UnitedHealthCare Reviews

4,882,006reviews on ConsumerAffairs are verified
  • We require contact information to ensure our reviewers are real.
  • Our moderators read all reviews to verify quality and helpfulness.
  • We use intelligent software that helps us maintain the integrity of reviews.

About UnitedHealthCare

Pros
  • Helpful customer service
  • Quick claims processing
  • Comprehensive coverage options
  • Affordable premiums
Cons
  • High out-of-pocket costs
  • Frequent claim denials

UnitedHealthCare Reviews

Filter by Rating

  • (128)
  • (57)
  • (63)
  • (122)
  • (2,618)

Popular Mentions

    How do I know I can trust these reviews about UnitedHealthCare?
    • 4,882,006 reviews on ConsumerAffairs are verified.
    • We require contact information to ensure our reviewers are real.
    • We use intelligent software that helps us maintain the integrity of reviews.
    • Our moderators read all reviews to verify quality and helpfulness.
    Recent
    • Recent
    • Oldest
    • Most helpful

    A link has directed you to this review. Its location on this page may change next time you visit.

    How do I know I can trust these reviews about UnitedHealthCare?
    • 4,882,006 reviews on ConsumerAffairs are verified.
    • We require contact information to ensure our reviewers are real.
    • We use intelligent software that helps us maintain the integrity of reviews.
    • Our moderators read all reviews to verify quality and helpfulness.
    Page 14 Reviews 2240 - 2440
    Verified purchase
    Customer ServiceCoverageStaff

    Reviewed March 22, 2016

    My daughter was born on June 14, 2015 and had one month of coverage with Kaiser before she was switched to a United Healthcare family plan. Her coverage with United Health Care started on July 6, 2015 and her coverage with Kaiser ended on July 14, 2015. United Health Care has repeatedly denied claims AFTER July 14, 2015 (when my daughter's Kaiser coverage ended) on the basis that she had another primary insurance that should be billed. I have called United Health Care at LEAST seven times to resolve this issue. Every time the "customer service" agent assures me that the issue is resolved and that the claims will be paid, but this is never the case.

    On March 11, 2016, United Healthcare took back money they had already paid to my pediatrician for one office visit on 8/6/2015 and one well baby visit on 8/17/15 (both well after her Kaiser coverage ended) in a total amount of 1365.00. I have attempted to resolve this issue numerous times with United Health Care and they have not only refused payment of valid claims to my pediatrician, they have refused claims under the same false statement (that myself or my daughter has other primary insurance) for several other medical treatments that are clearly covered by our plan. They have refused payment for these treatments even after I contacted them about this error and (supposedly) reached resolution. Now they have rescinded previously paid funds that are CLEARLY owed by them to my pediatrician, leaving me with the bill.

    While speaking with the supervisor at United Health Care, she revealed to me that United contacted Kaiser on 3/16/16 to confirm that my daughter did have coverage with Kaiser on the start date of my United policy (7/6/15) and used that information to deny claims on 8/6/15 and 8/17/15. United also called my husband on 3/16/15 to ask him if my daughter and I have Kaiser insurance and he said no.

    I would like United to tell me why a United employee contacted Kaiser to research their responsibility for claims made on 8/6/15 and 8/17/15 but never actually asked Kaiser if we were insured through them on these dates. I am concerned that these actions are a systemic issue that is potentially designed to delay payment on legitimate claims and would like to receive comment from United.

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed March 19, 2016

    When I purchased this policy after moving to MS in the Fall of 2015, I was told that Dr. ** was in network and I could still use him as a Primary Physician. I still saw Dr. Calvin ** or his nurse practitioner until the end of 2015, and the claims were paid. I have been going to Dr. ** over the past month for high liver enzymes. When I received the rejected claims, I contacted Dr. Mullins and he nor anyone in his office were aware I could not be seen there anymore. He stated I see patients from MS who are insured by United Health Care all the time.

    When I purchased this policy, I chose what I thought was one of the better policies. To my knowledge I did everything I was supposed to do based on the information provided. In the past week I contacted United Health Care and spoke to Claims, and was told I need to find a primary care physician in MS. I then spoke to Member Services and choose Dr. ** in Southaven, MS.
    .

    I made an appointment with Dr. ** and upon arriving, I was told by the receptionist that I should make sure I have been assigned a primary care physician and that Dr. ** was in the network, because many patients are seeing their claims denied. I called back Member Services back and the agent told me that I was not assigned to Dr. ** and that he was not even in the network. She emailed me a list of providers and his name was listed.

    I called Member Services again and was assured that Dr. ** was in the network and that I had been assigned to him. It appears that many of the employees of United Health Care are not familiar with their jobs and how to do them. And, the information provided to patients and providers re: coverage does not clarify the requirements to get a claim paid, and that this is not an isolated case.

    Thanks for your vote!

    Reviewed March 19, 2016

    UnitedHealthcare probably saves about 20%. By going against standards of the industry through various fraud. The insurance industry is now being enforced by former UHC execs. The head of Medicare is a former CEO within their organization. Physicians and patients both lose and since their CEO's pay is mostly done through stock options, it makes more money for him to deny claims boosting the value of their stock at that very moment.

    If you are a physician’s office and you request authorization, be prepared to fight in order to get that authorization. Once you get it, be prepared to have to send in all notes from whatever was done. Expect delays and expect them to pay only a portion so that maybe in about 9 months you might get paid from all of it with about a 20% lower payment than that of even Medicare. UnitedHealthcare is in the provider world is this. Requires 4 times the work, and gets 2 times less the pay out from any other insurance. Nobody should be allowed to do what they have done and continue to do. They really should be shut down as a company.

    Thanks for your vote!

    Reviewed March 16, 2016

    The very worst you could possibly imagine. My wife had Care Improvement Plus as her medicare advantage PPO. They merged with UHC and it has been nothing but a disaster since. I would definitely advise against this company!

    Thanks for your vote!
    Price

    Reviewed March 11, 2016

    Sumatriptan denial - I have managed having migraines for years. The neurologist recommendations are for 9 pills per month. It has been the standard amount for two other insurance companies. This many pills allows me the ability to work and function, knowing that I have medication if I need it. I have insurance through my employer, I also pay a premium. I cannot believe this company is allowed to do this, randomly choose not to follow MD recommendations. This medication is expensive. Shame on them.

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed March 10, 2016

    I had this insurance in 2014 through my husbands employer and ended up needing a hysterectomy in December 2014 - my husband's employer had already decided to switch insurance companies in Jan 2015, so I was in a time crunch. I went on Dec 8th for pre-op evaluation, and my surgery was scheduled for Dec 18th. Unfortunately I found on from the hospital on Dec 17th that the insurance had not yet approved the surgery, because pre-approval had just been submitted by the doctor's office that morning, the day before my surgery.

    I called the insurance company in tears to get this surgery done, as I was in pain, and I was told she would do everything possible to get it taken care of. I also stupidly disclosed that we would be changing insurance companies in a couple weeks and I didn't know what the coverage would be and I had already met my out-of-pocket annual maximum - a perfect reason for them to delay approval to not have to cover. Imagine my surprise to get a call at almost 8:30 pm (well after closing time) to tell me it was all taken care of, I could have my surgery the next morning. Surgery was done, bills were paid, no problems.

    A few months later the anesthesiologist was billing me, saying my insurance didn't pay them - I looked at the EOB's, which said I owed them $0 due to network discounts, so I called and told the provider this. They said "OK, no problem". A few months later (after my coverage ended) I got a call from the anesthesiologist again saying I owe, and that they are not in network with my insurance. I called UMR and they got on 3-way call with me and the provider and told them they are in network. The anesthesiologist office said "I don't care - we are billing it".

    True to their word they sent me to a collection agency. I told them what happened (Note this was almost a year later, long after coverage was terminated with this plan). I called UMR and they send documentation to the provider showing their in-network status with a copy of the contract. The collection agency continued to call and I continued to explain to them and they told me to call the provider, which I did, and they said they would look into it, which they didn't.

    Fast forward to today, March 2016, 15 months after my procedure and the termination of my UMR plan - the collection agency said I need to send EOB's to show I don't owe the balance by the end of the day or my credit is going to take the hit. I called UMR with no ID, no active plan, and no benefit to them whatsoever and spoke with Natalie, a super-sweet woman who looked up all EOB's for anesthesia (as they did not bill under their business name, but under a provider whose name the provider couldn't tell me), and she faxed the EOB immediately and waited on the phone to make sure I got it.

    I faxed it to the collection agency; game over - I win. UMR reps were always understanding, helpful, accommodating and expedient. I know they say people are more likely to leave a bad review than a good one, but I believe this company definitely deserves credit for the assistance they provided me, and continue to provide long after my coverage was ended. I would recommend them to anyone looking for good customer service.

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed March 10, 2016

    My car door flew open in the wind and struck my face and I needed a couple sutures. I am an infrequent user of my health insurance. I go maybe once a year for my yearly physical and take no pharmaceuticals besides vitamins. After a $580 ER visit for the sutures United Healthcare hired an auditor to "investigate" to see if my auto insurance provider should foot the bill. The "auditor" was rude and sounded like she has way too much "ah ha I got you" in her voice on this minor expense, minor issue and "turned a molehill into a mountain" came to mind. I am sure United Healthcare spent more to "investigate" that my bill should be paid by my auto insurance versus if they had just paid the bill. Since this time, I have had Cigna and BC/BS, both awesome insurance companies with no issue. Good luck United Healthcare in your quest to do everything in your power to get out of paying anything.

    Thanks for your vote!
    Verified purchase
    Customer ServiceCoverage

    Reviewed March 8, 2016

    I'm really disappointed with this Insurance. I can't find a local Doctor that accepts this. I've been seeing my Cardiologist for 4 years and didn't mind paying the $20 extra dollars but now I have to pay $160 in full when I see him every 6 months. There are probably others nearby but I can't seem to cancel this? I've called several 800 numbers that I was told to call and they said I had to do this on the internet? I'm so disgusted.

    Thanks for your vote!
    Customer ServiceCoveragePunctuality & Speed

    Reviewed March 7, 2016

    After dealing with a doctor that never so much as took my blood pressure I called. I needed a referral to mental health. I waited 3 months to be sent to one that is 150 miles away. It is like dealing with the 3 stooges. I filed complaints but give up changing out of this company that calls themselves a Insurance Company. I called more times and always put on hold because the "computer is acting up". Same excuse and hold time 20 minutes. They try to sound like they care but have no clue to what coverage is available.

    Thanks for your vote!
    CoverageStaff

    Reviewed March 3, 2016

    My mom changed to Kaiser as of 1/1/16. After not realizing she couldn't see preferred doctors, she wanted to switch back to United Healthcare. After contacting United Health Care to see if we could go back, United Health Care advised us to cancel Kaiser and send them the paperwork so they can reinstate her. Now that Kaiser has cancelled and she has no insurance, United Health Care tells us that it is not possible. This shows that United Health Care is AN ORGANIZATION THAT DOES NOT EDUCATE THEIR EMPLOYEES AND TAKE NO RESPONSIBILITY FOR THEIR ACTIONS.

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed March 2, 2016

    My company switched insurance companies to United/Oxford this year. I have never before had so many problems getting a medication that I have been taking for years. The medication was denied. My condition has gotten worse and am in pain which I explained to customer service. They say I need to try a substitute which I would be happy to do but it is not available to my pharmacy. In the meantime I am in pain and they are making me and my doctor jump through hoops. They are the worst, stay away.

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed March 2, 2016

    This has been some of the worst customer service I have ever received. In a week, I have talked to at least 7 different representatives, spent 3 hours on hold, been promised 3 call backs (none of which have happened) - all just to confirm whether or not they received the referral from my doctors office. Every representative promised to contact the primary care office and resolve the issue, and it still has not happened.

    Thanks for your vote!
    Coverage

    Reviewed March 1, 2016

    In December I signed my wife and son up for a UHC Gold Plan in Texas. At that time I verified that their doctors and medications were covered by this plan, which was confirmed. At that time I was told that we could choose their primary care doctors. My wife's choice for PCP was her gynecologist, which they confirmed was fine. Well, that was the first lie. We found out in late January, when I called UHC that she could not use her gynecologist, even though he's on her plan. Then, UHC billed us twice around January 20th, 2016. Billing said they would send a refund check.

    It's been almost 6 weeks, and we've received no check, no credit, no confirmation of one coming. Thirdly, and this is the most harmful fraud of all is that even though I verified my wife's prescription medications in December before signing up with them, and even though their two Apps (myUHC and OptumRx) showed her medications as being covered for her plan after putting her ID card registration in, which I have pictures of, they have denied coverage, and since my wife just ran out 5 days ago, her psychological health is in jeopardy.

    These are medications that she's been on for 15 years and were covered by Golden Rule and Cigna, but UHC has fraudulently denied them, blaming no prior authorization from her psychiatrist, them blaming OptumRx, who in turn blames UHC. My wife's psychiatrist has filed an appeal, but according to her, UHC will drag this out for months, and they are the worst healthcare company to deal with. If this were a cancer or diabetes drug, she'd be dead! As it is, I may have to have her committed. So, I will take this to the insurance board of Texas, the Texas attorney general's office, the BBB, and all internet complaint sites.

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed Feb. 29, 2016

    Enrolled in Bronze Compass 5500 plan with United Health Care through Marketplace Exchange. Online payment made but never made it into system. Coverage terminated without notice. UHC admits it was done in error but after spending 2 weeks making numerous phone calls nothing has changed. UHC billing page shows coverage in terminated status. Benefits page shows coverage still in effect. UHC will only accept phone payment directly from my banks accounts, which I refuse to do. They will not accept debit card or credit card payment on phone. When I go to webpage to pay online it won't let me because my coverage says "terminated." It's a total Catch-22.

    None of their customer service specialists have been able to reinstate my coverage despite claiming they have initiated reinstatement many times. There was a 5-day waiting period that is long passed. I can't get another healthcare plan because open enrollments are all done. We are totally screwed. We will pay, no problem! We should not have to give UHC direct access to our bank accounts to do so! This is criminal.

    Thanks for your vote!
    Profile pic of the author.
    Customer ServiceCoveragePriceStaff

    Reviewed Feb. 26, 2016

    Clearly United Healthcare is well aware of the insurmountable issues they have in customer service. They use call centers in other countries for healthcare!! Additionally they unknowledgeable employees, specifically in the "prior authorization" department. Because of my employer group plan, we are with United Health. A prescription I have filled for 5 years with no issues AND other insurance providers have covered, United customers service says "no DENIED". I am advised (after paying the full cost charged by the pharmacy) by United customer service (AFTER 3 1 hour phone calls) to call the prior authorization department. The first call I followed the instructions of phone agent. Again United denied. I called back to prior authorization, followed their instructions which included a form filled out by my dr/staff and then I call again. I'm told it is the incorrect form. I requested the form. I am told rudely, the dr will know which form.

    By this time I am extremely frustrated. The lack of consideration for the health care professionals is inexcusable. I call my dr's office and they have no idea why the form is incorrect. I call United back again. Prior authorization refused to fax or email the correct form to my doctor. I found a very helpful United customer service rep that escalated and found someone to help. United Healthcare behaves as though this is my job, my career to make sure the correct forms are being used. They act as though the healthcare professionals have nothing better to do than to create ways of wasting their precious time.

    Every time I see one of their commercials I think why are spending money there instead of improving their system? They could care less about any of us and clearly there is a group that is gaining from what the members are losing. My hope is that there will be continued investigations into their poor, unprofessional treatment of the members.

    Thanks for your vote!
    Price

    Reviewed Feb. 25, 2016

    Husband is an retired iron worker - we had to change to United. We're very upset - but no problems whatsoever. Very satisfied. They have sent information to us. Calendars silver sneaker cards... using same dr. No problem with any meds. And we take some very expensive ones.

    Thanks for your vote!
    Price

    Reviewed Feb. 24, 2016

    United Health One consistently fails to automatically process payments, and sends out "Final Notice" for payments. The "Contact Us" page provides a phone number to an IVR - no option to email, let alone chat. Talking to an actual human can take upwards of an hour or more on hold. As a monopoly in my area, the cost is astronomical to begin with.

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed Feb. 24, 2016

    I have recently become an independent contractor and signed up for United Health Care COMPASS insurance through open marketplace for 2016. It cost $1200 a month for my husband and I. I spent 3 hours yesterday calling all the doctors on their provider list looking for a primary care physician. No doctor takes this insurance! I called customer service and they just keep sending me their provider list. I feel like I am losing my mind. I am paying a lot of money for an insurance that I cannot use and the insurance company keeps sending me the list of the same providers that I already called. I live in downtown Manhattan. The latest provider list I received lists doctors in New Jersey and in Brooklyn. I think it is an unreasonable expectation that a person seeking medical care will travel across state border to receive medical help or a referral to a specialist. I am absolutely stunned by this situation and, honestly, don't know what to do.

    Thanks for your vote!
    Staff

    Reviewed Feb. 24, 2016

    In June of 2015 I had a surgical prostate procedure. The hospital wanted over $500 before I even had the surgery. We used my wife's flex spending account to pay the hospital. When the claim processed, it was denied and deemed experimental. The hospital and I both appealed the decision. At the end of October, I got a letter from United stating that they accepted the appeal and would pay the hospital and the surgeon. All of this time, the hospital has been holding the money which we paid them in June. Two surgeries later, I met my maximum out of pocket which was $2,500, and that meant that the hospital was not entitled to any of that money.

    After numerous calls to the hospital and United, I thought that I was finally getting a resolution in January. Sadly that was not the case. I was told that the checks would be mailed out, and I believe that they were. Rachael was the name of the United employee that helped me and told me that since I had met my maximum out of pocket, nothing would be due from me. When I received the explanation of benefits for the hospital bill, I was shocked to see that I could be billed for over $5,900 for supplies that were not allowed. After talking to another United employee, I was relieved when she told me that it was coded wrong and that I owed nothing.

    I was bummed about the fact that it would take up to three weeks to send out the explanation of benefits to myself and the hospital. Of course every time that I spoke with the reps at United, it was made clear that this was a very important issue to me because the hospital would not give the money back until they had the EOB and this could be a closed case. Well after speaking to Rachael today, I found out that no letters have even been sent out yet, even though it is now several days past the three weeks that I was told. As I sit here typing this, the hospital has now been holding our money for over 8 months! Rachael told me that the letters will be mailed next Monday. Even knowing that I have been waiting for several months to get the money returned to us, the best that she could do is to mail it out 6 days from now. DISGRACEFUL!

    It is obvious to me that United does not care at all to ensure that things are done correctly. They also do not have any concern for the people that they are supposed to be serving. I truly hope that an attorney sees what has gone on here and contacts me about what has gone on here. It should not be legal to hold onto money when it is not yours. I am being punished because of the incompetence of the employees at United. I have been lied to on numerous occasions. The lack of caring and the speed at which they handle claims is truly mind boggling. I'm confident in saying that it will be at least 9 months after the surgery until we get our money back. I would find this whole thing hard to believe if I was not dealing with it myself.

    Thanks for your vote!
    Customer ServiceOnline & AppStaff

    Reviewed Feb. 22, 2016

    I've been looking for an in-network mental health provider for YEARS. Went through 3 UHC professionals who dropped UHC after 4 months of starting work with them. Recently had an emergency situation, and spent over an hour on the phone (after ** around on the website trying to find what I needed for a half hour, complete with multiple time-outs and needing to log in again and again) to be shuffled from one barely comprehensible, thickly-accented, useless, impatient, grumpy peon to another.

    Note - each of these grumpy peons had a completely different website that WASN'T LINKED TO THE MAIN UHC WEBSITE that I had to type in manually. And each of these websites had technical difficulties which were obviously "on my end" according to the huffy "support" personnel. Count: 5 escalations, 60 minutes combined phone time, not including the initial 15 minutes on hold waiting for a real person to answer the phone. The last person I spoke with was finally able to tell me she just couldn't help me. Die in a fire, United Health Care. You're completely useless. Why am I paying premiums? Why isn't there a class action lawsuit against you quacks yet?

    Thanks for your vote!
    Price

    Reviewed Feb. 21, 2016

    I needed two teeth capped. There was no dentist in this area in their system. I called and they said to get the work done and they would pay me back. It cost $4000.00. I sent them all the bills. After two months, they sent me a check for $25.00. Stay away from them. They are crooks, liars, thieves and a lot more but I am trying to be nice.

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed Feb. 20, 2016

    I had been prescribed a daily medication by a family doctor and again by a specialist who called in a prescription for 30 days. When I got it home, I found out that these people agreed with the daily dosage but only allowed 3 pills per month. Repeated calls by my pharmacist, Doctors and me failed to change their mind - the only advice that they could give my was to buy it online at my own expense. I found a source online which was only 1/2 of what these people were charging me on the copay for the 3 pills they gave me. They also refused a prescription for a medication which is only manufactured in a sixty day supply. That approved the drug but only for 30 days even though nobody manufactured it in 30 day dosages. These are totally dishonest people who manufacture reasons to avoid paying legitimate claims.

    Thanks for your vote!
    Customer ServiceCoverage

    Reviewed Feb. 19, 2016

    I made this account so that I could review United Healthcare specifically. Almost everyday there is an issue with United, either canceling my plan for no reason or not processing my payments. I have spent COUNTLESS HOURS on the phone trying to fix my insurance plan because of mistakes on their end. Last year, I had to file a formal complaint with the Division of Consumer Services because they had enrolled me in two healthcare plans at the same time, and were insisting that I pay the premiums for both for five months. This went on from July until November. After trying everything through their customer service and billing phone numbers I eventually compiled my payments in a credit card statement and what they showed online, along with a letter detailing my frustration and the situation. It was finally resolved by the state.

    I should have known to cancel my plan with United then, but I don't want to find new doctors because of different insurance so I have stuck with them. The problems have only continued. This January (two months after that last issue), United Healthcare canceled my insurance without any authorization. I was still in the grace period, when I asked why it was canceled they said they didn't know. My insurance was reinstated but I still had to pay premiums for January and February despite not "technically" being insured because of their constant mistakes.

    To give you an idea of what having a plan with United is like: Today I could not get my prescription at the scheduled time because United still reflected that I had not paid my premium. The $588.11 that I owed for January and February was taken out of my account on Wednesday, February 17th. I had to call United and ASK THEM to please update their system to reflect those payments. Do not, under any circumstances, opt into a plan with United. You will face constant problems, poor customer service, and ridiculous answers to the most basic questions. Worst company I have ever dealt with in my life.

    Thanks for your vote!
    Customer Service

    Reviewed Feb. 19, 2016

    I was insured by United Healthcare for most of 2015. During open enrollment I found a new and better policy that fit my needs for 2016. I went online and "unchecked" the box that allowed United Healthcare to automatically withdraw the monthly payment to them from my bank account. I then paid my last premium via credit card. I never rechecked the automatic payment option. I checked my bank statement and saw that UHC withdrew the next month's payment from my bank without my permission. When I called the gentleman (Kim) acknowledged the error and said for some reason their system reverted back to the auto payment option. He saw where I opted out but said he would have to submit a form to their Finance Dept. requesting reimbursements for the funds that they withdrew from my bank account WITHOUT MY PERMISSION.

    I followed up about a week later and they said that they are denying my refund because I did not officially cancel my policy through the Maryland Marketplace. I told them I tried to cancel with The Maryland Marketplace but could not get through to them. (When you call you just stay on hold forever.) I understand that I did not cancel through The Maryland Marketplace but that does not allow them to withdrawal an automatic payment without my permission. I then spoke with a Supervisor (Terry) who said there was nothing she could do and has no idea how or why their system "popped back on" the option for automatic payment. So she admits their system "pooped back on" that option without my knowledge. I pleaded with her because the payment is quite high. She finally admitted that she does not have the authority to give me a refund. She said I had to talk to her Finance Department.

    I asked for their phone # and she said she doesn't know it and has no way of finding it for me. So a Supervisor in United Healthcare's Customer Service Department acknowledges that their system in error reverted or in her words "popped back on" the option to automatically withdraw a payment from my bank. She then has no authority to refund what is owed to me. She also has no access to the Finance Department who she says is the Department that I need to speak to to get the refund owed to me. UHC admits their error but still refuses to refund me the high monthly payment owed to me. I will be lodging a formal complaint with the Maryland Insurance Board and with any other agency I can find to report that United Healthcare withdrew money from my bank account without my permission and admitted it but they still refuses to reimburse me!

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed Feb. 18, 2016

    On February 1st 2016 I made a payment to my daughter's health insurance premium online through the United Health Care Billing website. I attempted a payment and it didn't go through and I never received a confirmation number. So I waited a few minutes then I attempted to make the payment again and it went through and I received a confirmation number. The next day I noticed upon checking my bank account online they had charged my account twice for the premium amount of $368.12 which was still pending.

    On February 3rd I contacted the UHC billing department about the pending charges. They said there was nothing they could do and I would have to wait until it posted to my account. I called back later that day and spoke with another representative and they put in a ticket number for the pending refund to be reviewed. I was told to call back in 5 business days to check on the status of the refund.

    I called again on February 11th and the representative that I spoke with checked with the resolution/accounting department and told me that I should see the refund credited back to my account between February 15th-17th, which I did not receive. On Feb. 18th I called again to let them know that I still have not received my refund. They kept asking me if I wanted to just use it for the next month's premium. I made it clear to them that I wanted a refund and not a credit for next month's premium. This time I was told by a supervisor that I would have to wait another 5 business days before I would receive a refund. I told her that was not good enough but was told that there was nothing more she could do. So I attempted to contact someone at the Corporate Headquarters to file a complaint and I believe I was rerouted back to the Billing Department.

    The representative that I spoke with this time, (after putting me on hold to find out more information on the status of my refund) proceeded to tell me that I would not be getting my refund back until Feb. 29th. Again, I told them it was not acceptable and how frustrated and upset I was over this matter. I also told them that I would be looking into reporting/filing formal complaints against their billing practices. I was told different dates by different reps ever time I called.

    The supervisor that I personally spoke with (which is the last thing these reps want you to do) was not helpful at all and was not very nice about it. This was an error in their computer system and not an error on my part. It should NOT take more than 5 business days to refund a fraudulent charge. They caused my bank account to overdraw. I'm afraid it will happen again and again. I'm going to look into changing to a different company (especially after reading all the negative reviews). Not sure if it's possible though for this year.

    Thanks for your vote!
    Customer Service

    Reviewed Feb. 18, 2016

    I have had several bad experiences with this company. I specialize in sleep disorders. The studies I request are capriciously denied, and UHC requires the physician to call, and often I must remain on hold for the better part of an hour. It can take them over a month to review a case for authorization for a study, and then, when it is denied, they will give a reason that suggests they did not read the documentation that they sent. The only way to overturn a denial is to have a "peer to peer" review, which means another wait for a phone call. I have a strong feeling that they deliberately create barriers to care, so that less tenacious requests will simply give up. I can't stand working with this company!

    Thanks for your vote!
    Verified purchase
    Customer ServicePunctuality & Speed

    Reviewed Feb. 18, 2016

    I have been nothing but disappointed since I began with United Healthcare in October of 2015. So much so that I am willing to put my son back on my work insurance and pay 100 dollars more a month for any other company. My plan was cancelled without my notice (I have paid all my premiums on time) and I had to call more than 7 times to get it reinstated in order to take my son to the doctor. I can't wait until April 1st so my son can be on other insurance. Avoid this company at all costs!!!

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed Feb. 18, 2016

    Worst customer service I've ever dealt with in my whole life. They owe me a reimbursement of 2 premiums. I've sent in the proof they've required. They don't return phone calls, or my money - so far. I don't have time to make constant phone calls/emails. I'm absolutely appalled at their lack of professionalism. Changing companies ASAP.

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed Feb. 16, 2016

    Have been with Part D company. This year they doubled my rates (hello there was no cost of living) denied 80% of the medication I have been taking the last 6 years. It's very sad when dictatorship overrides a person's health and well being. They are crooks and bullies. Made a phone call, asked the rep for a supervisor and a racial slur was made towards me. HUNG the phone up, was not going to get my BP through the roof!

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed Feb. 16, 2016

    Ok so this is our second year with United Health Care and so far they really don't do their job! So my husband has a pre existing condition Gout and he has been taking Uloric, Colcrys and Meloxicam for years to manage his Gout levels and pain. In January 2016 we send for a refill and It was denied. I call United Health care and they told me the Doctor needs to call them to do a pre-approval for all medication and that Colcrys will no longer be covered because is a plan exclusion (by the way I am paying for the best PPO plan they offered). I called my doctor and I explain to him, he called the insurance. They said it would take between 2-15 days to get it approved.

    2 weeks later I called again. They said the doctor never called. I called my doctor once again. He called them. Once more they said "he didn't". So on the 3rd time the doctor called and called me right back to tell me they talked to them already. So I wait 6 days to make sure they approve the medication. I called today and they tell me it is denied and they have no reason for the denial. At this point my husband is in a lot of pain, can't work, can't move and I am so frustrated and have no idea how to proceed. I need help!

    Thanks for your vote!
    Customer ServiceCoverageSales & MarketingStaff

    Reviewed Feb. 16, 2016

    I have had the unfortunate experience of health insurance "coverage" through United for the past two years via my employer. They are a complete scam. They won't cover anything or even accept/process claims because they falsely state that I have primary care through another provider. I have no other insurance, nor a spouse or any situation by which I could obtain other insurance. I have called them many times about this issue and they keep saying they will fix it but they have to "hack their system" to do it... Seriously!?! What kind of obnoxious system do they have?!?

    I will tell you their system... It is to make profit and deny any coverage and make lame excuses until you are sick to death. They say they will call back... Nope, never do. I have to keep calling them and every time, it is the same story and they say they will fix it. This company is the worst. Because they falsely claim not to be my primary insurance, I don't even get the discounted insurance rate for my out-of-pocket expenses. It is as if I don't have insurance at all while paying about $400/mo in premiums.

    The only fortunate thing for me is that I am in amazingly good health so have not had to deal with them much because I rarely see a doctor. That, and I have changed jobs and moving on to hopefully better insurance. I pray for all the people out there dealing with them and may God send us a lawyer who will take on a class action lawsuit against this criminal company... I know the case would be won easily seeing and hearing about the similar cases out there.

    Thanks for your vote!
    Coverage

    Reviewed Feb. 13, 2016

    I switch plans with my employer who offer UHC as our primary plan and it would be less expensive for me. In November 2015 my doctor prescribed me an antibiotic, which UHC did not cover and I had to pay out of pocket. Here we are in February and I am need for some other type of medications and UHC did not cover my prescription again.

    Thanks for your vote!
    Coverage

    Reviewed Feb. 12, 2016

    I am insured by UnitedHealthcare and they refuse to cover my bills. I have had a supervisor refuse to help me. They have spoken to the old insurance carriers and verified that I was not covered and still refuse to cover my bills.

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed Feb. 12, 2016

    I signed up for UHC through the Market Place. I called on Jan 11th to pay my premium thinking it was due on Jan 15th 2016. I was informed I was cancelled due to non-payment on the 1st of January and I had to call the Market Place to reinstate me. I received a letter days letter dated on the date I called stating I was cancelled due to non-payment. Coincidence? I called the Market Place - they submitted a claim to their Health Plan Specialist. I got a phone call from the Health Specialist saying everything was taken care of. Then I received a letter from UHC saying they reviewed the request and cannot be reinstated effective 1-1-2016 and I will owe a penalty at tax time for not having health coverage. I called them and asked why I could not be reinstated. They said it was because the Market Specialist put reinstatement date for January 1st and not the following month for February.

    I need to contact the Market Place and let them know to date it for Feb 1st. I did and the lady gave me a 411 on when you apply on the Market Place when payments are due. I tried to tell her what UHC representative told me about reinstatement for the following month of Feb. She said there was nothing she could do because it was up to the Market place specialist and it shows I am active. Called UHC again before Feb 1st to see if it was fixed to pay my premium and they said no I was still cancelled.

    Called the Market Place again. The young man informed me that there was nothing that could be done and I should have paid by January 1st. Frustrated I started crying and he was like "sorry Ma'am nothing can be done about it" and sign up for coverage in November. I called back to talk to someone else and she was nice but re-submitted my claim to the Health Specialist Department. I said, "okay but I already did this and UHC refused to reinstate once before." What do I do if they refuse me again? She said they wont. I still have no coverage for my children.

    Thanks for your vote!
    StaffProcess

    Reviewed Feb. 11, 2016

    My mother-in-law was rehabbing in a nursing home from a broken ankle. United Healthcare stopped paying benefits as soon as she passed the bridge and at that time UHC would be responsible for 100 percent of her daily nursing home stay up to day 100. They denied her benefit stating that she did not need nursing home care. Nobody at the nursing home agreed with this assessment. We appealed this having to go by their process. It took six months to complete this difficult process but we finally got our hearing in the firm. I had a conference call with an administrative law judge. I was very sure that I would win.

    I did win but not in the manner that I expected. As soon as the hearing began the UHC representative conceded the case so I won without uttering a word on behalf of my mother-in-law. I was very surprised especially considering how difficult they made the appeal process. They try and intimidate you and placards lot of roadblocks in the way but just follow the appeal process and don't give up. I did this by myself and it worked. I saved my in-laws about $7,500 in spite of UHC.

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed Feb. 9, 2016

    I went through the Healthcare.gov in Dec 2015 to insure my wife and had to choose United Healthcare of Alabama, premium was $405 paid Jan 1st. Went for a Doctor visit and Bam! NO INSURANCE! Made phone call to Obama care and they said all application were complete and if payment was made, I should have coverage. Called UHC approx the middle of Jan and was told that my payment did not process due to high volume of enrollment, after about a hour on the phone explaining how to get reimbursement for out of pocket payments they said problem was corrected and coverage was confirmed. Well another doctor visit said differently, NO COVERAGE! (More $ paid out of pocket.) Another phone and they told me I had coverage and gave me a ID# to show the doctor until my papers and ID card came in the mail.

    Today Feb 9th 2016 went to local pharmacy to have some meds refilled and the pharmacist told me he needed Bin # and group # so I called UHC and got the #'s thinking she was covered. After filling the prescription he informed me she had no ins. I called and after talking to a lady for approx 30 mins who acted like she was confused or trying to make up a story about my payment I ask for a supervisor, on hold for 30 more mins the line was disconnected! Called back and ask for a supervisor who stated that my Jan 1st payment was not processed until Jan17th and then cancelled by the market place for some unknown reason.

    Thanks for your vote!
    Customer ServiceCoverage

    Reviewed Feb. 7, 2016

    We signed up and made our first payment for the coverage of United Healthcare in December 2015. On January, we called UHC for access the primary healthcare listings. Made an appointment and when we tried to verify our PCP online we found that we were not registered. When called UHC, we were informed that we were no longer covered due to "lack of payment" when we had already paid in December for January's premium. The customer representative informed us that we short $2. We then made the payment immediately over the phone, this was Jan. 23. Today is February 7 and we still have no coverage. This company had drop us after the fact that we prove to them that the funds were already collected. We had to contact our bank to verify payment via statement. My husband is a diabetic, he needs his check ups on regular basis. He also needs to see a Sports Medicine Physician as well as a Urologist and a Ophthalmologist.

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed Feb. 6, 2016

    They told me on joining I would have a $20.00 to pay on my doctor bills and I would never have to pay more. Ha ha THEY DON'T PAY ANYTHING! Left me with thousands in bills and to make things worse after canceling their service they are still taking money out of my bank. They claim they can't stop taking my money for another cycle and they won't put a manager on the phone with me... Living on less than a $1000.00 a month and having them take 20% of my income and pay out nothing is to me unbelievable. I am down to 1 meal a day because of these lying thieves... I can’t believe how they have scammed this old man.

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed Feb. 6, 2016

    I recently called my pharmacy to refill a prescription for Cipro. My prescription regimen has not changed in 15 years. However in this case United Healthcare denied to pay for the prescription and instead recommended another antibiotic. Even the pharmacist told me that what they recommended would not treat the anything near what Cipro was prescribed for. I then called United Healthcare and they said there was a drug interaction rejection (which they didn't know what drug it was). That CVS would have to call my doctor and then call them back. I reminded them that my doctor was the one that prescribed the medication in the first place. They wouldn't budge. So it's a Friday, so they are going to deny an antibiotic for the full weekend and let me get worse in my illness until Monday causing who knows what damage.

    They have not only inconvenienced me to call them, they now want to inconvenience CVS to call my Dr. and then call them back and deny me the medication for a full weekend just to try to get out of paying for something I have used for years. This should be criminal and when they insert their ridiculous processes onto other people they should have to pay a surcharge to every single company or individual they make take time out of their day to cater to their ridiculous processes. United Health Care should be sued and forced out of business! I'll be posting this to every social media around. They deserve the one star rating they have.

    Thanks for your vote!
    Customer Service

    Reviewed Feb. 5, 2016

    I signed up with UHC late December via Healthcare Marketplace. I called UHC and made my payment over the phone. The rep I spoke with applied it to someone else. It has been a nightmare from there. After twice weekly phone calls, 20+ hours they are REFUSING to fix it. I have submitted proof more than once. I have never worked with such an inept company. Frankly I hope they go out of business - that is how bad their systems plus customer service is.

    Thanks for your vote!
    Customer ServiceCoveragePunctuality & SpeedOnline & App

    Reviewed Feb. 5, 2016

    Prior to going to my doctor on 10-23-2014, I used the UHC estimator on their website to verify coverage for a shingles vaccine. I was told that for a 57 yr. old, it was 100% covered & "Good Job" on preventive care. That information was absolutely INCORRECT! I have been fighting with UHC for 16 months now. They state that it was only covered if I was 60 yrs. old (which is not what their estimator said). It stated that I would have $0 out of pocket cost. If they would have told me that it was only covered for 60 yr. olds, I would have waited the 3 yrs. to get the vaccine.

    I appealed their decision that the bill was processed correctly. They kept changing whose responsibility the $210 was. I had asked for an external review 4 times & was never given this option. All the reviews were internal reviews done by UHC so what would you think the outcome would be, of course in their

    favor. I had informed UHC that my pharmacist told me, after the fact, that had I gotten the shingles vaccine from him, that it would have been covered. My 57 yr. old husband did get the vaccine from our pharmacist & it was indeed 100% covered. I asked why UHC didn't tell me this because I would most certainly have gone to the pharmacy to get the shot & saved myself all this grief.

    I have 100 pages of documentation with UHC & about 50 phone calls & emails to them. On 9-23-2015, they sent me a letter stating "You have no responsibility for this claim. The provider cannot bill you for the difference between the contracted rate and the billed charges". I forwarded this information to the provider & thought the case was finally settled. Imagine my horror when I received a call from a collection agency stating that I owed the $210 & that UHC reprocessed the claim again & now I was responsible for the bill. UHC didn't even have the decency to contact me to let me know. I had to find out from a collection agency. The agency informed me that they would report me to the Credit Bureau & ruin my credit if I did not pay the $210 by 2-14-16. My credit score is 840 & I have never had an issue with bad debt prior to this nightmare.

    I was at my wit's end & sent a letter to the CEO of UHC. He forwarded the letter to their Consumer Affairs dept. I just received a letter from them again stating they would not pay. In the letter it states "You may wish to check with your pharmacy regarding whether they will reimburse you for the charges." Because
    I have been fighting this for 16 months, we don't even have the same pharmacy provider anymore. Like I said, had they told me to go to my pharmacy to get the vaccine, I would absolutely have done that. I have been given the runaround by UHC & they will not accept responsibility for their error. The letter I

    received from their Consumer Affairs dept. is a joke. She states "If you have a question on what your plan will cover, call your medical claims administrator's customer service dept."

    I have had many, many conversations with "customer service" & they have been absolutely no help whatsoever. They tout their estimator as a great tool to be used by subscribers. How great is it when it gives INCORRECT information. Her statement to call customer service after using the estimator basically tells me that they have no faith in the accuracy of their estimator. How do you run a business like that? I feel I did everything I was supposed to prior to getting the shingles vaccine & I relied on the information I was given by UHC, which turned out to be false. Isn't it reasonable to expect that the information you are given on the company's website is accurate & shouldn't they stand by that information?

    "Under the law of most jurisdictions in the U.S., insurance companies owe a duty of good faith and fair dealing to the persons they insure". I do not believe UHC is meeting that obligation. They have basically given me the runaround time & time again. They are exhibiting "bad faith" all around. I do not want my credit ruined because of this. I have worked in the healthcare field for 33 yrs. & am very knowledgeable about insurance. I give patients estimates as part of my job & if I feel the estimate is not accurate, I will not give the patient the estimate. I do that rather than give them wrong information. Unfortunately I cannot go to the Office of the Commissioner of Insurance for our state because this is a self-funded plan.

    I have filed a complaint with the Better Business Bureau. I find it interesting that UHC's score is "D-" according to the BBB & rightfully so. You cannot believe how frustrating this has been dealing with UHC. If I had a choice, I would never choose UHC as my health insurance carrier & would never recommend it to anyone.

    Thanks for your vote!

    Reviewed Feb. 3, 2016

    Recently I have been diagnosed with a health issue that is causing compression on a nerve. It has been affecting my life since May 2015. My surgeon recommended surgery and put in a pre-authorization. UHC has denied it on 2 occasions wanting to see muscle weakness or nerve damage before approving. I have been suffering for months and UHC doesn't seem to care! Insurance companies have gone downhill so far, it's not about the patient anymore, if it even ever was, it's about how much money they can keep within the company. Meanwhile, I am at the point where I can no longer wash my hair without pain. I guess we just keep trying. I mean, what's a little nerve damage and blood clotting?

    Thanks for your vote!
    Customer ServiceCoveragePriceStaff

    Reviewed Feb. 2, 2016

    This is the worst company in health care history. After seeing these reviews I was crazy to sign up with them. I have been dealing with them from day one January 1st, trying to get a specialty prescription for Prolia, for osteoporosis. It is covered under my medical benefits so it should be easy right? One month later, I am STILL trying to get the phone back call from them asking me to authorize delivery to my doctor. I have called back a dozen times, which takes about 30 minutes a call starting with a foreign call center, to get to the right department -- the escalation team. Then, once you have someone helping, you can NEVER reach them again, so every time you call, you start with a non English Speaking call center, and it takes another 30 minutes to reach someone who tries to help but the result is always the same.

    I still don't have the medicine. Right now, I would rather pay a higher price and have a health care provider that does what it is supposed to do: provide health care. I also have been denied for another medication which Cigna had no problem paying for the past year. If you are thinking of signing up with UHC, run for the hills... They are worthless and you will be sorry.

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed Feb. 2, 2016

    I am writing this letter as a formal complaint and am requesting an appeal on behalf of my account. I am very dissatisfied with the customer service skills provided by United Health Care and the numerous inaccuracies of delivered information. On November 4, 2015 I underwent ACL surgery. Prior to surgery I did my due diligence by calling United Health Care to discuss possible out of pocket expenses, in-network and out-of-network surgeons, co-payments and future medical bills if applicable.

    Due to the inaccuracies of information provided by your company, I am requesting that all inbound and outbound calls be reviewed to confirm the misguidance of my account. I am requesting that the following months of September, October, November and December of 2015 be reviewed. In the month of October I called multiple times daily to obtain information about my upcoming surgery. Upon every contact I received a different response on meeting my deductible, out-of-pocket expenses, future medical bills and possible surgeons, co-payments and post physical therapy. Out of the entire frustrating ordeal one representative did take ownership of my account and took the time to ensure that I had a clear and precise understanding. She stated that I have a $750.00 deductible in-network and a $4,000.00 out-of-network deductible to meet.

    My main concern was the physical therapy treatments. She stated that I would have up to 60 visits and with a $40.00 co-payment but once I have met my out of pocket expense, all visits would no longer have a co-payment. She then explains if I had not completed the 60 visits prior to 2016 then the remaining visits would indeed roll over to 2016 since it would still covered under the 2015 surgery plan benefits.

    As of December 4, 2015, I have met my in-network and out of network deductibles per the United Health Care guidelines. I am also still under the care of a physical therapist and was enthused that the next 43 visits would no longer require a co-payment of $40.00. With that being said, I also informed the office manager at the physical therapist office of this information that was provided on the behalf of your establishment. Due to the multiple inaccuracies, I still continue to call and re-affirm the mentioned information. Upon my next call, I received a completely different story and was advised that the following was based per calendar year and that the following physical therapy visits would indeed have a $40.00 co-payment and that my new out of pocket expenses would now be $1,200.00 at the beginning of 2016.

    If this is indeed the correct information then I would have waited until the new 2016 calendar year for surgery. I was advised that with the ACL surgery, I would be guaranteed to meet my out of pocket deductible. I am not financially able to continue paying the $40.00 co-payment for another 43 visits. In closing, I am merely requesting that someone review my calls in the months of September, October, November and December 2015 and that your office will NOT honor any more co-payments for the remaining 43 visits of physical therapy per your representative.

    Upon listening to the calls you will hear the conflicting information provided by your representatives. This has added an additional level of mental and physical stress into my personal life. I believe that in order to prevent further mishaps, I would recommend additional training so that each representative is confident and accurate when providing information to members. This is an urgent matter and I'd appreciate your immediate assistance.

    Thanks for your vote!
    Customer ServiceCoverageOnline & AppStaff

    Reviewed Jan. 29, 2016

    When I applied for health insurance with this company, it was over the phone. The lady told me that my coverage might not actually start on January 1st (despite that being what I was applying for in mid-November) because it's a busy time with open enrollment and I should wait patiently to get all my paperwork from them so I could pay my first premium and be covered. I waited until after January 1 and I had received no communication from them whatsoever. I tried to log into their website, and since I don't always have time for phone calls during business hours, it took a day or two before I could call United.

    I called and said I'd like to pay my premium and check the address on my account so that I could pay the next month's premium on time instead of this weird game we were playing. The gentleman was muffled and mumbled, and despite me telling him multiple times that I could not hear him and he needed to speak up because I couldn't understand him, he continued to be inaudible (I now suspect this was intentional). Eventually I said I couldn't hear what he was saying and if he could just take my premium payment and would I then get the coverage I had applied for and could I just get my plan number so I could log into the website?

    He told me "you can't log into the website to pay your premium until you've paid your premium" (what?) and then said of course he'd be happy to take my $334 premium payment to make sure my coverage was reinstated and sorted out. I gave him my bank account info, and the payment almost immediately came out of my account. But when I logged into the website it said my coverage was cancelled and didn't even have me listed on the right plan.

    I called again and talked to five different reps before I was finally passed to a supervisor who told me that because I didn't pay until mid-month (despite it being their fault they did not send me information to pay and told me they would not so I didn't suspect anything was wrong) my coverage had been cancelled and there was no way it would be reinstated under any circumstances, despite me having paid. She also said she would "put in the request that I get a refund." It's been a week, they still have my $334. United stole my money, knowing they wouldn't reinstate my account, and they still haven't refunded it. DO NOT get their health insurance. Other companies might be stingy and profit driven but at least they aren't thieves and cheats.

    Thanks for your vote!
    Customer ServiceCoverageSales & MarketingStaff

    Reviewed Jan. 29, 2016

    United Health Care is a scam. They collect your money and leave you out in the cold. Arrogant people to deal with on the phone, who treat the customers like a 2nd class citizens. Hey, we pay your salary, jerk. Disrespectful and deceptive, they pick their people, apparently based on following a hard company line of treating the people like crap, and the worst part is their representatives' attitude, much more like a hard-nosed bill collector than a helpful customer service rep. When in their phone system to find a doctor, it is very hard to get to anyone who actually will find providers for you. They are only interested in selling more of their worthless coverage, not in providing the services they were obligated to. But their real obligation to provide nothing, and collect as much money from you as possible.

    They dropped me 25 days ago without any notice. When asked about why I was not notified, the insipid woman arrogantly said, "You signed up..." It was deep in the legalese, "We don't have to notify you". In other words, "go take a hike", you should have read the fine print! Well excuse for not having a lawyer standing beside me when joining.

    Sounds much like a shyster scumbag car dealer, than someone who was trained to help their customers. But they are not trained to help their customers, they are trained to aggressively say no to everything they can. I will never sign up for United Health Care again. Stay away from these jerks, because they will do the same to you. I paid $1600.00, to these scumbags without 1 visit to the doctor, and they treat me like I ran over their dog. Apparently the criteria for hiring their employees is people with a bad attitude and a proclivity in being an A..H... Well they hire the people that serve their greedy interests of taking your money and leaving you holding the bag of S.

    Thanks for your vote!
    Customer ServicePrice

    Reviewed Jan. 29, 2016

    Like many others comments I too signed up for UHC via the marketplace in December 2015 because the premiums were more affordable for me. (My rates with BCBS were more than doubling). Oh how I wish I would have done more research!! I made my first payment when I signed up on Dec. 14, 2015. Got a letter on Jan 9th stating my payment was received but would not be processed until Jan. 4th. My payment was not processed until Jan. 22nd. On Jan. 28th I was unable to fill prescriptions bc my insurance had been terminated for nonpayment.

    After hours on the phone, being transferred and disconnected I was informed for reasons beyond my understanding that I had signed up for automatic draft to be deducted on the 22nd. I never signed up for automatic payments, I couldn't even register online because my member ID was not ever placed in their system!!! After reading other comments, I see that I am not alone in my frustrations. If possible, I am dropping this insurance company ASAP. This is absurd. Thanks Obama, for screwing the hard working middle class, barely getting by Americans you supposedly help.

    Thanks for your vote!
    Customer ServiceCoveragePriceStaff

    Reviewed Jan. 28, 2016

    United Health Care is the absolute worst company I have ever dealt with. In the past 9 months since my son's birth, he has been dropped from my insurance every month. I've paid my premium on-time every month and 9 out of 10 times, I go to the doctor myself or my son shows up in their records as uninsured. Yesterday I took my very sick baby to the doctor and had to pay for his visit out of pocket and pay for his medicine out of pocket which cost $100 for ear drops! When I called the company, one representative said he didn't have insurance. The second time I called they said he did have it, but the issue needed to go to escalation.

    This is the 3rd time this has gone to escalation and nothing gets done. I had been paying $445 a month for my premium only to find out my son hadn't had insurance for 3 months! What was my money put towards if he wasn't insured? Then I was told that my premium was $315 a month, then I get a letter in the mail saying that for both my son and I, it would cost $285 a month. When I spoke to a supervisor, she said she has no idea why I would get a letter saying that and that it's a typo.

    On top of that, they switched me from platinum plan with a 0 deductible and $1500 out of pocket costing me $445 a month, to a gold plan with a $3000 deductible and $13000 out of pocket with a $488 out of pocket. So a much worse plan that cost more. This company is filled with incompetent employees that follow a script and get nothing done!

    Thanks for your vote!

    Reviewed Jan. 27, 2016

    Got the ep plan from this company and not one doctor want to take it. It's a waste of money. I have to pay out of pocket to see a dentist. This company also denies to pay for my child surgery when hospital send the bill. Please don't use them NYC.

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed Jan. 27, 2016

    I canceled my health insurance in 2015. In January they still took an insurance premium (a very high one I might add) out of my account. I called the very next day and after waiting on hold for an hour a lovely man told me it was their error and they would debit back my account. The following week (after still not receiving back my money) I called again... and waited on hold again for nearly an hour. This individual told me that the first man was wrong and that they were issuing me a check that was being mailed that day (1/12).

    The following week I called back and waited on hold for 48 minutes. Then was told by a different rep that they "never took money from my account", the check was never mailed (even though I had received a letter from them stating their error and that a refund was being mailed to me). She was not able to help me and said I would receive a call in the morning. Yesterday I got a call from service resolution that said that they did mail a check and to give it 6-10 business days; when I explained it had been over that time period she said she could cancel that check and send another but would not verify the check number or way by mail. I'm on the phone again today. It's been "shockingly" over an hour. It's also been over 3 weeks since they STOLE money from me. I can never get anyone on the phone that has any information and I've been told 4 very different stories. It's been hell and is unacceptable.

    Thanks for your vote!
    Coverage

    Reviewed Jan. 25, 2016

    My GYN ordered a 3D Mammogram due to my medical history. I received a bill from Roper Radiologists stating that United Healthcare denied their services. I never even received from United Healthcare the EOB stating that it was denied and the reason for the denial. When I called United Healthcare and spoke with the customer service rep. Drew she stated, "We don't pay for them." When I questioned why she apparently was reading from a script that there is no proven scientific evidence to support them.

    When I asked her to send me the information on which they base this she stated she does not access to this. I then asked her why they paid for the facility fee for the 3D Mammogram. Her response was, "We pay for facility fees." Makes no sense to me why they pay for one part and not the other. She states, "You can appeal." They want me to send in scientific evidence to support my denial yet they cannot provide me with any evidence to support the denial. This is unbelievable! Truly they just are trying to cut back on payment of claims. I am very dissatisfied with their service and lack of an explanation as well as coverage... I find no value in their coverage whatsoever.

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed Jan. 25, 2016

    I cannot begin to tell you how many hours I have spent on the phone being passed around, put on hold, switch to other depts, and hung up on. Eventually, I filed an issue, and months later they claim to have no record of it. I filed it again, and received a letter saying they are not able to inform me about their findings due to peer review confidentiality requirements. In my opinion, the type of Health Insurance they provide does pose a serious public safety concern, because it seems they deny almost all claims and force to appeal everything, in such a way I think they deny in hopes that you will get tired of fighting and give up.

    I've had other Insurance companies, and United Health Care is absolutely the worst. I'm switching Insurance Company ASAP. One of the issue, is that United Health was unable to find a Doctor in their Network to accept me as a patient for needed work, because of the possible botched work I may have received in the past. When I found one outside the network, United Health Care said I could not go outside the Network. Currently, I'll likely need to find a lawyer.

    If you're stuck with United Health Careless or can't switch to another Insurance Company right away, you may want to consider better protecting your family, friends or yourself with audio proof. Audio proof is basically recording the conversation you have with them to ensure quality of service. Be sure when recording them you say, "Hello, I need to let you know my phone system may record our conversation to ensure quality of service." I found often they would provide me incorrect and false information, and would conduct themselves in a dismissive and detached fashion that posed serious safety concerns.

    Once you have some Audio Proof, Government Agencies, Law Enforcement and/or Lawyers may use the Audio Proof to go after them or their Individual Employees. If you want out of having United Health Careless, many States do allow you to switch Government Plans to another Health Insurance Company. The switch usually takes 30 days to go into effect. England has deemed this company as being pursued for poor care standards abroad.

    Thanks for your vote!
    CoverageStaff

    Reviewed Jan. 24, 2016

    Employees would tell us and the insurance agent that procedures were covered under our policy, then never pay. Avoid this insurance company like the plague, they are the worst company I've ever dealt with.

    Thanks for your vote!
    CoverageStaff

    Reviewed Jan. 21, 2016

    United Healthcare is the worst option for health insurance. I should have picked Kaiser or any other option. They are supremely unhelpful and misled me into thinking that my son's doctors are within their network. It turns out that they are not and my son's health is in jeopardy because of the misinformation I received. I'm currently evaluating my legal options, but I will definitely pursue everything I can because they have ruined our lives.

    Thanks for your vote!
    Coverage

    Reviewed Jan. 20, 2016

    We paid a higher premium to get a lower wait time on procedures. It took my dental office over an hour to confirm that I even had coverage because their online system stated that I was still in my waiting period (which I was not). After paying $500 into this company over a few short months they would not cover even 1 of the $900 procedure that I needed done (deep cleaning after removal of my braces). We had never even used our coverage with them.

    Thanks for your vote!
    Verified purchase

    Reviewed Jan. 20, 2016

    Continually dropped me from plan, stating I did not qualify for medicare. I am 67 years old and have had the plan with them since I retired at 65. Continual run around, no one can think beyond their script.

    Thanks for your vote!
    Customer ServicePrice

    Reviewed Jan. 19, 2016

    I signed up with the UHC Advantage Plus Medicare Advantage in early December 2015. I was told there was no premium and no co-pay for in-network. I received a call everyday for one stupid thing or another. They tried to offer me a free home visit and claimed Medicare would not be charge. I received calls daily to the point of harassment. I asked them to stop calling me every day. They refuse. I finally asked to cancel membership. I would get transferred, put on hold and then hung-up on. This happened repeatedly. They refuse to cancel my membership. I just wanted the calls to stop. To get the calls to stop I had to call Medicare, enroll in a RX plan which would automatically cancel the United Plan.

    United has no shame. They called me day before Christmas, day after Christmas, day before New Year, day after NY. Sometime the calls would come at 7:30 am and as late and 8:30 pm. Each time a different department for a different reason, i.e., verify phone, verify address, verify Dr., verify DOB, verify SS#, verify condition. It was the worse experience I ever had and still not sure the calls will stop. I've been hung up on at least 15 times. I would not recommend this insurance company to my worst enemy. Talk about waste of resources and dollars. I believe they were charging Medicare for each worthless call made to my number. They are the biggest fraud. Really free home visit. Yeah right and then they turn around and charge Medicare exorbitant fees for this free visit. Total fraud.

    Thanks for your vote!
    Verified purchase
    Customer Service

    Reviewed Jan. 19, 2016

    United health care pulled 2 payments out of my bank account in 1 month, over drafting my account. When I called to ask them to put the money back they were very apologetic but said it would take a minimum of 8 days, even though they left me broke. After 10 days I called and they said they made a mistake and would have to re-open the ticket at which point it would take another 8 days. At this point by the time they return my money another payment will be due. I would be careful setting up automatic payments with this company.

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed Jan. 18, 2016

    I got Healthcare through the Market place for the 1st time this year. My agent processed the application with United Health Care on 12/15/2015. I have tried to log on United Health Web with my SS# and pay and it didn't recognize me or our policy. I have tried to make a payment by phone & the system doesn't recognize the policy member id that I key in.. It keeps stating other numbers that I didn't key into the phone. Finally on 1/10/2016 I was able to sign on with the Member Id. It shows our policy online... but wouldn't let me pay. So I called UHC and he said to call the Market place. So I called the Health Care Market Place and they showed our policy is active. She said that I should call UHC back and tell them that everything is good, and they had already applied premium to the UHC policy.

    So I called UHC back and they said that the policy had been cancelled because I didn't pay before Jan 1st.. that I should ask for a reinstatement so I can pay the premium & gave me a ticket # and email address to make a request. Anyway after many emails and phone calls on 1/13/2016 the customer rep at UHC said that she would reinstate my policy to 10/01/2016 if I would pay my premium that day over the phone. So I gladly gave her the information and the premium payment was taken out of my bank on 01/14/2016.

    Now today 1/18/2016 I call back and UHC states that they can't reinstate my policy.. that I have to call the Market Place and resubmit another application. So I might not get coverage until 3/1/2016... and they don't know where the premium payment went.. maybe is being held until I reapply. What a MESS..!! If I had know that... I would have submitted an application before Jan 15th so I could at least get coverage for 2/01/2016.. I AM MAD!!! The last representative said that over 1/2 of the customers have been cancelled. Time to call the Governors!!

    Thanks for your vote!
    Price

    Reviewed Jan. 18, 2016

    My doctor writes a prescription then United Health Care, who believes they know better than my doctor, modifies my prescription so that the pharmacy either gives me something else or won't give me more than a 30-day supply which ends up costing me more money. United Health Care is one of the WORST companies I have ever dealt with. They play GOD with my health they don't care. They screw me in ways that cost me more out of pocket expenses on top of my monthly health insurance cost. If you have a choice, FORGET United Health Care.

    Thanks for your vote!
    Staff

    Reviewed Jan. 16, 2016

    UHC denied a claim for a residential level of care with a patient with a history of stroke and seizures. The UHC physician denied the higher level of care without meeting with the patient. The safety of the patient with a history of TIA and seizures was determined by a physician hired by United Health Care without meeting with the patient for evaluation. I am concerned for the safety of patients who are being denied a level of care based on a review by a physician who has not met with the patient. This patient may be denied by a lower level of care due to the risk and liability of that risk. Insurance companies are profit oriented organizations but that should not put a patient with a serious medical condition at risk to have another stroke. My concern isn't a claim being denied due to that all claims paid diminish the profit of an insurance company. My concern is that due to profit, patients are at risk of being harmed.

    Thanks for your vote!
    Customer ServiceCoveragePunctuality & Speed

    Reviewed Jan. 16, 2016

    Absolute worst customer service! Over 60 minute wait times then the line simply disconnects... They are doing this on purpose! Claims not being paid... Apparently UHC doesn't pay, and tells the provider I don't have insurance even when they have my correct ID # etc. I can't get bills resolved and I was paying around $380 a month (thanks Obama). I cancelled the service. I would stay far away. Can't wait until they go out of business.

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed Jan. 15, 2016

    AARP needs to revoke their advocacy for this appallingly bad health care provider. United Health Care's customer service makes Comcast look superlative. I was put on hold for 27 minutes, then when she came back with partial information, she realized she needed an address -- so I was back on hold for another 12 minutes (to get an address?) then I was cut off and put into the queue to begin all over. The next rep completely contradicted what the previous rep had told me, adding that they did not even have a rep by that name. The quality of their phones is so bad I could barely understand anyone. I have since switched my husband to a different carrier because I cannot support giving money to these complete incompetents. I hope they go out of business.

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed Jan. 13, 2016

    Every time I deal with the so called customer service I have a problem. The biggest thing is the poor language skills of the agents. It seems United will not hire people that English is their first language. If you ask for a supervisor you are either cut off or put on a very long hold. On one call I asked for a supervisor I was put on hold for 1/2 hour. After the wait a person got on the line and pretended to be the supervisor. I asked for his name and he refused to give it and when pushed he admitted he was not a supervisor. I was put back on hold then cut off. There seems to be no one that will take responsibility for the customer service department and apparently no quality control monitoring by supervision. I call today on a billing question and I was asked my name, after giving it I was told that was not the name on file. I have been handling all communications with United Heathcare for my wife for 6 years and my name was accepted but not now.

    Thanks for your vote!
    Customer Service

    Reviewed Jan. 12, 2016

    When I was working, I had UHC insurance, and it was fine. When I got eliminated, I got UHC through COBRA. When COBRA ran out, I signed up for a health care policy through UHC. Policy was effective 1/01/2016 and required a referral to see a specialist. Well; that makes any appointment you made with a specialist VOID unless you go get a referral, even if you made the appointment months earlier. Tried to call and got put on hold. Estimated wait time was 23 minutes. I hung on for 25 minutes and got disconnected. I'm not going to accept this level of service. Here's another good one. They have no online chat and no e-mail to express a grievance. You have to call customer service and wait until someone is available. I can be tolerant, but I'm not stupid. UHC just lost me as a "customer".

    Thanks for your vote!
    Customer Service

    Reviewed Jan. 11, 2016

    12/2/2015 - paid January 2016 premium of $160.83 with credit card (thinking I was being proactive for January). 12/30/2015 - got a letter saying United Health Care would be deducting January's premium on 1/4/16. I also called to verify that my January premium had been received, and cancelled automatic payments on my billing account (removed all bank info from account). I was told my customer service that I would not have January's premium deducted if I had already paid in full.

    1/4/2016 - United Health Care WRONGFULLY took $160.83 from my bank account. I called to rectify the situation. I was told that an expedited refund would be processed within 3-5 business days. 1/11/2016 - Still no refund. I called UHC billing, and was told that my refund from 1/4/16 was not processed that same day and would be investigated, so my refund can now be expected by 1/13/16. My fingers are crossed that my refund will be received. This has been a nightmare and I've spent hours on the phone with them.

    Thanks for your vote!
    Verified purchase
    Customer ServiceStaff

    Reviewed Jan. 9, 2016

    I had a preventative procedure done in 2014 which I had called United Health Care's number to make sure it was done in network and was told 80% of the costs would be covered under my plan. After having the procedure I received bills and later found out United Health Care paid only 50% of the costs. They claimed the procedure was done out of network. I called and talked with a United Health Care representative who confirmed that prior to having the procedure performed one of their representatives had told me that the procedure was in network and coveted for 80% of the costs. I went thru the appeals process and got nowhere. In the end I had to pay over $2000 more than I had expected.

    Recently I went to a dentist to have a crown buildup done on two teeth. It was done at Midwest Dental and they confirmed that they accepted United Health Care dental insurance. Midwest Dental checked with United Health Care Dental prior to the work I needed done. They confirmed that it was covered under my dental insurance plan and told me what amount I would be responsible for and what amount United Health Care Dental would be responsible for.

    I had the work done at Midwest Dental. Soon after United Health Care Dental sent me a letter saying they had denied paying my claim due to a crown buildup on the teeth were unnecessary. Midwest Dental sent them pictures of the teeth before, during, and after the work was done as evidence along with a letter. Soon after I received another letter from United Health Care Dental saying they still denied the claim. I have had nothing but problems with United Health Care. They are crooks and should not be in business. They care only about making money at the expense of patients' health and well-being.

    Thanks for your vote!
    Verified purchase
    Customer ServiceCoverage

    Reviewed Jan. 8, 2016

    I have been trying for days actually off and on for weeks to get through to United Health Care. Many times when I call I just get a recording saying they are extremely busy and then it hangs up. Just now I finally got through and they said my hold time was 29 minutes. I sat on hold for more than 29 minutes and then it disconnected me. When I try to call back I get the message that they are busy and disconnect me. I have never made a formal complaint about a company before but right now I am so mad at United Health Care. I pay over $1,300 a month for not the greatest health ins. for 3 people and I can't even get anyone to help me. I am cancelling my ins. with them this month and I would tell anyone and everyone I know not to buy insurance from them unless you want to be so frustrated you could scream!!!

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed Jan. 8, 2016

    Endless phone calls, long waits, with no definitive answer as to why I was billed after coverage was dropped, why my payment was not processed, or why my current coverage was listed as active to their phone representatives in some ways yet appeared inactive to providers. And, no answer as to how to move forward to clarify and enact coverage. Bounced repeatedly between well-meaning but undertrained representatives of the health exchange and United Healthcare, who all seemed to believe that the other entity was supposed to resolve the issue. FINALLY reached a supervisor at United Healthcare who resolved the issue in about 5 minutes (thank you!). But the gauntlet of clueless, undertrained people at the health exchange and United Healthcare I had to go through initially, who could not recognize a problem they could not address, was amazingly frustrating.

    Updated on 3/30/2016: Obtained renewed coverage in January. Unfortunately the above mentioned glitch remained unprocessed and some part of the UHC system continued to want to bill me for months which other parts said my coverage was cancelled even after a supervisor intervened. Through the first couple months of the new year I was told they were working on applying already paid money to January. In February/March it became clear that the website still was not adding monthly premiums and I could not make payments. Again reached well meaning but undertrained representative who said he was processing a request to fix everything and that no, because it was on their side I would not be counted as late.

    In checking back 12 days later I found that from the billing side I found the new years monthly charges still had not been posted, prior payments had not been posted, and I was again listed as cancelled. It seems there is a deep wide barrier of undertrained, unempowered front line phone people who don't understand and/or aren't empowered to fix problems yet act as though they can. I would laugh except that when they fail I become ineligible to buy insurance for a year. I'm a fan of Obamacare, but UnitedHealthCareexchange billing is anything but consumer friendly or well staffed. PS- what is frightening about my experience is that it is simply over billing and processing of monthly insurance premiums. What would happen if there were actual complex provider expenses?

    Thanks for your vote!
    Verified purchase
    Staff

    Reviewed Jan. 7, 2016

    On 12/11/15, I injured my leg and by 12/15 it became very swollen and I visited my Family Dr. He did a culture and put me on antibiotics. Culture came back Staph and did not improve. On 12/22 he put me on a stronger antibiotic and told me to go to ER if it did not improve. On 12/26 visited ER and ER Dr drained the swelling and prescribed a different antibiotic and suggested I see an infectious disease specialist.

    On 12/30 I saw an infectious disease specialist (chief DR in charge of the local hospital's wound care wing). He was very concerned and added another antibiotic and recommended an MRI. The Dr's staff tried to get authorization from United Healthcare, they refused and required an x-ray (~$75). X-ray showed nothing and Dr resubmitted MRI request and it was denied a 2nd time. United Healthcare required additional blood testing (~$50) AND an ultrasound (~$175). Everything came back inconclusive. Dr's staff requested MRI AGAIN and it was denied. My infectious disease specialist needed to talk an United Healthcare Dr to finally get authorization. I am currently waiting for MRI results.

    My infectious Disease specialist is furious. He is very concerned that unless he is able to see the underlying tissue damage in an MRI, he does not know if the next step is surgery or a hospital stay with IV drugs. Staph infections are very dangerous and if it gets in the bloodstream, can cause serious complications. Due to United Healthcare's convoluted "red tape" process I will lose over a week of vital treatment time AND United Healthcare will waste $300 in useless tests to avoid a $500 MRI. United Healthcare WILL NOT BE MY MEDICAL PROVIDER NEXT YEAR!!!

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed Jan. 7, 2016

    I've had UHC for a year now. I have a platinum family plan & one would think this would be good. I've had nothing but trouble with this company. Their customer service people are very pleasant on the phone but they don't solve any issues. The company is a bureaucratic mess. The system in which they have unskilled customer service representatives working in a joke. No one can really solve an issue once it gets into their system the wrong way, It's utterly frustrating. I'm seriously thinking about contacting the insurance commissioner in my state & see if I can lodge a complaint.

    Thanks for your vote!
    Contract & TermsCoverage

    Reviewed Jan. 6, 2016

    It is the worst company ever in this country. They will do anything not to pay their bills. And their premium is higher than other companies and their copays is higher. I cannot understand why Tricare signed a contract with them. They do not want to cover medication procedures or labs, they make the patient and doctor life hell. THEY are being SUED by SEVERAL STATES in this COUNTRY and STILL this government use them, they must have a connection or someone in their pocket.

    Thanks for your vote!
    Customer ServicePunctuality & Speed

    Reviewed Jan. 6, 2016

    On the phone, I was transferred 4 times to the wrong place. Called in 3 different times during the day. The first month was paid December 9th, 2015. Today, almost a month later we don't have cards and they have no clue what my membership number is. Worse service ever. If this is the trouble I have to go through to get my cards, I cannot imagine the hassle when we have a medical claim. Nobody has a clue and talking to a supervisor is impossible. I will be disputing the charge in my credit card and will go back to Blue Cross Blue Shield, they need a lot of improvement but this company is beyond help.

    Thanks for your vote!
    Customer Service

    Reviewed Jan. 5, 2016

    Was unable to login to setup account and choose PCP 7 weeks after paying premium of $820 per month, which prevented me from using any insurance benefits. Called them regularly, but they always blamed the system and said to wait longer. Asked for prorated refund for the time I was denied services and they refused. When asked to speak to supervisor, got answering machine, and the answering machine message stated that they were 90 days backlogged in responding to messages - I should wait 90 more days. REALLY?

    Thanks for your vote!
    Customer Service

    Reviewed Jan. 5, 2016

    To make a long story short and same complaint as others, going around in circles with (telemarketers) no one can seem to get a supervisor on the phone. Dr's offices saying that your policy is expired, cancelled, or closed when indeed you are looking at an online screen that shows that you ARE active and that you have paid. No one seems to have an answer but are all saying that they fixed the problem only for you to find out that it wasn't taken care of and no one seems to have any prior "notes" in the system. I'm becoming convinced that it is all a conspiracy on all of us. Of course through the Obama care. We were pretty much forced into taking on these "so called" insurance companies that are continuing to take our money and feeding us a line of BS in return.

    Thanks for your vote!
    Staff

    Reviewed Jan. 5, 2016

    In 2015, I called this company passable, believing it wasn't any worse than what else was out there. Our 2016 experience has been simply outrageous. The fact that we pay 32k a year for nothing, is sickening. We can't even get answers from anyone, only vague letters that need explaining. After paying 32k last year also, they have "lost" our records and don't recall our policy either. We will be cancelling this asap and never again using United Healthcare. Our pediatrician has also said they will be reviewing their relationship with them as well, as they are disgusted with the lack of professionalism and complete disregard for human healthcare.

    Thanks for your vote!
    Customer ServicePriceStaff

    Reviewed Jan. 3, 2016

    I would like to thank United Health Care for providing such terrible customer service that it made my decision for which insurance company I should pick easy. I'm looking for plans through the healthcare marketplace and I had some questions about one of theirs that I was interested in. Called the number for United provided on the marketplace and I was transferred once and put on hold for over 50 minutes. When the rep answered he told me I had the wrong number and that they don't offer that specific plan anymore, but he had two others.

    Since I was on hold for so long I let him tell me about the two plans he had available. He gave me a very brief summary. I have specialty medications that I take daily (probably for the rest of my life); the cost of those meds play a big part in which insurance I choose. So I asked him if he could tell me how much my meds would cost with one of the plans. The rep says, "I don't have time to look those up for you. This number is for people who wants to enroll. I have a lot more people in line waiting after you."

    I'm sorry I thought I was a potential customer, willing to pay you hundreds of dollars per month. My bad. So I tell him, "Thank you very much" sarcastically and asked for the correct number I should call. Well he must not have appreciated my sarcasm because he gave me a number that had nothing to do with any insurance company. So again, thank you. I went with Ambetter and their customer service so far is stellar.

    Thanks for your vote!
    Customer ServicePriceStaff

    Reviewed Dec. 31, 2015

    Never in my entire experience in dealing with Customer Service have I ever run into anything like this. Not only is there NO ONE that can assist/guide one, that is after a wait of at least 1 hour (if you have the patience that is to call daily) but if you are lucky enough to actually get through to a "live" person then you immediately start getting passed around from dept. to dept. (by the way none of the departments have access to the same database so no one person can look up information to assist you) only to arrive back at the general "Help" number and back at the end of the queue for assistance, and the wait continues or rather starts all over again.

    So on Dec. 8, I received a notice that my premium was going up by 25%. Fully understand that the cost of health care is going up, but by 25% in 6 months? Incidentally if you get one of these notices, check back online at UntiedHealthcare for your identical policy -- very interesting price discrepancy. Have I been able to have a conversation with a person yet? No! Am I going to change health care providers? Yes!

    Thanks for your vote!
    Verified purchase
    Customer ServiceStaff

    Reviewed Dec. 30, 2015

    United Healthcare took over Care Improvement Plus. I had ZERO copay, ZERO monthly charge. All of sudden, they are billing me monthly, and I have copays on my card. I am very alarmed. I have NEVER used the MEDICARE. Their service seems very poor. As many are saying, they just want to make a buck. Before they had advocates that called me and followed up on me. They made sure I was signed up to LiHeap and other services for the poor and elderly. NOW, I find that it is no longer, and I have to scramble to sign up for stuff myself. I am very nervous, very worried. They are RUTHLESS and I need to get rid of them right away! As I said, I NEVER used Medicare and am afraid to do so now with THESE guys!

    Thanks for your vote!
    Customer Service

    Reviewed Dec. 29, 2015

    I ask to speak to a supervisor 10 times, I was told that she is very busy and she will call me back in 24 hours. I need to get this issues fixed now. I have been on the phone for over an hour... I keep asking questions about how to view the old website.

    Thanks for your vote!
    CoveragePunctuality & Speed

    Reviewed Dec. 29, 2015

    I recently received a 1 year buyout from my employer. Along with the buyout I received one year of medical coverage. United Health Care deducts the premium from my account the first Tuesday of the month. I signed up for Medicare at age 65 which is required - Plan A, no premium, hospital coverage only. I semi-retired at age 68.

    When my doctor or hospital submits a claim to United Health Care, they consider themselves the secondary payer and Medicare the primary payer because I have Medicare plan A, which you have no choice when you apply for Social Security. Medicare Plan A pays a minuscule amount so they kick back the balance to United Health Care. United Health Care consider themselves the secondary payer so they kick it back to Medicare. Medicare says that they paid what they are required which is correct. United Health Care tells me they are the secondary payer and are not required to pay anything. Their solution is that I signed up for Medicare plan B, at $121.80 a month. That way Medicare will pick up the bulk of the bill, I still pay their monthly premium and they don't pay anything towards the claims.

    Great business model, shear profit, no overhead. I told them fine if they credit me $121.80 monthly towards my monthly United Health Care premium. That didn't fly at all. Their business model can't handle that. I called my former HR department to see if they can intercede and filed a complaint with the Attorney General Office. I think that neither one will do any good. Meanwhile, my credit rating is being slammed because of the late payments - if there are any at all.

    Thanks for your vote!
    CoveragePriceStaff

    Reviewed Dec. 25, 2015

    We have had UHCC for almost three years and aside from our $1,350+ monthly premium, we've been rather happy with it. Our daughter has type 1 diabetes, and they've been great covering a decent amount towards her insulin pump and continuous glucose monitor. We've also been pretty happy with the coverage of her prescriptions, namely insulin and glucometer test strips. Our daughter is on Novolog insulin, and a several months back, we received a letter asking us to consider a "less expensive" insulin, Humalog.

    She has tried humalog in the past and is allergic to it. It is listed in her medical records as an allergy, and we had her endocrinologist send in a note stating that, so UHCC allowed us to continue getting Novolog, at our $50 per 30 day supply co-pay. Then we received a letter urging us to consider mail order pharmacy, which would be more cost effective for them (and now I know, us) I assume, however, I prefer having prescriptions filled at a physical pharmacy when we are dealing with something that is life or death.

    My concern being, sometimes she uses more insulin and suppose she runs out before they send the next vial? Or what if it gets lost or stolen en route? Obviously, she needs insulin to live. There is no maybe about it. Without it, she will die. Anyway, UHCC seemed okay with us choosing to stay with the physical pharmacy, but then we went to pick up my daughters new prescription today and discovered that our co-pay is no longer $50 for a 30 day supply, it's now $100.

    I understand this may seem like a "first world problem", because a vial (30 day supply) of Novolog without insurance is over $520, and I guess I should be thankful we only have to pay $100, but come on. We pay almost $1,400 a month for our premium as it is, and honestly, that $50 extra per month is a big deal. Type 1 diabetes is an extremely expensive disease to manage so every dollar matters. I'm assuming her test strips aren't going up in price, though I don't know yet. Because her insulin and test strips are both Tier 3, so if one goes up, I would think another would. I don't know. Like I said, I know it's not a big deal to a lot of people, but it just kind of blindsided us.

    Thanks for your vote!

    Reviewed Dec. 23, 2015

    This insurance company puts profits before patients and truly does not care whatsoever about your well being as a customer. I believe they have such a bad reputation that they are now using the name Optum which is the same company. So if you can possibly avoid buying any insurance from them you will save yourself big headaches down the road. They deny benefits and claims and don't want to pay providers which is why it will more difficult to find services too.

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed Dec. 22, 2015

    Card indicates I have OptumRx. Mailed all scripts to mail order and pharmacy indicated I don't have mail order prescription coverage. I call UHC and they indicated my pharmacy in Arnold and I said that is an hour from my house. She said "okay use Dierbergs in Wentzville" and I call the pharmacist who called all my scripts over and filled for me and I go to pick up my card won't accept. I call UHC and they tell me try Target and Sam's club. I am what a joke. Target refuses to help me as they don't have a script to fill. Sam's helps and I got some meds filled but not all because some needed a pre-authorization now from the doctor???

    Only took these meds for years. I get that done and stupid UHC only takes off $20 and thinks I am going to pay $271.00 for a thirty day supply. I call doctor and said get me something different that has a generic that may or may not work because I need meds. Now, I am making the fifth trip trying to get meds. I have three more months of this crap until I can get on Medicare and I will pick a plan that I don't have to do all the work and pay high premiums for nothing.

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed Dec. 18, 2015

    Since March of 2015 I have called monthly to have a claim paid as I am on a Dual Complete Plan with United Health Care. I was assured that this claim would be paid. I have in network and out of network benefits at 100% as stated by the person who talked me into the plan and every representative I have spoken with since. My first visit to a doctor who was referred by a friend has still not been paid. After another Friday evening on the phone with them I was told I am not responsible for the balance but THE DOCTOR WILL NOT BE PAID. THEY WILL HAVE TO ACCEPT WHAT THEY ALREADY RECEIVED. They lied to me for 9 months and in turn had me tell the doctor that. Now I will not be able to return to this doctor as I am mortified by the fact that United Health Care did not pay this claim as they said they were going to.

    Thanks for your vote!
    Customer ServiceCoverageSales & MarketingStaff

    Reviewed Dec. 17, 2015

    I moved from Florida on 04/2015, sold my condo at Deerfield Beach after 20 years living there. Since this date I am living in Texas, and I got a job here and health insurance also. Yesterday, I received a letter from United Health Care to let me know I went to see doctors in Florida on 11/05/2015, Dr. R. **, claim #**, copay, $141.00 and on 11/11/2015, Dr. E. **, claim #**, copay $90.00 and claim #**, $12.00. I was so frustrated and mad with this scam. I don't have this health insurance since 2010, and they use the old ID number to claim a fraudulent bill on my behalf. I called the insurance they said is not a bill, but I need contact the doctors, could be by mistake the use my ID # to bill these claims. Why United keep active my ID# from 5 years ago just to someone still the number and process a claim!!!

    This call a fraud. I don't know who are they and if the United Health Care is keeping my ID# , someone maybe is stealing more ID# to process fraud claims.

    Please, help me to clarify this all scam claim. I have plenty witness I don't live in Florida. It's ridiculous this insurance process I claim and don't check the person does not have the insurance since 2010, don't make a copy of ID# and driver's license, don't check the age the person and don't collect copay from the patient. Sounds to me very stranger this claim and suspicious.

    My concerning if I did not have forward mail to Texas, I will never discover what is going on under my name in Florida. I am 60 years old, single and hard worker and I don't need this problem in my life. My problem now is to clarify this all trouble and United Heath Care told me I need to call this scam doctors and complaint about they are using my old ID# from 2010 and I don't have this insurance. The bill is their lost. Who knows if this scam is happening with more people innocent and pay the bill just because they don't pay attention? I received a letter from Chico Service Center, P.O.Box 740800. Atlanta, GA **, Member ID from 2010 was #**. Phone #**.

    Thanks for your vote!
    Staff

    Reviewed Dec. 16, 2015

    I paid $800+ in insurance premium every month and they would not let me select the doctor from my area. They will assigned their own choice of doctor in a remote area and particularly one that would not provide good service. So naturally when it is matter of my kids health care, I went to local close by and good doctor for regular treatment. They would not approve the nominal doctor visit fee of $75. I requested them to change my preferred doctor who is within their network and accepts United Health Care insurance, but UHC would not do it and asked me to contact ObamaCare hotline to update the doctor on my insurance! It is a MESS, PLEASE LISTEN AND DO NOT NOT NOT Select UNITED HEALTH CARE Insurance even if they are willing to provide you the insurance for $10 a month. It is a waste of $10.

    Thanks for your vote!
    CoverageProcess

    Reviewed Dec. 15, 2015

    I wonder why the government still allows UHC to insure people when all they do is find all kinds of ways to keep people in pain. I have a root canal and I am in EXTREME pain, feeling like my mouth is on fire, not able to sleep or swallow, and not a single endodontist is willing to help me without an authorization from UHC. UHC REFUSES TO APPROVE AN AUTHORIZATION FOR AT LEAST ANOTHER TWO WEEKS!!! Is this a normal way to run a company?! Allowing people to suffer in pain all for some authorization that THEY TOLD ME I'M APPROVED FOR, all for the sake of the process? I strongly feel that anyone out there who is considering using UHC should definitely NOT use UHC if they want to be helped when they are in pain.

    Thanks for your vote!
    Customer Service

    Reviewed Dec. 14, 2015

    Average hold time for calling them in my experience is about 45 minutes. That alone sucks more than any consumer should have to deal with.

    Thanks for your vote!
    Staff

    Reviewed Dec. 14, 2015

    I have spent two days trying to get my dental plan updated for the 2016 year. Today I spent a large part of my day on the phone with these incompetents. I have specific questions that I need to ask a representative. I was transferred six times over the course of over three hours. Every time the representative would tell me that this was the wrong department and that they would transfer me to the correct department. Six times this is what I was told. They ran me around for over three hours. I have never encountered anything close to this level of incompetence.

    Thanks for your vote!
    Staff

    Reviewed Dec. 14, 2015

    This is to poorest excuse for an insurance company in the world. They fight every procedure and when you're sitting in doctor's office inform you that the in-office procedure is not approved. What is it we pay these scumbags for? If you sign up for their insurance you deserve what you get!

    Thanks for your vote!
    Customer Service

    Reviewed Dec. 14, 2015

    My husband is stage 4 lung cancer and has a tumor on his spine, unable to walk or sit. I got a hospital bed from an out of network provider because none of the in network providers could supply one. Now I have to appeal to get them to pay the claim. Now he needs a hoyer lift and I was sent to Apria for this equipment. They don't have them even though it was confirmed they would deliver today...? I called UHC and they gave me several names to check, most of which no longer exist and none in the network has this equipment. UHC is terrible. They are supposed to cater to the elderly and disabled under this plan. The tv commercials portray them as such a great company. Don't be fooled.

    They also denied my husband to a rehab center because they were reading from a script over and over again until his doctor said "You do know Mr. ** has cancer and is not going to rehab for a fractured ankle?" Well no she didn't know because she never bothered to read the record. This is who you are trusting your healthcare to. I think not think long and hard before signing up and please spread the word about this company. Shame on you United Healthcare. Your treatment of your subscribers is deplorable!!!

    Thanks for your vote!
    Coverage

    Reviewed Dec. 11, 2015

    I have a chronic medical condition requiring one doctor visit per month for medication maintenance. Every month there are issues with this health insurance deciding that the medicine that I've been prescribed to take every night is not approved by insurance. They only approve 28 pills per month of an anti-psychotic medication. There is not a person in the world whose doctor prescribes them 28 pills a year for chronic conditions requiring daily medication. Every single month I struggle with getting maintenance medication for my condition while paying for this insurance through my employer. It is completely unethical for insurance companies to make people go through hoops to get meds for chronic psychiatric conditions. This is one complaint of many.

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed Dec. 9, 2015

    I had my annual check up with my doctor of 10 years. She performed a sonic of my neck arteries for any plaque build-up. The total amount of the billing for office visit and procedure was $1,150 of which UHC has to only pay $216. This was performed on September 16th and they are still reviewing. On my website it outlines entirely the procedure, shows processing and the amounts, as if they are going to pay. Now, four months later, it's being "reviewed by claims board". I was on the phone for over 45 minutes and my only question was "what are they reviewing?" What is it that needs to be reviewed? No answers. Hold, hold, hold to finally tell me that they will send an email to the "review team" and would contact me back. This is the most horrendous health insurance in the entire country. To think that this company is being promoted as a supplement to Medicare by AARP is beyond comprehension!!! Once I retire I will NOT sign up for anything with UHC.

    Thanks for your vote!
    CoverageStaff

    Reviewed Dec. 8, 2015

    United Healthcare is by far the worst insurance company I have had the misfortune of having a policy with. I joined UHC 3/2015. 6/2015 I had to go to a family physician due to illness. Had to go to pharmacy to fill prescription for antibiotics. Denied for prescription because our account was showing one month past due. (Keep in mind every month our bank showing a debit of 256.00 to UHC at least one week prior to due date). On hold for over 30 minutes at the pharmacy and finally was told "yes, we are so sorry your account is up to date. Accounting department has made a mistake." I was then told it would take up to 36 hours to fix the problem!!! 36 hours to fix what?! UHC told me they made a mistake, I am sick and need to fill a prescription.

    End story I filled prescription at full 48 dollar cost and was never refunded money by Walgreen's. This was the second... and wait... it gets better. UHC did it a 3rd time with our account but at least caught it and sent a letter apologizing. Not to mention the physician they did not cover the sick visit... I had to write an appeals letter for the claim. This took 3 months to resolve.

    One more... my OBGYN, which UHC representative told me I did not need a referral for, guess what!? UHC did not cover, denied my claim. I am done with UHC and am going back to BCBS. I have never been so angry with a company. My husband and I make less than 48,000 a year combined and we pay 256.00 a month for our premium. 2 doctors visits are not covered and 3 accounting mistakes in 9 months. I am so sad that I did not research this company prior to signing up. I feel completely taken advantage of.

    Thanks for your vote!
    Coverage

    Reviewed Dec. 6, 2015

    I blacked out at work and ended up in the emergency room. Had several tests and seen my regular doctor who sent me to a spine specialist in the Twin Cities. Neurosurgeon found I have a bulged disk that is pinching my spinal cord and need surgery stat. I have this insurance through my job and it is the worst! My insurance said this has to go through review and it was submitted on 11/20/2015. I am in pain, cannot do anything and it still is not approved. When you pay for your insurance since when do they get to pick and chose what your doctor said you need. Please help!

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed Dec. 4, 2015

    I kept calling to find out why my account was not active and I was sending my payments in. I couldn't get access to my online account to find out the problem. Kept calling representative and was told to wait 5 to 10 business days and it should be back clear. I had this go on countless amount of times. Two months of not being able to access information. Not knowing if my payments were received. Wasn't getting statements of the amount of my premium cause of my tax credit changing periodically. It was like a roller coaster ride from one representative to the next. I was frustrated until I was in tears. I came to my last pushing point, when I could not be seen by the doctor, after waiting for a 2 month for the earliest appointment. My account with UHC was showing that my insurance was not active.

    I contacted UHC the same day to find out why. They had been telling me my account was ok. Every representative you speak with says something different I'm told "it's ok" and another "you're not." I kept calling and each time there isn't anything showing where the matter was address. You have to start over from the beginning. Even if you give them a reference # to the supervisor they make you think the situation is being taken care of and you call back for the same thing because your problem still is going on. I got tired and finally closed my account with UHC. I was sending my payment in for my premium and it was not being submitted and showing up that my premium was paid. They still couldn't give me a explanation for this. Their error messed me up from getting access to my benefits and I'm the one suffers from it.

    I asked to be refunded my amounts for the months I couldn't use my insurance. They submit it and said I would be sent a refund for the months and the days it would take for the process. Waited the days and nothing ever came was told over and over it was being sent. Call to find out why I haven't received the refund. I got the run around countless amount of times. I was told to do this and that done it and once again it got to be too much back and forth. The last supervisor told me that I was not do a refund. I was in shock and I had no more fight in me. It made me feel like that was what the goal was to make me stop.

    This company has no remorse for people's situation. There are couple that made a difference but the ones that came after destroyed what was corrected. Each time you call back to find out the status it's like you never called the first time. Their representative need to be more experienced. Most of them don't know what they are doing. I will never ever deal with insurance company again. It was a very emotional roller coaster ride. That drained me dry.

    Thanks for your vote!
    Verified purchase
    Customer ServiceCoverage

    Reviewed Dec. 3, 2015

    While I receive none of the benefits of signing on through the marketplace, the only plan that was somewhat within reason had to be purchased through the marketplace. I was under a time constraint to be signed up for coverage beginning Dec 2015 as my old coverage (Health Republic) decided to close down with little notice. I got an agent to help sign me up (no easy feat) and then followed the required steps of setting up a bank account for automatic payment. I received a confirmation number from I thought it was a United Healthcare Rep in billing that Dec was covered and I would be receiving my card and would have insurance effective December 1.

    Lo and behold, the company cannot locate the payment information. I get forwarded to call centers and placed on hold for lengthy periods of time only to have my phone battery die. To date, I do not have coverage and have not been able to reach my broker or any other employee of the state or united healthcare. The entire system is a disaster.

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed Dec. 3, 2015

    I needed a routine physical. Checked their database of in-network providers. Found one. Called customer service to verify provider was in-network. Customer service rep verified. Went to physical. Received $1,000 bill for said physical (a physical is preventative care and is covered 100% by my plan). United wouldn't cover because they said the provider was out of network. I showed them their database listed the provider as in-network and they also had a record of my verification call. They finally said it was their bad and a manager would have the claim paid. 8 months later, I continue to call every 2 weeks and talk to a manager who re-recognizes the error and says they'll have the claim paid in 3-5 business days. Claim is still not paid. If you have a choice, choose another insurance provider.

    Thanks for your vote!
    Customer Service

    Reviewed Dec. 1, 2015

    Ive been using dependent care FSA through UHC, and for some reason they have been rejecting my claims. Ive contacted UHC via contact center, and they cannot provide the reason. I've spend over 5 hours trying to resolve rejected claims. They asked me to resubmit, and so I did, but they rejected my claims again.
    Call center experience is horrific. They cannot find your FSA account, and often don't see the claims. It's totally disconnected from the claim approval process.

    UHC is the most horrific company I have dealt with in my life. I highly recommend you avoid it.

    Thanks for your vote!
    Customer ServiceCoverage

    Reviewed Nov. 28, 2015

    I have a big issue with this company. To be exact the marketplace United Health Care insurance PA state was enrolled from March 2015-September 2015. I finally cancelled out after being let down so many times. They drop you from the insurance if you dont make payment by the first. I had special enrollment and 90-day grace period to make payment and keep on being drop from insurance even when payment was made. They never notified you until you realize it. Once I called they put me back in knowing I paid but the emotional stress is too much and being pregnant needed monthly check ups. They cancel me three times. After that I was done.

    Made pay from months they said they would cover by doing retroactive where they were at fault. I am still waiting for them to pay my medical claims from July 2015 - September 2015. They have issue ticket numbers saying it will be resolved and nothing. I keep on waiting monthly while my bills get referred to collection. Any advice? I wonder who else is going through this. I wonder if I can get my money back since they not doing their job in paying their portion of the claims. Every time I call they apologized but is not enough. I wonder if my next step is an appeal or lawyer involvement?

    Thanks for your vote!
    CoverageStaff

    Reviewed Nov. 27, 2015

    I have AARP Medicare Complete United Health Care Secure Horizons plan. They denied coverage for the removal of a 10cm mass on my ovary. My oncologist wants to be able to remove the mass, biopsy it for cancer and if it is cancerous, remove tissue from surrounding areas, do biopsies and continue removing tissue until any cancerous tissue is removed. United Health Care denied coverage for surgery! I was told by a United Health Care representative that it was medically unnecessary! I am in pain and am not able to get out of bed without pain medication. I have been taking both Miralax and Dulcolax. Without them both, I am unable to have bowel movement.

    I have been post-menopausal for 10 years. With any ovarian mass it is always possible that the ovary could twist, causing excruciating pain and requiring emergency surgery. As my mass is very large, the size of a softball, I can not for the life of me understand why they would say this is a medically unnecessary procedure! Not only is it necessary, but time is of the essence, especially if this is cancerous. I have cancelled my coverage with United Health Care and gone back to traditional Medicare. I don't have time to mess around with appeals. My life is in danger and I am in lots of pain. Beware! An AARP endorsement is not an assurance of trustworthiness! DO NOT USE UNITED HEALTH CARE!

    Thanks for your vote!
    Coverage

    Reviewed Nov. 25, 2015

    Attention Ladies! My OB/GYN doctor ordered a 3D Mammogram for me due to my family risk of breast cancer. I had the scan and then later found out that UHC does not cover a portion of 3D scans. They say it is not covered because "this procedure is unproven" and are asking for "scientific evidence" that shows this service is effective. Well why would my doctor order a 3D over a regular mammogram if it was not more effective at showing early stage breast cancer? I'm stuck with the full bill; just trying to stay ahead of this awful disease. Thanks for nothing UHC.

    Thanks for your vote!
    Customer ServiceCoverage

    Reviewed Nov. 25, 2015

    I cannot express how terrible and awful this company is. They denied my son's insulin for his Type 1 diabetes which he needs to live. I pay $900 a month thru work for this worthless pile of crap they call insurance. They say he needs too much so they won't cover it, WTH??? You cannot tell a Type 1 diabetic who needs insulin to survive that he can only use a certain amount when he needs to have 1 unit of insulin for every 7 carbs he eats. What the hell is wrong with our health care system???

    Thanks for your vote!
    Staff

    Reviewed Nov. 25, 2015

    I'll keep it short. The single worst company I have ever done business with in any capacity. Just getting prescriptions filled is proving to be a near impossibility. My employer made the choice to move to UHC and they are so bad. I am considering changing employers just to move away from this disaster of a healthcare provider. If you have any option other than UHC choose it.

    Thanks for your vote!
    Profile pic of the author.
    Verified purchase
    Customer ServiceCoverageStaff

    Reviewed Nov. 22, 2015

    I signed up for United health care in April 2015 and have had hell ever since. I am on an automated payment system but I constantly get invoices saying I have not paid. Today I went to pick up a prescription and was told it was denied for nonpayment. How could that be? It is on automated payment and I have overdraft so it cannot get denied. I can't take my payment because it is Saturday and when I called them no answer. I can't call on Monday because I have to work. I can't afford to stay home for an hour and sort thru all the ignorant representatives who don't know anything, getting transferred from one person to another... then getting cut off just to have to call again!! I don't have time for that! I have a new job! Also cannot call from work for the same reasons.

    Online is worst!! I spent hours trying to get a new password but there have a very glitchy site-- lots of error messages! I put in all my info just as it is on my card and it says... you are not a member!! This is the worst health insurance for consumers. Please Consumer Affairs! Please help!! I am at my wits end with them. I cannot take my medicine because of United Health Care can't handle their bookkeeping and pay systems. And all this and paying $1500 per month for my family!!! Help!!!

    Thanks for your vote!
    Verified purchase
    CoverageStaff

    Reviewed Nov. 20, 2015

    I have United Healthcare Platinum Compass 250 health insurance, purchased through the marketplace myself. I was recently made aware that only the Compass insurance products (the coverage purchased through the marketplace) have changed their referral policy so that doctors must go through a much more tedious and extensive process to make a referral for a customer to get required and much needed healthcare from a specialist. Apparently this new policy requires the doctor to submit referrals via online only, but United Healthcare will not help them set up the proper account, the doctors now need to do this.

    I have been waiting for a week to get a referral for a specialist. The physicians assistant spent an entire day on hold mostly. The assistant never was able to get things straightened out. They have tried multiple times since then to get it straightened out, but haven't had any luck. My sudden on-set symptoms are so severe I cannot drive to work or perform my job and I have now lost my job because I cannot get treatment. I cannot get diagnosed with anything because I can't see a specialist, for all I know I am dying. I know I feel like I am.

    Thanks for your vote!
    Coverage

    Reviewed Nov. 20, 2015

    I am 61 year old female who was deemed permanently disabled in 2008 after a Dr. gave me an injection in my back that was contaminated. I ended up with a thoracic laminectomy and severe nerve damage. I have had UHC as a co-insurance to my Medicare disability. UHC has increased my insurance premium 10% every year. I just received my January 2016 increase which brings my monthly premium from $530.00 to $582.62.

    I also received a notice that they will not be covering two of my medications next year. One is $1100.00 a month and another is $358.00 per month. Not only will they not cover the medication they will not cover the generic either. I was also informed that over the next two years there will be no coverage for rehabilitation. This could be for fractures, serious operations, anything that would require rehabilitation after acute care. I'm worried sick over these increases and really want to know who ObamaCare has helped other than those who can't afford any insurance payments. These folks will receive very low if not zero premiums that have been subsidized by those who are paying outrageous premiums.

    Thanks for your vote!

    Reviewed Nov. 19, 2015

    I have had a United Health Care Policy since Jan.1, 2015. Purchased this on the Healthcare.gov site with no subsidy from the Federal government. Just over $900 per month. They have been impossible to deal with since day one. We have an HMO from them and we need a referral for other doctors. They contacted my wife's doctor one day prior to a schedule surgery to advise they needed more information before they would pay for the surgery. This is after they had all of the information for 2 months prior to the surgery date. This company absolutely sucks. Avoid at all cost!!!

    Thanks for your vote!
    Coverage

    Reviewed Nov. 17, 2015

    DISGUSTED in you guys. Have 2 friends who are currently being denied coverage. One has cancer and the other has had a fractured hip since April and surgery still not scheduled. One of these friends is a RN and I am a RN of over 30 yrs. DISGUSTED!!! You guys should be ASHAMED of yourselves. STOP denying coverage that people have paid for!

    Thanks for your vote!
    Customer ServiceCoverageStaffProcess

    Reviewed Nov. 15, 2015

    I had united health care for about a year before I finally had enough. Every time I tried contacting them I spent at least an hour on the phone with them and most of it was on hold. I had spoke to a representative there and I asked for some information on what facilities around me are compatible with this insurance and I was given a few locations. During this process the person I was talking to was not professional at all. What so ever. At one point, he laughed at some of the questions I asked to top it off. I did get upset and asked him to tell me what I need to know and not to laugh at me and that I'm calling you to ask for help on where I can go to take care of my issue! Nevertheless.

    So when I make it there I was set up with a doctor and had my physical done and I also had a ruptured salivary gland. I showed it to the Dr. and he said they couldn't do anything for me and gave me another facility I could go to. So he just spoke to me about how I ruptured this gland and I said all I did was bite my lip. Swollen the next day and next thing you know, I did it again the following day and it was ruptured. I dealt with it for almost a month. Shortly after my visit to mercy health maybe 2 days, luckily it went away on its own. Swelling went down and all was normal again. I started watching what I ate and drank and boom it was gone. I get a bill from mercy health about a month later. Just over 100. I call United Health. Of course on hold forever. I tell them all I had was my physical done.

    What's this bill for and why am I getting this if my first 3 physicals are free? They said disregard it and they'll contact them and take care of the issue. I waited almost an hour for less than 2 minutes of a conversation and got disconnected a couple times, how I don't understand. Then after another few weeks go by, I get a bill from another facility advantage health for the same amount. I call united health back (another waiting period) and ask them why am I getting this bill again and now from another facility? I went to mercy health for physical and had nothing else done why on earth am I going through this for no reason! I called and asked where I can go which was no walk in the park and I got upset and ask them what they are doing. Why are they just playing hot potato with this bill?

    If I'm paying for health insurance why are they not taking care of this? Why don't they just take the close to $200 I'm giving you out of my pocket every month and pay the damn thing? If I'm giving them money it's for a service not just to give you money! I wish someone would just give me about 200 a month and say I'm helping but not doing anything. Just saying! This issue was back in may. Because it's taken so long to resolve I have past due fines added to this. Advantage health did nothing for me. I don't even know where this place is located. I never stepped foot in their door. I just canceled my health insurance with them and went to blue cross.

    There are many other bad situations I've had with them. But every time I went to a clinic that was supposed to be compatible with United healthcare, they either had trouble with my card and couldn't get it right with however they ran this thing or I payed full so I can move on with my day and not sit in a clinic forever looking at a few people staring at my card and trying to figure out how to get it right. Like watching cavemen use tools for the first time. I've had blood work done a hand full of times, got on Accutane for 5 months, had my physical and it was nothing but trouble, stress, on hold, disrespected and still left with a weird bill from this place I've never been to.

    Never again will I go through united health or recommend it to anyone. I feel like they should return my money. They gave me nothing but more of a hard time, and I was laughed at and disrespected by a representative! United health, I feel like you barely did anything for me. I wish I could say more for you but it's the truth. I feel like you stole from me. I been disrespected and will never come back.

    Thanks for your vote!

    Reviewed Nov. 12, 2015

    DO NOT PAY UNITED HEALTHCARE IN ADVANCE cause you will NEVER EVER GET A REFUND! I paid United Healthcare a month ahead... then called before the billing cycle for next month began & cancelled my policy. Instead of cancelling my policy they re-instated my policy for 16 days so they could prorate some of the premiums I had paid! Never got my full refund!!!

    Thanks for your vote!
    CoveragePrice

    Reviewed Nov. 12, 2015

    My wife and I bought Health One Dental Insurance. The cost for us is a little over $80/month. The max yearly payout is $1000, but you have to pay in for a year before they even cover any major dental work. Our plan was supposed to pay 50% for major dental work, but that is 50% of what they allow for a particular procedure. I needed a crown, and my dentist was charging $1100 for this, but they only allowed $598, so they only reimbursed 50% of $598, or $299, so I had to come out of pocket for over $800. This is truly a major Rip Off! I would have been much better putting that $80+ in a savings account, and just paid my dental costs on my own. DON'T BUT THIS RIP OFF DENTAL INSURANCE!!!

    Thanks for your vote!
    Customer Service

    Reviewed Nov. 11, 2015

    I have been a member since January 2015 and have been unable to see a doctor. I was paid almost $500.00 per month, Jan. to Aug. total $4,000 then the premium change to $78.00 but still every doctor I called said they was no longer in their network.

    Thanks for your vote!
    Customer ServiceContract & TermsStaff

    Reviewed Nov. 9, 2015

    I had a procedure done out of network on August 25. The surgeon is well-known so he has a reputation to protect and uphold. He has a dedicated staff member to help patients with insurance reimbursement. My claim was submitted to UHC on September 8 electronically. I phoned UHC to inquire about the status of my claim on September 18. They said they had no claim for me. I quickly called my surgeon/provider's office and the woman in charge, who had already submitted the claim once, got on a call with them and re-sent the claim via fax. UHC suggested it would expedite matters rather than sending it via snail mail. I called again, they had difficulty finding the fax but finally did. They said it would take 30 days or less to process the claim... A $12,795 which I paid out of pocket.

    I called again on October 1. They told me they'd just sent a letter to my provider on September 27th requesting additional information about medication that had been administered - they don't reimburse for medication, firstly. I had a spirited conversation with them asking why they waited more than a month after the surgery to request additional information. They had no excuse. They said it would be another 30 days from then. I phoned again at the beginning of the second week of October. I was transferred to a "patient advocate" who asked me to repeat the story for now the 9th time. I did. She said there was something "fraudulent" about the claim that was being investigated. She said the claim was for $39,000! I argued with her because I had a copy of what had been submitted to UHC right in front of me, which was for $12,795.

    As my ire increased she made an effort and noticed that, hmmm, some of the claims seemed like duplicates. Long story short, some moron at UHC had opened a SECOND claim - yes, because they had requested it a second time from my surgeon's office. I spoke to the plan sponsor whose contact details I have because I sat with the group when UHC pitched to be our insurance provider. I was very opposed because of previous experiences with this disreputable company who said they would intervene.

    It was finally determined that in fact UHC had made an enormous blunder - surprise, surprise. And then they said the claim was going immediately to the "pricing" department. This is a very simple task - they look at each item on the claim, check it against a code, and then determine how much (supposedly 70%) of that amount they will reimburse. In my case there was the surgical suite, the anesthesiologist's fees and the doctor's fees to be "priced" - three items. It is now November 9 and I have yet to see a penny from these thieves. But I continue to pursue the matter and assume I will ultimately be reimbursed. They have submitted a proposal to my company for a renewal contract, to which I have stamped a huge NO and will do everything in my power to boot them. The entire company is made up of illiterate buffoons.

    Thanks for your vote!
    Staff

    Reviewed Nov. 9, 2015

    I have Silver Compass with United Health. I pay $338 month with a $1600 in network deductible. I cannot go to a doctor because every time I try, the doctors say they don't take new patients. With this plan I was told my GYN took the insurance. Now United has an annual visit claim to pay and they are refusing stating she is not I. Their system. I even had the Governors office verify that she was in network when I got the plan. They are taking my money and I cannot get medical care. Why is this legal???

    Thanks for your vote!
    Customer Service

    Reviewed Nov. 9, 2015

    I have been trying for three weeks to get the copay corrected on medication that I have to take daily for the rest of my life. Thank God it's not life sustaining or else I'd be dead. The problem is simple (at least it seems to me) the drug is erroneously listed as a tier 3 when it's actually a tier 2 medication and while everyone at MD-IPA agrees, they can't seem to get it corrected in their system. The first time I called they said it would be corrected in 10 days. When I followed up they said the initial action had not been taken and it would now take three days for them to submit a reversal form. When I called again to follow up they told me the same thing, an additional three days. My last contact with them they said "another" problem had been fixed, but not the copay problem. What other problem was there that's the only reason I'd called? So now guess what, another three days. The saga continues. Meanwhile, I'm still without my medicine.

    Thanks for your vote!
    PriceStaff

    Reviewed Nov. 8, 2015

    WHYYYY do I continue to be billed for services rendered at the doctors office every time I go??? They never pay any of the doctor bills even for the physicians in their network... It has to be a law against this or something... They can't possibly keep getting away with holding customers benefits and still receive premiums... I miss my BCBS. If Blue Cross premiums didn't cost so much I'd drop UHC so fast it'd make their head spin.

    Thanks for your vote!
    Customer ServicePunctuality & SpeedStaff

    Reviewed Nov. 6, 2015

    In 2011 we purchased my wife a Medicare Advantage Platinum dental plan. We paid the premiums on time every month. To that end...no problems. Things went abruptly south last spring when my wife lost a tooth. We referred to UHC's provider list in our town (pop. c. 500,000). Although the list was several pages, no provider would accept the plan (some were dead or retired!). After having written 2 letters to UHC & having contacted the AZ State Insurance Commission, we did receive a response from a rep named "Gwen", who said she wanted to "research the problem". Gwen actually did call my wife once/week for several weeks to report her lack of progress. Those calls ended a month ago. At this point we are considering filing suit to retrieve our premiums.

    Thanks for your vote!
    Customer ServiceCoveragePunctuality & Speed

    Reviewed Nov. 6, 2015

    Had UHC since March of 2015. My coverage was supposed to start as of January 2015, but didn't due to an error on their behalf. Needless to say my initial impression of UHC wasn't the best to begin with. My plan I pay for is supposed to be top-notch, only a $15 co-pay, low deductible. I have paid EVERY month, if not on time, then only a week late. Throughout this year I have tried to go to the pharmacy to pick up my medication and I have been told on at least 3 different occasions that I was cut off due to non-payment. I now have outstanding bills with my physicians because UHC has not paid anything, I have 0 coverage. I have called in if not every month, then every other month because I keep being cut off without any explanation and without warning.

    I received a bill last month for $2,000 from UHC. I called about that and they said it was "an error" - what's new? Every single time I call they claim I have an outstanding balance even though I have confirmations and PROOF of payment. UHC has been nothing, but stress since the moment I signed up. I am now sitting here, yet again, after paying my premium on Oct. 23rd without insurance.

    Thanks for your vote!
    Customer ServiceOnline & App

    Reviewed Nov. 6, 2015

    I became a member of United Healthcare in January of 2015. At the time, I signed up online to have my premium payments automatically paid on the first of each month (when due). Their website is SO screwed up, the payment has never been automatically deducted from my checking account. I have called the customer service department multiple times every month and would get the same answers: insincere apologies, empty promises and worthless reassurances that it will work next month. After 11 months, it still does not work.

    I cannot begin to tell you how many hours I have spent on the phone being passed around, put on eternal hold, and hung up on. In the meantime, when I end up making the payments on the phone, there were months when the payments were not applied to my account, when I was labeled as "not current" with my premium payments, and I had multiple services rejected as a result. Needless to say, after this year is complete I will terminate with them. I have never ever had this sort of problem with any other Healthcare Insurance.

    Thanks for your vote!
    Customer ServiceCoverage

    Reviewed Nov. 5, 2015

    I went online to make my October 2015 premium payment on Sept. 28. On Sept. 29, I received an email stating that my account would be automatically drafted on Oct. 1 for my October premium. I called United Healthcare immediately and advised that I had already made payment. I was "informed" that I had set my account up to have my payments auto-drafted. I informed the customer service rep that I had NOT! I was told to go back and remove the banking info in order to have the draft stopped and there would be no problem. I did as instructed. On Oct. 1, my account was drafted by United Healthcare anyway. I called and demanded a refund. I was asked if I would rather have the funds applied to my November premiums and I said NO. I wanted my money put back into my account. I was told it would take up to 21 days. I said that was fine and once I received the funds, I would make my November premium payment.

    After 28 days, I called United Healthcare and asked why my funds had not been returned to me. I was informed that the money would be refunded by Friday, October 30 or by the following week. Today is November 5 and I still have not received my refund, so I called United Healthcare once again. Today, I was told that yes, they see where I have requested the refund but it seems it has been applied to my November premium instead. I said "that's funny because my November premium shows outstanding." I was then informed that it's because they haven't received their funds from the "Marketplace."

    I have fought with this insurance company for the entire time I've had them, trying to get bills paid, even after having gotten approval to go to emergency facilities for treatment. The only problem I haven't had is with the prescriptions... everything else is terrible. From the customer service (which I believe must all be sent overseas) to the 3rd Party billing. I would not recommend this insurance to my worst enemy!! I wish I could give them a zero!!

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed Nov. 5, 2015

    My wife is suffering from Stage 4 Breast Cancer. At every step of the way, she and her doctors have had to fight with United Health Care in order to receive every diagnostic test and every medication. Everything, absolutely everything is denied at first. Then the doctor has to get involved directly with UHC. Every medication refill, including her chemo, is denied until hours are spent on the phone between Dr's, the pharmacy, and my wife. My wife is fighting for her life, she shouldn't have to be fighting with UHC for the treatment her Dr is prescribing. In dealing with UHC, they will always proudly state that they have complied with every request from my wife's Drs. What they leave out is the prolonged, and unnecessary battle between them, the Dr, and my wife.

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed Nov. 5, 2015

    I've had United since 01/15 through my employer with previously being on LA women's Medicaid program. I'm 32 years old without any health problems except for mental health issues of which I take one medication. I never had any problems while being on Medicaid and I was able to see a therapist for free and pay a $10 copay for my Rx. Needless to say I was grateful to have insurance and not have to rely on the state. Well, I'll lose my coverage by next year because I am now a part-time employee again so I decided to schedule a doctor appointment. I had been trying to change my PCP online for months but kept getting an error message and I just forgot about trying to resolve the problem and to just go with the assigned PCP.

    As it turned out, my PCP was located at an urgent care Center and he actually never worked there. I did find it strange that a PCP would work at an urgent care Center full-time and with a copay of $100. I obviously cancelled that appointment. I kept trying to change my PCP online without luck and then started to call offices asking if the listed doctors were accepting new patients only to be told by 5 different offices that the doctors I had asked for either did not work there or that they had NEVER heard of them.

    I then tried to call the LA member customer service number and when I went through the automated system the phone disconnected. Also, I forgot to mention that back in February I went to a psychiatrist that was in network, but I had to pay full price for the office visit (UHC is supposed to pay for 80%) and the receptionist submitted my claim 3x but I never received a refund! I should have researched this insurance carrier before but I was so excited to have coverage. Please, stay away from this company and their Phantom physicians.

    Thanks for your vote!
    Verified purchase

    Reviewed Nov. 5, 2015

    I lost my left hand in a bad accident, it was my fault. Ok I have United Healthcare. Number 1, the insurance company will not even pay for my amputee socks. Number 2, I worked so hard, made so many trips to the prosthetic company, getting used to my new robotic hand. Now United Healthcare want pay for the hand. I get thru with 1 appeal United will appeal again and again. This year has been a nightmare trying to get this 39 cent company to pay something. Just a very terrible company to deal with.

    Thanks for your vote!

    Reviewed Nov. 3, 2015

    I have had UHC for a year. My wife and I pay a total of 1061.00 per month for coverage. I have attempted to use my insurance maybe 5 times this year and have paid all the bills for about $3,000.00 for a total annual outlay of $15,000.00 after tax or over $20,000.00 pre-tax dollars of income. I have literally not received any benefit from them. Yesterday, they debited my account for 2 times the premium without notice or reason. I am tempted to have someone arrested for grand larceny if I thought it would not consume the rest of my life to fight this BS. UHC are government authorized monkeys and thieves. Enough said.

    Thanks for your vote!
    Customer ServiceCoverage

    Reviewed Oct. 31, 2015

    My wife and I bought a Medicare supplement insurance policy, for my wife, age 65, from United Healthcare salesperson, Arturo ** (**). We had one condition for when selecting an insurance plan, the plan had to include Doctors Mary ** and Amir ** and the SE Hermann-Memorial hospital, and the insurance plan provided to us does not include our Doctors of choice. Mr. ** will not return our calls, and we are lost as what to do. We need to cancel the insurance plan from Care Improvement Plus. My wife has coverage from Medicare A&B, and Aetna insurance as primary. Can you help? Best regards.

    Thanks for your vote!
    Customer ServiceCoveragePriceStaff

    Reviewed Oct. 31, 2015

    The first few years being with United Health Care through AARP as a Medicare supplement, I had no problems whatsoever. The problems started just this year - in fact, this month. I am so disgusted with them, I would tell everyone I know not to deal with these people. Recently, I moved from Wisconsin to California, to be near my son and his family. I let everyone know I was moving and changed my address with those companies that I needed to alert, including United Healthcare. Actually, with them, I was required to call, which I did, and thought I was all caught up. I moved here on September 24, and when I went to get my first prescription filled here at Walgreens like I always do, I was told by the pharmacy worker that my insurance was cancelled. "What do you mean, cancelled?" I barked at the fellow in the window. He told me that on his computer, it said that my policy was cancelled.

    Irritated, I called United Healthcare RX insurance and proceeded to spend hour after hour on the phone with those people. Each of the different people I spoke with said, I was supposed to have re-applied because I moved out of state, and I retorted, "How in the world would I have known that information? Each one of them said that whoever the person was I spoke with about my change of address, told me this information. I told them, at first in a nice way, that NO ONE ever mentioned this to me at all. NOT A WORD." I said, "Don't you think I would have done this if they told me to do this or the result would be the cancellation of my insurance??" Of COURSE I would have! I take several prescription medications daily, and I cannot afford them on my own - that's why I have this insurance!

    I called and spoke with someone different every time, and this went on for at least 2 1/2 weeks. They each told me something different, and when I tried to pick up my prescriptions after they said I could, I was still told at the pharmacy that my insurance was not reinstated. After the initial calling and getting absolutely nowhere with them, I started asking for the supervisors right away, and even THEY gave me the runaround. Finally, toward the end, one of the supervisors told me that they would have someone listen to the tape-recorded message of the conversation I had with them, notifying them of my change of address.

    After several more days of not knowing what was going on, but STILL not able to refill my meds, finally I called again and spoke to a supervisor that said he was going to help me. He contacted the department that listens to the phone conversations and after waiting on hold and talking with him for HOURS, he finally came back on and said I was right - that the worker NEVER informed me that I had to re-apply, otherwise, I would be terminated. I tried telling that to every single person I spoke with regarding this, but they obviously didn't believe me. They didn't believe me until they heard the conversation for themselves. That supervisor, reinstated my insurance and backdated it to when the termination date was. Which I appreciated. But I was so aggravated by this whole situation, without the ability to get the medicine I needed at the time, except to pay for it out of pocket and some of my medications are several hundred dollars.

    Well, that might be an option for someone who has the money - but I'm not in that position. I live on a fixed income and the whole purpose of PAYING for this insurance was to be able to afford the astronomical prices of medication as it is! It's NOT like they're giving me something for nothing! I decided to file a complaint with some insurance board - I forgot who it is now - as I'm waiting to hear back from them. I think they need to be held accountable for a few issues here, and that's why I filed the complaint. It drives me crazy that people, especially older people, are expected to just believe what they're told by the medical community and are jacked around like we're idiots. I resent that, and I resent this company not giving me the benefit of the doubt before they could prove that I was lying.

    This country's whole court system is based on presuming someone is "innocent before they are proven to be guilty," not the other way around. United Health Care needs to step their game up and get it together. AARP should lean on them to do so as well. With more and more folks getting into the age of Medicare, United Health Care and those like them, need to treat those of us who have worked our whole lives and paid our dues, with more respect and courtesy than they are presently doing. Give us the benefit of the doubt that we are telling you the truth or we truly don't understand something, before you jump the gun and cancel our life-saving medication access. Next time, someone may not be as lucky as I was and it could cost them their life.

    Thanks for your vote!
    Customer ServiceCoveragePriceStaff

    Reviewed Oct. 28, 2015

    My work switched to UHC from Blue Cross in June 2015. BCBS was increasing their rates, and my employers thought they were getting a better deal from UHC. UHC representatives came in, touted themselves as providing better care than BCBS. They said that none of us would have to change providers. They said we may have issues with a few prescriptions, but to just work through it and everything would be okay. I am 26 years old, and in fair health. Shortly after we switched companies, I developed my first case of vertigo. The doctor prescribed meclizine, which UHC denied. Whatever, it's $15, so I just paid cash.

    Then, I went to the doctor to start treatment for psoriasis and psoriatic arthritis. The doctor ordered blood work and referred me to a dermatologist. There was a place to have the blood taken at the doctor's office, but only people with actual health insurance get to use that. UHC will only take blood work done by LabCorp facilities, so I had to wait a few days (it was a Friday afternoon) and drive out in the boondocks somewhere to go. LabCorp failed to send in my blood results so I had to call the doctor a week after it was drawn to get them to contact LabCorp to move things along. LabCorp took no initiative.

    I finally see a dermatologist, who diagnosed me with severe psoriasis, and is concerned I may have psoriatic arthritis already (I have terrible wrist and knee pain. I cannot kneel for more than a few minutes without days of pain, which is unusual for my age). He prescribes me Otezla, a new drug that is the safest psoriasis treatment on the market. UHC denied me Otezla, citing I need to try Stelara or Humira first. Stelara & Humira are both immune-compromising biologics. I almost died at birth from tuberculosis, and should not be endangering my immune system in any fashion. In addition Stelara and Humira both leave patient's psoriasis WORSE if they ever get off of it. They can induce psoriasis in patients who take those medications for other reasons (like Crohn's disease), and induce painful, pustular psoriasis plaques in others. Permanently.

    My specialty pharmacy, my dermatologist, and Otezla themselves appealed UHC on my behalf. Multiple times. UHC literally could not care less about your health. Let me repeat, they do not care. They have deals with some drug companies (The only reason they would tout Stelara/Humira over Otezla, as Otezla is actually LESS expensive than the drugs they're trying to put me on) over others, and have bought their own pharmacy that they use to gouge their health insurance customers. (How is that legal???)

    I might as well not have any insurance, at all. I now have to go begging to Otezla to continue to give me that medication for free, as the cost of Otezla without insurance is $1,500/month (Humira, at its lower rate, is $1,800. Stelara is $3,500). Otezla has been fantastic BUT I HATE having to ask for handouts. I have health insurance. Health insurance is supposed to pay for medical treatments when you cannot. Therefore, I cannot really call UHC health insurance. They take your money and give you nothing back.

    With UHC you are not a person, not a face. They don't care if you have a family, a job. They don't care if you are young or old. They don't care if you're in pain or not. They don't care if the treatments they are trying to make you take would kill you. They don't care. You are a number. That's it. UHC is terrible enough that, should my employer fail to switch providers again come 2016, I will need to seek other employment. That will be almost the three year mark for me, which is really a shame, but I am not comfortable with not having insurance. And I don't.

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed Oct. 28, 2015

    Enrolled in U.H. Care Medicare Advantage PPO plan this year 2015. My husband recently retired, he enrolled also. Everything went smoothly, U.H. Care approved both of us. I have my plan and he has his. Husband canceled his former Empire Blue Cross Blue Shield from job. We are no longer in their computer system. Went to my primary doctor, filled one subscription, everything went smoothly and was paid. Had thyroid ultrasound then orthopedic specialist for frozen shoulder. Specialist doctor gets flak from U.H. Care, they won't pay because they said I have another insurance plan that is primary, Well Point. We never heard of this.

    My husband called Well Point after searching for phone number, they said we are NOT in their computer system. He called our former insurance, Empire Blue Cross Blue Shield, they said we are NOT in their computer system either. They said Well Point was a dental branch of Empire. Now just HOW did U.H. Care manage to booger their computer system having us down as having a different primary insurance that does NOT exist? Medicare (gov.) pays U.H. Care $800 per month to do this to us??? Liars, thieves, they should be penalized by the Federal Government!!!

    Thanks for your vote!
    Customer ServiceCoveragePrice

    Reviewed Oct. 28, 2015

    I am fully paid with my insurance United Health Care. They 1/2 way thru my plan change and force me to use OptumRx. Well I call they tell me I can't use my card from Lyrica which saves me $60 per month x 12 is $720 per year off my copay. I am then told I am getting charged for one copay $85 3 times as one mail of 90 day supply for 1-3 month supply. How is that fair 1 transaction 3 times the price. Well I proceed to the ripoff and to pay.

    They say, "we cannot allow you to pay for your meds. We are going to inform you of a bill owed from 18 months ago." We never sent you a statement or ever tried to collect. But now want to hostage your meds also your Orthovisk knee injections that keep your knees from getting worse. We will not send those either, due to we can save money for CEO BONUSES FOR UNITED HEALTH CARE. They refuse to accept a payment plan or anything but still don't try to collect this money. They can care less due to the fact it has saved them 6 thousand dollars in refusing medical treatment I paid for. Why pay the damn insurance if they hold up benefits??? 40 calls - never can get one to 3 way call the other to get anything accomplished. They play stupid. It is smart actually. They are saving money screwing me.

    Thanks for your vote!
    Customer ServiceCoveragePriceStaff

    Reviewed Oct. 28, 2015

    I have been very disappointed with my health insurance policy. I pay $589.00 per month for a policy just for myself and each experience gets worse and worse! My most current complaint is about medications. I was prescribed a fairly common medication and United Health Care declined it. I was then prescribed the generic form and it was approved for 1 month. When I went to pick up my refill the following month, my cost was $112.00 versus $12.00 for the prior refill because it was declined.

    After almost 2 hours on the phone, speaking with department after department, being on hold the majority of the time, I was told that United would no longer cover the medication and was reminded that United can change prices and coverages at their discretion at any time. I switched to United because they made these promises about their great coverage over Aetna. The coverage for all services has been less and I'm paying $200 per month more. Stay away from these people!

    Thanks for your vote!
    Coverage

    Reviewed Oct. 26, 2015

    I have been a member of the subject insurance company since 2008. I have Plan F and it has covered all my major expenses with cancer surgery, chemo and radiation treatments and many visits to physicians. I am very pleased with the service and coverage. The monthly premium for '16 will be $271 with no deductibles or copays. I also use this company for their Part D RX plan which currently costs about $54 monthly.

    Thanks for your vote!
    Verified purchase

    Reviewed Oct. 25, 2015

    Choosing this company for 2015 was one of the biggest mistakes of my life. They are slow to pay claims. Some claims are only partially paid even though the doctor / medical office is in network. They deny almost all DME claims. I went through a series sleep study tests. Was found to have severe sleep apnea. They approved a CPAP machine only to deny it after a month. I was told I had to appeal. I appealed but had to return the machine or pay the company over $3000 cash. The appeal was denied because I returned the machine. In other words no way to ever get a CPAP machine without paying thousands. Also took 5 months to refund a double payment they took out of my account in April 2015. One of the worst things is how hated this insurance company is by the physicians' offices. Many have personally suggested I don't renew with them. Sign up with them at your own risk.

    Thanks for your vote!
    CoveragePrice

    Reviewed Oct. 24, 2015

    I have been with UHC for about 4 years. In that time they have made me change my doctors, and now they tell me they will no longer cover my insulin because it is too expensive. My doctors know what they are prescribing and what I need to take. Why should an insurance company that I pay be allowed to dictate what medications I take? I just wonder if AARP knows what is going on with a company that uses their name.

    Thanks for your vote!
    Customer Service

    Reviewed Oct. 22, 2015

    I have been a member of this plan for 10 months. In this time period my benefits have been canceled twice. The reason for these cancellations has been for lack of premium payment. The problem with that was that the payments were in fact made and in a timely manner (first week of every month). Second I would only find out when I'm attempting to fill a prescription. Low and behold the clerk tells me that my premium hasn't been paid. The first time I was very worried and called my company to verify that the payments were being made. I was then given the information of when each check was paid to United Health Care.

    So I called and had to tell them that they've had my checks and weren't being applied to my account. After they found the checks and gave me a lame excuse that sometimes the payments get skipped over, it HAPPENED again. This time for 4 payments. So I naturally gave them the benefit of the doubt and researched with my company once again, only to find out the same... I was treated rudely by customer service and actually hung up on. I wouldn't recommend them to anyone.

    Thanks for your vote!

    Reviewed Oct. 21, 2015

    I have been needing a crown for well over 2 years. I started the process over 2 years ago but my husband had only been at his new job for a few months and told I would need to wait a full calendar year for major work, but once the year was up, it would be covered. So we sent in the claim and it was denied saying I didn't actually need the crown. Fast forward and know that we have sent the information in 6 or 7 times and it has been denied over and over. Sometimes, they say the x-ray isn't clear enough. Sometimes it isn't dated or mounted properly. We have filled the tooth twice in the last year. They have paid $250 combined on the fillings, but wouldn't pay $500 for a crown. Today the tooth broke off. Crumbled is more like it. And I am walking around with a broken tooth waiting and hoping that they finally approve it. Stay away from this insurance company if you can.

    Thanks for your vote!
    Profile pic of the author.
    Customer Service

    Reviewed Oct. 21, 2015

    Does not send bills or emails reminder. Need to send bills or emails like other company to remind us with dementia to pay without giving up account number to be hacked and stolen from another big company. Just send bill or email reminder. They can send cancellation letter but no bill or reminder. What happened to customer service?

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed Oct. 20, 2015

    I didn't experience problems with United Healthcare Insurance until I moved to Lynwood IL. Before leaving Wisconsin, I transfer my coverage to IL about three years ago. I met with the representative, who came to my home to assist me through the process. The professional representative help me to picked a network providers. My disability requires on going treatment. United Healthcare provided a nurse visit to make sure my medication were taken correctly. Two years & $30,000 later, I learned they paid less than 10% of my doctor visits. I appeal their decision but don't get a response. I pay medicare and co-pay to the doctor's. I have medical collections office that will take me 30 years or more to pay, plus I have to pay cash to see any doctor. Now I am out of money and living in pain. I don't know where to turn. United Health has really destroyed me financially and medically.

    Thanks for your vote!
    Customer ServicePrice

    Reviewed Oct. 16, 2015

    I have been with United Health Care for more than 20 years now. I pay them $300.00 a week. $15k a year and have never had a benefit approved. At this time I have a lump that is growing in size and now is the size of a softball. I have been to my doctor and he needs an MRI to diagnose, NOT APPROVED! So, there is Nothing that can be done. There are no dentists within a 100 mile radius that will accept UHC and accepting new patients. When I have to see a doctor for anything it is actually cheaper to tell them that I do not have insurance than to disclose UHC. There are always two prices, one for people with insurance and another for people without. Doesn't that prove that ins co is being ripped off at our expense? Their customer service is not helpful. Where do you go for help?

    Thanks for your vote!
    Staff

    Reviewed Oct. 13, 2015

    My family is on their 3rd experience with United Health Care as an employment benefits provider. Each time our experience gets decidedly worse. I am the Father of a severely disabled young teenager. He does not, walk, talk and suffers from a seizure disorder; thus is 100% dependent on assistance. This is not a new condition. He was born with these limitations. We have claims from time to time to get him durable medical equipment for use such as a wheelchair, among other things. UHC has denied such claims by stating "they are considered as Personal care, comfort or convenience." Let me restate, he does not walk and is a 5'4" 100# teenager and growing.

    The wheelchair and bath chair (the two primary and most egregious denials) are not requested but every several years for growth, not something that is frivolously requested. And yet, we are denied. It isn't difficult enough already, then to have a provider deny these claims and or having to fight for others. Our medical history is well documented and they have access, so they know we are not frivolous and are asking for what we are paying for, service. Poor service, each of the three times my company came to use them as primary provider. If we had a choice, an alternate we would absolutely change, immediately.

    Thanks for your vote!
    Verified purchase
    Customer Service

    Reviewed Oct. 13, 2015

    My PCP ordered MRI and United Healthcare refused it. It took an appeal and more than 10 phone calls and was bounced around from one department to another. Endured severe pain for more than a month. And finally, some had mercy and approved it. For the last several months, I received a letter stating that I have a 2 month balance due. There has been no missing payment because they withdraw premium from my checking account, usually within the first few days of the month.

    When I call them about the letter, they say, "Disregard it because there is a glitch in our computer system and you are fine." I take the agent name and reference number. Jot it down on the letter and wait for the next month. Around the 25th of every month, I get a similar letter and I go through the same vicious cycle. This month when my doctor requested a pre-approval, UHC denied it and cc'd me on the letter stating that I have not paid my premium and I am in the second month of grace period. I tried to convince my doctor by bringing all bank statements and UHC letters and reference number. But the doctor's office says they cannot do anything about it. They will only see me if the computer system at UHC okays me - which I don't see happening anytime soon. Stay away from UHC if you can. Worst company, worst business, poor accounting, poor customer service, and poor communication.

    Thanks for your vote!
    Staff

    Reviewed Oct. 9, 2015

    United Healthcare EPO is terrible. I wasn't able to see my doctor that I had been seeing for 25 yrs. Instead they sent me to a ghetto doctors office that had torn chairs, filthy torn exam tables & the fill in doctor was sucking on a lollipop during my consultation and exam. Can't wait to change insurance companies on November 1st enrollment 2015.

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed Oct. 9, 2015

    Please heed this advice. Do not under ANY circumstances enrol in this healthcare plan. Just today I went to get a script filled for a medication I have been taking for 5 yrs. I take it 3 times a day. There is danger if I suddenly stop taking it. So, I go to get filled and it is rejected because UHC says I missed a premium. I call UHC, tell them my premium is taken out of my account automatically, and my bank records show it has already been taken out for this month. They admit mistake is theirs, tell me they will have it fixed between 3-24 hrs.

    I tell them this will not work as I have to take this medication everyday and there are physical ramifications if I don't. Customer rep tells me ok, she will put on hurry and it should be ready in 3 hrs. I call back after 4 1/2 hours tell them it is still not taken care of. Different rep this time called "Josh". I again explain the importance of this being filled today. He's says he understand and he will "escalate" again. And he says he will call Rx and call me back in exactly 1 hr. I'm sure you can all guess, he did not call me back.

    So I call a third time, again a different rep answers. I ask for Josh, am told there is no way to reach Josh. I explain my situation for a third time. Again am offered to have them escalate it. No way. I am connected with supervisor "Bill". (I find it interesting that everyone I talk to, though they are obviously from a different country, they have very American names). I explain situation, tell him Rx will be closing in a couple hrs, that if I suffer symptoms from missing this dose I will hold them liable. Supervisor says he will take care of it, puts me on hold, comes back on says I can go pick up script. I say "are you sure? because I am leaving house to go to Rx right now." He says yes. He also says he will send me email, with apology I guess was never clear on that due to language barrier.

    I drive 40 miles to Rx, and of course nothing has been fixed and they are closing in 15 minutes. I call customer service back and a recording tells me they are closed and to call back during business hours. So, I end up having to pay cash for script. What do you think the odds are I will get refund from UHC for the difference? This insurance company was willing to let me go through withdrawals rather than fix THEIR error in a timely basis. Stay far, far away. You can go on UHC complaint site to read roughly 700 more complaints on this company..

    Thanks for your vote!
    Staff

    Reviewed Oct. 6, 2015

    My dear mother was given three weeks to live. I took her home from the hospital which only gave her codeine patches and this company refused to pay for the patches. They put my poor sick mother on hold for hours (we have phones records) from one department to another department! They knew my mom was old. They knew she was sick and they treated her with no respect!!! What a shame!!! Worst company ever!!! It's like being on welfare!

    Thanks for your vote!
    Staff

    Reviewed Oct. 6, 2015

    UHC was so bad about paying claims I had to go through a lawyer in S.H.I.P. in AL. Suggest anyone having issues with them saying doctors and/or clinics are "out of network" do the same, as every state has a legal team in SHIP. I will be switching to another insurer on the first day I'm allowed.

    Thanks for your vote!
    PriceStaff

    Reviewed Oct. 6, 2015

    I got the most expensive insurance that United Healthcare offers and I needed a CT scan on my back because my leg is going numb and it hurts so bad that I can barely walk. United Healthcare denied my CT scan so now I cannot have any kind of treatment! I have been paying $600.00 a month for my coverage and this is what I get. Run from United Healthcare - they don't care about you!!!

    Thanks for your vote!
    Profile pic of the author.
    Customer ServiceStaff

    Reviewed Oct. 2, 2015

    In July 2015, I was set up with an individual health plan with UnitedHealthcare through an independent company here Indiana called Crosspointe Insurance Advisors. I was assured this was the plan for my needs, budget, etc. What a headache dealing with UnitedHealthcare has been already!! I wish I had looked up reviews on them before committing to my health plan. My insurance started on Aug. 1 -- but I did not receive my ID cards until late August. Numerous customers (including myself) were sent incorrect monthly bills in mid-September saying that UHC didn't receive our payment for Sept's premium and we now owed double. When I called UHC, they said this was an error. I went ahead and paid October's premium over the phone then.

    Then two weeks later, UnitedHealthcare sent out bills stating that October payment was due Sept. 22. This was another error -- they meant Oct. 1. I called them because I had already paid Oct's premium over the phone on Sept 17 and had a confirmation #. The woman I spoke with was very rude and unprofessional. She said she'd ticket my account then hung up!

    Thanks for your vote!
    Customer ServiceCoverage

    Reviewed Oct. 2, 2015

    United Health Care (UHC) repeatedly loses my payments. They are sent by Electronic Funds Transfer (EFT). I sent them proof of payment but they still can't fix their problem. They acknowledge they have a problem but after 5 months they can't fix it. As a result they stop approving claims. They tell providers I have not paid. I find it hard to believe they cannot resolve receiving payments electronically from a major bank. If they would work hard at anything it would be getting cash in the door. I wonder if they are purposely trying to aggravate customers with a lot of claims so they go away to another insurer or lose coverage. Or maybe they are using outsourced vendors to do all their call center or IT work as some health insurers do – and maybe it is offshore vendors – and they are ** worthless.

    Citizens of the USA we need to make all the health insurance companies go away. Get one national business to process all the policies and claims. It would save billions in operating expenses which means we would save and doctors would get paid. It should be a non-profit entity. It should be managed by the customers to ensure true customer service. This would end every healthcare problem in the USA.

    Thanks for your vote!
    Staff

    Reviewed Oct. 1, 2015

    I work in a doctor's office in billing and am shocked at the company's strategies to not pay providers. The employees deny almost all hospital charges forcing us to appeal with documentation. There was actually a very sick patient whom they denied payment stating that the charge did not reflect the patient's level of care. It was the LOWEST possible billable code!!!!! I think they deny in hopes that we will get tired of fighting and give up. By the way, look up the CEO's Salary!!! In the millions!!!!!

    Thanks for your vote!
    Customer Service

    Reviewed Oct. 1, 2015

    I've had United Health Care since 01/15. Everything was ok until 06/15 when my premium jumped from $281.00 monthly to $776.00. However that was due to the market place removing my tax credit. The tax credit of 516.00 has since been readded to my account. However United Health Care has failed to update their system and keeps telling me I owe them 776 or sometimes up to a thousand dollars or more. Since the entire tax credit screw up, I have faithfully paid the full amount for my insurance EVERY MONTH and every month I call to find out my balance after I have paid the representatives tell me I am paid up. Now this month's payment has jumped back up to 776.00. I've checked my payment history and all the payments are saying PROCESSED except for 2 which are saying SUBMITTED. On their system they say that processed means that the payment has been sent usefully however submitted means it hasn't been sent.

    If a payment has not been "SENT" then why is my bank account saying otherwise! I am at my wits end with this company, no one wants to help when you call in. They tell you what they want to hear to get you off the phone and then the next month your bill is screwed up again. A representative told me to email my statements showing where the money was withdrawn, which I did send them. However, it was a phony email address. No one there knows what they are doing. I just need my account to be corrected! I am sick and tired of going through the same dilemma and being on the phone for 4 hours each month and getting the run around!

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed Sept. 30, 2015

    I have been a member of United Health Care since May 2015. I went to pick up one of my September meds and was told that I voluntarily canceled my policy. I called the office and was told that that was wrong information. A few days later I was able to pick up the rest under the insurance. However, on September the same pharmacy (Wal-Mart of Route 60, Vero Beach, Florida) told me my insurance had been canceled for nonpayments. I called the insurance again and was put on to a representative who told me I was canceled in July because I'm not a U.S. citizen.

    I have been making numerous calls and I either got hang up on or left holding the line for long periods of time with no one returning to me. I'm a U.S citizen and have paid my monthly plan up until August. At no time had anyone told me to stop paying for any reason at all. One representative advice me to re-enroll and continue paying but my policy would not be effective until the new enrollment in November. Please for your kind help because I do not know what to do and not having my health insurance will have serious consequences on me in a number of ways.

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed Sept. 29, 2015

    I've gone in circles with UHC for the past month attempting to find a specific type of therapist in network in my large metro area. Apparently there are none but UHC continues to give me the names of two therapists, along with contact numbers, who do not exist. I've called the numbers (provided by UHC) for these supposed therapists, and the health care group on the phone tells me that these therapists are not employed by them. Furthermore, I can't even find these therapists on the Internet; it's like they simply don't exist. I got tired of calling UHC on the phone multiple times, so I finally sent an email, thinking that perhaps things might be more clear in writing.

    In my email, I listed the full names of these nonexistent therapists and told UHC that these therapists do not exist, so what other therapists are in network? UHC's response: "Here are the therapists in your area in network : 1 Nonexistent therapist #1, and 2 Nonexistent therapist #2." (This was the response to my original concern where I provided the names of these nonexistent therapists and said that they don't exist!) I even suggested to UHC that it may be best for them to actually determine if providers are still practicing before providing such obsolete information to patients. UHC likely won't do that, though that idea makes too much sense!

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed Sept. 29, 2015

    I have been paying my premiums every month. When my daughter went to get her prescription filled in the beginning of August, she was told that United Healthcare put a hold on my account. I called them and they said part of June and all of July were not paid. I was told by the pharmacy that the same thing happened to another woman with UHC. I sent the insurance company copies of the cancelled checks which they denied receiving. My premium payment is $132.12 and I was billed for $309.24 & $132.12. If the $132.12 was covering July's payment, where does the $309.24 come from? I contacted my lawyer because 3 to 5 business days for a response turned into 2 months. My lawyer and I were holding on a three-way call with UHC waiting for them to find a supervisor, when after 45 minutes of holding, they hung up on us.

    My lawyer sent them a letter describing how negligent they are and how much my daughter and I are suffering without our medications. They never responded by the deadline date, so I had to call them. They said I am all paid up and to check with the pharmacy to see if it's off of the hold. It is now finally off of hold two months later, but now I have to send copies of all the cancelled checks for the year so I can be reimbursed for the overpayments I made for June and July. I will update when I get a response from UHC.

    Thanks for your vote!
    Customer ServiceCoverage

    Reviewed Sept. 29, 2015

    I have no idea what's going on... Through my work I have United Health Care along with an HRA. My employer initially provided $300 in my HRA but I get more depending on how many hours I work. First off, they back charged me like 3 months. My employer tried very hard to get my money back for those three months but due to an error on their part, which WAS explained to them, they refused to give me my money back so now I had been covered through November of 2014. I had health claims during that time but they had been paid off by a previous insurance.

    Six months later I receive letters from that previous insurance saying that because I had UHC at that time, they were supposed to be billed first... Well excuse me for not saying, "Hey those bills that are paid off, you need to resubmit them!" to my doctor. I tried to explain how I got back charged but they were extremely rude telling me I should have told my doctor about this other insurance. How was I supposed to do that when I didn't have the insurance at the time?

    So I called my doctor's office and told them to resubmit the claims to UHC and then, whatever UHC didn't cover would go to my other insurance. They seemed to understand completely. I watched the UHC website as the claims came in, and they used my HRA to pay off what they could until it was down to $0. At that point, I was either told I owed a certain amount or that it had been paid off. I never received a bill from the doctor's so I assumed UHC and my other insurance had taken care of everything.

    Two weeks ago I checked the UHC site and found that I had $450 in my HRA. I wasn't expecting them to pay out until the end of the year so that was awesome. Today I needed to go to the doctor for some pains I've been having, so I go to double check that my HRA money is still there and it's not. I checked the claims, and the many claims that told me I owned $0 were "adjusted" and not only is my HRA completely drained again, but now those same claims that were at $0 now say I owe money. There is no excuse here, these claims were from almost a year ago. There is no reason I should have to be sitting here worrying about medical claims from a year ago.

    I'm pretty sure they waited to "adjust" the claims until my HRA balance came back so my employer would have to pay and not them. I wanted to call UHC to figure out what was going on, but after reading the reviews here I'm not sure I should even bother. I also received many letters about someone talking to an appeal service on my behalf which I never did. I never appealed anything, unless my doctor did, but I think I would have been informed. I have no idea what's going on. I'm scared now that I'm going to have to pay almost $3000 because these two insurance companies can't figure this stuff out. I'm also sitting here in a lot of pain wondering if I should even TRY to go to the doctor or not. I'm afraid I'll be told I’m declined for insurance or something.

    Thanks for your vote!
    Verified purchase
    Customer Service

    Reviewed Sept. 28, 2015

    I paid my premium for the month of September on August 27. The day after I paid them the premium, I switched health insurance companies. I called back the very next day after paying, to request a refund. I have been waiting one whole month, to the day, for this refund money. They processed the payment. It was taken out of my bank account literally the second I hit the submit payment button on the keyboard, but to get this money back in my account is merely impossible. I have called on several occasions, spoke to supervisors, and each time I call, I get a different excuse as to why the refund hasn't been processed. I am still waiting on a supervisor to call me back from my phone call today.

    Thanks for your vote!
    Customer Service

    Reviewed Sept. 26, 2015

    A neurosurgeon in United Healthcare's network informed me I needed surgery due to a herniated disc. I'm experiencing pain equal to and sometimes greater than labor pains, but in the thigh area. An MRI was done along with x rays to support the diagnosis, however I was denied the surgery. My surgeon informed me I had been denied, not United Healthcare. I called them and was told I could appeal however it could take up to 30 days for a response. I'm on all types of prescription drugs, still in agonizing pain. United has not given me any alternatives. They could care less about how much pain I'm experiencing and how it's affected my life. This insurance provider is the worst I've experienced in my lifetime.

    Thanks for your vote!
    Verified purchase
    Customer Service

    Reviewed Sept. 25, 2015

    I have been with UHC since February this year. As an independent contractor I have to pay my own insurance premiums at nearly $700 per month for an individual. I had knee surgery in May and have been recently diagnosed with Glaucoma. After locating a primary care doctor (I had a referral sent to each doctor), UHC help desk in the Philippines says you can see a single doctor 6 times in a 3 month period, which I haven't even seen these doctors, but 3 times each but my claims are not being paid and now my doctors cannot see me unless I pay out of pocket.

    UHC Service Helper, James ** in the Philippines said he would transfer me to his supervisor "John" (he didn't know his last name), but hangs up on me. He has my phone number and doesn't call back. UHC Service Helper: Ben ** said he would resubmit with my referral numbers and call me back. He never calls me back and the bills are still outstanding. If anyone is looking for an insurance company in Florida, spend the extra $25 per month and go with Florida Blue. I had them before but elected to save money since they increased their premiums.

    Thanks for your vote!
    Verified purchase
    Customer ServiceCoverageStaff

    Reviewed Sept. 25, 2015

    I made a phone call to Customer Service at United Healthcare to get the names of some In Network doctors I could go to for a "wellness" visit - that is a physical exam, a mammogram and a shingles vaccine. My UHC insurance is supposed to cover 100% of wellness claims. The Customer service rep. gave me the name of the University of Wisconsin Health system as In Network.

    I made an appointment, and nothing was covered. They have sent me letters that say the customer service reps cannot be relied on to give the correct information. They say they listened to my phone recording and this is not what was said. When I requested the recording, they say I need a subpoena. Then today they say they never recorded that particular phone call. They will not give me anything in writing. Does anyone out there have a similar problem and want to start a class action lawsuit?

    Thanks for your vote!
    Customer ServiceCoverageSales & MarketingPriceStaff

    Reviewed Sept. 24, 2015

    I have so many problems with United Healthcare I cant possibly list them all, but here are a few: We purchased platinum compass PPO 250 at a cost of $1200 per month for our family, Dec 2014. At time of purchase they listed Banner Health doctors as in the plan. By Jan 2015 no Banner Doctors were accepting United Health Care. Thinking I purchased a PPO, we tried to find another primary care doctor for each of our family members. Finally did but was hard to find decent doctors in the plan.

    Then came to find out our "PPO" requires a referral in writing and electronically for all specialist doctor visits. I thought PPO meant you choose your doctor? HMMM??? I think advertising this policy as PPO was false and misleading. They told me yes, I was correct and that it was misadvertised on the web, it actually is a "managed PPO". Throughout this year we have discovered that the vision plan and dental plan for our kids is not connected to United Health properly (they are separate companies) and those departments have not ever shown the proper totals for our out of pocket deductible or out of pocket max, so we have paid everything for those visits out of our pocket and tried to get reimbursement.

    Every department: customer service, claims, pharmacy, dental and vision and the my UHC customer page, are all on different computer systems and none of them communicate and our accumulated totals have never been accurate or the same on any of the systems. Why is this important? Well because every time we go to a doctor, urgent care or pharmacy, what they charge us is based on how much of those totals we have met. Lately, most doctors or urgent cares just hear the name "United Healthcare Compass" and demand an upfront payment because they can't get accurate information ever on people's accumulated deductible totals. I have had 3 audits done and yesterday the audit mailed to me said we have met all deductible and out of pocket totals yet my doctors and pharmacy do not show that so they keep charging me at the wrong rates.

    This company is truly criminal in its practices in my estimation. Customer service people only read what is on their computer screen and it is always wrong and after speaking with them for usually 30 - 60 minutes they sometimes figure out that they aren't seeing the right totals. It truly is like being in the twilight zone. They are cheating us out of benefits everyday and there is no way to get help. I have sent in request begging for audits to our account and they send them back without even looking at anything I tell them is wrong. The grievance dept has sent generic letters back to me and they are wrong and are obvious they do not know this plans details.

    Seriously, this company is breaking the law with insurance practices. They are causing us to pay for things that should be covered simply by not having correct numbers and accumulated totals in their system. Additionally, I know they will not pay claims to doctors if bills are not submitted in 90 days and we too, like many complaints we've read, had a claim not paid due to their mishandling of a claim in a timely manner. Many doctors and entire health systems (Banner AZ) will not accept them anymore because they have terrible systems and cannot get paid correctly or get accurate information on the phone or the computer system due to the insane computer systems that are not connected to each other in each department. Each department is an island, they cannot get anything done because they all work on different computer systems that don't update each other.

    Their customer service people have no idea what is going on. They only can read what is on their screen and often that is wrong. Every time the totals are different than what is on claims dept. screen, vision dept. screen, dental dept. screen and pharmacy dept. screen and what I see on the myuhc.com page which is supposed to be my accurate account information portal, never never ever matches what any of the customer service agents in any dept. tell me the totals are. They have misprocessed several of our claims and our account has a ridiculous amount of plus and minus to the totals, one claim for example was reprocessed in and out of our totals 16 times!!

    I hope a big health insurance attorney or firm will look closely at this companies practices, I am sure there is giant lawsuit here. I have lots of documentation of the misleading documents, totals and mismatched accounting of deductible and out of pocket totals between all the systems. Please consumers beware, they are the worst company I have ever dealt with. Save yourself the heartache and find another healthcare company. They are putting lives at risk with these terrible business practices!

    Thanks for your vote!
    Customer ServiceOnline & AppStaff

    Reviewed Sept. 23, 2015

    We are a provider for this product and it is impossible to get help beyond the minimum. I tried calling their helpline (877) 842-3210 which put me in a redundant loop of automated responses which did not help. I finally got a "customer service rep" who did not speak English and was not authorized to answer my question. She told me she would transfer me and when I requested the telephone number she was transferring me to she gave me the telephone number that I had dialed! I said that that would not help me and she transferred me right back into the loop! I had already gone on the website to verify benefits which did not suffice, thus the reason for my call. This is just unacceptable for a company that wants to do business. I would not recommend this company to anyone because it seems that their main business is to frustrate rather than serve.

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed Sept. 23, 2015

    In the 27 years I've worked in billing, UnitedHealthcare makes the most mistakes when processing claims. This is frustrating for both the member and the provider. Frequently claims are processed as "out of network" and a deductible or penalty will be applied when the provider is in network and has been for year, such as the physical therapy clinic I work for. Also, they outsource their provider services department overseas and I am put on hold many times, sometimes end up getting disconnected while on hold and have to call back again.

    An example is, they receive a claim and deny it stating on the EOB that the member has reached their benefit maximum of a certain amount of visits. The patient has not even come close to the maximum. You look online at their website at the claim and it says it's pending for medical records to be sent which were sent a month ago. You call and the customer service rep tells you they have received the records and the member called and informed them that they are not at their limit of visits, so they will then go ahead and have the claim reprocessed. However usually when this happens the provider will get a letter in a couple of weeks stating the claims processed correctly and you have to call again and the cycle repeats itself. They are the worst of any insurance company with processing claims correctly.

    Thanks for your vote!
    Customer ServiceContract & TermsCoverageStaff

    Reviewed Sept. 21, 2015

    One thing doesn't change: the TRICARE benefit. TRICARE remains committed to providing the best possible health care for the 9.7 million military members, retirees and their families that use the benefit. On April 1, 2013, United Health Care Military & Veterans replaced TriWest Healthcare Alliance as the TRICARE West Region health care contractor. In other words, they lost the bid and TriWest Healthcare Alliance lost their contract.

    I was lied to. Even though I receive quality health care, it is at a PRICE! When you're not smarter than a 5th grader customer service agent answers the phone you're guaranteed to receive one of the following responses; "Oh, are you the provider" then ask for Tax ID number, refuses to fax a form to doctor's office, a completely and totally different answer every time you call. I would rather be put on hold while they look up the answer than have them make something up. My sons coverage changed and UHC refused to send a new card, was told to printout one from website. My favorite is when you're promised a call back from a supervisor in 24 hours and it's been well over a week. I believe the worst thing that has happened to Military Members, Retirees and their families is the care contract through United Health Care Military & Veterans.

    Thanks for your vote!

    Reviewed Sept. 21, 2015

    I have been extremely dissatisfied with United Healthcare Student Resources. They go out of their way to delay payment of claims or avoid payment entirely. When using an out of network provider, they are now requesting (in addition to the claim being submitted) for payment showing that the doctor has been paid in full. One must also show proof of payment (that is a canceled check showing the doctor has received the payment and deposited the check into his/her account). In other words, one must wait until the doctor has deposited your funds before even beginning the claims process. What is the reason for this?

    Thanks for your vote!

    Reviewed Sept. 21, 2015

    This insurance company is by far the worst our office has ever dealt with! They reject claims multiple times for reasons that are unclear to even seasoned professionals. If you fix a claim and resubmit it, they just reject it again for another reason, not just once or twice but multiple times. It's no wonder Drs' offices are dropping out of it!

    Thanks for your vote!

    Reviewed Sept. 19, 2015

    Awful experience with this insurance company. I received the payment letter and it said that I have unpaid bills but my bank show all my MONEY is being taken by this insurance company. This is completely ridiculous.

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed Sept. 17, 2015

    In March husband signed up with United Health Care, $247.74 a month for insurance. I was then laid off in March, so we cancelled this so called affordable insurance. Today, Sep 17, 2015, we received a bill from United Health Care, $1,522.18. Mind you in the last couple of months we haven't received any bills. I called market place today, and the Lady couldn't discuss this with me because I'm not on the account. Anyways I said, "On the back of the bill it says, Your premium payment for each month is due on or before the first day of each month. If we do not receive your premium payment by the end of the grace period, your coverage will end."

    So I read that to the Lady, and asked, "How long is a grace period?" She said "30 days." I said, "Then why is he getting billed when we haven't paid in over 30 days?" She couldn't discuss with me because I'm not on the account. I said, "You know, I believe United Health Insurance is taking advantage of the elderly. I use to take care of the elderly as a Home health Respiratory Therapist, and I know a lot of 70-80 year olds who would just see this bill and pay it. This bill doesn't even really exist."

    Why did they bill him $1,522.18 for an insurance we cancelled and is WAY beyond this so called grace period. Now, when my husband comes home from a hard day of plumbing, I have to explain this and he will have to call, and it's just frustrating. And seriously taking advantage of people. What if they say we have to pay this? It just don't make sense. You don't pay your water bill it gets cut off. You don't pay your power bill it gets cut. You don't pay your car insurance it cuts off, but you cancel and don't pay your health insurance, they keep billing you? And not send the bill by the way till September! We cancelled it the first of April!

    I know people have way more problems going on today. I just hope they don't think they can make us pay this, and prayers my husband don't flip out on whatever they are gonna say on the phone to him. May the Grace of God be with us all! I don't usually complain, but I could name 5 people I took care of that have money, would see a bill and just pay it. It's not right. They are definitely taking advantage of the elderly for sure!!

    Thanks for your vote!

    Reviewed Sept. 17, 2015

    United HealthCare community plan. The WORST health care provider ever! What's the point of making a health plan where 9 out 10 places won't accept?! Changing my health care.

    Thanks for your vote!
    Coverage

    Reviewed Sept. 16, 2015

    I've had United Health Care through my employer for about three weeks. My wife is on several medications and every single one is requiring pre authorizations. She is suffering greatly from severe nausea and we've been waiting to get authorization. The medication has been ready at the pharmacy for three days now, but we're still waiting on UHC to authorize it. I'm just going to have to pick it up and pay cash for it today. This is by far the worst insurance I've ever had, and so far we've only dealt with prescriptions. I hope that none of us become severely ill or injured as we'd be worse off than if we were uninsured.

    Thanks for your vote!
    CoverageStaff

    Reviewed Sept. 14, 2015

    I was going to an endocrinologist for the better part of 3 years to positive results with my type 1 diabetes. At mid-2014, I went to schedule an appointment and was informed that the provider would no longer be accepting UHC. At that point I began looking for a new physician, only to find that the majority in my area were not accepting the coverage because of the hassle of trying to get paid by UHC. After successfully finding a provider, I assumed my issues were done. Fast forward to now (9/15), and I am looking for a psychiatrist for my wife to see. All but one refused to take her as a new patient because of our insurance company. What is UHC doing to make providers stop accepting their coverage?

    Thanks for your vote!
    Customer ServiceCoverage

    Reviewed Sept. 14, 2015

    I've had united healthcare insurance through my husband's job and I got pregnant around april and I went to my doctors appts the first 2-3 months. When I was getting ready to go to my appt my doctor called and told me my insurance had been terminated. I called the insurance company and they told me that they had terminated my coverage because I never sent the paperwork saying I was actually married to my husband but they never sent us any paperwork and when I told them and asked them to send us the paperwork again they told me it was too late and there was nothing they could do. I am 6 months pregnant and I haven't been able to see a doctor because they left me high and dry. I tried applying to other insurances but I didn't qualify and now I don't know what to do.

    Thanks for your vote!

    Reviewed Sept. 10, 2015

    This company routinely delays payment to pre-authorized claims for longer than two months. Also denies claims with ridiculous reasons like not accepting electronic claims and requesting paper records, then claiming they are not receiving them or they are not good quality. It is a ploy to hold on to the money in which the only person hurt is the consumer (patient). If I could find a regulatory board that would hear my complaint, I would file one.

    Thanks for your vote!
    Customer ServiceCoverageSales & MarketingPriceOnline & AppStaff

    Reviewed Sept. 8, 2015

    We had absolutely awful experience with UnitedHealthcare HMO.

    1) Choosing primary physician should be easy, but nothing is with UnitedHealthcare: The list of in-network physicians on their website is irrelevant. Once I started calling doc offices from the list to verify they accept my insurance, 9 out of 10 said they don't accept it. Even when I called UnitedHealthcare customer service and asked them to give me valid in-network physicians, they give me the wrong ones who don't accept my insurance.

    2) Customer Service is confusing and incompetent: You may call 3 times and talk to 3 different people about the same question, and you will receive 3 different answers. And you will never be able to prove that. They don't want to give you anything in writing. You will never be able to prove what they told you on the phone, because even if you have your call number, they just have the general description of the conversation and no details of what they told you. They also claim they can't email of fax anything, so, for example, they tell you they called your physician office and were told such and such, but you don't have any proof they actually called and what there were really told. This customer service is meant to leave you helpless and confused.

    3) UnitedHealthcare tries really hard not to pay for your annual wellness check: You can only go to your primary physician for annual wellness check for it to be covered, and you need to be very careful there: wellness check includes saying to the doc that you are perfectly fine and don't have any complaints. If you say anything that sounds like a complaint in the doc office, they will not consider it part of wellness check, they will bill you for an office visit and UnitedHealthcare will not cover it. Wellness check also includes and standard bloodwork. Now be sure to get the list of tests your doc ordered and call your insurance to verify if all these tests are covered before you go to the lab. Also make sure the lab is in network.

    4) UnitedHealthcare tries to process claims as out-of-network by default and make you pay the maximum price. They hope you will not pay attention and just pay the bill from the health provider. I got a bill from a physician's office and thought the price was suspiciously high. Called UnitedHealthcare customer service and found out the claim was processed as out-of-network, when in fact the doc office was in-network. I had my bill adjusted and cut in half. Had I not called them, I would have paid double price. Apparently, you can't just trust that UnitedHealthcare will do its job honestly, you need to keep an eye on them and double check everything they do.

    You just can't trust them. UnitedHealthcare is the worst insurance company our family ever had to deal with. We are going to vote with your feet and walk away from this scam, this company will not get another dime from us ever again.

    Thanks for your vote!
    Customer ServiceCoveragePriceStaff

    Reviewed Sept. 8, 2015

    I have insurance through the Marketplace. I started last year with BC/BS and had no problems. This year I switched to United Health Care because it was less expensive but I found out the hard way, you get what you pay for. I paid my payments online from January through April always on time, generally I would pay them early. I paid my May payment at the end of April as usual but when I went to pay my June bill at the end of May I saw that showed that I did not receive a tax credit for May so I called the Marketplace to find out why. They told me that they needed more documentation regarding my annual salary. They said that they would inform United Health Care that I was still eligible for the tax credit as long as I got the additional required documentation to them by August. I sent the required documentation immediately on May 22nd, 2015 so I wouldn't lose any coverage.

    The next week I looked on my billing account from United Health Care and it still said that I did not have a tax credit and I owed the premium. I called UHC customer service and they said that they did not receive any documentation from the Marketplace saying that I had a tax credit even though when I looked on my account through the Marketplace, it clearly said that it did. I called the Marketplace and they told me that they have documentation that they sent UHC my updated information and that UHC should take care of it. I called UHC back and they said that because they didn't have documentation for May that I had a tax credit I owed the premium for May. I thought that that would be it and so I sent the additional $218.00 through my checking account as a one time payment thinking that my account would be corrected and I would be back on the right track. At that time I also paid my June payment with my credit card.

    When I looked at my billing account after I verified that UHC received my two additional payments, I was shocked to find that the payments were not accounted for! I immediately called UHC and asked why they did not apply my payments and they told me that they had no records of my payments even though I had proof that they had cashed both of them! I was furious! UHC made me call my credit card company for a transaction # so that UHC might be able to look it up. I actually did that . My credit card company said that UHC did not give it a transaction # but showed their insurance company name and a phone number next to the payment. I called that number and it was a number that was not in service. I think UHC is fraudulent and negligent in its practices to say the least! So for the next 3 months I have been going round and round with UHC to try and correct this and get health insurance.

    One representative told me that my insurance was terminated in 5/31/2015 but they would fix it and it should be fixed in 5 business days. It wasn't. I called back and another representative told me some other story and that it would be fixed in another 5 days. It wasn't. So it went on and on all summer until August when open season was over and then UHC told me that I could not have insurance because it was no longer open season. But the representative gave me an email address to write to and ask to be reinstated. The company that is handling UHC emails is Cisco. I sent them an email explaining my situation and asked to be reinstated. They replied that after looking at my account that my insurance was terminated on May 31, 2015. I wrote back to them (contact person: Dellan **) and told them that I was contacting an attorney because they were fraudulent and liars and thieves.

    I received a response that day saying that upon further research that I was being reinstated. So I went to my billing account to pay for September (because as per their notification my insurance was terminated in May and I did not have insurance for the months of June, July and August). I was livid to say the least to find that they were charging me for those months as well as May!!! I sent an email back to Dellan ** at Cisco saying that if I would have needed to be seen by a physician or go to the hospital during those months they would have denied claims saying that I didn't have insurance. He replied that there was no gap in insurance and I owe the full amount that was on my bill even though I have his email from August 7th stating that my insurance was terminated on May 31, 2015!!!

    I have had it with United Health Care! They are the biggest liars and thieves and should be put out of business and be punished for their negligence and fraudulent practices!!! Does anyone know of an attorney that is handling this type of case? I would appreciate it greatly to be in touch with someone who can help!!

    Thanks for your vote!
    Verified purchase
    Staff

    Reviewed Sept. 4, 2015

    Was told when I selected the plan there were co-pays. I was paying $40.00 specialist co-pay then started getting bill for a 20%. So what happened to my co-pay?

    Thanks for your vote!
    Customer ServiceCoverage

    Reviewed Sept. 3, 2015

    I went to the Dentist in January of 2015. I gave them my insurance information. I know I was out of network but all I had done was a cleaning and x-rays. In March 2015, I received a letter of denial from United Health Care with an explanation that I had no coverage which was totally untrue. I called them and asked what was going on? I was then told that the claim had been sent to Salt Lake City, Utah. They informed me it should have gone to Milwaukee, Wi. I got a copy of the claim form and mailed it myself to the correct address.

    In May 2015, I found out from the Dental office I went to, that the bill still hadn't been paid. I had to pay out of pocket. The bill was $273.00. I continued to call United Health Care and was told they hadn't received the claim form. This has continued for months, me calling them practically every week with no resolve. I was told last week, that the form that was sent in in May was the wrong form. Now we have sent in what United Health Care claims is the right form, but only till October.

    I have been getting the runaround for 9 months and I am very frustrated. I am on a fixed income of less than a thousand dollars a month and having to pay $273.00 for a simple cleaning that is suppose to be free has put a strain on my financial situation. I haven't gotten a straight answer from this Insurance company in the last 9 months and I am angry. There is only a couple of weeks left in September and I will be back to square 1. All I want is someone to recognize this problem.

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed Sept. 3, 2015

    I purchased UHC via Marketplace to cancel out my work insurance but when I found out that my job would not cancel my insurance I had to cancel the UHC. I took every step to make sure this was done properly. I purchased the plan via Market Place on 02/27/15 and canceled on 03/03. They told me that it would take 14 days for it to show up canceled and then I would receive my refund. Well 7 months, lots of phone calls, lies and many hours put in over the phone later and I have yet to receive my refund.

    I have spoken to all kinds of managers and was promised all kinds of lies about turnaround times and people getting back with me. I have even spoken to Jeff in Consumer affairs and he ignores my calls and won't even take my calls anymore. This company needs to be SUED CLASS ACTION STYLE! Just reading these posts I'm glad I didn't do any further business with them! I would love to be a part of a Suit. I'm seeking my own lawsuit now against them!

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed Sept. 2, 2015

    For a month I haven't had any insurance. They said I didn't make my payments for the months of July or August. The problem with that is I paid two months at a time. I paid for August when I made July's payment. I went to the pharmacy to get my medicine and couldn't. That's how it started out. So for the last 3 or so weeks I've talked to at least five or more people that work there. They all say the same thing at first. They tell me that I owe for those two months. When I tell them that's not possible they say "can you hold on and let me look a little bit more?" Upon looking, they eventually find out my insurance is paid. They tell me they will fix it, but never do. After about 3 or 4 people done this, they put me through billing. Billing said they would have it fixed in three hours, and go back to get my medicine. I couldn't go back that day, because I had to go to school, so I had to wait until my pharmacy opened on Monday.

    So when I went to get it Monday, they still told me that I hadn't made my payments. I finally was tired of talking to everyone, so when I called again this Monday, I asked for a supervisor. He was worse than the regular employees. He didn't even try to go any deeper. When he didn't see, he just said it wasn't paid, and I need to get a confirmation number from my bank. He told me that he would call me back in 20 minutes, and not to call back because he already had my information. Well today is Wednesday, and I haven't received a call from him yet. It's like they know they screwed up. I will say this though, if I can't get my medicine because of their negligence, and I have a stroke or something, I promise I will sue this pathetic company for every penny they have.

    Thanks for your vote!
    Verified purchase
    Customer Service

    Reviewed Sept. 2, 2015

    Had to have hernia surgery. Had trouble finding prefer service surgeons. I requested help from UHC. They found surgeon and hospital a hour away. I agreed to their location and surgeon. 6 months later claim denied. Done out of preferred service provider. Long holds on phone with hard to understand operators.

    Thanks for your vote!
    Verified purchase
    Customer ServiceSales & MarketingStaff

    Reviewed Sept. 1, 2015

    United Health Care has a third party called House Calls calling my mom for her to enroll. She said "no thank you." So they now are harassing her with calls and letters, to get her to accept. High-pressure sales for medical house call? This is wrong.

    Thanks for your vote!
    Punctuality & SpeedOnline & App

    Reviewed Aug. 29, 2015

    I had put my credit card info into the Gov. Health exchange website for auto payments to UHC. UHC had a "glitch", said I am overdue and they dropped me. I hurried to their website, put in my credit card info again and they took the money. Two months later they said I was dropped. But they had put me on another plan of theirs. This made my deductible for my son restart! Now I am getting $500+ bills from an audit company of theirs saying I owe them! I think this company is crooked and taking advantage. I feel they will bombard you with hoops to jump through until you just give up!

    Thanks for your vote!
    Staff

    Reviewed Aug. 28, 2015

    My ENT sent a referral to see a allergist. Little did I know that when the allergist sent in the claim they didn't realize they needed to get the referral from my PCP instead of the ENT (their mistake). I couldn't believe it. With my plan, you need the PCP to send the referrals, not any other Dr. OH by the way no one verbally told me and it's not in their handbook they sent me. So because of something that little they denied the claim instead of denying it with an explanation to the Dr and what they need to do to fix it. Which is get a referral from my PCP. I'm certainly not paying it. If that's the protocol, then my allergist can fight them. It's not my fight.

    They made the mistake and UHC is a lousy company because they have all these little rules like for example they denied two different drug prescriptions because they needed... wait, get this... "an override/approval from my Dr writing the script." DOES THAT MAKE ANY sense at all? It's like asking the Dr if they are sure if I need the prescription. What a messed up system they have. Terrible.

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed Aug. 27, 2015

    United Health CARE STINKS!!! They have not PAID my caregiver for 2 MONTHS! What's going on, cannot get anyone to answer the phone, all lines are busy. What's going on? How do I get in touch with a supervisor???

    Thanks for your vote!

    Reviewed Aug. 26, 2015

    I chose the HMO plan along with another few of my coworkers. We each chose a primary care physician prior to completing our sign up. UHC changed every single one of our PCP's to a doc of their choosing. Then when we tried to switch they fought us on changing for a full calendar month saying they won't pay for the visits. They denied medications for me saying flat out they don't pay for that. So I have to go back to the doctor in order to be prescribed something they'll pay for, but they've seen to it that I can't see a doctor. Unbelievable.

    Thanks for your vote!

    Reviewed Aug. 26, 2015

    Consistently when I try to get services authorized for my patients, I get the runaround at United Healthcare and its mental health subordinate United Behavioral Health. Additionally they do not authorize care based on typical guidelines and even are not consistent in their following of nationally accepted definitions of diagnoses and service types. These are the reasons that providers try to avoid United Healthcare more than just their low reimbursement because when you can't get needed services for your patient, then you as the provider are mutually at risk with your patient.

    Thanks for your vote!
    Customer Service

    Reviewed Aug. 26, 2015

    12 days ago my husband fell and injured his wrist. He went to the doctor and they took an x-ray. The x-ray revealed no break, but the doctor told him to come back in one week for another x-ray and to go to an orthopedic for an MRI. United has denied the MRI now twice. Today they advised us that my husband should get physical therapy. The physical therapy unit won't begin treatment on him because they said they don't know if this is a fracture or torn ligaments. How do we respond????

    Thanks for your vote!
    Customer Service

    Reviewed Aug. 22, 2015

    I was looking for health care and couldn't find one in my budget, talked to a guy and he found one. We discussed it but never authorized it did. He would call on Friday to verify the account. He didn't call on Friday and the following Monday money (83.75) was taken out of my bank account with NO AUTH. It took a hour out of my work day to get to someone who could help with the problem. It has been a week since then, and I just got another bill in the mail after the lady told me that my "account" had been disconnected. That was a lie. I had to close my bank account and open a new one because they wanted to pull money out and I couldn't get a hold of anyone that could help when I had time, so I wouldn't recommend at all. They don't stand by their word, they do un-AUTH. transactions.

    Thanks for your vote!
    Customer ServicePunctuality & Speed

    Reviewed Aug. 21, 2015

    I always pay by the due date. I was denied medication and payment of services because they had not "applied" 2 months' worth of payments to reflect that I was up to date with premium payments. I called, and a representative said it would be fixed within 3-5 days. 3 weeks later, same issue. My doctors were receiving letters that their services would not be paid for. The website was still showing 2 months' worth of "unapplied payments." I called again and they finally managed to fix it and send me an apology letter. This is unacceptable.

    Thanks for your vote!
    Verified purchase
    Customer ServiceStaff

    Reviewed Aug. 19, 2015

    After 3 consecutive days trying to get resolution of a bill, I have given up. I could not get customer service rep to LISTEN to my question, let alone provide any help. Management needs to listen to the phone calls for QUALITY purposes. The billing entity also indicated they had submitted required documents twice and would do so for the third time.... They are frustrated also. It indicated this is not a new issue with UHC. I will definitely shop for new insurance for both my wife.

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed Aug. 19, 2015

    Ok my husband and I pick United Health Care platinum government health care exchange... and what a joke to found a pain management that will take it. I call the list of doctors and they're not many in the list and they hope we do not take plan I have. I have to travel 30 miles to found a doctor that take it and that does not work out too well. Not the nicest people there... so I am back to square one again trying to found a doctors to take this insurance. We do monthly for this plan for us. It pricey but we were thinking it was good deal for us. But it driving me up the wall to call to found out if doctor take this insurance and running into walls... The doctors do not like taking this insurance at all... specialist anyway and that wrong. If you are a doctor and you are taking United Health Care plan why not take everyone that has it other than leaving us out to dry because we went through health care exchange to get insurance?

    I really hate living in pain and I want a doctor that will treat with respect. Just want to feel better... I was really hoping health care exchange program for insurance but they are not. Next year I am going to found different plan since this one is not working for us... It all comes down to money with doctors and this plan does not pay enough for doctors to take it.

    Thanks for your vote!
    CoverageStaff

    Reviewed Aug. 18, 2015

    I enrolled with United Health Care effective Jan 1, 2015. After seeing my PCP I was referred to see an Orthopedic on Jan 27, 2015. After my visit, I received a bill from my doctor stating that this claim was denied. UHC claimed that this visit was not authorized or authorized after the fact and they would not cover this. Each time I have had to visit a doctor UHC has basically turned down my claim almost every time. It's like I don't have Insurance although my premium is $605 monthly.

    In March I received a notice letting me know that as of 4/01/15 I would not be eligible to enroll in the program. I had several appointments scheduled in April 2015 and I needed to get my medication refilled. On 4/01/15 I tried to use insurance but found that my insurance coverage was canceled and I was not able to see my doctor, therefore I had to cancel all my appointments and get samples. I found an agent who re-enrolled me back through marketplace. However, she chose United Health Care. The worst thing I could have agreed to.

    After my agent re-enrolled through UHC they took out the first payment in April 2015 for May 1 2015, even though I was not able to use the insurance until mid-May 2015, but on June 1, 2015 they took out a double payment. My coverage ended 3/31/15 and I was not able to received coverage again until mid-May 2015. They have charged me for a month and half of coverage that I did not have and has not returned my money. And every time I file a claim they find a way not to cover the claim. I do not understand how they do people this way and remain operating. I have been trying for over 2 months to get my money back. Something needs to be done.

    Thanks for your vote!
    Staff

    Reviewed Aug. 17, 2015

    Since February 2015, I've been enrolled in United Health Care of Florida, Inc.'s Bronze Compass health insurance under "Obamacare." Hopefully, I can spare others from making the same mistake. For the first three months, they processed my premium payments correctly. But in May, June, July and August 2015, they cashed my checks within a few days without crediting my account properly. Every month, I am double billed: for the current month and the previous paid month! I have spent hours trying to get Customer "Service" (?) to locate my missing payments. I am beyond disgusted. No one in this company seems to know what they are doing, no one seems accountable, and - what's worse - no one even seems to care. Shame on everyone associated with United Health Care of Florida, Inc. If you are a wise consumer, you will avoid this company like the plague!

    Thanks for your vote!
    Verified purchase
    CoverageStaff

    Reviewed Aug. 15, 2015

    I had a routine health exam on May 22, 2015, and since then I've spent over eight hours on the phone with UnitedHealthcare "customer service" (not!) staff; reps from the blood-work lab and radiology lab that performed my routine, preventive tests and read the preventive exam x-rays; and my doctor's staff. I had received several bills that should have been covered by UHC, because there was a minor problem with the billing code the doctor's office staff sent to the lab. I thought I had straightened things out with the first round of phone calls.

    I had spent an entire morning relaying information among the labs, billing departments, doctor's office, and UHC, and I thought I had everyone on the same page: understanding that these tests were ALL ROUTINE AND COVERED BY MY INSURANCE!! But no. I've had to contact all of those people again THREE TIMES over the past few months. And today I received a note from UHC saying I'm required to pay one of these bills--$77 for routine blood work that we've all agreed is covered under my UHC medical insurance. What a freaking nightmare. I will never do business with UHC again.

    Thanks for your vote!
    CoveragePrice

    Reviewed Aug. 14, 2015

    UHC lied to us from the beginning including which doctors were on our plan and limited hospitals to 2, one of which is 40 miles from us. After paying 40.00 for my medication for the past year (they said it was a tier 2 generic) they required me to try 3 out of 4 other drugs before they would cover my current medication. I did as they asked and was in great pain and had many adverse reactions so my doctor contacted them and explained I needed to be put BACK on my previous medication. They agreed but now my medicine (still generic) was a tier 4 and would cost me 250.00 dollars.

    Their coverage has been going downhill since we got it and we are paying out of pocket for this insurance. My husband has had 2 heart attacks and they will not cover his required Crestor. Costs 250.00 so he is unable to get it and must take a generic which is causing him to have poor treatment and reactions that concern his cardiologist. I was able to get help with my Eliquas from the company as they would charge 250 for it as well. Would not recommend this insurance to anyone as most doctors will not accept it. Can't wait till Nov. for open enrollment.

    Thanks for your vote!
    Customer ServiceCoverage

    Reviewed Aug. 13, 2015

    I have called this insurance company over 30 times in the past week to (this is no exaggeration) try to get an ID card, to find providers, to just figure out easy questions to my plan. Almost every time I am transferred to the wrong department, my call is dropped, or I'm told the WRONG information. It is extremely frustrating and a waste of my time to have to constantly call back or be misinformed about services. I called a total of 10 times to find out if one of the doctors I would be seeing would be covered under my plan and each time I got a different answer. This company is a piece of **. I will NEVER sign up for them again. I'd rather be fined and have my money go to the government than this worthless company.

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed Aug. 12, 2015

    I called UHC on 8/12 to ask a complicated questions regarding a very sick patient's benefits for home care. I was connected to someone in the Philippines. I asked to be transferred to a nurse in the U.S. and this person refused. I could not understand her and she could give me another phone number to call. The customer service for our "American" products is horrible. Why are we forced to talk to people in other countries who we can't understand, who can't understand us. I know that because I am always asked to repeat everything I say when speaking to a person in the Philippines. I can't wait for Donald Trump.

    Thanks for your vote!
    Customer Service

    Reviewed Aug. 11, 2015

    Forget about getting help. I needed to provide payment receipts to my employer for proof of insurance and could not get anyone to answer a phone much less figure out their pos website. NO EMAIL!! Only one phone number for everyone and they close 3 pm, AZ time. You UHC are scum.

    Thanks for your vote!
    Staff

    Reviewed Aug. 11, 2015

    I recently contacted the United Health Care claims department about a claim. The claim involved hospitalization of my wife (3 days). I received a letter explaining that my wife's hospitalization was not medically necessary. The explanation I received was such a crock of **. The claims agent told me they have an agreement that can alter the admission status from admitted to observation. She also told me that as a railroad employee, I should understand contract negotiations and how they work. I understand that any Union member expects a fair days pay for a fair days work. I don't need to be a "bully" to get what I want as a 40+ year member of organized labor. She tried to tell me that United Health Care is only working to get me (& United Health Care) the best value for the huge premium that my employer and I pay.

    I'm not sure who is benefiting from my huge premium - me or the CEO of United Health Care. HIS SALARY FOR 2014 WAS $66,000,000 (66 MILLION DOLLARS). I will use every resource available to me to make a change to this bullying tactic.

    Thanks for your vote!
    Coverage

    Reviewed Aug. 10, 2015

    United Health Care lied about covering the medication. I have been taking for 10 years. They denied me after assuring coverage before we bought the policy. UHC has put my health in jeopardy. Every day the pain gets worse. What can I do? Please help.

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed Aug. 10, 2015

    This company double bills me 2 times in a row. When calling to get the issues corrected I have had the absolute WORST customer service. Hours on end on the phone with them being transferred around everywhere. Clearly all of their staff have a major lack of training - as over the 5 different phone calls and hours of aggravation I was told I would be refunded by two different supervisors who stated that they would follow up with me... Never heard from one of them and still have not received any of the money back that they took. This is all before I have even had a chance to use the health insurance. I can't even imagine the runaround I am going to get to try to see a doctor. DO NOT get health insurance with them if you can help it.

    Thanks for your vote!
    Loading more reviews...

    UnitedHealthCare Company Information

    Company Name:
    UnitedHealthCare
    Website:
    www.uhc.com