlled apartment in San Francisco. United will not help us get her to doctors' appointments (she needs to be carried down the stairs). Kaiser provided this but United has been even a bigger disappointment - they will not help at all. So now, she can't even get to the doctor even though we pay monthly fees for this discriminatory practice. They act like this is the most unusual request they ever had. So this has never happened to another person? Screw you United non-Health Care.
Reviewed Jan. 24, 2018
I had a dental insurance with UHC. I tried to call the customer care for cancellation of the policy. I was on hold for mins and received no response. I was instantly connected to the department who provides new insurance policy. They connected me to the different department for cancellation and I was once again on hold for 30 mins. The service was poor and there is nobody to help me. I wasted 2 hours of my time reaching just the customer care team.
Reviewed Jan. 23, 2018
I was prescribed a ** inhaler for COPD to be used 4 times a day. United Health will only let me have enough for two times a day which means I will not have medication to breathe for 15 days of a month. Yet two months ago they sent me a letter saying they would pay for gender reassignment is definitely something wrong with the system that will pay for an elective surgery over a necessity for breathing.
Reviewed Jan. 22, 2018
My husband suffered prostate cancer and his cancer doctor requested a PET scan to find possible metastatic recurrences. The doctor explained why the test was so needed. Evicore who declines ever test, medications, medication amount and everything in between. They have no concern except for taking our money!
Reviewed Jan. 20, 2018
I have had this insurance for 20 years and have hadn’t no problem until Obamacare. It changed my insurance to an unaffordable policy. I pay 2025.00 for me (47 year old female who is fixed and had no serious health issues). My husband and son are 2100.00 (48 male and 13 year old son)... These charges are every 3 months so 4100 x 4 is my yearly fee...and to top it off last year I noticed that we had to pay upfront for all services and when we reached a deductible of 7000 per person then we would have coverages 80/20 so for 46,000 a year I will only then have 80% of my insurance paid and I still pay 20%. 46 GRAND PEOPLE so Obamacare screwed This Family over. We have always paid for insurance and now it’s 46,000.00 until they pay 80%. Wrap your head around those numbers.
Reviewed Jan. 19, 2018
Retired veteran and 100% disabled - This is the worst Healthcare I have ever experienced and my experiences are not limited to military only. Day before yesterday, I spent 7 hours on phone to hopefully clear up a 2,100 dollar bill to my 16 year son for breaking his wrist snowboarding a year ago! I got NOTHING resolved, was only transfered from 'A' to 'B', then to 'D', back to 'A', etc, etc, etc.!!! Then, 4.5 hrs total on hold yesterday and spoken to NO ONE! Today a total of 4 hours and spoke to NO ONE!
Thank you United Health joke for continuing to make me and my family's health coverage a joke. So glad I served our country for 21 years and paid that price with my inability to be physically mobile most of the time. And thanks for you helping maintain my misery through your awful coverage, terrible benefits, and even worse customer service. It's really borderline thievery. It's no wonder why so many veterans end their lives after coming home. Getting the help needed is near impossible!
Reviewed Jan. 16, 2018
On January 3rd, I cancelled a policy with them. Since it was in the first 10 days of trial, the customer service agent said my money was going to be refunded within 10 days. When I called on January 16th wondering why they hadn't returned the money, another customer service agent said she was not aware that I had cancelled. She said that there was no record of me canceling. Apparently according to her, the other agent might have forgot to cancel the policy. Thus, I have to pay for 1/2 month's time which I didn't need. At least this customer service agent gave me a cancellation number with her name for any future nuttiness.
Also, if you take out their accident policy (which sounds real good), they don't send you a card or any information except a letter telling you that you have to log in to a website. You get an ID number and then are directed and told that you must log in to a website. When you get to the website, they tell you that they don't allow accident policyholders to log in even though you will get a letter telling you that you must log in. All the customer service rep can say is "sorry." I cancelled that policy and got a number and name of that agent. I will say that this agent was very cordial and polite.
Reviewed Jan. 13, 2018
I think UHC stinks. They have denied my hearing aids after 2 appeals. I'm taking it now to the external level appeal. My spouse pays a lot of money every month for ** insurance and they won't even cover anything on these hearing aids. Do not get UHC. Also I waited like 4 months for an appeal and it is supposed to be no more than 30 days. I even had a customer service rep tell me on the phone they were gonna cover the hearing aids and then they said no. I guess they "changed their mind". Horrible phone wait times.
Reviewed Jan. 13, 2018
These people are completely incompetent. The last three four times I've been trying to get my medication I haven't been able to get it. My doctor's office, my Pharmacy has them everything they wanted. This medication is very urgent for me to get a r e 2 weeks yet they keep saying I have to wait 20 days to get my medication. I'm ending up in the hospital because of this. I've called them 3 4 times hour at a time being hold one hour and they cannot get this completed and then they have the audacity to have a recording. I mean a lady call and say, "I hope we took care of your problem." No you didn't.
3 days I'm calling and we can't resolve a simple thing. These people are playing with everyone's health. If anybody else have a problem with getting their medications I would love you for to call me back so we can do class action lawsuit on these **. My number is ** so if you have been having hard time getting your medication let teach them a lesson that they cannot play with people lives.
Reviewed Jan. 11, 2018
Can't renew my dental policy. Their website doesn't work, says my policy doesn't exist meanwhile I got their bill. The bill has barely any information on it. Tried to register as a new policyholder and that didn't work either. I call every day for 4 days straight hold time averaging 1 hour and 7 minutes. No other phone number to call them on. No way to contact them by email either. Apparently they don't like customers contacting them, even if it is to pay a bill. Lost out on getting a new plan because open enrollment passed. Not being able to contact them is negligent and I mean that legally.
Reviewed Jan. 10, 2018
UHC denied a RX issued by my doctor and their reason for denial was they simply won't cover it and to try over the counter medicine instead. I'm pretty sure if an OTC medicine was needed the licensed medical professional would have recommended that. They also denied a nausea RX for our son today on the day of his surgery and explained they just wouldn't cover it but if I told them of another nausea medicine they would see about authorizing that. So it seems now patients can play doctor and actually use Dr. Google and request their own medicine but they won't approve a written RX by a licensed professional. I will also be filing a complaint with the insurance commissioner but if you have a choice for health insurance, I'd strongly recommend going with another company.
Reviewed Jan. 8, 2018
The nerve of this company charging an individual female 45 yrs. $1,141.00 a month. Wait time for a rep on the phone they tell you 30 minutes, I've been on the phone 1 hour and 40 minutes so far. The coverage provided is low compared to the services offered. I must have a primary doctor and need referrals for any specialist. Referrals are very hard to process. My doctors' office spend an hour a day for 3 weeks and couldn't get through to process a referral. Almost all of my doctors and labs send billing to United Health Care and the bills go unpaid until collections gets in touch with me.
Reviewed Jan. 3, 2018
Poor customer service but probably a trick on their part to keep your money. If you try and cancel a policy, they tell you that you have to wait on the phone for at least one hour (they claim to be so busy). They will tell you that they will call you back but they don't. You need to sit and wait on the phone forever to talk to a customer service rep about canceling a policy. And those reps are not eager to answer those phones.
Reviewed Jan. 3, 2018
They just deny everything and see if you bother to appeal. The FSA they manage is the same - they keep denying valid medical bills (even though it's MY money!). Of all my FSA charges last year, with $1500 in the account, they denied $1300 and still haven't "accepted" any sort of receipt I can get them (including charges from their OWN specialty pharmacy for prescription medications!). They suck.
Reviewed Dec. 31, 2017
I was on the phone for an hour and 25 mins, spoke with 7 people and still did not receive an answer to the original reason I called. Was put on hold over and over; told they could not find what plan I was on; transferred to someone who then would transfer me to someone else. Lots of dead silence. The representatives I spoke with did not know what they were doing. Terrible, terrible customer service.

Reviewed Dec. 29, 2017
I have called United Health Care five times and changed my address for one year this is been going on. My premium has been increased as of January 2018 without any notification to me. United healthcare tells me they sent a notice but they have sent it to an old address where a friend of mine lives and she never got the notice either. A supervisor I spoke with by the name of Rachel in the customer service department told me my premium should be no more than $26 for the two prescriptions I get every month. I am now being charged $90 a month. I cannot afford this. I am a senior citizen on a fixed income. United said I am past the deadline for enrollment so therefore I cannot change the plan for one year but I had no notification that the plan was being changed. They are being totally unfair and I cannot pay this amount. Cannot get any satisfaction from anyone I speak to there. Where do I go?
Supervisor Rachel was supposed to call me back on Thursday, December 28. I received no phone call. I called back on Friday the December 29 and was told there's no record of a change of address and nothing can be done and then that person hung up the phone on me because I was upset. Please help me resolve this issue. United healthcare employees are incompetent and not doing their job. That's why I have never received any notification and now they want me to pay the price. Thank you.
Reviewed Dec. 27, 2017
I was looking for a PCP to handle medical needs. I needed a PCP that took both the plan that UHC gave and Medicaid. The agent told me that she found a PCP that would work. The first doctor was not a PCP, but a specialist that was not seeing any patients. The second one was no longer in the medical field. So, the third PCP took the plan and I was told that the PCP took Medicaid. The agent made the appointment and I went to see this doctor. After the appointment, I was billed $183 because the PCP did not take Medicaid. I was now stuck with a medical bill. I will pay this bill off and when it comes time to enroll in a plan, I will take Medicare and a different prescription plan with another company.
Reviewed Dec. 24, 2017
Terrible company, terrible & non-functioning website with incorrect information and not to mention all of my healthcare doctors, nurses, etc!!! Have told me the same thing about United Health Care. "They are hard to deal with when it comes to being paid for services that have been provided to me the customer". Constant incorrect information listed on United Health Care website of which doctor is in the network and who is out of network. The list goes on & on!!!
Reviewed Dec. 23, 2017
Have appealed a denial of a PREAPPROVED procedure three times. Rejected even though they have admitted they preapproved the amount because the provider sent the bill from their primary location and I was preapproved for a satellite location, which is where I went. Complete and utter thieves. Gross company with no sense of responsibility or decency. The worst experience I’ve had with a company in my entire life.
Reviewed Dec. 18, 2017
As an urgent care provider, they expect you to treat whatever medical problem a patient presents to you for $120.00. Numerous excuses to not pay or downgrade pay for a submitted patient billings. Expect to have a huge amount of time, for a staff to spend on the phone to try to resolve something. My personal opinion; this is a business model with "modus operandi" to maximize charging the patients, minimize physician/provider payments, have a hard to secure and time consuming "prior authorization" for whatever urgently needed, in the hope that either physicians or patients just give up getting the test, all equal to a more profitable balance sheet, which there is absolutely, nothing wrong about it!
Reviewed Dec. 16, 2017
I had to go one day to emergency room in a New York hospital. An ambulance took me there. United Health Care pretends I am not entitled to this!!! Trying to talk with somebody you are being transferred from one to another one until you lose your patience and give up. Never apply to these CROOKS for a medical insurance.
Reviewed Dec. 15, 2017
My daughter is in college, she is 18 years old, I paid my bills for her. I have received one bill explanation, I had a question, they said I am not authorized to call them for her. Then I need to paid the bills, without ask anything.
Reviewed Dec. 14, 2017
United Healthcare Community Plan a.k.a United Healthcare DUAL COMPLETE is laughable at best. Pitiful customer service, employees ask you 9 times for your name, policy number, then state they can't find you. Their DDS (Doctor of Dental Surgery) and DMD (Doctor of Dental Medicine) DENTAL PROGRAM is a total DISASTER. They recommend dentists who claim to be General Dentists. When you call the receptionists states the dentist does not know how to do root canal, pitiful. My calls were hung up on, transferred to wrong departments, they couldn't find my name, my policy number, it was a surreal circus.
Reviewed Dec. 13, 2017
Have been a lifelong United Health Care consumer and will be no more... I'm done with these robbers. I cannot even get my ID Cards even though trying many many times. No way to talk to anyone by phone, email, online etc. It deserves no stars for customer service. It's been bad for about two years now. They have not covered several doctor visits, medications, that it used to. So sickening!! Stay aware consumers!! Spend money elsewhere!!
Reviewed Dec. 11, 2017
The way that United Health Care processes claims for healthcare providers is disgraceful. They automatically deny claims for no authorization when in fact there is one and they do not ever admit that they are wrong. Every time I need to call United I get these people that do not know how to speak English or think, they are reading off a pre-written script.
Reviewed Dec. 9, 2017
I pay a lot for United Health Care and they will not allow me to choose my own Pharmacy! They FORCE me to use ONLY Optum and pay a higher price for my prescriptions to get my medications. Since I can't LIVE without taking my medications I have to pay through the nose. How can they get away with it? They are creating a nice little monopoly for Optum. Where is the government regulations on THAT? Unfair! I want to use my own pharmacy! They are going to drive local pharmacies out of business with these tactics! My pharmacy charges a fair price and I don't want to pay Optum more money!
Reviewed Dec. 7, 2017
United Health is only out for your money and NOT the patient. They refuse to cover MUCH NEEDED medications that my boyfriend needs for his diabetes and my boyfriend has had polyps before and they REFUSE to pay for his colonoscopy because he is 49 and not 50! Stay away from United Health Care!!! If he gets cancer because they refuse the colonoscopy they won't even pay for that when it could have been prevented from the start!!!
Reviewed Dec. 6, 2017
UHC has the worst possible service: their salespeople don't know the answers to commonly asked questions, and are unable to think for themselves. They put you on hold multiple times to find answers-and don't always have an answer. Customer service is non-existent, you're put on hold and then you are hung up on. These people have a prepared speech like a parrot and if you ask them a question that's not on their prescribed script-they repeat the same dumb answer. You get different answers from different people for the same question and are given the run-around and transferred from person to person, and disconnected. This has happened multiple times.
The insurance premiums and drug costs are outrageous - they're just after your money and all they want is to screw you over. If you ask for adjustments, appeals they're automatically denied and then they lie about the reason it was denied. My doctor's office called for a tier exception for a medication and told them I have Celiac disease, soy and corn allergies, and gave them a list of other meds I've tried in the past that didn't work and why the meds didn't work. DENIED AGAIN! I received a letter and a phone call from UHC saying that my prior authorization was denied because the drug is covered. My doctor's office didn't ask for a prior auth, they asked for a tier exception.
This took place over 4 days after my coverage began, and I've had enough of their BS. On day 5 I dis-enrolled from the plan by phone, but it couldn't be completed because their computers were over-loaded. They mailed me the form to sign and fax back. I refuse to sign it, because they want to illegally hold me responsible for things that don't apply to me or the case. I didn't pay the premium or use the drug coverage plus they don't have a credit card number or checking account number for me, so they can go straight to **!

Reviewed Dec. 5, 2017
UHC is all about making money. Changed coverage of medication without notification to patient. Stop covering medication that had been prescribed by doctor for over a year without any notice. Covering a new medication that has horrible side effects which have been reported numerous times by other patients. UHC is doing this for “money.” No interest in patient care.
Reviewed Nov. 30, 2017
United Health Care increased the full cost of my medications after enrollment was closed. They more than tripled the full cost pushing me into the donut hole making my drugs so expensive I did not refill the 4th quarter. I filed a complaint and they said "sometimes costs go up." You cannot rely on the information they provide during open enrollment. Typically bait and switch. I have been defrauded. Stay away from United Health Care.
Reviewed Nov. 28, 2017
United Health Care has denied a power wheelchair for my son for 3 years. He has a degenerative neuromuscular disease called Friedreich's Ataxia (FA). He can't walk, has 2 titanium rods in his back due to spinal fusion, has a tremor, has a fine motor disability which makes it difficult to eat, write, button, zip, lift anything over 20 lbs and tires easily because it takes all his energy just to maneuver a short distance. This disease is progressive and there is no cure. It affects his heart and will shorten his life. His pediatrician, neurologist, cardiologist, orthopedist, teacher, and anyone else who has treated him has stated that he needs a power chair but UHC continues to deny. Why?
We appealed their decision and had asked for all the information they used in making that decision, which according to them we were entitled to, but never received. UHC keeps stating that the chair has to be needed "in the home". Of course he needs it in the home. He needs it for everyday use, everywhere, including to make it to the bathroom in time. Does UHC ask people that have to use oxygen if they need it "in the home" before allowing coverage for that? We have jumped through every hoop this company has asked of us and it's just ridiculous that they are turning their backs on a disabled child.
Reviewed Nov. 26, 2017
Absolutely worse customer service ever! If you want to pay sky high premiums and then out of pocket if you go to the doctor United Health Care is the company to use. The PCP that they sent me to sent me to a specialist. I had a paper referral though they said the PCP was suppose to submit it electronically and would not take it or pay even a penny of my bill. I spent over a month trying to get it straight and they pretty much told me it happens all the time and to go screw myself.
Reviewed Nov. 24, 2017
I just received a bill for $71 from United Health Care. I haven't had United Health Care since 2016. I even received a letter in 2016 letting me know that United Health Care was withdrawing from the healthcare Exchange. When I had United Health Care I opted for no subsidy because my income changes. And I didn't want to bill from the government at the end of the year. So far I haven't been able to get through to a person at United Health Care. And I'm unable to login to the website.
I suspect that most people who get a bill would just pay it because United Health Care it's such a hassle to deal with. There is no billing for this bill. No explanation of what it's for. I truly suspect it's fraudulent. I would be interested and hearing from anyone else who receives a bill like this. I would like to start a class action suit against United Health Care for overcharging customers. They have two other lawsuits at this time for overcharging the government and also for overcharging for prescriptions.
Reviewed Nov. 19, 2017
This company insists on doing everything by regular mail and phone; no email. I would get letters asking me to call an 800 number. When I called, at least half the time, the person would not know what was needed and we would have to start over from scratch. A few months ago; they notified me by mail that I had not made a payment and my insurance was cancelled. I sent proof that the payment was made; but they still didn’t restore my insurance. Meanwhile they were still auto billing my account. I’m now with Humana which does use email and I can go online to resolve anything. I’m so happy now. I heard the CEO of United receives double the pay of any other healthcare company; it feels good to have fired him.
Reviewed Nov. 17, 2017
I am a member of UHC through my company. My rates, deductibles and co-pays have increased year over year and my coverage has decreased year over year. In my personal experience the insurance offered is below a standard I would recommend to others. I do not have a choice of health coverage within my company and have found decreased satisfaction and increased frustration due to rate increases and over-inflated medical costs UHC does not cover. In my specific case, it was an Emergency Room visit that turned into inpatient surgery. I went to an in-network facility. I am still responsible for thousands of dollars and my company and I pay thousands to UHC. Their coverage is inadequate.
Reviewed Nov. 17, 2017
Had UHC and added the dental plan for 35 or 36 dollars a month extra. Had look for a reasonable dentist but my choices were limited to Aspen Dental. Oh what an operation that is. Get em in get em out as quick as possible. Wouldn't send my dog there and I don't even have a dog. Anyway I wrote to UHC to cancel my dental plan a number of times and I was still getting billed. What a deal I got. 477.00 dollars later still getting billed. Not a happy camper. Get it right UHC.
Reviewed Nov. 8, 2017
I offer this perspective as a mental health provider in the UBH network: UBH pays mental health professionals an abysmal rate. Specifically, they pay 30-35% the going cash pay rate in California. $60 per session (most therapists get $150 per session). Also, they refuse to pay the industry standard one hour session (90837), only agreeing to the 90834, or 35-45 min session, which is not what happens. Imagine if you only saw all clients for half hour sessions, and then told them it is all their insurance would allow. Clients often wonder why it is hard to find a therapist under their insurance, that is because they cannot keep the lights on if they took only insurance cases from companies like United. It is just wrong, and only the tip of the iceberg.
Also noteworthy is, if they call you to discuss a case because you saw a mental health client once a week for 15-20 consecutive weeks, and you are unavailable to answer, they will send threatening letters to your clients, (scaring them) with disparaging comments about the clinician, and they will deny all claims for that client. Mental health clients are often in a fragile state, and do not need their irresponsible insurance carrier adding to their trauma. If this happens, and you try to call them back, they will then not take your call, and force your client to designate you as their delegate, and complete a 10 page document, before even considering re-opening your case, which they will then not pay retroactively. They have traumatized 4 of my clients, this year alone, in this way. DO NOT CONTRACT with them if you can avoid it at all.
Reviewed Nov. 8, 2017
We pay $300 A WEEK for a platinum plan, specifically for better prescription coverage. Repeatedly, I am denied coverage for 2 medications. When they finally approve a substitute, it is ineffective, and the process starts over. Each time the meds need refilled, it is the same scenario again. This last time, the Dr. has contacted them 3 times, and they still need more information. Pathetic!
Reviewed Nov. 8, 2017
Seldom go to the doctor. But knew something was wrong. Went to doctor and had very high blood pressure and an abnormal EKG. Doctor scheduled a stress test for two days later. MyUHC denied the claim! Now I have to wait multiple days more with high BP, abnormal EKG, and now chest pains. Thanks for giving me something else to stress about. Decision probably made by some pinhead behind a computer with no knowledge at all of circumstances. If I have a heart attack prior to being approved - my family will own MyUHC.
Reviewed Nov. 7, 2017
All I wanted was a quote to compare rates. They are the biggest waste of time. Absolutely worthless company in my opinion. I wasted probably an hour waiting to speak to one of their ** and dealing with their faltering phone system. The phone transfer system doesn't work... constantly saying they are having phone service issues. I call the number direct that someone provided. I gave the idiot all my personal information including my address, state, etc. Then he says he will now transfer me.
So an agent picks up to give me a quote. Then he says United no longer provides individual insurance in the state of Maryland. But they do provide group plans. How weird. So he transfers me to group. And you hold and hold until disconnected! LOL. A worthless company indeed. Why would anyone put their health in their hands? And I hear their rates are about the same as Blue Shield. But trying to confirm it just cost me an hour of my time playing around on the phone.
Reviewed Nov. 7, 2017
Having trouble catching my breath and chest pains for 2 weeks prior to doc visit. Set up for stress test and submitting on 3 different occasions before turning down the request. In meantime shortness of breath has gotten worse. More chest pains and no energy. What do I do now 4 weeks later.
Reviewed Nov. 5, 2017
In the past I have bad experiences with the hospital and United Health Care helped me straighten it out. Hospital insurance People are sometimes not listening. The United agent will get to the bottom of the problem and see what they can do to fix it. They have always been helpful and courteous as well.
Reviewed Nov. 4, 2017
UHC has stated that I am allowed to have certain Rx for my chronic pain but when I try to use a prescription, I am denied. I have been told, in writing, that I had to have end of life pain and terminal cancer in order to obtain a medication that I had taken for over 7 yrs. I have resorted to PAYING for meds in cash, outside of insurance, because UHC doesn't want to cover me. Why have insurance at all? My Dr has even written to UHC on appeal stating that I need long term care and that ceasing my meds can result in my death, to no avail. Can anyone help me?
Reviewed Nov. 4, 2017
Our son is requiring residential treatment because of severe RAD along with multiple diagnoses related to living most of his life in an orphanage. He is just now making some progress after 60 days and now Optum is denying claims stating he doesn’t meet criteria for further treatment. He DOES meet THEIR medical necessity requirement, but we are learning that Optum will deny 97% of all behavioral claims after 60 days. It won’t matter to them what the patient needs or what the clinicians and psychiatrists report in peer to peer review. United and Optum will NOT meet the needs of the patient. They will line their pockets first while their clients suffer. Why is this allowed to happen in this country?
Reviewed Nov. 2, 2017
Anyone want to know why health care costs so much? INCOMPETENCY is the exact reason why. People answering the phone that do not have a clue. So, my experience began wasting away because my old company was sold. I am on Cobra because I had to have a major operation and was out for 8 months. Anyway, United opens a totally new account, without telling me, never sends me cards, never gives me anything. After repeated calls and speaking with "Managers" (what a joke) they came to the conclusion after 5 phone calls, hours wasted on hold that I needed to re-register... Wow it was that easy? Sure, got to my account and the amount owed was wrong and showing that I owed 2 months, but paid on the first month already on the OLD ACCOUNT.
On the phone again... Next up, NEVER GOT REGISTERED for the prescription plan... paid for it, not registered. Hours on phone again calling everyone in the universe to go back to... You guessed it. UHC!!! They put a ticket in and finally got number... no card yet, now CVS tells me I need 2 other numbers now!!! INCOMPETENCE is what is costing us so much money!!! Holy smokes, back on the phone again, I am about to blow my cork over this!
Reviewed Nov. 2, 2017
I'm paying more for less. I can't make sense of their claims process, and neither can their reps when they painstakingly seek an answer for me. I've gotten wrong information about a prescription that resulted in an overpayment by me for 2 months before I discovered their mistake, their provider directory is useless when I find out they aren't part of the plan. I've even had a rep double check one, yet when I called they said they don't accept insurance. Their mental health services are handled by a completely different company that I've been transferred to, only to be told they can't help. What a nightmare!
Reviewed Nov. 1, 2017
United HealthCare is crap! They don't cover anything. Their premiums are outrageous, mainly because they don't cover anything. You can't get anyone on the phone that knows anything. They keep you on hold for 20-30 minutes. Don't buy this insurance. It's total crap.
Reviewed Nov. 1, 2017
Terrible website and support. Half of the time the single sign on from my United Health Care medical site fails. When I get to the site, I cannot complete any mail order medications for my son who is away at college; it errors out selecting payment method or shipping address. I can order for myself however. I've tried contacting them via the "contact us" link. They responded that, in order to assist, they needed my son's name, date of birth, and insurance ID. He doesn't have an ID - it is my insurance, and there is already an insurance ID field when you contact them. They said I could respond to their message by hitting the 'reply' button above the message - there isn't one. There's a 'delete' button above and below the message, but no way to reply.
So I tried to write a new message including my son's name, birth date, and the problem I'm having. However, their messages only allow 250 characters, so it is hard to include all the relevant data. I tried to locate an email address I could send a more detailed message. I did find an info@optum.com, but my message to that address was not replied to.
I've called their helpline too. Actually, they have an option via the site to have them call you for help. I selected that option and I got an automated call immediately. It said to press a key to connect to an agent. After two minutes on hold, it dropped my call. I found a number online and was connected to a 'specialist'. They admitted the site was having issues, but that it should be fixed soon. That was 3 weeks ago.
I tried calling a few times since then, but no agent could assist me in ordering for my son. During the last call, the agent indicated the site should be fixed. Nope. He seemed confused and I think he was talking to someone in the background who was coaching him what to say. Obviously another 20 minutes wasted talking to him. Their site is a joke, and they should be ashamed of how poorly designed and unstable it is.
Reviewed Nov. 1, 2017
I have United Health Care Medicare supplemental insurance. The company has made my life easier. Their coverage enables me to have less worries about my health problems. The few times I've interacted with them have been both informative and pleasant. Coverage was adequately explained in understandable terms.
Reviewed Oct. 28, 2017
My father was referred by PCP to have sleep study as he has current diagnosis of IS A for last 20 years and needs either new machine or pressure settings adjusted on current machine. United Health Care is denying a sleep study to be conducted as basically, "he's not sick enough." This is not appropriate practice as insurance is denying this person access to quality healthcare. So now he has to begin the process of contesting the denial. There is no reason to have to jump through so many hoops when a medical professional is ordering the procedure due to medical necessity.
Reviewed Oct. 28, 2017
Every time I went to my primary care doctor they would change it and bill me like I was going to a doctor that was not my primary care doctor. I would have to call them and tell them again who my primary care doctor was. The first time I thought it was a mistake but when it happened over and over again I was just hoping that I did not have anything major happen. BEWARE OF THIS COMPANY!!!
Reviewed Oct. 28, 2017
I have had United HC Oxford through my employer for four years. The network of doctors and specialists is very diverse and comprehensive. The co-pay for my primary doctor is $20 per visit and $40 for everyone else. I think $40 is high as I have had to see numerous specialist. There must be better policies out there but I am thankful to have coverage.
Reviewed Oct. 26, 2017
The insurance is great, it's Physicians Choice Medical Group who is the "middle man" here on the Central Coast of CA that is the problem. They take the insurance and twist it to their liking and it doesn't resemble what I'm paying for. I'm sent off site for lab tests that are supposed to be covered at the hospital, etc. This is ridiculous!
Reviewed Oct. 24, 2017
I am a patient who lives with rare, incurable cancer. While it tends to be slow-growing, it is something that has required management for over 10 years. Over the years, they have repeatedly denied claims for other portions of my health care, minor things. They deny the claim, my doctors appeal and they still deny, or claim they never received the information. It goes round and round. Lately, my cancer has kicked back up and my doctor prescribed a course of chemo that is typical for my disease. UHC IS DENYING CHEMO TO A CANCER PATIENT. Seriously. They just reported $53 billion dollars last quarter for revenue and they can't pony up medication for me? If I could switch insurance, I would, but, it's the only thing my employer provides. Run as far away from this company as you can.
Reviewed Oct. 24, 2017
Very difficult to navigate their policies and figure out coverage. Customer service is very polite but many times they will not commit to a specific answer. I am constantly surprised by unexpected bills from providers. Maybe my expectations are too high.
Reviewed Oct. 23, 2017
Pretty much forced to set up a Rally account. Reviewed terms and conditions before and after set up the Rally. Once account in place terms and conditions differ. Advise all to read the full terms and conditions. Believe it is setting members up to disclose records protected by HIPPA. When discovered I requested Rally account be closed. Relieved confirmation of my request, but it was not comply.
Reviewed Oct. 20, 2017
United Health Care has been a horrible experience from the day one. So glad we got rid of it and changed insurance companies at work. Our co-pays for prescription drugs dropped by half when we switched to Blue Cross. About a year ago our son was injured and had to be taken to the hospital four and a half hours away from where we live. United Health Care gypped both the provider Hospital and us.
They didn't pay the hospital because they said they didn't properly pre-register something which helped us in fact because we didn't have to pay a big balance, but on the other hand they also shafted Us by sticking us with the ambulance bill. First they said that it was not billed properly as an emergency pickup. After contacting the ambulance company twice and having them rebill them twice we didn't hear from them and thought everything was fine. Then last July we heard that it was being denied because the ambulance company was out of network.
United Health Care told us we should definitely appeal the decision because it was totally out of our control. They told us we had three days to appeal and immediately we sent out the letter. A few weeks later we got a letter stating that the appeal is being considered. Then just a few weeks ago we heard that the appeal was denied because the time limit had run out. They purposely strung us along for over a year so that the appeal could be denied. They should have told us immediately when we first received our bill that the ambulance company was out of network because they should have known it and more than likely they did know! They were just stringing us along so that we could be denied in the end.
So in fact they paid no one, not the hospital, not the ambulance bill and shafted both the provider, and us with an ambulance bill of over $1,000. We contacted the Ohio Insurance Bureau to file a complaint and are waiting to see what will happen now. Insurance companies are scum and should be all taken out of the mix and Universal Health Care should be the law of the land.
Reviewed Oct. 13, 2017
Took my daughter to the Dr., and she prescribed a RX for the symptom. I went to the pharmacy to pick up the RX and gave them my benefit card. The pharmacist then said United Healthcare requires a pre-authorization from the Dr. before they will cover the RX. What? The Dr. prescribed the RX, it's on the counter in front of me. I called United Healthcare and he said the Dr. has to fill out the authorization form with them for certain meds. So after an hour, I left without the RX. The Dr. clearly deemed this the best RX for the patient, as they prescribed the RX. Why is United Health Care not wanting to cover it? Then, to make matters worse, the United Health Care guy couldn't tell me why...
Reviewed Oct. 12, 2017
Flu Shots - Coverage denied by provider but UHC says it's covered, but admits to system problems cause claims to be denied. Lab Test from Physical - Coverage denied - same story as above. Past employer chose United Health Care in 1992 and it was terrible. Current employer changed to United Health Care and it has not changed; still terrible.

Reviewed Oct. 11, 2017
Medicare plainly states that colorectal screening test AND anesthesia are covered 100% with no co-payment or deductible every 120 months. I have UnitedHealthcare Advantage and they don't seem to think so. I was billed for the anesthesia and had to pay a co-pay and it was applied to my deductible. If you have UHC Advantage, be prepared to pay for your anesthesia if you have a colonoscopy. When they send you a letter recommending that you have this test at "no cost" - NOT TRUE!!! I had the procedure in June. It is now October and I'm still fighting for them to obey the law. All UNC people are polite, but they are not well trained or know the Medicare law.
Reviewed Oct. 7, 2017
UHC delayed the approval of durable medical equipment - one excuse after another. My mom was discharged from hospital with orders for a trilogy machine, life-saving equipment. She passed away still waiting for it, even after requesting an expedited claim UHC delays = my mother's death. Avoid this company at all costs. READ ALL THE REVIEWS!!!
Reviewed Oct. 4, 2017
While at a doctors office, UHC came back with an amount of $109. I would have to pay for a procedure. I have the procedure done, and after the fact UHC tells me it will be $1,315. I was floored! Another reason I picked the tier of insurance that I did was because it covers a specific procedure. Again, after the fact and the doctors office filing the claim, every month UHC would respond to the office with excuses like"Wrong code", "Shes's not covered", "Wrong code again", "You sent the claim to the wrong department." Every month it was something, and 8 months later, "We don't cover that."
Reviewed Sept. 30, 2017
For three weeks I have been trying to find a doctor. These people don't help only cause frustration. Call to ask a question, they can't answer. Say "will call you back," never do. Your request is not entered into their system. When they do record your concerns and grievances of which seem to be deleted. Next person has no record of your call. Inexperience, limited training and no common sense.
Reviewed Sept. 26, 2017
Worst company ever - a total scam - executives should be in Jail. They do not pay claims - lose paperwork - lie on the phone and do not pay bills they should. DO NOT DO BUSINESS WITH THIS COMPANY!!! If there are others out there that feel the same way - let's file a class action lawsuit.
Reviewed Sept. 18, 2017
I saw my NP for a herniated disc and she is aware that this is a problem I've been battling since my 20s. I am now in my early 60s. The pain is horrible and I know it well from my history and times I needed surgery. My NP ordered an MRI and they promptly denied it. They insisted I have a month of physical therapy first, which I already know will help minimally at best. The PT clinic I was referred to seldom answers the phone or returns calls and they are a month out with appointments. Probably other people suffering, while United wrings as much money out of their pain as possible before they, too, can get the diagnostics they really need. Like I do. Dreadful, hardnosed company.
Reviewed Sept. 15, 2017
I don't know if I despise Verizon Retiree program more or United Health Care. Both have continually messed up my subscription to a Health Care plan that was SUPPOSED to take effect in July. I paid over $200 in monthly premiums through the Benefits Center two months in a row, only to keep being told that UHC "did not have me in the system".
After literally FIGHTING with the both of them on the line for several weeks, I was finally given a member ID number and Group number in SEPTEMBER... but wait - when I tried to check in and get a card, I couldn't find any information. I was then told by VZ Benefits Ctr that my policy was not in the Advantage Care Plan (which I had filled out the paperwork and paid for), but that it was in UHC COMMERCIAL insurance Department.
The supervisor at VZ Benefits Center was scolding me for applying for that type of policy when I should have been submitted under an Advantage Plan. I had to practically scream at her that it was HER employee's mistake - not my request - that I was put in the wrong section of UHC. Here we are 4 weeks later and I still don't have a membership card, I cannot register online, I couldn't find an up-to-date list of doctors on their website, and when I call to speak with a rep to get a card I'm asked if I would like to schedule a call-back. The call back will be in ONE HOUR, but after I leave my number and the recorded idiot is reading it back to me, it cuts me off mid-sentence and now I have to start all over again?
This is the MOST awful insurance company I have ever dealt with. And shame on Verizon - your Benefits Connection call center employees are NOT doing their jobs well and the supervisor I spoke with was incredibly rude and blamed everything on ME. When she called me back, she was cold as ice and so impolite. Don't know who was worse, as I said. If you have a chance to choose another company, stay away from UHC. And their website is almost always experiencing technical difficulties. I encourage everyone to call their State Insurance commissioner and complain about their issues.
Reviewed Sept. 14, 2017
People believe they have coverage, that this is actual health insurance. They pay well below half the going rate, significantly less than Medicaid plans. I've been on hold for 54 minutes at this point for Customer 'Service' with no end in sight.
Reviewed Sept. 11, 2017
This is my second review on UHC. I wrote the first one right after we had to change insurance companies to UHC. My husband's company was bought by a bigger company about a year ago and, unfortunately, that company uses United Healthcare. I'm sure it is based solely on the fact that they are the cheapest company. This is evident because UHC does everything they can to not pay for procedures and medications. It is also evident by the service of their customer service department. I called the 1-800 number to make sure they would cover the Anesthesia group that my doctors use for their procedures, as this was suggested in the instruction packet I received from my doctor. They said not all insurers cover General Anesthesia/Monitored Anesthesia Care. Considering my previous experience with UHC, I thought it wise to call the 1-800 number on my card and confirm coverage.
I called and have been waiting for over an hour and counting to speak with a UHC representative. I think that UHC purposely does this hoping that the member will give up and hang up because the member doesn't have the time to wait. However, today I do. We will see if they ever pick up. I will try to update this review later to let you know if they ever answered my call.
Reviewed Sept. 1, 2017
Prescription policy is a shame. They refused to provide me with a 5mg pill. Instead they offer a 10mg pill to be cut in half. Problem is that the pill size is just about 3mm!!! So considering the TINY pill size, cutting DOESNT WORK!! It would be a very inaccurate dose... One day I can get 7mg and the next 3 mg!!! No health professional was involved in that irrational prescription policy.
I thought I could solve that problem if I switch back to Horizon. So two days ago, I requested to change back to Horizon (I was with Horizon and made the mistake to switch to UNITED HEALTH CARE couple of weeks ago). Horizon used to provided me with the 5 mg medication for year and half with no one problem... But unfortunately you can't switch HMO easily, any request after the 15th of the month is processed the next month. So today is September 1st, I made the change request 2 days ago but I will have to wait until OCTOBER 1st to have it effectived. I am done, no medication supply, I need my daily medication but I have ZERO supply and there is a long weekend coming!! HMO are closed for holidays.
Reviewed Aug. 30, 2017
Since I have been a member of United Health AARP there have been numerous times I have requested numerous pieces of information to be sent to me. I get the patented reply of, "It will take 7 (seven) to 10 (ten) business days for your request to be filled." Why? I have been put on IGNORE for over 15 (fifteen) and if and when I do finally get a representative on the line I have been told, "You need to talk to someone else" and yet another delay. While waiting I also have been disconnected (more than once) which makes for a VERY INFURIATING situation.
Reviewed Aug. 30, 2017
This company is run by a bunch of complete dumb **. Purchased health coverage 3-01-2015, paid same day. Got a letter 3-21-15 insurance will be cancelled due to non-payment. Called company, they can’t take payments by phone. Told to log in online to make payment. I did since it was getting close to next due date. I made a second payment. Both payments now getting credited 3-24-15... looked good right... wrong. They cancelled me 4-30-15 for non-payment. Called so many times to get resolved, each payment was 297.56… One department couldn't see payments. Told to screen shot it and send to another department...
This company sounds too big for them to handle. I was told can’t refund money due to it being cancelled. Paid 2 months even told me I had a thirty day grace period so I should have till May 29th to make next payment. But they cancelled my insurance at end of April for non-payment. But now they can see both my payments which covered March and April and have 30 days to make next payment but cancelled in April. What aren't they following, they gave me no insurance, took my money and said, “Screw you, can’t help.” No card. Called a few times, told it sometimes takes a while with the market place to start insurance. I paid, should have insurance immediately. This company are scam artist. Looking at all complaints on here a lot of these sound very much alike. Take money, nothing in return. Or half ** coverage. UNITED HEALTHCARE IS A GIANT FRAUD COMPANY!!!
Reviewed Aug. 25, 2017
I bought a supplement F plan online, a month later found I needed a prescription plan also, so went back online and got a Medicare complete plan. In May, had a stent installed, a week later got bills over 4000 dollars. Called United Healthcare, they told me I cannot have both policies, and did not honor the supplement plan that would have paid the bills completely, but used the Advantage plan. They continued to take the supplement payment of 183.47 a month from my account, but did not honor the plan. They said nothing they can do. If I can't have both plans together, why let me get them, they say sorry. How many senior citizens are they ripping off on a daily basis? No conscience stealing from seniors with little income.
Reviewed Aug. 25, 2017
My employer gave me pretty much no choice but to go to United Health Care. Unfortunately I am on Medicare which means the Medicare Advantage Plan was selected for me. I was told my insurance would be really good because the Medicare Advantage Plan is a PPO. Yeah, right! A PPO is only of value if your doctor will still see you with it.
Shortly after the switch to United Health Care, I found myself filling out more forms in doctor’s office and signing more papers stating that if my insurance did not pay, I would. So when United Health Care denied claims and told me my obligation was $0 that wasn't exactly true because I'd already signed papers with the doctors stating I would still be obligated to pay. I don't blame the doctors though, they need to be paid for their services. Also, I have found that some of my doctors are completely opting out of Medicare which means I can't see them anymore at all but my husband still can. He is not on Medicare so his policy is an HMO.
Reviewed Aug. 24, 2017
I have had nothing but good help from them. Fast to OK referrals and they call to make sure I'm getting the kind of car I need. Always a great group. I would recommend them to anyone.
Reviewed Aug. 23, 2017
United Health Care reps are polite and professional but poorly trained. They are not knowledgeable & the claims process is tedious & time-consuming due to the constant errors in processing. Unfortunately, I can't change carriers or I would.
Reviewed Aug. 21, 2017
In April I started going to the VA for my health care. I had over 400 worth of scripts that I paid for out of my pocket. I filled out the paperwork to be reimbursed for my out of pocket expense and was turned down saying they will not pay a government entity. What the hell??? They will not cover the veterans of the United States? I tried to cancel and was told I can't cancel until Oct. I stopped my auto pay and will not pay them any more money. They have 5 months of payments and have done nothing to help me since I started going to the VA.
Reviewed Aug. 21, 2017
I signed up to receive Medicare PART D with United Health Care RX starting July 1, 2017. I had to prepay the month of July $74.30 each for my wife and same amount for myself. A week into July I discovered that the service provided by this company was terrible, both in answering questions as well as being able to talk to them. They even gave me a false phone number when I talked to a man called Moses at the company. He gave me ** which belongs to a spam user.
I then immediately cancelled our membership after having paid for both my wife and self. No problem since I was within the period in which I could change. End of July I receive a bill for two payments of $74.30 claiming I owed that much for July and if I didn't pay up it would go to collection. Not wanting to jeopardize my credit I paid again and tried calling them to receive a refund for the double charge. Cannot talk to anybody who would be able to take responsibility and talk to me. Have all receipts as cancelled checks both for pre and post July as well as confirmation number of the cancellation. Thank you!
Reviewed Aug. 16, 2017
I have never dealt with a company that is as frustrating as United Health Care. Every time I call this company to check the status of a claim, I am either told they can't find it, it's not on file, I have to resubmit something, etc. Since I take excellent notes of every conversation with this company I stand my ground and insist the information is there. Generally the information then magically appears in their files. Yesterday I asked a customer service person if they have to look at multiple screens or places to find the information and he said, "Yes, it's not all in the same place." That may be what's creating the problem or it can be outright deceit. I think their tactic is to completely frustrate their customers so they give up on their claim. That would really help their bottom line and I honestly think that's what's going on.
Reviewed Aug. 11, 2017
I am a biller for a company that is participating with United Healthcare insurance, this company is not only terrible for and to the members but they're horrible for the providers as well. We call to verify benefits upon and before servicing members, if it requires an authorization (which states at the bottom of the form is not a guarantee of payment). It takes 10-14 business days for a response, we call a few days later to check the status and they say they haven't received anything, we fax again, check a couple more days later, again UHC is stating they haven't received anything. Just another way for UHC to avoid servicing the patient all together.
Finally, they receive the authorization, it gets approved, patient is serviced, claims deny as not a covered benefit. Even after calling claims department, authorizations department and going through our provider representative, they still refuse to pay the claims because "Authorization does not guarantee payment". What good is an authorization, if you're not going to pay the claims? Also, patients will come in, and we know, for example, an E0118 is not a covered benefit, it is NOT on the Medicaid Fee Schedule, which UHC states they follow, they tell the patients that it is covered and that we're liars. I have personally billed UHC for an E0118, providing the authorization and names and reference numbers of people we spoke to at UHCC along with the claim. They deny as not a covered benefit and when you appeal it they still deny it. Currently, we're one of the many providers being underpaid on multiple claims.
This has been an issue since 2014 (that we're aware of, who knows how long before I came in that they were underpaying these claims), and we have PROOF and a CONTRACT that states EXACTLY what they should be paying when a CLEAN CLAIM is submitted on a 1500 form with ALL documentation attached, and they deny it for "no documentation attached". A previous employee of UHC explained that when paper claims come in the door at UHC, they detach the documents from the claim, the claim gets entered and the documents go somewhere else. Since January of 2015, ours and many other companies have been taking many loses with UHC. They always give patients and providers wrongful information, and we're told that ad providers were to be held accountable.
I would never ever suggest this insurance to any member or, I've already got my family members to switch their insurance, and due to the underpaid claims, we're no longer accepting UHC patients. Our patients are loyal and have already decided they're switching insurance so they can stay with us. I hope this review will help deter people from picking this insurance company, nothing will ever change our minds or make us go back.
Reviewed Aug. 8, 2017
I've been trying to get a medication approved from United Health Care for over 2 months. My doctor has submitted 2 PA forms a 2 Appeals in order to get this medication approved. In the last Appeals letter, we included Genetic testing results stating the medication was the ONLY Medication that works within my body. The last Appeals document, my doctor was very transparent as to reasons why this medication is required. I'm now informed that the medication I'm prescribed to take twice a day, exceeds my medication plan. This is Absolutely RIDICULOUS! When did an insurance company become a physician? When did insurance companies decide what or how many medications the patient requires? I had Blue Cross Blue Shield; I'VE NEVER HAD THIS MUCH TROUBLE OBTAINING THE MEDICATIONS THAT MY DOCTOR HAS PRESCRIBED ME!
I've spent countless hours, countless weeks, my doctor has spent countless hours, countless weeks submitting your paperwork. EVERY Time I call United Health Care, I'm transferred to a new person, new division, I'm told to submit new paperwork, I'm told to fax new paperwork. My pharmacy is caught in the middle of this disaster, they are only trying to fill the medication I've been taking for over 4 years, and United Health Care is making this task IMPOSSIBLE!!! This is ABSOLUTELY THE WORST INSURANCE COMPANY I'VE EVER HAD TO DEAL WITH! Their Customer service representatives are not helpful, in fact they are RUDE! I've requested to speak to someone on the corporation level, only to be told, that is not possible.
Reviewed Aug. 8, 2017
I certainly cannot begin to tell the nightmare story. Trying to find a PCP was hell enough. On the website for PCP's 50% of those doctors do not take this lousy insurance or they are rated so low with online reviews you might as well pay out of pocket to get decent care. The real test was trying to find a psychiatrist. The Acclaim under Optum is an absolute joke. 89.9% of those type doctors are seeing ONLY in patients, half are not on the plan, even though the website says they are. Called United multiple times. They gave me the same list I was already looking at. A care advocate called back one day and found me a psychiatrist. Catch was - she was in Greenville, TX, oh say about 2 hour drive. That's when I went hunting on my own.
Talked again with them today and they gave me two names of a nurse practitioner. Called those numbers and those two NP's are not even working at the office anymore. When you need mental health, it is impossible as their lousy list is so screwed up, i.e. wrong #'s listed for doctors, you put your zip code in and it may pull up doctors in Houston, when it specifically says they do take this substandard cheaper than dirt insurance on the website, you call and find out they do not.
Verizon has really screwed over its retirees by putting them under doctors and Optum is an absolute joke. They still haven't paid ME back for all the times I had to go out on my own and find another doctor as I paid out of pocket. This is a doctor's office that takes traditional Medicare, so they do not file with United Health Care Medicare Advantage, but United says I can file a claim myself and I will be reimbursed!!! Yeah, when hell freezes over! I have this sorry substandard United government run crap of insurance. Your employees were loyal to you for 40 years and you put them on the lousiest, cheapest insurance you can find.
Reviewed Aug. 7, 2017
I had total hip replacement in June, 2017. United Health Care made payment to the assistant surgeon in a timely matter. But the surgeon's charge was denied. I might not be the smartest person on earth, but does that make any sense? I contacted United Health and asked why the assistant surgeon was paid and the surgeon was not, doing the exact same surgery, on the exact same patient, on the exact same hip. The answer was the coding was wrong.
I checked and the coding is the exact same for both surgeons. So I am under the impression, if United Health doesn't want to cover the costs, they can say the coding is incorrect and not cover the expense. This has also happened with 11 visits to the physical therapist that treated me after surgery. So far United Health has denied over $8000.00 of benefits. I paid for the insurance but I guess it comes down to coding if your costs are covered.
Reviewed Aug. 3, 2017
I incurred a bill of $198 from Honor Health in Scottsdale AZ on Jan 18, 2016. Today is August 3, 2017. Since February 2016 I have made no less than 32 calls to UHC to get reimbursed. I paid this bill late last year in frustration. I have been shuffled between UHC Tier 1 and LifePrint with each saying the other is responsible. Each time a new case has been opened or a rep told me it was sent to the wrong group; one excuse after another. Nobody has the power to resolve a case especially one involving such a small sum of money. You should not expect a response without a 30 day period going by after any call to Member Services. It just gets shuffled from one group to another. During this period I was told to submit written claims with receipts to 2 different P.O. boxes in 2 different states. Nobody ever responded and there is no phone number to these claims offices.
Today Member Services said the National Experience Center could help, but this office would not accept new calls. While I had no complaint about the actual doctor experience in 2016, UHC member services is set up to avoid a quick resolution. This company seems to be gigantic. You can never get the same person more than once, that person expresses empathy but cannot resolve a problem! The buck stops with nobody. This company should be either dissolved or completely reorganized with "customer service" in mind. There is no excuse for the way they treat consumers. My next step is to call back in 30 more days. UHC management: are you listening???
Reviewed July 31, 2017
I have sent numerous letters and made many phone calls to UHC about the horrible experience I had after surgery. I was charged for services that I was not given. There were many other problems also. I have letter from hospital stating they agreed with my complaints but they were sorry and could not lower my part of the charges. UHC denied my appeal, seemingly not even reading any of the details, letters from me and the hospital. They sent me a letter reviewing my medical plan! I knew I had copays and coinsurance payments with my plan - that WAS NOT my appeal. I was NOT appealing my charges, I was appealing the charges from the hospital that should not have been.
I spoke to a manager at UHC again and she is resubmitting the claim. I can't afford an attorney to "sue" the hospital because for a few thousand it would not be worth an attorney's time. It is ridiculous that UHC won't investigate my medical records and ask for funds to be returned to them, they just went ahead and paid the bill even though I did not get all the services. Another thing, home physical therapy came to my house a couple of times for a few minutes and they we canceled physical therapy. They charged as if I had spent hours with them and UHC paid that also. And they wonder why premiums are so high in the US. Sucks.
Reviewed July 31, 2017
Example 1: Patient A has AARP Plan 1 HMO. Upon verification, no auth or referral is needed. Patient A was seen about 16 times. After some denials and collections back and forth, all dates were paid, leaving a patient copay of $40/visit, except one DOS where they decided to pay less, claiming the patient owed $80. We tried clearing this discrepancy up with the insurance but it wasn't until we notified the patient what was going on and spoke with our "senior provider advocate" that the issue was resolved (half a year later). Why do we need to file an appeal for a mistake clearly made by the insurance? Issue: Resolved.
Example 2: Patient B also has AARP Plan 1 HMO. She has many claims denied because the provider did not state the time spent on procedure codes. After much back and forth, and addendums, most claims were paid and some still pending. However for 1 DOS, we received a denial because OPTUM alleges that requested info was not received, even though we submitted it on their online portal, Link. We called them to tell them that we submitted the info requested online, giving them the ticket # **. We were told it was rerouted for review and to give them 15-30 days.
We rcvd notice from OPTUM about a week after stating "requested info not rcvd." Called OPTUM again and was told that the claims review team denied it because they are now confused with all the dates on the clinical notes submitted. The claims review team (which is unreachable) is perplexed by "date of daily note," "date of injury/onset/change of status," "date of original eval," and "date of birth" all being on one piece of paper. The only way to resolve is if we further submit an appeal or submit another reconsideration. Why do we need to file an appeal for a mistake clearly made by the insurance? Issue: Pending.
Overall, representatives are generally nice but rather unhelpful, with a few exceptions. Advice for other providers: keep track of everything you send (call reference numbers and even the total number of pages sent) and submit everything you can either online or via fax because you can expect these people either a. provide inaccurate info (say they never rcvd anything) and/or b. redirect back and forth with OPTUM and UHC and/or c. tell you to file an appeal or another recon (which really means, hope you have better luck next time but in the meantime, please wait 30-60 days).
Reviewed July 31, 2017
Company switched from BCBS to United Health Care. I have been taking certain medicines for years and able to stay healthy with Crohn's. Now I have to switch to other medicines and fail before I can get medicines I know work. A big THANK YOU to the folks at United Health Care for screwing over consumers. I think it's time to get new job that offers BCBS. They make you jump through too many hoops. Look folks I'm just trying to stay outta the hospitals. I do believe that costs a little more. LOL Thanks HR at CRANEMASTER for making the switch since you obviously have affiliation with them! FALSE statements like you'll definitely be able to keep your maintenance medications. What a joke.
Reviewed July 28, 2017
Recently, I received a total permanent disability from Ohio Police & Fire. The insurance coverage they offer is through United Health Care (UHC). I'm on specialty drugs and UHC will not work with or pay for these with the current pharmacy. Instead, you're REQUIRED to buy these drugs through their "specialty pharmacy" or they WILL NOT pay anything towards them. Their prices for the same GENERIC drug are 50% higher.
When I transferred these prescriptions to them, they then would not fill them at the designated time to make sure that I didn't have to be without them and have a lapse between dosages. Only after three (3) continual days of calling and being pushed off to one after another "so-called" service representatives, on the third day I was about to melt down and lose my religion, but was lucky enough to finally be connected to a young lady named Nina who was a trouble shooter. Ms. Nina worked with me for about two and a half hours by reaching out to other departments and their home office. To make a long story short, Nina corrected the problem, made sure that my medication was shipped out so that I wouldn't be without it and corrected the reorder problem.
However, while still working as a policeman, I was for a time our union president and on various occasions had cause to deal with insurance companies and Worker Compensation. Then as now, these companies employ tactics that will either deny services, attempt to coerce you into accepting inferior services or deny paying valid claims - UNLESS you appeal these rulings and demand proper services and payment. They also count on most people becoming complacent or just surrender and either pay for something that they shouldn't have to or accept the second rate services. It readily appears that UHC utilizes these operating procedures on an everyday/every claim basis.
These practices and other like them, are how and why our health care system have given rise to multi-billion dollar industries (insurance companies and big pharmaceutical companies). Unfortunately, our legislators and other public officials don't adequately do their jobs to protect the taxpayer, senior citizen, veterans and all others that rely on them to act in the best interest of the public at large. These insurance companies can continue to use these slipshod methods because they have huge leverage through lobbying our elected official with enormous campaign contributions if these officials vow to support actions that further strengthens their hold on the poor working class. These assaults on the workers (both still working, retired or disabled) must come to an end. We must be watchful and do everything in our power to right these ongoing great wrongs. Thank you for giving me a chance to blow off some steam.
Reviewed July 26, 2017
I purchased the best dental plan available with United Healthcare + vision along with it which came to around 45$ as my monthly payment which is a fair price. Recently I had to have dental procedures done which came to around 758$ and a 19$ visit fee. They verified my insurance and notified me that I had an activate plan, but it would be 1+ year before they would cover ANYTHING but fillings despite having I believe the golden plan which is the best one with what I understood immediate effective coverage.
I ended up having to pay OUT of pocket 758$ for the procedure and the 19$ out of my own pocket with ZERO help from United Healthcare. When I contacted them they informed me it would be over another year before they would begin covering any procedures other than fillings despite my plan. On the positive side I will say the customer service is quite fast and effective and courteous as well along with being quite knowledgeable of any information/questions I had, and helped me quite quickly through the enrollment process over the phone. Overall I would strongly advise AGAINST using United Healthcare for any form of insurance unless you are willing to shell out cash on the spot or payments of your own for procedures prior to their horrible waiting period.
Reviewed July 20, 2017
I am a preferred provider for UHC and since Optum has taken over handling claims they are not paying valid health insurance claims. Their insured and providers need to file complaints with the Texas Department of Insurance, TDI and action should be taken against them for not honoring their contracts. I treat their insured in good faith and need to be paid in good faith on valid claims.
Reviewed July 19, 2017
I understand why most people despise drug companies. You provide product information only. It is obvious from your websites that you really don't want to know what your customers think about your products. I was recently prescribed ** daily dose 5mg. My insurance is United Health Care. I have the one of the best plans available. In my 10-years of having this insurance I have never experienced a more ridiculous decision. I was told they would only cover 18 tablets for a 90 day period. This is a daily medication! I was told that it's so ridiculously expensive this is why it's often not covered. Perhaps you could stop showing your repetitive commercials that we see every single day and night constantly. Instead you could actually lower the cost of this medication so that people can actually use it!!!
Reviewed July 14, 2017
I have sleep apnea my entire life and recently attempted to seek treatment to prolong my life. My father died as from complications related to sleep apnea. I was scheduled for an overnight sleep study with my doctor, but United Health Care denied it at the last minute and instead I was given a take home test to perform at home. This was frustrating, but I went ahead with it. I was diagnosed with moderately severe sleep apnea and did 30 days with an APAP machine. My doctor then told me we need to do a "titration" overnight at the office to dial the machine in so it would work better for me as I was swallowing air and waking up due to the pressure being to high.
A day before the study, I received a call from my doctor's office telling me they were still dealing with the insurance company trying to get approval. It was scheduled on a Sunday night, so I heard nothing over the weekend and arrived to an empty office. The mere fact that I pay quite a lot of money to have healthcare and then am denied the coverage I need for a diagnosed medical condition is despicable. United Health Care seems to think they know better than my doctor and are denying me treatment intended to prolong my life as well as increase my quality of life. This should be illegal. I am furious.
Reviewed July 12, 2017
I just became under United. Well let me put it this way. My approval will start August 1st. Of course I can't log in. The coverage is idiotic. No eyeglasses. No Chiropractor. They give you absolutely nothing and my payment to the rheumatoid doctor is higher. Primary is higher at this stage of the game. I have no choice The coverage that I have. Now their Rheumatoid doctor in my area "I'm not accepting new patients." I have to drive 20 miles away that's where I have to drive and I was willing. Unfortunately they're taking no more new patients so I'm stuck with United. Well speaking to a rep at United he wouldn't even allow me to go on this site and pick out my primary doctor. He picked it up and said "you can always change it." No kidding. I will hold on to this coverage until my other insurance coverage adds more Drs.
Reviewed July 11, 2017
Terrible coverage. Multiple communications with "customer care" that proved futile as they seem to provide generic responses to any billing questions. Hardly any providers accept this coverage, especially in the holistic care field. This company is terrible and I hope my employer switches insurance providers.
Reviewed July 11, 2017
In March I had a scheduled surgery on my shoulder. My doctor submitted all of the necessary pre-surgical forms to United and it was a covered procedure. When my surgeon actually opened the area up he determined that a similar, but different procedure would be more successful in resolving my shoulder injury. This was also a covered procedure, although not the procedure we had initially anticipated. I paid my deductible and surgical fees prior to the surgery. United has denied the procedure because my surgeon determined the alternate procedure would provide better results. This denial resulted in my payment of the deductible being negated and United charging my deductible again as they did not honor the first deductible.
The surgeon has appealed the denial and United has again denied the claim. This is a covered surgery under my policy. The surgeon performed the work and is entitled to his fees. Moreover I should not have to pay my deductible twice. I have called United a half dozen times about this; it took at least three calls for me to get the full story. Initially they blamed the doctor. Now the reps do recognize the inequity of the situation but "have no control" over the claim being denied. Every time I call I get put off and hear that I should wait 30 days. This is frustrating and United is clearly in the wrong. They should honor their very expensive health insurance policy.
Reviewed July 10, 2017
My benefit year ends on June 30 and I had met my out of pocket for the year - of $5600!! On June 21 a order was sent to uhc for approval of my cpap. UHC didnt approve this until July 1, so I had to start my deductible and out of pocket all over again! Can't convince me that this was 'just by chance' that it wasnt approved in June!
Then a prescription I had been taking for OVER 10 years they decided to deny. After 12 days without ANY of that medication, they decided to approve INSTEAD of the TWO 200 mg twice a day that I was taking they thought that approving the same medication as follows ~ TWENTY ~ YEP I SAID TWENTY 25mg pills a day would be better!!! WTF?!?
Now I have fibromyalgia and was first given **, what made things soooooo horribly worse, so then my Dr gave me samples of **. This works AMAZING! Of course, it has to be pre-authorized. THREE weeks later and 2 denials, they say I have to try TWO other medications, separately, and then if those don't work... maybe they will reconsider!!! I am just so frickin' amazed at what they can do! Granted I have employer health insurance, but it still isn't cheap and every single thing is an issue! I just can't seem to understand that! If you didn't need the equipment/medication the dr wouldn't have prescribed it! How do they continue to get away with the crap they do???
Reviewed July 6, 2017
When reputed senior specialists prescribe medical tests, authorizations are being denied repeatedly. Other specialists I have consulted have agreed with the prescriptions. I think these decisions are being taken by a company to which United has outsourced this work. Either United has to authorize these tests or send the members to the specialists whose decision they respect.
Reviewed July 5, 2017
I was forced into this insurance when my company changed providers. I needed to order some prescription meds. I received a call from the pharmacy stating the order had been red flagged by United. The pharmacy received a call stating they would need the doctor to rewrite the script detailing how much I needed to take each day and when. This is insulin and the script was written PRN.
I spoke to United and explained this. They told me they could approve 15 units per day. I told them that I take up to 80 units per day and if they knew anything about diabetics, they should know that you cannot predict how many units you are going to need everyday. That's why it's written PRN! I told them If I were restricted to 15 units a day, my A1C would be off the charts. I asked if I could speak with the person who called the pharmacy? They couldn't even determine who that was. I'm just hoping that my ** can get this fixed. I already hate this company and I've only been with them 5 days!
Reviewed July 1, 2017
We try to join the YMCA but UnitedHealthcare does not honor physical Fitness in the state of Florida. I feel like that's discrimination that is for the senior citizens. I feel like they need it more than anybody.
Reviewed June 30, 2017
I am so over UHC and thankfully changed health care providers the first of this year. They paid a claim last summer and then they took the payment back from my doctor's office and I had to make payment out of pocket a year later! OMG! WTHeck? My husband is on ** for diabetes and UHC wouldn't cover ** (a once a week injection) and he had to go on ** (a daily injection), so we also had to pay for needles for the **. What a piece of crap this insurance company is... Not at all caring...
Reviewed June 30, 2017
My small company took on a client who has UHC benefits for private duty nursing services. We verified the benefits and were told that benefits were covered and no pre certification was required. We were not able to access their website until we became a Optum user and acquired a username and password. That took several months. In the meantime, we started providing services.
After months of trying to gain access to the website so that we could submit our first bill (which was now 3 months old), the claim was paid! This began in March 2016. Then, the headaches started. We have been denied over and over again, for the exact same line item on the same invoice for different reason. For example, Take a invoice for services on the 1st through the 7th... the 1st is paid, 2nd is denied for wrong code (which was the exact same as the 1st which was paid, and so on. Nothing on the invoice changes, but the date of service. So, we resubmit, and get a whole different set of denials.
The insured can't afford the bill, which is why we verified benefits to begin with. This has cost us a tremendous amount of administrative time, hours of heartache for me (the business owner), and has put a financial strain on my company. All because we took on a client that had UHC insurance. This client is a Medicaid beneficiary, but we can't bill Medicaid because UHC is denying coverage for every reason in the book but won't say "benefits are exhausted" or "benefits are not covered". So, we are stuck with over 100k of invoices that remain unpaid.
I think something has to be illegal about the way this had been handled. To add insult to injury, at some point the "precertification policy" changed in 2017. We believe in April, however we have gotten multiple answers from UHC. Our client, wasn't informed, we weren't notified, and we were told that it is our responsibility to check this. So, we were one month late getting "precertification" this year.
We submitted the required documents, including physician's orders, plan of care, etc. Then they required a "peer to peer" review between the doctor and a UHC representative....guess what. DENIED. According to UHC skilled nursing services are not required to take care of a child with a tracheostomy, has respiratory failure, requires tube feedings via a gastrostomy tube, chest percussions, breathing treatments, or assessment of respiratory status. According to UHC, this is considered custodial care, in other words, a babysitter down the street should be able to care of this child... a nurse is not needed. So, I have a question, why does this policy say that private duty nursing services are covered on this plan?
Reviewed June 27, 2017
This is been one of the most frustrating and unbelievable time consuming issue, due to false policy information. I will have to take this issue on full time. I went to hospital, stayed a couple of days, this hospital was tier 1 as I confirmed online and with customer svc rep. prior to going to ER. They now say this is a tier 2 hospital and will only pay as such. Please know these people are rude, unknowledgeable from person to person, would not pull my phone calls with reps, and even though I told them I looked online and provided a pic of online information stating tier 1, and the CSR phone call refs. #, they still say I am wrong. My advice is to steer clear. I already have a full time job, and pay for my insurance, and cannot afford the time consuming efforts of this. It is costing me my vacation and ability to pay my bills.
Reviewed June 27, 2017
I have called United Healthcare and their prescription company Express Scripts and they both refuse to allow me to opt out of home delivery. I live in a big city where packages are often stolen and don't want my medication delivered. I have complained to both companies and both tell me to call the other one and they can't help me. So now I am out of my medication that is dangerous to stop and can't afford the $200 out of pocket it would cost so they both screwed over my health! What a waste of a healthcare company!
Reviewed June 25, 2017
This insurance is AARP approved for the elderly. Shame on them. The coverage is horrible and their prescription is even worse. Just found out I have a 210 dollar deductible on my prescription coverage. Needed Proair, 56.00 can't afford to get it. I have respiratory issues. Need a gel for my osteo in my knees, 199.00 can't afford it. Can't wait to rid myself of it in January. Blue Cross here I come.
Reviewed June 22, 2017
Never had this insurance. Cancelled it the same day. That was 4 months ago. Looking in bank account found that this company has taken money for something we NEVER received. The nasty SAMANTHA customer service rep LIED about sending us a refund. Oh we did get a booklet on 6.20.2017 explaining our benefits for something we never asked for nor used. Didn't know we even had it until we looked at the bank account and found 4 withdrawals and lovely SAMANTHA said she could only refund 1 month. Are you kidding. I will be filing a BBB report and going to the bank to find out my recourse.
Reviewed June 14, 2017
I have been using an out of network provider for care and submitting claims for the allotted portion of reimbursements. This has been going on for approximately two years now. There was suddenly something wrong with my submissions even though nothing had changed with the service or submissions. I would correct claim form and resubmit. It would be denied with a new reason. I would correct and resubmit. Each time I was careful to follow instructions from UHC rep to the letter and mail it to the address for claims ON MY UHC healthcare card. The last thing I received from UHC was a notice that I had not submitted the corrected claim on time and that I would need to appeal for any hope of reimbursement. The notice (EOB) came from the address on my health card card and stated that I needed to submit letter of appeal within 180 days. I called UHC once again to find out. WTH!!! By this time I am pretty steamed.
The young lady in claims heard me out, reviewed the info and said I was undoubtedly due the reimbursement. She is the only person in two years who asked where I had been mailing my claim forms. The address that specified where to mail claims on my UHC card of course was my reply. Turns out that was not the correct address to mail claims for the services I had been receiving. Subsequently the corrected invoices and claim did not make it to the proper department before the deadline. The UHC rep told me to write a letter to the Appeals Department and resend everything to them. She said they would fix it right away as it was in no way my fault that the forms did not make it to the proper department on time. I opted to spend a few dollars and fax everything to expedite this correction.
The next letter I get is from the Appeals Department at UHC. My first appeal is denied because I did not include chart notes. I am livid at this point. After explaining the course of events to two reps at the Appeals Department it was tough luck sweetheart; send the chart notes or no hope of recouping any payment. UHC has no intention of paying my legitimate, covered claim. They are doing everything they can to drag this out and wear me down in hopes that I give up. They are incompetent and unethical. If you have any choice in insurance providers stay far, far away from UHC!
Reviewed June 14, 2017
I too was stuck taking UHC insurance. Upon filling my 1st script I was informed I had a $220. Copay for all lvl 3 scripts. I had specifically asked in detail what the copays were and provided all my medications so I'd have a good idea what my cost would be. What is the deal with 5 levels of drugs? This crazy! I try to always get generic, but every thing doesn't come in generic. I actually purchase my scripts via Blink and other discount pharmacies paying their price, it's cheaper than you copay thru UHC. I'm paying for insurance I can't even use. They don't care about your health. It's all about greed! Horrible insurance. Can't wait until I can change. Trying to get a new doctor is impossible, and you better hope you never need a CT!
Reviewed June 10, 2017
I was kind of shocked to see thousands of complaints much like my own about United Health Care. Thank God our company decided to switch carriers after 3 months. Too many people in our small company including myself with so many complaints. I had been on a particular pain med for about 3 years and United Health Care decides they will not cover it and there is no generic form because it’s an extended release. I found out a month or two ahead of time that it wouldn't be covered so I tried to be proactive and not liking walking into a wall that I didn't know was there. It didn't matter.
When the time came all of my concerns were met with like complete shock for the first time and got denied and had to pay out of my own pocket the first month. Tried to appeal. Denied. Tried an alternative on their list and got denied again because of the dosage my doctor prescribed. THE DOCTOR PRESCRIBED, who is the insurance to say what my pain level was. Appealed and denied. My primary care physician is off half days Friday and spent his afternoon on that day on the phone for 30 minutes "per my doctor" and works his way up the chain of command and supposedly was as far up as he could go and was told they just absolutely do not cover Extended release pain meds. It was just a horrible experience and had side effects off the alternatives that I once again paid out my pocket for because they would not cover again. Thank God we went back to Community care. Had no problem with them for years.
Reviewed June 8, 2017
I am new to this insurance and have had nothing but issues from the very beginning. I have taken a medication for over 10 years and when switching to this insurance I've had hurdle after hurdle to get authorization for it. Once I got authorization, which has to be authorized on a yearly basis, I had moved so I had to switch PCP's and now I am having to jump through the same hoops just to get authorized again. That is utterly ridiculous, I have now been at the pharmacy for almost two hours still waiting because I am out of my medication I can not go a day without.
Reviewed June 1, 2017
I have stage 2 breast cancer. Have been under same doctor's care for 2.5 years. Recently my marker # has been rising, so my doctor suggested we do a PET scan to check for cancer elsewhere. However UHC denied me the PET scan, but approve for a CT Scan of the abdomen, and pelvis. Had to wait another week for approval for chest scan. Upon returning to doctor for results, it was recommended that I have a bone scan, and or PET scan. However they have denied me once again. It's a shame that they are allowed to play with people's lives in such a careless way. I'm beside myself with worry, wondering if I might have cancer somewhere else, and yet this so called insurance company doesn't even care. When it comes time to sign for renew, I won't hesitate to turn it down. How this company be allowed to play with people's lives. They should be investigated to the fullest.
Reviewed May 31, 2017
I started AARP Medicare Complete insured thru United Healthcare in Jan. 2017. It has been a nightmare! My primary care dr. recommended a new cholesterol lowering medication. I have been on ** drugs with ** for several years and not achieving the desired results. DENIED. OPTUMRX would not transfer my prescriptions so all my drs. has to send them new ones and then wait for processing and mail delivery.
My biggest misunderstanding was about the catastrophic $4,950.00 out of pocket. I have spent approx. $4,800.00 so far in prescriptions so I called them to clarify future payments. I will still have copays of 5% of the prescription total. So then I asked about my copays on my medical because I pay $10 to see my primary and $50 to see a specialist. The medical is a DIFFERENT $4,950.00 catastrophic out of pocket. TOTAL OUT OF POCKET should be advertised as $9,900.00!!! Even that amount is incorrect because United Health does not pay everything after you have reached this level of expense. I pray I don't have to be hospitalized this year. There is something VERY WRONG with this insurance company.
Reviewed May 30, 2017
I've had United Health Care coverage for about 5 years. My employer allows employees to change coverage once a year, as all companies do now, in November. Right after I selected my plan for 2017 and was locked in, UnitedHealthcare informed me the medication I have been taking for years for a long-term health issue will no longer be covered. They offered alternatives (which made no sense, because the alternatives were more expensive than the original drug). Since I had no choice, I asked my doctor to change the prescription to one on their "preferred" list. I haven't felt right since. I have gone from having no symptoms with a well-managed disease to feeling sick all of the time.
Forget trying to appeal. The answer is NO. Whatever sweetheart deal they have going with certain drug companies is more important than patients' health or saving money. Had these bottom sucking scum feeders told me before, instead of immediately after I was locked in to their plan, that my medication was no longer covered I wouldn't have signed on. One other thing to consider if you are considering this company: they will call you to the point of phone harassment, several times a week, trying to get you to use their mail-order prescription service, which has horrendous reviews. No thanks to that also.
Reviewed May 30, 2017
I have a growth on my foot. I've had 2 specialists now look at it and they both agree if I don't do anything to it then it's just going to keep getting worse and eventually need surgery. Because of the location, they would prefer not to operate as there is a chance of paralyzing my foot. They recommended a cream. It costs $200 for about a months supply. United Healthcare refuses to help pay for the cream. Last year I had to spend $3,000 on a hearing aid as again United Healthcare refused to help pay for it. So I ask, why do I have insurance? I pay for everything anyways. Most worthless company on the planet.
Reviewed May 27, 2017
United Health Care has debt collection agencies calling me when my insurance was cancelled trying to collect on months unpaid. Now when I started my insurance with them I had to pay a month in advance to have coverage. This policy continued throughout my coverage. No if I hadn't paid a month in advance or payment crossed paths with their account receivables I would receive notices that my coverage would be discontinued. How am I in collections for November and December if my last payment was in September?
Reviewed May 26, 2017
Services at emergency: terrible! I am pleasantly surprised, however, that TRICARE West/UnitedHealthcare's grievance process is an avenue beneficiaries can access to complain about medical services and care. I had Type A Influenza, fever, chills, etc., and due to chronic illnesses (asthma/hypertension), flu symptoms exacerbated my symptoms. I was hypoxic and vomiting. I was rushed to the local hospital, then transferred to a hospital with better resources/care. After lingering for upwards of 8-12 hours in the "better" hospital's corridors, constant PROMISES/ASSURANCES of admission to a ward, I voluntarily left the hospital. Bypassing the disturbing portions of my hospital, emergency room stay/care, suffice it to say, medical care administered to me was well, below average. At the end of this AMA departure, my insurance is billed for $15k+!
After recuperating at home-- took 3 weeks to recover-- I wrote a length, grievance letter to TRICARE West, now partnered with UnitedHealthcare, about substandard care I received at the hospital to which I was transferred. 30-days later, TRICARE West/UnitedHealthcare responded, saying further investigation is necessary because it did "appear as if there are medical care issues at this hospital." Wow! I recommend that anyone dissatisfied with ANY insurance companies, denied claims, or "screwy," provider billing generating denied claims, first contact the insurance company. Agents are usually willing to assist. TRICARE West had a few departments that were a little slow, but they eventually got the job done. I digress.
My point is that I wanted TRICARE to know I did not want future care at the subject hospital via a grievance, and they are actually investigating my visit. I think they should be commended. Lastly, always remember, everybody's got a boss. No satisfaction? Call the oversight for medical insurance. Every state has one. It seems kind of amazing how quickly questions are answered, and snags are resolved when you request assistance from THEIR (the insurance company's) watchdog! UnitedHealthcare has some communication problem solving in some department sort, so I only have them 3-stars. But if the response to my grievance is any indication of UnitedHealthcare's abilities, I think insured should give the company a chance.
Reviewed May 23, 2017
We just had a baby and they are holding up the claims now for 2 months since receiving it. They claim that the claims are complicated and it takes more time. There were no complications. Having a baby is a standard procedure. Our in-network, UMR Top Tier pediatrician sent my son back to the hospital after being home for 3 days due to jaundice, yet another standard procedure. UMR denied the claim saying it wasn't medically necessary. Apparently UMR doesn't trust their TOP preferred providers to make the proper medical decisions. The provider has the medical degree not UMR. The provider is the one who actually physically evaluated my son not UMR. If they want to practice medicine then set me up with an appointment. This company is destroying healthcare insurance.
Reviewed May 22, 2017
I cancelled my dental and medical insurance back in August 2012 because I was no longer self employed and had started work with another company and had new medical and dental through them. My medical had no issues with the cancellation (assume because it is against the law to have 2 medical plans at once). I just found out that United Health One/Golden Rule started at some point to deduct the dental insurance premiums back out of my checking account. I have gone back 10 months and they have been stealing monies out of my account without my permission after I had cancelled both medical and dental.
I called today and they say the best they can do is cancel it as of today but the monies I have paid will be lost. I told them it is against the law to carry 2 plans and they said on dental it is not. Imagine that?? They have screwed me out of at least $2,600.00 over the course of multiple months. BUYER BEWARE - DO NOT USE UNITED HEALTH ONE or GOLDEN RULE. I will be contacting the district attorney in the home state of United Health One to try and resolve this. They have never sent a policy premium update, never sent a notice of premiums going up. NOTHING. If I could give a negative rating I would. DO NOT USE THIS COMPANY!!
Reviewed May 19, 2017
I am absolutely disgusted with how United Health Care has treated me. First and foremost, they have randomly decided to drop the coverage on one of my medications (**). This was something that used to be covered, and now it is not. Secondly, EVERY SINGLE TIME I have gone to pick up my second medication (**) I am told to call and "opt out" of some sort of mailer? ARE YOU KIDDING ME? Why can't I depend on this health care to cover the whole reason I need it? Some people don't have insurance yet the ones that do... Basically don't. There is nothing very "United" or "Caring" about United Health Care so far. Good luck to those who have it.
Reviewed May 18, 2017
I have been taking a medication for my lower back, went to refill the medication, still had refills available, got denied by United Health Care OptumRX, no prior authorization. I have been taking it for over 2 years and had NO issues with Caremark. Doctor filed prior authorization, got denied, file appeal, got denied. I tried the suggested back medication, one did not work at all, the other gives me severe side effects, filed another waiver/appeal, got denied.
What is UP with this??? I am in intense pain, cannot sleep at night, all United Health Care OptumRX says "I'm sorry you're having so much pain and discomfort and cannot sleep". They tried blaming my healthcare team. BULL! Try to get approval for my asthma medication, running into the same issues. I will run out by the weekend. I am allergic to the suggested medication which causes cardiac issues. Still fighting this one. I refuse to pay for mail order meds. Why is United Health Care doing this to the retirees of the State of Texas partnering with OptumRX who are play games with our healthcare.
Reviewed May 4, 2017
United Health Care is utter gutter garbage!!! This so called company is absolute garbage. I am counting the days until I can cancel this garbage and get something else except I fear the alternatives aren't much better. How evil this healthcare system is with these lowlife politicians neglecting and ignoring the American people, letting this disgraceful system decay and fester all these years and these slug doctors and medical companies profiting from this suffering.
United Health Care approved by AARP means nothing. AARP is just another paid payoff. Most doctors don't take this garbage insurance and those who do are garbage doctors. You must suffer with endless back and forth. If you call they won't give you any answers. They just keep sending cards. I have gotten 5 cards already and no service. Many reps don't even speak clear English. They are sending the calls to South America. Their guide to find a doctor is full of errors. Some numbers are disconnected or not the right specialty labeled. Most doctors aren't even taking new patients. How the heck can weak and sick people fight for care?? It is absolute cruel diabolic horror to be part of this system and let it continue to fester!!! Note to media: having insurance isn't healthcare if it is garbage insurance or not usable - which is what is offered in Medicare, Medicaid and Obamacare.
Reviewed May 4, 2017
We have had continuous coverage from UnitedHealthcare for many years, I believe at least 5, probably more. Up until this January we have had very good service. As of January they have denied coverage for a RA medication that my wife has taken for 13 years. In fact she was part of the initial drug study 13 years ago. As of January United Healthcare decided to deny coverage of this medication she has taken for 13 years and has been covered after the study ended ten years ago.
After the denial of coverage was received the doctor recommended a new medication. In order to get this new medication approved it required us to engage in tens of hours on the phone for a period of 3 months. Each call resulted in a finger pointing game. United Healthcare pointed the finger to the doctor, the doctor confirmed they sent all information, United then pointed to the Specialty Pharmacy. The Specialty Pharmacy then in turn pointed to United Health Care as the roadblock in approval. This circle of blame dragged on for months and required hours on the phone day after day. During this time my wife had no medication and her condition deteriorated drastically and in turn she suffered intense pain.
The drug was finally approved however the side effects were terrible and resulted in my wife not being able to eat. The doctor recommended her to stop taking the medication immediately. There was one drug left the doctor recommended. Again we went through the circle of finger pointing for months and hours on the phone pushing this prescription through the approval process. United Healthcare has since denied this medication. The only medication left my wife can take for her severe condition. The doctor submitted the prescription a second time, again denied.
The physical and emotional toll the denial of medication coverage has taken my wife and family is enormous and cannot be overstated. We are at the end of a road with no solution. Denying all possible medications that treat her server RA has put my wife on quick path to disability. She will be unable to walk or type on the computer resulting in her inability to work. United Healthcare has in turn prescribed a death sentence. Without medication for severe RA severe pain will take over her ability to cope with life. The rapid deterioration of her joints is non reversible. They are inflicting great harm both physically and mentally.
Reviewed May 4, 2017
I work for a dental office in Missouri and we have several patients that are insured through United Healthcare. For the past year we have been having major issues with United Healthcare paying on claims. We send the claims electronically and never receive payment. We first started receiving denials back stating the claim was denied because no X-ray was attached. They require an x-ray for every service so we started sending them along with the claims. Then, when I call to check on the claim status UH says they have not received our claim and we should resend the claim. The second time I send it I choose to send it by mail and then call after a couple weeks to make sure they have received it. Again, they say they still have not received the claim.
I ask for a fax number but they tell me they cannot receive claims by fax. Every time I call I verify the payer ID and mailing address and everything we have been sending the claim to is correct. This happens with every patient of ours and UH acts like this is no big deal. We finally had to stop sending claims for our UH patients and required the patient to file the claim themselves. I have noticed several other complaints for this same reason. I would not recommend getting UH for dental insurance and would not recommend that any other office be a participating provider. This insurance company sounds like a scam and they try as hard as possible to not pay on claims for insured members.
Reviewed May 3, 2017
Since being demoted to the United Health Care Community Plan in February, I have had nothing but trouble with their prescription coverage. First, they would not cover one of my daily prescriptions, the only one in its class that did not come with side effects that I already struggle with naturally. I just had to stop taking medication for that problem because I could not afford it out of pocket.
This week, I was unable to have a prescription for diabetic test strips filled. After three days of going back and forth with the pharmacy, the doctor's office and finally calling UHC, I found out that UHC would not fill the original script (that originated with their company policy not two months ago) until a month from now, but would be willing change the entire glucose monitoring system (meter and strips) and fill that script, instead. Tell me how that makes sense? Meanwhile, I haven't been able to test for two days. This insurance has been nothing but a headache and I can't wait do be done with it.
Reviewed May 3, 2017
Thank you for being the absolute worst insurance company in America and possibly the world. I wish my job cared more about its employees and not pick the absolute lowest bid. It's a shame that working people have go through the wait and pain of dealing with your company.
Reviewed May 1, 2017
I am a 48 year old male who has being treated by a doctor for acid reflux for numerous years. In August 2016 my wife told me that I am stopping breathing while sleeping at night and she believed I might have sleep apnea. I contacted my doctor who agreed that because of my wife's observations and other risk factors that he would like to have me tested for Sleep Apnea at a hospital doing an in hospital sleep study. This information was sent to United Health Care who denied the in hospital sleep study for numerous reasons including my BMI was not over 50, there was not history of heart problems, and numerous other reasons that did not seem valid.
After getting the denial my doctor appealed the decision 5 times and the sleep study was denied each time but an at home sleep study was offered on the fifth denial. My doctor told me that the at home sleep study was basically useless and if it did show sleep apnea and in hospital study would still be required to properly set the CPAP mask. The at home sleep study showed moderate sleep apnea and proved that I stop breathing multiple times in an hour.
At this point you would think that United Health Care would be onboard to help me their customer but think again. According to a Nurse Practitioner (not a medical doctor) my Sleep Apnea is not suffer enough to warrant a in hospital sleep study and that my doctor can set the CPAP mask flow level using the limited results from the home sleep study. My doctor stated that the only way to correctly regulate the sleep apnea is to have the CPAP mask flow rate set by the tech during the in hospital sleep study. United Health Care has denied the in hospital sleep study again and there is no way left to appeal the denial. My work is changing insurance from United Health Care to Blue Cross and Blue Shield in September and hopefully they are better. At this point I am left hoping I don't die in my sleep since United Health Care is not concerned with my healthcare and is only worried about saving money. Worst health insurance in the company!
Reviewed May 1, 2017
I called up United Health Care to try to find doctors in our area that they use. We could not find any in our search so we just wanted to narrow the search to their list. After I spent 20 minutes on the phone answering questions and being placed on hold. I gave up. IMHO, United Health should close its doors and the city should make its current location into a park to reverse the karma of this hideous place.
Reviewed April 29, 2017
For a year now UHC is giving me the run around about a durable goods item that is covered, but that their primary provider does not carry, Preferred Homecare. So I am told that I need to get pre-authorized. I call preauth- they say the item does not need to be authorized since I don't need prescription, IT does if I want to get reimbursed! Over a year and my son still wears these patches to the tune of about $1.30 a day. It gets expensive! At this point I am told that a preauthorization must be called in from the Dr.'s office. The Dr.'s technician spent 50 minutes on the phone calling these people, and called me and said it was all set. Even insisted on a preauthorization after the person said I would not need one. When I called to confirm I can buy the patches for my son's eye, they said they had no record of the Dr. ever calling.
After an half hour they found record of a call, but not what was discussed. Explained that the only way I can get preauthorized is if Dr.'s office calls again! Then, to add insult to injury - they send me to escalations, who answer the phone, "Escalations" Really? You are going to act like I am the problem? Thank all the powers that be that my son is not dying because I do not think that UHC is capable of getting ANYTHING done for their clients. So far I got 2 checks reimbursing purchases from last year in February.
Reviewed April 24, 2017
No kidding, I got info from the state of CA that they have had over $600 of my money for five years. I have not moved in 25 years, I have been using them (NO MORE) for over 20 years. So how is it that United Health Care can't find me? They HAD my address and supplied that to CA... I called them, and of course, a recording. I need to MAIL them the forms, etc... and it may take TEN WEEKS for them to process. I am furious. The lady at CA State Controller was nice, but said, "you might want to find another company to deal with". That made me laugh.
Reviewed April 21, 2017
What the heck is the best thing to do when you receive a phone call asking “if you have An American Birth Certificate to be employed by us. If you are naturalized citizens we are sorry. You need an American birth certificate.” What!!! It's the new practice at United Health. Think before applications.
Reviewed April 19, 2017
It's a good thing I'm not dying because waiting on their team is ridiculous. I'm so disappointed in this insurance. I should have never switched!!! It's been HELL. They're telling me it's the dr's office. No, it's their team. They need to get more experienced people! I've never had to deal with such ** in my life. I've been without and anyone that knows you can't go without medication when you have been on it for years! I should have just stuck with my other insurance! I'm so beyond upset! I could scream. I've literally stayed away from people so I don't hurt or cuss someone, or burst into tears! I'm a freaking mess! It's all BECAUSE I'VE HAD TO WAIT ON MY **!!! A week now.
Reviewed April 18, 2017
United Healthcare (UHC) notified our office in February 2016 that it was time to re-credential our provider, who had been credentialed and re-credentialed every 3 years since June 1997. I sent UHC all of the information required to re-credential the provider. Three months later (May 2016), after not having heard from UHC, I called the credentialing department and found out that they had not begun to review the information sent to them. In August 2016, I again spoke with the credentialing department and found out they had still not begun reviewing the provider's information. Meanwhile, our patients who had United Healthcare medical coverage could not be referred to specialists for necessary treatments.
Only "in-network" primary care providers were allowed to refer patients. Therefore, our patients with uncontrolled diabetes, heart problems, kidney problems, asthma, COPD, head injuries, traumatic brain injuries, vascular problems and eye problems could not be further treated by specialists. In September 2016, I sent a complaint to the Oregon Insurance Commission regarding the inaction of United Healthcare to re-credential our provider. I received a letter from them stating that they have no authority over the credentialing process. From November 2016 through February 2017, I called to get status of the re-credentialing and was told each month that the application had been processed and approved and that If we have received the contract, to please sign it and return to the credentialing department. If we have not received the contract, we should expect it to take 30-45 more days.
In March 2017, I called the local United Healthcare representative, whose contact information was given to me by UHC customer service. She said that we were approved December 26, 2016 and since we didn't respond, the provider was deactivated. I asked her how we could respond when United Healthcare credentialing department did not send us anything via mail, e-mail, fax, or telephone. She apologized and said she would take care of it herself. Due to no response again, I sent a letter of complaint to the Oregon State Attorney General's office. They answered back with a letter stating that they will keep my complaint on file and when they receive more of the same complaints, they will act on it. Today is April 18, 2017 and we have not received any contract by mail, fax, nor telephone message about the provider's re-credentialing. My concern is for our patients who are put in jeopardy because they cannot receive necessary treatments.
Reviewed April 15, 2017
I took this insurance the beginning of this year. They gave me a primary Dr other than the one I requested. My Dr for 10 years takes this plan. The Dr I was assigned was no longer even in practice and a non working phone on my new ID card. It took >1 month to get my primary back. They were stalling until I told them if I request new primary, it was to take effect the following month. Then I got my Dr back. Then I needed a referral from UHC United Health Care to see the neurosurgeon that fused my neck. It wasn't approved and every time I called I was given false information. I had to call my Dr and tell her I still hadn't been approved, and she said she has the approval - for a couple of weeks I was in limbo.
My surgery was a success and took ~80% of the neck pain away. Now I am weaning off of extended release medication, and my first request for 1 month is >$950 without insurance approval. It needed a prior authorization. My Dr called it in. A week went by... I was running out of medication, and a UHC representative suggested I have the Dr call a special number for an expedited 3 day approval process. I called on day 3 and the 3-day request is denied. I have to wait for 3 weeks--of working days to get my answer. I have to wait until April 26 or so to find out!!
They Suggest I take **. It's like **. I have been on the highest dose of extended release for a couple of years, and they want to experiment with the non extended version. They simply do not care!! That's why I want to tell people about this. I worked 30 years as a nurse, and I've never been treated so terribly! When I meet a $3300 deductible, everything will be covered... If they approve the referral or the medication... BEWARE the purchaser of UHC if you need any medical care!
Reviewed April 14, 2017
When I signed up with UnitedHealthcare RX plans through AARP I was told that my prescriptions would be anywhere from 1 to $3 and the one description I have would be no more than $25 or a 30 day supply. Also I had to pay a $400 deductible. The first 30 days I paid the $400 deductible. The price of their medications was higher than what they quoted me. Now they are not lowering their prices to what they should be according to their quoted prices. Or a 15-day supply a low dose of my medicine is $35 and yes that's generic. Another medication called ** is a generic and they want to charge me $35. Also they now tell me that you have to go to certain Pharmacy. They never discussed anything about Pharmacy with me. They said they'd send out some type of Welcome package that explains everything. Well I guess I was unlucky and I didn't leave one.
I called customer service and I was told basically it's not their fault that these are different tier medications. I am on a fixed income Social Security and I was told that my medicine would be anywhere from 1 to $3 and the expensive one for my pain meds would be no more than $25. Just the two prescriptions I am trying to get are $35 each. That's $70 and I don't have it. I was told by their representative Kristine which is supposed to be a supervisor that there's nothing she can do about it that's just the way it is. I don't like being taken advantage of because I'm on Social Security and I have physical disabilities and medication disabilities and they are using that to discriminate against me with higher prices on their drugs than what was quoted to me.
The first month alone I cleared and pay the $400 deductible which was designated by them. They control there how much and when the pay it on prescriptions. Now they tell me that Rite Aid Pharmacy is the one who collected the $400 deductible and not them. So in a nutshell if I change Insurance RX companies I lost the $400. It wasn't supposed to be this way. Basically the supervisor told me I am up the creek without a paddle and there's not anything I can do about it. This is just how it is and they're going to charge me whatever they want. She told me one of the prescriptions for $35 is a $50 prescription and I asked her is that cost that Rite Aid is going to tell me it cost. Well she changed her story and she would not give me the price of what it would cost. Just the standard discount card that doesn't cost anything for Rite Aid to give to you is going to make the medication cheaper than $35.
This Christina was supervisor. Was evasive, unclear, unhelpful, uncaring, and plainly just did not give a hoot. He said that he can disenroll me from UnitedHealthcare plan. Hey you said that I would have to go to a cheap Pharmacy because Rite Aid is not there for pharmacy and their prescription cost is different. She said at $50 and they're only going to charge me $35 they paid $15 for this medication. My monthly premium's only $34. I don't know what to do. I'm disabled I'm on some heavy medications and I feel like I have been taken advantage of and just ran through the wringer and I don't know what to do. I'm on a fixed income and I just don't have the $70 for the two prescriptions I need around somewhere. UnitedHealthcare is not a place that I would recommend to anyone to do business with. I wouldn't even have them as a pharmacy plans for a pet.
If anyone out there has any suggestions would you please get in touch with me. I just don't know what to do next. I just know that they charge me so much money for my prescriptions the first 30 days that the $400 deductible was net. How can these companies used and abused our elderly people. I do not understand why we don't have better coverage, more affordable coverage and being told they correct things when we sign up for these programs. Again at no time was I in any way shape or form that I had to go to a bargain discount prescription store. I was told my prescriptions only be $3 and my pain medicine would be no more than $25 for a 30 day supply. It has gone to regular anxiety medicines to pay $35.
I guess since they were getting all these high prices with the deductible and mine they decide just to keep charging the customer an outrageous price so they can make the bottom line, they can make more profit at the expense or disability. Disabled people and the Social Security recipients' carry the load. Why cannot the government or somebody get involved and help us so we do not have these companies like UnitedHealthcare rape us, Rob us and basically put us in the poor house without anyone over seeing what they're doing and probably nobody cares. I care about me and I care about the other senior disabled people that have been hurt by UnitedHealthcare RX plans. It's supposed to be covered while it's supposed to be certified by our Social Security Department Medicare and also AARP.
I did talk to AARP and they were very helpful and lodging a complaint with UnitedHealthcare to try to resolve this problem but I'm sure that they're going to come up empty as I did. I do appreciate them trying but I don't see them able to do anything better than I've already tried to do. So listen UnitedHealthcare RX plans or anything to do with UnitedHealthcare is a bad idea period. UnitedHealthcare in any way shape or form is not in your best interest so do not take any plans policies with this company if you do not want to get screwed. They told me basically that take my silly problem down the hall, pay their price, do what they tell me to do and then everything will work out just fine.
I don't know how it works out fine for I guess that means them. UnitedHealthcare is just a proper cheering company that should not be trusted or believed in any way shape or form. UnitedHealthcare is a bad company in my view. I would not wish UnitedHealthcare on to anybody. Say no to UnitedHealthcare. Say no to UnitedHealthcare. I wish somebody would tell me that before I got suckered into UnitedHealthcare. Thank you. God bless. Happy Easter. Thank you again.
Reviewed April 11, 2017
I have been with United for over 2 years now. I haven't had many complaints until the past few months. It started when we made the mistake of changing our FSA to automatic payment instead of getting debit cards. They fail to make it clear that the auto payment ONLY applies to your health insurance, not vision, dental, etc. So when we have those expenses we now have to pay out of pocket and manually submit a claim for reimbursement.
I submitted a claim in December, didn't hear anything back for a few weeks so I called to check in on this. I was then told that it can take 4-6 weeks for claims that are mailed in to be processed and added into the system. I was told to check back. I called back in January and was told that there is still nothing in the system so I needed to send or fax it again. I do not have access to a fax so I asked if there was any way that I could submit online or email, I was told no. So I mailed it again. Called again in February and was told again that nothing had been processed and to call again later. Called again and was told that it was never received and to send AGAIN. Finally I had to find someone that could fax this for me. It was sent on March 21 and I received a confirmation from the fax company that 4 pages were sent and received.
My husband was speaking to someone on a different matter on April 3 and asked about the status of our reimbursement. He was then told that they only received 1 page so they could not pay out. It absolutely baffles me that NO ONE could be bothered to call or email us to let us know that what they received was incomplete and they needed us to fax again. They were just going to not pay it.
I have never had to spend hours and hours on the phone over a 3+ month period just to get reimbursed from our FSA. This is ridiculous. Every time I call whoever I get says that they can't help and need to transfer me to someone else, I then ask what number I should use to call back (since the one on our insurance card isn't correct apparently) and when I call the different number I get the same story. I have now sent our claim reimbursement form in the mail twice and faxed twice, it concerns me greatly that my information is getting lost and that I have to babysit this company to make sure that things get resolved. After just spending another hour on the phone and getting transferred 3 times I was finally told that my entire fax was received but that it will take them up to another 30 days to get the check to me. I'll believe it when I see it... It is April 11 and I have been working on this since December. It should not be this difficult.
On another aggravating note, we are part of a program that allows you to get "lower" premiums if you complete an annual wellness assessment. Great idea! Too bad United is not accountable for that paperwork either! Somehow my assessment paperwork was not entered into the system by the third party company that handles it. Out of all the hours I was on the phone with United trying to get my reimbursement, not one person mentioned to me or my husband that my wellness assessment was marked incomplete. They told me I needed to get my "well woman exam" and do my health coaching, but not the assessment. We just received an email that our premiums are going up $500 a year because this was not entered into their system.
I called and asked who I needed to resend the paperwork to but was told that "Sorry, it's too late. There is nothing we can do". They then told me to call the third party company that receives and enters the information, but when I asked if they found my paperwork with the date of October 2016 on it if everything would be taken care of, I was told no. So now we are paying even more to them each month. There is no sense of accountability whatsoever.
My biggest advice to anyone who goes with United is to babysit every single thing that you submit. Do not think that because you sent something direct to the company or you don't hear that there is a problem that everything is fine. They will not contact you if there are any problems with your claims or accounts, they just won't pay it or will charge you more. It would be hard for me to be any more disappointed.
Reviewed April 11, 2017
United Healthcare denied coverage of test strips to test 8 times per day as requested by the doctor. Then, they rejected covering CGM supplies because they said they didn't have proof of frequent testing. This is absurd. How can you reject frequent testing and then reject because you don't have proof of frequent testing. They are in the business of taking money in premiums and saying no. Denying coverage for covered items. They are the worst. Awful company. Awful policies. Awful people who don't care about what it says is covered. They don't know what's going on.
If you are considering using them for coverage - DON'T. You will be angry, frustrated, and feel like you are wasting money. Be prepared to spend hours and hours on the phone and writing letters to get what is supposed to be covered. They need to be investigated for fraud - they say they cover things and then they don't. Unless you are prepared to fight for EVERYTHING you are paying for, DO NOT USE THEM.
Reviewed April 11, 2017
Don't use this insurance. Everyone at this company has only one purpose: how not to pay for the claims. They won't listen to you at all. Customer service is worst. I wasted my 2-3 hours talking to the customer service and they weren't even ready to listen. One of the customer service representatives even told me: "Sorry, it wasn't convenient for you to have fainted after 5 PM". I am not sure how they are surviving but I am sure they won't survive for long. Everyone working here is very unprofessional.
Reviewed April 10, 2017
Worst. Insurance. Ever. My husband's employer's healthcare option changes every year (obviously, to save money). This year (Sept. 2016 - Sept. 2017) they chose United Healthcare's All Savers Plan. We've had several issues with them. I'll tell you about three of them. My husband tried to call them on a weekend in regards to going to an Urgent Care facility - they don't have weekend hours. There's just a recording stating their hours and days (Monday through Friday). Apparently, they don't believe anyone insured through them should or may have an emergency on weekends (or holidays, for that matter). If we have to go to Urgent Care or an emergency room on a weekend or holiday, it's likely that insurance verification won't be had.
Last year, my husband was due for a scheduled colonoscopy. It took 2 weeks to try to find out exactly what All Savers UHC would cover and what his co-pay would be. The day before the scheduled procedure, we were shocked to find out that it wasn't covered at AT ALL. Because of a previous colonoscopy some ten years' prior (different insurer) where they found and removed 4 polyps (he's had another clean colonoscopy before this last scheduled one), we were told that the procedure was deemed diagnostic and not preventative - therefore, they wouldn't cover it. I asked if, should my husband develop colon cancer, would treatment for that be covered; they couldn't (or wouldn't) answer that question.
The last incident I will tell you about concerns the injection to prevent Shingles. In February, he received a prescription from his physician authorizing the injection for Shingles through our local Walgreens. When we arrived at Walgreens and they checked his prescription, we were informed that his insurer would not cover the injection and he would have to pay the $250 out-of-pocket. We left at that point. Called a few other pharmacies to price shop but apparently the price is pretty fixed. We were told, however, that given my husband's age, the insurer should cover it. My husband called the representative that sold the policy to his employer and he was told to pay for the shot and submit a claim and he would be reimbursed.
After the claim was submitted, however (don't get me started on their useless website), we waited. And waited. They have 45 days to reimburse. Instead, we received a statement in the mail, showing that the cost of the injection had been applied to his deductible. He contacted the representative again, who stated they shouldn't have done that. The representative (he's an independent agent) contacted All Savers and instructed them to reimburse him directly. Again, we wait.
My husband calls All Savers again, as the website where his account is doesn't show you ANYTHING except your personal information - no claims status; nothing. He was informed by All Savers that the amount would be reimbursed to Walgreens and he'd have to go back to the pharmacy to receive his reimbursement. WHAT??? Walgreens has already been paid!! Again, call the representative. The rep calls back and says a check was cut for my husband that day and he should receive it in about a week. This was several days ago and we're still waiting.
Their customer service people have little to no information regarding what you're covered for; they read the status of your claim off their screen and cannot answer questions directly. They have no weekend hours. And they won't cover a colonoscopy that may prevent a very expensive-to-treat disease? Really, the worst insurance I've come across.
Reviewed April 7, 2017
It is impossible to use their WEBSITE and I can never reset my password. It asks for security questions and when I enter the answers, it says they are wrong. And it is EXTREMELY hard to get in touch with a live person. It gives you a lot more options that I do not want and then it reads something about the IRS and then when you finally get to a representative, all they do is read whatever is in front of them. Like most people, I don't know much about insurance plans but I don't want to pay for everything out of pocket and that's why I have insurance. That's why I pay every month... I think I deserve an answer when I ask how my insurance policy works. Instead, all I get is smart ** cc agents who probably hate their jobs and cannot do it right. I shouldn't have to request to talk to the broker who helped me in the first place because customer care CANNOT do their job. This is ridiculous!!! I hate this company. Might have to look elsewhere. They suck!!!
Reviewed April 7, 2017
I filed a refund request in Feb for glasses following cataract surgery. First of all was given erroneous information from 4 different reps as to what vision comp would accept the card. Walmart was the #1 to go to. I was told that they do not accept this insurance as it won't pay. After attempting to use their providers, who the providers denied acceptance of insurance I paid cash for the glasses. I filed in Feb for reimbursement as the cs reps told me to. Every time I contact cs to check on status of claim I am given different information as to where the claim is and if it is being processed or not. It has been 8 weeks and 1 day and last night got even different information. I am a retired nurse of 43 yrs so I know if it isn't document it is not done so I have documented every call with name of cs and information given will be filing complaints today with state and national bureaus and BBB. This is ridiculous.
Reviewed April 5, 2017
I recently had a reverse shoulder replacement and UHC has been horrible to deal with. My surgeon wrote an RX for 3 times a week for 12 weeks. Well, our wonderful UHC approved a total of 17 sessions and refuse to approve any more. Who are these people making our medical decisions. Do they actually know more than our surgeons? NOT!!! These are lay people with no medical training. So sad that we have to deal with this crap. I have never wished ill will on people, but in this case I wish someone in the approval department would go through what I have gone through.
Updated review: April 18, 2017
The company assigned someone to our office to handle all of our issues, so I am cautiously optimistic!
Original Review: April 5, 2017
I work at a doctor's office and regularly call United Health Care to resolve issues with patients' claims. United Health Care is the ONLY insurance company we deal with that regularly does things to avoid paying claims. They routinely deny claims and will then do everything possible to prolong the appeal process, requesting more and more records and forms until you finally give up. I just called their customer service about a check of theirs that bounced and was on the phone with them for an hour and ten minutes, transferred 8 times. NO ONE it seems can even look the check up. I was transferred from provider services to OptumID to their Recovery Department and round and round again. They are unbelievable.
Agents will put you on hold forever, hoping that you'll get tired and hang up. You're on hold with the agent that you just spent fifteen minutes explaining the problem to, and after a ten-minute hold someone new picks up saying the call was transferred to them. They'll tell you that there's nothing they can do. Nothing?? Your check bounced and there's nothing you can do?? Unfortunately, the patient will probably be responsible for paying what United Health Care has AGREED to pay because they won't acknowledge that their check bounced. One of our patients died and his wife is trying to handle all the medical bills from various facilities. She called last week crying because she's getting the same run around that I get from them. I feel so sorry for her because after burying her husband, she's going to be left paying bills she shouldn't have to. What they're doing is criminal.
I would never in a million years use this insurance company for my own insurance and our office is considering not allowing their patients for service because of the nightmare that ensues when we try to get paid. This last encounter is par for the course with this company. If given a choice, I would advise people to STAY AWAY from this horrible company. You will end up paying out of pocket what your insurance company should be paying.
Reviewed April 4, 2017
I have had issue after issue with this horrendous company. I have never had such a difficult time with the simplest task until I switched to United Health Care after starting with a new employer. FSA reimbursements for dependent care have always been a breeze in the past with other insurance companies. I submitted my itemized receipts online, could easily track my claim after submitting, and would have my money deposited into my account typically within a week! This has NOT been my experience with United.
The first claim I submitted online, I never received any other notifications afterwards. I waited two weeks before contacting United, because I couldn't even see my claim submission online to be able to track its progress. It wasn't until after calling multiple times did I find out the claim had either been denied or suspended (I was told varying stories) because there seemed to be a problem with the dates submitted, and they were "reviewing" them. After I pushed back several times to find out WHAT exactly was wrong with the dates, I was told that a mistake had been made on their part, and the claim was moved to approved status.
Even then, it took another 2 weeks to receive my reimbursement. When it finally came through, I noticed it was not for the full amount! I contacted United again, and was told a portion was denied because the "services were not covered charges per my plan". I had only submitted weekly childcare expenses! So I responded asking specifically WHAT PART of my claim was denied, because I only submitted weekly childcare expenses, and if part of that claim was denied it wouldn't make sense. So the next response I received was that the entire claim had been cancelled and could I please resubmit!! HOW was my claim CANCELLED when I had already received a partial reimbursement?! The incompetence is outrageous.
I gave up trying to sort that out, because I pay more in childcare for the year than I allocated to be withheld, so I knew I would still get my total reimbursement by the time I submitted all expenses. I submitted my remaining expenses for 2016 before the March 2017 deadline. The website changed, and I could no longer even see my 2016 dependent care plan, although I could still see my medical FSA plan. This was mid March, so the problem wasn't that the March 31st deadline had been reached and 2016 was no longer visible.
So I submitted my receipts without even knowing how much I had left in my plan. Again, I couldn't see my submitted claim. I knew all too well they probably wouldn't contact ME, so I promptly contacted them to ask why I couldn't see my plan or my submitted claim. I was first told nothing had been submitted. I had to push back to get them to even look any further because I definitely HAD submitted my claim. Then I was told I needed to resubmit with the "correct date of service and charge amount". I submitted itemized receipts like I always do! They are prepared by the childcare provider and meet every single requirement.
So I called customer service again to see what the problem was. The next lie I was first told was that I needed to resubmit an itemized claim. I explained I did that the first time, so could they please tell me WHAT EXACTLY needed to be changed, otherwise I was going to submit exactly what I submitted before. Then I was told they just couldn't see it, so it must be a website problem, and I needed to contact the tech support team. They connected me with this team, and I was told I DIDN'T EVEN HAVE a 2016 dependent care account in my plan!! HUH, that's funny, because my allocation was taken out EVERY PAYCHECK and I had already received a reimbursement!!
So the next lie they came back with was that as long as I submitted it, everything was fine. I told them NO, I was told it had been denied (WITHOUT GIVING ME ANY NOTIFICATION AGAIN), and I needed to resubmit. Finally after all the back and forth, the lady said she would have to contact Operations. THESE PEOPLE HAVE NO FREAKING CLUE WHAT'S GOING ON!! I left feedback that it really seemed as if United was trying its best to ensure I wasn't reimbursed for MY money that's taken out of MY paycheck. I SHOULD NOT have to jump through hoops, hunt people down like it's my freaking day job to get answers about something so simple!! I SHOULD NOT have a claim denied and NOT be notified about it!!
This "company" deserves to be sued. This is outrageous mishandling of the claims process and I am FED UP!! I am complaining to my HR department and requesting they look into switching insurance agencies. I cannot go through this every single time I submit a reimbursement claim, and I know I am not the only one having so many problems with them. Such an awful, awful company.
Reviewed March 31, 2017
I am a professional driver and because of that I am required to take a DOT physical. Because of raising health cost my employer switched us from a different company to United Health Care. The DOT doctor ordered that I had to take a sleep study and without it I would be denied my physical card and would not be allowed to drive.
When my regular doctor sent in the request for a preapproval for the sleep study I was informed I was denied coverage. When I called to ask why this was happening I was informed that the sleep study was a Job Requirement procedure. When I asked what that meant I was informed that any procedures that were required to fulfill a job requirement such as needed shots or an ordered sleep study was not covered. I imagine there are many drivers who are discovering that they will be unemployable because they can't afford a $5000 plus medical requirement to work. I can't imagine any future employer willing to hire me when I tell them I can't meet the DOT requirements.
Reviewed March 29, 2017
They told me I owed one more bill. I called in January. They said ok it was their fault. Then they called me in March. They then told me it was done and I didn't owe anything. Then a week later someone called and told me they were sending the papers to close out the bill. Today I get a phone call and telling me I have to appeal it.
Reviewed March 29, 2017
I have a AARP MedAdvantage policy from United Healthcare. When the provider I had been using for years (and the one UHC had been paying), without notice refused to do so. UHC gave me 5 other "In Network" providers. The first 4 or these refused to do business with UHC. Four different "Specialists" at UHC stated McKesson was in their network. What was really disheartening was that neither UHC or McKesson would tell the truth about why McKesson discontinued in the UHC network because each phone call resulted in a different reason. Some of them were hilarious. In fact to date I still do not know why!!! I am aware of another individual with the same coverage McKesson just sold products to.
Reviewed March 24, 2017
After my hip surgery I was directed to go to physical therapy twice a week for 6 weeks. When I searched the United HC website for providers, I found I was limited to a couple of providers in my area. One of the providers that was listed didn't even offer PT so I was stuck with a single choice. I went to my first appointment and the experience was so bad that I never went back. That would have been the end of it, but then I got the bill. This facility had charged $371 for a physical therapy appointment. After insurance, my part was $245.77. This seemed outrageous so I started calling other PT providers in my area but who were out-of-network for United HC.
I wanted to see what I would have paid if I had used a provider of my choice and paid out of pocket. I found the going rate was $100 per visit. In order to compare apples-to-apples, I called the facility where I had received services and asked for their self-pay PT rate. I was quoted $300-$400 with a 30% discount. I thought the whole point of being in-network was to receive a better deal. Why would United HC even contract with a facility that charges 4 times the going rate? It makes me wonder what "arrangements" they have with facilities. Even though this is my company's group plan, I'm going to try and make other arrangements at open enrollment. I don't trust them.
Reviewed March 23, 2017
We have already been dissatisfied with United health but this takes the cake. They have been dragging their feet getting ABA therapy started for our son. Now, he just had an EGD and colonoscopy done with results that warrants medication. Because of his autism and sensory processing disorder, the doctor prescribed a granular medicine. United Health denied the medicine saying there were cheaper OTC pills. His doctor explained to them that he cannot take a liquid or swallow pills and needed the granular. They compromised on a dissolving tab and my doctor called it in but when the pharmacy confirmed it with United health, they yet again denied this medication because there are cheaper OTC pills.
I have called them four times to explain that my son has a disability but they do not care because they don't want to pay for the medication that will be easiest for him but instead discriminate against his disability and make him try to swallow a pill. I did go to the store tonight to try to get the over the counter and I cannot even crush the pills since they are big time release capsules. They are discriminating against my son's disability, their communication and customer service is horrible, and they do not care about their customers. Stay away from United Health!!
Reviewed March 21, 2017
I will not be subscribing with AARP once this subscription runs out and will be looking at other options for supplemental health care for my husband other than United Health Care because I am highly disappointed and dissatisfied with them and the mail order pharmacy OptumRx. Why? Medicines that were supposed to be covered are not covered. It takes weeks to get a prescription filled when you have to go through the pre-authorization (PA) process. We got a PA on a prescription for my husband and they said it was not and they did not have a prescription sent from my Dr. She had to fax the same one two or three times and then they did not find the prescription.
We are paying $73 a month for our premiums for my husband. We were told he has to pay over $900 for a 90 day supply for one of his meds because the price of this tier 3 med went over his yearly allowance. So why do we have insurance? I assure you that we were not told when we signed up that he would only be allowed $3700 a year coverage. We were only able to get one month of this med because it would cost $35. Bear in mind also that we got estimates from $90-$4003 for the same medication. Let's see... We have paid $219 of $876 for the year and are at the end of our coverage unless we hit the $4000 stop gap and then we get help. This was not how this part d plan was explained to us. We are both medically retired and on a fixed income. AARP and UnitedHealth should be drummed out of business. How dare they take advantage of us! I am forced now to call drug companies and try to get help from them.
We are still trying to find a way out of this plan. OptumRx has got to be the lamest excuse for a Mail-order pharmacy. Please, people, think twice about using them. They are confusing, unhelpful, and annoying. They lose prescriptions and anything else you need to get your meds. Look. We are in a bind here. To get out of the stop gap is going to take money we don't have. This plan is a disaster and a ripoff. I can't tell you what to do with your money, but I would be cautious with this plan. They did not explain to us how it really works. I am experienced and educated so I really feel for those who have no one to help them with this. I mean, it should not happen to anyone. So, United Health, AARP, and OptumRx, you got us this year. Won't happen next year.
Reviewed March 17, 2017
I wish I could give a negative star. I opted for a United Health Care Compass plan on the NYS Exchange. Note, this is a Compass plan which is different than other plans with United--and this is a problem with the Compass plan, not with the Affordable Care Act (Obamacare). On choosing the plan in November 2016, I confirmed with my primary care physician that they accept the plan--I arrived for an appointment in March 2017 and learned they cancelled the plan in February 2017. As a long-term patient, my primary has always accepted my insurance, but said that in this case it is not possible.
I have since called 75+ doctors listed on the United Health Care website searching for a new primary care physician and NOBODY is accepting this plan--all of the major hospitals, practices and clinics in New York City have stopped taking the plan. Reportedly--and this is based on a conversation with a hospital referral line--the industry thinks the plan is going to fold soon, so doctors don't want to risk getting stuck with unpaid invoices. The doctor list on the MyUHC.com website is not accurate.
I found two practitioners still accepting the plan--but appointments are 4+ months out and they cannot guarantee that they will still be accepting Compass when the time comes for the appointment. Customer service at UHC has been friendly enough--they have given me numerous phone numbers from their internal database and have made calls on my behalf--but they are not able/willing to consider the larger picture or comment on the situation. I requested a supervisor callback yesterday morning--but have not heard from anyone yet. DO NOT, I cannot say it loud enough, sign on to a United Health Care Compass plan in New York.
Reviewed March 17, 2017
This is the second preauthorization that United HC has required for my 12 yo's prescription. The issue is not only the inconvenience of when I drop off his monthly hand written prescription (due to being a controlled substance) within one year but, the pharmacist relays I need another authorization. Who determines that we need another preauthorization again and why?! I proceed to have the prescription filled and call the insurance company and get an attitude for the inquiry. $10 says the young fella that was so very snide with me wouldn't get away with it if we were in person to put it politely.
These people don't even like their jobs, my guess is that they may have a conscience or did at one point and it's eating away at them doing people wrong. Corporate greed... Trickling down to everyday people in need of medical care... Corporate wins, typical David vs Goliath scenario. We the people should start class action lawsuits against for profit insurance companies that create delays for healthcare. Corporations should not profit from people with healthcare needs. Totally wrong and it's dragging/keeping America down.
Reviewed March 16, 2017
Nov of last year my spouse had to have emergency surgery for a hernia. Went to Florida Hospital in Tampa, FL which is an In-Network Hospital. Surgery was postponed till the next day. No problems till now. Received statements from two surgeons billing us $27,000.00 each (the Hospital was $42,000.00). United Health Care paid the hospital but not the surgeons as they were Out-of-Network. Was not told this by them or the hospital. Florida Governor Rick Scott signed HB 221 preventing outrageous bills and surprising medical bills. Will have to contact all agencies about this. Not fair to seniors or anyone.
Reviewed March 14, 2017
I've been paying for their short and long term disability for longer than 10 yrs through work. I developed an inoperable tumor bigger than a golf ball between my pancreas and liver and am on pain management that won't allow me to work anymore. I submitted all paperwork they asked for and was denied. I appealed. The 3rd party that examined my case cleared me, but now they have my claim in a vocational department to see if I can do another job. This has been 4 months and I haven't received a dime. None of this was explained when they took my money. Now I have to sue at my expense and lose 25% of what they owe me. I'm writing the insurance commissioner in Florida and am contacting the 4 major news agencies in hopes to shed light on these crooks. I went on social media and told everyone what they're doing to people.
Reviewed March 14, 2017
Since Jan 27 my GYN has attempted to get a prior authorization for an HYSTERECTOMY! It has been denied several times and is now unfortunately in appeals. Called for a status today and was told policy is they have until March 31 to make a decision! My surgery was initially scheduled for March 3 and obviously has been cancelled. Prior to the appeal being filed, my GYN did a peer-to-peer (my Dr consults with a UHC Dr). UHC physician told my OB if we did an endometrial biopsy they would approve. She then noted my file differently and states she told my Dr a biopsy was needed and it would begin the appeals process. March 2nd I filed the appeal.
My surgery has been CANCELLED, I now have had the opportunity to sit in agony and wait for them to decide just how crucial this procedure is. I have a cyst on my left ovary, excessive thickening of endometrial tissue and an enlarged uterus. None of which can be "fixed" without surgery and an official diagnosis can't be determined without surgery but UHC don't give a rat's ** about anything other than their premiums. $140+ a WEEK we give them for NOTHING! Today is March 13, we've had insurance with them since Jan 1st. It's going to be a long year! Oh let me not forget to mention, I've sought out an attorney. I'm going to make them suffer like they've done me in 3 short months! They've run across the wrong person this time. I don't back down and I don't give up! Ball is in my court!
Reviewed March 13, 2017
So disappointed! Since I got insured with them couple of month ago their website is not working probably. Today I visited my primary care doctor and she sent me to a specialist but apparently their website is not working so my doctor is not able to get the referral form and send it to them. I waste one day. Many people were trying to fix it with my insurance and finally we could not!
Reviewed March 13, 2017
Huge regrets choosing United Health Care Insurance. Over 3 months of insurance payments and I still have not received my health insurance ID card; despite numerous telephone requests. I get an error statement every time I try to print a temporary ID from their website.
Reviewed March 10, 2017
My husband has diabetic nerve pain in this feet. He has been on ** for 2 years and has been very successful... This year we had to change to United Health Insurance. I have been trying to refill his ** for the past 2 weeks. I get passed around and around. Now the RX has been denied, because someone at the Insurance company wants him to try at least 3 different ones. Well if our doctor had wanted him to be on these other medications she would have put him on them. Why does this insurance company have the power to determine my husband's health condition. Also we were forced to use the 90 mail program, which am not please with being forced to use it. We have used Optum Pharmacy before and have excellent service from them... I am NOT happy with this insurance plan.
Reviewed March 9, 2017
I also had a problem with medical cards showing the correct names and plan. It took about 2 months to fix, but it didn't prevent any treatments. Now, our son has a heart condition, Tetralogy of Fallot. He had a stent put in at birth, then had reconstructive open heart surgery at 6 months, then had a seizure 2 weeks after coming home. All together he was in the hospital 3 months in his first 7 months of life. United Health Care nurses call every couple of week just to check up on our son. We get in home care, prescriptions are covered, the total stay was covered, and we recommend them to any family.
Our son's medical bills from the surgery alone exceeded $150,000. We've never had any push back from the insurance agency. My wife is type 1 diabetic and her insulin is a $50 co pay with endo's costing $40. Healthcare is frustrating and it sounds like the majority of the problems listed here are a customer service issue. From the standpoint of saving our son's life, we recommend United Health Care and its nurses who call just to see how the family is holding up.
Reviewed March 9, 2017
My son who has Down's syndrome recently started receiving a bill for part D Medicare coverage from United Health Care. Upon inquiring I learned that because he did not opt out of part D when we first signed him up that he is now stuck paying this. The thing is when he signed up (or failed to opt out) it was because his part of the premium was $0, free. Now the premium has gone up and he is being billed for the difference of what Medicare will pay and the new premium, which is almost triple what the initial enrollment amount was, yet he cannot opt out until open Enrollment in the fall.
We would have opted out if we had known the premium could and would change. I will quote from a letter he received. "A medicare beneficiary's silence is deemed to be consent to enrollment." Since the government covers part of this cost, if he does not pay his part, he will billed for the entire amount which is even higher, which they will tap out of his Disability social security. Upon checking, I see that there have been thousands of other complaints against this company for bait and switch. Shame on this company for taking advantage of a man who has a second-grade reading level and has neither the IQ or means to resolve this matter himself.
Reviewed March 9, 2017
United Health Care continuously stalls on their claims and tries to do everything to prevent paying claim to their customers. I have had several providers and they are by far the rudest and sleaziest of any medical insurance claims company. If you have them hound them every day and I advise taking them to court quickly. I submitted a legitimate receipt and documentation for FSA claim which should be easily approved. They denied the claim and more importantly they state that they process claims within 7 days but after 7 days they didn't even notify me or show it was denied.
Reviewed March 7, 2017
I signed my kids up for UHC child health plus through the NY state website and was given a premium amount of 153/month/per child for 12 months with no financial help that started on 1/1/2017 and was told by UHC my premium is due by the 10th of each month for it to remain active. In February I call to make my premium payment and they tell me I have nothing due which is impossible so I literally force them to take my money. That same day they I receive a bill for $1k from them and when I call them they explained this is just a billing error everything is fine and in-fact my premiums are going down just call again and make next month's payment.
Come this month in March when I call to make my payment I'm told I owe them over $700 and my premium has increased to 200/month/child. After spending over 4 hours of my day trying to get it resolved it turns out the following occurred. UHC was illegally trying to force me into a higher premium by dropping my coverage and re-instating it on a new higher premium plan... When I spoke to the state they informed me my premium should not change from my contracted amount and my enrollment status has not changed. UHC on the other hand was telling me my premium is going up because I failed to make payments on time and they have been re-enrolled into a now higher premium rate due to rate hikes this March for all Child Health Plus members and if I don't pay the new rate I can't continue having coverage. They also informed me that my coverage is now terminated and I would need to speak with.
UHC refused to do anything about honoring the original contracted price and would only accept the now increased rate simply because I failed to make a payment on time even though when I spoke to the reps on the phone I was told my premium is due by the 10th of each month. I will be filling a complaint with the NY Department of Health and the Attorney General against UHC for the complete and total fraud being committed by them. This is absolutely ridiculous that companies are getting away with doing these kinds of things when this was supposed to be getting fixed. How is this considered fixed? This doesn't even consider the fact they NEVER sent me an actual bill for the correct amounts the entire time I had the insurance, signed my kids up for a doctor that isn't even accepting new patients and it took 3 weeks into January to actually get me my kids insurance cards even though I signed up for the coverage in December.
Reviewed March 7, 2017
UHC is using pre-authorizations as a scheme to delay and ultimately outright avoid paying for services through untoward and illegitimate pre-authorization procedures that are so slow and cumbersome that people give up and do something differently. UHC's pay avoidance scheme makes it virtually impossible to obtain medical services since health providers are refusing to accept them or if they do they will not provide services in a reasonable time frame. For example, one medical provider showed me without revealing any patient information a recent and ongoing UHC prior authorization scheme where UHC had already given prior authorizations for a set period but denied authorization well before it expired then demanded prior authorizations for a different substitute medication, which after submitted and a lengthy approval period UHC just denied them outright, which clearly was their intent from the start.
This was not just one isolated case but HUNDREDS of cases. UHC is SIMPLY jerking people around. My case IS dental - a cracked molar that must be pulled; it hurts. Clearly, all agree it needs extracted, which is covered, but UHC requires a prior authorization. THEY HAVE NO FAX OR EMAIL AND NO PROCEDURE TO EXPEDITE THIS. Since UHC is jerking people around no dentist will simply pull my tooth and expect to get paid since UHC will most likely deny it even though it is covered because it will have been performed prior to the authorization.
A WEEK LATER HERE I SIT IN PAIN DESPITE EXTRACTIONS PROVIDED UNDER THE PLAN. Nobody should be expected to endure tooth pain because UHC won't timely approve a necessary and covered procedure. Just as justice delayed is justice denied so is healthcare delayed at the point UHC is exercising the delay is simply healthcare denied. I sat in the dental chair of an oral surgeon OVER A WEEK AGO that takes the UHC. I should have been able to get that procedure done that day or certainly by the next day. UHC is terrible. I cannot wait to switch. Run from UHC as if your life depended on it since it just might and no way I want to have to depend on UHC.
Reviewed March 7, 2017
My doctor wrote prescriptions for a cervical and lumbar MRI. I consulted the provider listing and came up with nothing within a 50 mile radius. So I called customer service; the first rep. could only find one facility. So I called the number provided. The facility was virtual radiological professionals in Boca Raton, FL. And the phone number listed is 877-317-8195. So I called. Who did I get? It was DirecTV and T-Mobile advertising. I called again and spoke to another rep. Try as he may, he couldn't find anything either. By now I have spent about an hour on the phone.
I Googled this provider and saw nothing familiar in the description. I don't know who this provider is, but I'd like to bet they don't even exist! In the meantime, while on hold with rep #2, I get disconnected... This happens frequently when trying to communicate with UHC. My plan name is UHC Medicare complete choice plan 1 (regional ppo) with the passport provision. I winter in the West Palm Beach FL. area. And I can't get an MRI!!! Give me a break!! This is pathetic!!!
Reviewed March 6, 2017
DO NOT sign up with United Health Care - in my opinion there are "funny" things going on there. They should be locked out of the Medicare plans. I cancelled my contract with UHC back in Oct 2016, and switched to Humana. I love Humana by the way. UHC has deducted from our bank account for Jan, Feb and Mar 2017. We called to complain that their services had not been used, and Humana is my Healthcare service. They would not refund the money, even though they took it for no reason. Finally, the customer service rep supervisor said she needed written confirmation from Humana showing coverage. We requested our Humana rep contact her to resolve what she needs. In the meantime, we are out 189.75 each month automatically withdrawn from our account. For this month, it cost us $36 to cancel/stop the payment. We are still trying to work this through, but it is a fight.
Reviewed March 4, 2017
First, I have been with UHC/AARP Medicare for over 12 years. Same company I just switched to a Medicare Advantage Plan (with everyone telling me not to). I was worried so I called several times questioning my coverages. So my first complaint would be No internet access to my account and claims. So I can't see or check my coverages online which I have always done and do with every company I do business with. I take advantage of Online access and find it very informative. Now I can't see anything at all and must call and be placed on hold a long time. Which brings me to my second complaint.
When I call in I am prompted to enter my policy number which I do. I enter the exact one that is showing on my NEW card which is correct. I then go thru the verification process entering my address, date of birth etc... The first thing I am told is that "My policy was canceled 12/31/2016... Well, yes, the old one was but I entered the NEW policy number. I made no mistakes entering my information yet I am told my policy was canceled. I called and was told the same thing over the phone. The rep didn't bother to look any further than she did. I called back again after calming down and ask again. The new rep found my info after searching for it for several minutes.
My first experience with my new coverage was a total nightmare. I go to pain management and have been for about 15 years. In my location of the country the doctor is only allowed to prescribe a 30 day supply of narcotics which means I have to see him every month or I run out. Usually the day of or after my appointment I am out of my medicine. I go to the pharmacy and am told my drug isn't covered and needs a PA. Here I am on Thursday at 4pm, doctors office closes at noon the following day until Monday. We all know how busy doctors are on Mondays and especially Mondays the first of the year. I can't get my medicine. I called and was told first I didn't even have coverage again, so that started me getting upset, then I am told I need a Prior Authorization... DUH, that's why I'm calling, did you not understand me.
Response from rep: "Well, I can't do anything without a PA..." I explained my situation to her again, I said "Look, if I don't have these meds I'm going to end up in the hospital and you're gonna have to pay a hospital bill which is a lot more than my RX." Response: "I was just going to suggest you go to the ER." ANGER SETS IN. People on pain management who go to the ER for drugs are pretty much blackballed and sometimes even have the cops called on the. Not to mention I have a signed contract with my Doc that says I will NOT go anywhere else to get pain medicine or I will be dismissed from his practice meaning I will most likely NEVER be able to get into another Pain Specialist again.
I ask about the 30 day emergency supply. Response: "That doesn't apply to narcotics!" Well, it doesn't say that in the policy... So now I'm stuck going the weekend without pain medicine. In short(er) it took me 8 days to get a drug the same company UHC/AARP had been paying for over the last 12 years and suddenly I'm out in the cold. Thank GOD my pharmacist knows me and trust me. He really takes good care of his clients. He loaned me enough to get me thru which itself set me short for the following month because I had to repay them and even though it was the insurance companies fault, I still had to wait 29 days the following month before I could get it refilled. That lost week created by UHC was at my expense and they didn't care.
Now I have a medicine like the other I have been taking for a long time. This one however doesn't cost that much. It's like 1/10 of its alternative drug cost. UHC actually had the nerve to send me a letter telling me that a drug which cost $23 is too much and they aren't going to pay it any longer. The alternative if ** if you get my meaning. And $23 is too much. This is about the craziest thing I have ever heard.
Since they have given me such a hard time on my medications I have chosen to take advantage of the other benefits that are offered in the policy such as Eye exam and glasses, Dental care and Hearing Aids. Also RT trips to/from my doctor's office. These are all things I have been used to just paying and never would have considered turning it in to my insurance company.
They need to get their system fixed to warn patients at least 90 days prior to a Prior Authorization being needed for a drug. Doctors are hit hard the first week of the year doing nothing but filling out forms for an insurance company. And you're lucky if it doesn't get "Lost"... This creates an extreme hardship on both the patient and the doctor not to mention the insurance company itself for having to review so many Prior Authorizations at the very first of the year. Spread them out through the year and this doesn't cause so much trouble. Get it straight UHC... someone is getting paid a heck of a lot and doing a very poor job. You are trying to save a dime and it is costing you a dollar at the end of the day in phone calls alone.
Reviewed March 3, 2017
Has this happened to anyone else out there? On 1-13-2017 I received a letter from UHC notifying me that they no longer will pay for my **. I have been on this for over 15 years without a problem. They gave me no advance notice and caught me at the end of my pill cycle. After begging for help they sent me 120 pills so I could withdraw from them. They gave me an option to pay for them in the future, I would have $4,929.29 each quarter, I was paying $100.00 each quarter. I don't know about you but I'm 72 and cannot afford this charge. My wife and I have spent over 100 hrs in the past 3 weeks talking to UHC. All no avail. They do have an appeal process.
My first was denied, My doctor sent in a two page letter along with 80 pages of support documentation for why I need this drug. My problem is severe neuropathy in both legs/feet. I have had back surgery, a spinal cord stimulator, duragesic patches, acupuncture, laser light therapy and most drugs that are supposed to give you relief.
** is the only one which gives me some relief. Maybe there are others with a similar problem who could point me in the right direction or the right agency to call. If an attorney sees this plea for help there is an option left, that is to take file a civil action in the courts. My doctor wrote in his appeal letter that "my pain is disabling and furthermore without adequate analgesia which only ** has provided me with some semblance of pain relief, without it he believes that my pain is life threatening". I have enough pills to last just under three weeks; Unless I get immediate help with this appeal I won't be around much after that. Thank you in advance for any help you may be able to provide for me.
UnitedHealthCare Company Information
- Company Name:
- UnitedHealthCare
- Website:
- www.uhc.com