UnitedHealthCare Reviews
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About UnitedHealthCare
- Helpful customer service
- Quick claims processing
- Comprehensive coverage options
- Affordable premiums
- High out-of-pocket costs
- Frequent claim denials
UnitedHealthCare Reviews
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Reviewed Feb. 10, 2015
I make payments online through our bank for my husband's and my United Health Care medication plan. We always pay our bills on time. My payment for January and February on my account has been lost by United Health Care and they are telling me I will be dropped if I don't make the payments. My bank verifies they sent the checks on time. I have given the numerous phone people at UHC the dates and numbers of those two checks, made by the bank. I am told UHC cannot look for the checks unless they have cleared the bank. Duh, if they had cleared the bank, my account wouldn't be in arrears... they lost them at UHC and won't search for them; just want me to make the payments again with my credit card.
I also paid my husband's two premiums this year, and his have cleared and been posted. No one will do anything; I cannot get a phone number of someone who may be able to help. This is so frustrating. They lost a payment for my husband a few years ago, and it took ME a lot of time to finally get them to find the lost payment. These are the worst people I have ever dealt with on the phone. I cannot even find an email address to contact them. The people who answer the phones there, always someone different, couldn't care less about my problem; they have the same speech, like zombies or robots. Disgusting.
Updated review: March 31, 2015
This is not a new complaint but rather a follow-up to a complaint filed on 2/9/15. It was very suspicious that shortly after filing the complaint about UHC not posting my February 2015 payment that a posted payment appeared on my UHC account.
Original Review: Feb. 10, 2015
On 1/13/15 I mailed a premium payment for the following month. It is now 2/9/15 and UHC has no record of the payment. I have made 2 different calls to billing representatives and get nothing but a fast shuffle. Usually I get someone who speaks with an accent and who seems to not know what is going on in the billing department as related to payment issues.
My bank has made 2 searches of its records and has no record of the check being presented by UHC for payment. The cost of a stop payment is an amount which does not make that an option as related to the amount of the premium payment. I have to assume the payment is in someone's in basket or was put in the shredder. If you are looking at UHC as an insurer I would strongly urge you to look elsewhere.
Reviewed Feb. 8, 2015
This company is the absolute worst. They won't let me get my cancer treatment at the hospital I was always going to and expect to move all of my appointments over to another hospital. I've been seeing this hospital since I was 15 and I only have 9 more months to go...disgusting.
Reviewed Feb. 6, 2015
I have a claim from over a year ago that has not been paid. When calling United Healthcare with the provider they just said if the Doctors tax code is on the claim we code it under that instead of the hospital's tax code. This was an urgent care visit. Customer service was vague about fixing the situation and said they could not do anything, a claims adjuster would need to review it. It's been 15 days and still no answer.
Reviewed Feb. 5, 2015
Apparently Optum RX is part of UnitedHealthcare. My wife signed us up in January because we are both out-of-work but the government requires you have healthcare anyway. One of my prescriptions came up to be refilled. When I called for help, I was told that no mail pharmacy was on my plan. We have the GOLD (next to the top) plan. The support person had no answer. So I asked about pharmacies. I live in a city of nearly a million and there is only ONE approved pharmacy? Their price for the medication was $390 when Walmart was charging $189. No explanation for that other than "We don't set the prices." I thought that is what insurance did. I agree with the vast majority of comments here. This company is just set up to take advantage of the consumer while providing no support and a minimum of actual insurance.
Reviewed Feb. 5, 2015
I did not think they would be great. I was not anticipating robust and open deception. I was thinking Humana was cruddy then my company contracted with uhc. Amazingly they were worse. A ppo "plus" plan that is a glorified hmo. I have been told numerous lies. Multiple representatives told me my benefits in contrast to what the provider was starting. Finally weeks later I discovered that my yearly number of rehab sessions of twenty would only be four. I have progressed to external complaints. I will dump them ASAP. Look good on paper but it's all a ruse.
Reviewed Feb. 5, 2015
I was forced into UHC this year from my employer based Health Insurance. At the first of the year I began trying to get my medications approved and have been getting denial letters stating I needed prior authorizations from my Doctor. The P.A. forms were sent in and once again denied. I had no problems with my previous Insurance Company Blue Cross Blue Shield. UHC is like the mafia! You can't fight this big machine. The consumers are victims. Have you seen UHC's earnings reports. And to think, we pay dearly for monthly premiums.
Reviewed Feb. 4, 2015
Back in November, United Healthcare signed me up with a doctor/ARNP who hasn't taken patients or had a patient practice for 20 years. She told me she has been trying to get her name taken off their list for a year, but they keep sending people to her. So I called them. The rep on the phone was very nice and after about 45 minutes, she found me another healthcare provider, but informed me that I would not have any coverage until January since they would have to start my enrollment over or something of that nature that I did not understand. But I shrugged it off.
A month later, I received my new card with a new PCP. So I called them. They informed me that they don't take my particular health plan and that United Healthcare keeps sending them people with ineligible plans. So I called United Healthcare again and sat on hold for a good 45 minutes. When I finally got through to a representative, again she was very nice and apologized...a LOT. She then put me on hold while she called around to find me a doctor who was both taking patients AND took my insurance plan.
After 30 minutes of that, she came back on the line and said that she could not find ANYONE in my area and that she was going to send my account over to "research" to see if they could find me a provider and "hopefully" I should hear from someone in 2-3 days. Luckily there is nothing significantly wrong with me right now, but what happens if something does occur while they are researching?
Reviewed Feb. 3, 2015
I don't have a crisis but if this is typical of a healthcare provider for retired persons this company is pathetic. First call 2-2-2015 7:20 PM after a telephone tree with far too many choices to push buttons on recording says "Your wait is about 5 minutes." I can handle five minutes but 11 minutes go by. Recorded music stops. [Me] "Hello, hello," [Them] CLICK hang up. Call back advised having technical difficulties. Call back again wait is now more than 10 minutes according to the recorded message. They got that right we are now running up to the cut off time of 8 PM. So far 22 minutes on hold.
I can understand a sleazy business pulling this stunt of hanging up on customers but I don't accept it on a company I pay better than $3100 a year in premiums for their "service". The problem isn't what doctors charge but the worthless but costly service provided by the health insurance company. I don't care who's in office politically. I'll cheer any president that will stick it to them.
Reviewed Feb. 1, 2015
United Healthcare harassed me and stabbed me in the back. Been on disability, and they were my insurance from 2012 through December 2014. Had been as obvious as a slap in the face noticing, that several providers they paid me to go to, would ignore my diagnosed medical conditions, treatments, make disparaging biased remarks, and repeatedly delete medical facts even when re-given or faxed. I have all my MRIs, med records however. These records show I cannot permanently do prolonged standing, walking, lifting or carrying permanently for employment. I have doctors' reports and PhD. reports saying as well. It seemed like United Healthcare was involved in contacting providers and making biased negative comments to try and make my med records appear I have no disability. That is my only opinion.
Been on disability four years. I have diagnosed lumbar-sacral degenerative spine conditions in my lumbo-sacral spine that refers to lower extremities and in my cervical spine that refers to my upper extremities. I made a complaint on a june, july 2012 physical therapy content record to UHC. I had not read it until about Oct.13, 2014. The agenda was changed. I was referred and treated for plantar fascitis. All exercises for including printouts. The physical therapist had a changed agenda to ankle joint pain. I never had ankle joint pain. Apparently, this was changed so I would be made in agenda to appear I was doing heel raises, each foot several times, standing on toes, in PT sessions and at home, to make it look like I did not have a bad back or l5-s1. There also were heel raises done on steps. I never did these, only plantar fascitis exercises, heels down dorsiflexions.
PT wrote I had right ankle joint pain, so switched whole PT agenda. But why do it on left foot change agenda? There was no basis to change agenda regardless. When I went to PT I told basic med Rx. and wrote info in. She put I changed topics so had nothing written in evaluation, blaming it on me, because she wanted nothing there. Making me like I am a flake. You would have to be pretty nutty for her to say that. And if a deaf person came in and PT did not know sign language, common sense, PT would read what you wrote in. Which by the way was torn into pieces, tossed on to one page like a salad, photocopied and put into my file. I wrote info in and when i left last day wrote in PT paperwork, more left in there. Did exercises one time and told PTA that came in after, already done, so he marked what on list PT had.
PTA next time I had did not mark heel up exercises cause not do. Last day only time did heel up exercise and on steps. Had to stop several times in between. l5-s1...fatigued, And low spine back ache from never did again. Anyhow called United Healthcare to make provider complaint Oct.23 and 27, 2014 verbally, over phone and sent faxes about, last fax nov. 2, 2014. Complaint on the PT and contents of her records being changed. Well, service coordinator UHC leaves me two answer machine messages nov.3 and nov.4, 2014, to call her about changed provider complaint I never made. So I see it, I was right, they biased and part of this stuff, and with PT scene. BAD SCENE.
I looked to get off United Healthcare. No more phone calls or anything to do with them. Then I got five fake provider complaints sent to me in mail Nov. 4, Nov. 7, Nov. 17, Nov. 25, and Dec 4, 2014. UHC saying I making duplicate provider complaint appeal requests I never made. I faxed UHC to correct and send me the files. I put case numbers on and they ignored, just got more. These UHC indicated they put into my patient I.D. files!! Making me look like a nut job!
Retaliation: Be passive and let them throw me under a bus or they will slander and escalate their abuse and harassment. Also think making me look wacko cause then all they did does not count. Sure. I also got harassing answer machine message from UHC service coordinator, Dec 5 and Dec 8 2014...phony, very prankish message...telling me to call them about my requesting therapy services! Innuendo -- I did not request and nothing to do with UHC! Switched to different insurance. UHC was horrible!
Reviewed Jan. 30, 2015
I never go to the doctor. I've paid my prem. for years! Went to a doctor was the bill was $177.00. They made me pay upfront. Now I'm still waiting for a reimbursement check, what the heck. So far I've spoke to 3 different people. They put me on hold and someone new picks up and it starts all over again: "sorry now we are waiting on the 4th person... SORRY NOW WAITING ON THE 5TH PERSON." Started off with someone in another country, MI, & now CA & TX. Been on phone 35 mins. Is asking one question so hard for them to answer? After 45mins I got answer. Still, they have a very poor system
Reviewed Jan. 30, 2015
I came out of brain surgery and was told by my Doctor that I need absolutely needed a specific medication immediately. I took the prescription to my pharmacist and was told that United Health Care would not pay for it. The price would have been over $800 per month. I had very little money so I put the cost onto a credit card and appealed United Health Care's decision. After many phone calls fighting their decision they decided to pay for the medication and I was told they would cover the amount I'd already paid. I sent all the necessary forms and receipts and heard nothing from them for several months. I called them again and after several more phone call they told that they weren't going to pay me. I am appealing their decision. This people are simply greedy parasites.
Reviewed Jan. 29, 2015
Doctor prescribed specialty medication which UHC instantly denied. They did however offer an alternative medicine which happens to cost 2 to 3 times as much as the requested medicine, has greater side effects, and I have a WELL DOCUMENTED ALLERGY to. Doctor faxed an urgent appeal and received confirmation, however, I have followed up with UHC now one week later and they claim to not have received the appeal. The first customer service rep I spoke with today was ridiculously unhelpful and suggested I wait 48 business hours to hear back from him.
In addition, the rep had a very difficult time with his English which is unacceptable in resolving healthcare issues. Of course I called back until I was connected with a rep who was remotely helpful and able to tell me the appeal was never entered or possibly sent to File 13. This whole situation has become increasing frustrating and unbelievable. UHC seems to have no problem accepting the thousands of dollars per month we continue to pay for this insurance yet they could care less about our well being when we actually need to use it.
Reviewed Jan. 29, 2015
Do not get United Health Care if you are having any infertility issues, as they provide NO coverage at all for fertility treatment. The ironic part is that they will cover diagnosis, which just seem cruel than not to cover treatment. After getting a devastating diagnosis, they made us feel even worse by saying no coverage at all. They won't even bother to take the time to consider exceptions. After having no medical problems our entire lives, it is hard to accept that your insurance won't help you when you actually have a problem. I am going to opt out of United Health Care coverage.
Reviewed Jan. 28, 2015
I have many, many stories about UHC refusing to pay claims. That's their policy, to reject any and all claims first. You have to call, harass and threaten to sue before they will even "consider" paying a claim. Sometimes, I win and sometimes, I don't. For example, I have mac degeneration eye disease. When I got into see the chief at UCLA Stein Ctr, he told me that if I didn't start eye injections that day, I would be blind in six months. They called my insurance to get the injection drug approved and of course it was denied even with documentation from the chief, etc. I guess an eyesight saving drug isn't on their "approved" list. The injections were four grand a shot and I needed several over the course of the next three years, probably in the upwards of over 130K. OK, I'm thinking, I better prepare to go blind at age 45.
Finally, my Doc said, "Don't worry about a thing, I'm going to get you on a program for the poor, so the shots will be covered 100%." Really? My husband and I are middle class making a good living and pay a lot every month to UHC for what we thought was healthcare coverage and now I'm on a program for the poor? Wow. Shouldn't a program for the poor be for people who can't afford coverage and really need it? I guess, I'm now one of the people that really need it. UHC is crap. Thank god there are Doctors out there who know to manipulate this screwed up healthcare system.
Reviewed Jan. 28, 2015
I am a thirty-year hospital administrator who has also worked for another major health care insurer in years past. I am POA for my mother and managing her health care affairs as of last September. I sent her most recent premium payment December 19. UHC have never cashed it. My follow-up with them required being put on hold for a total of over 3 hours in one day, repeated faxes and phone calls. I had to work two phones at one time to get through. Holding requires listening to the same Bach piece played over and over. Bottom line: I was advised that UHC has lost a large number of December checks and cannot determine what has happened to them.
Last week 1.21.15, I overnighted another check with a signature required. They indicated they have not received that one either. I have sent them a total of almost $350 in premium payments in the last 40 days. Her premiums are $49 a month. Today they asked me to pay by credit card. I explained that a POA does not have the authority to use the credit card for whom they are POA. They said I would be getting a letter stating that her account would be cancelled if I did not pay her account by March 31st, even though the case worker admitted that they had a large number of December checks and still did not know what had happened. I guess everyone else in the same boat will get this same letter. So now I have to pay $35 per check to cancel the two checks and figure out how to pay the premiums. Should I drive it to them?
Reviewed Jan. 27, 2015
If you have or are considering United Health Care, go ahead and get yourself a lawyer. I am a medical assistant at a doctor's office and I deal with all major insurances all day. However, none of them make me want to cry like United Health Care does. I have seen too many patients get upset at this insurance because they just pass you around from department to department. If you add the hold time/music and the representatives with thick accents, you have a personal nightmare. I was on the phone with this company for 4 hours today trying to get one medication approved for one patient. I wish I could say it got approved but really, they just passed me around until they closed. Don't let your employer chose united... Your sanity is with more than that.
Reviewed Jan. 27, 2015
A good percentage of the time, I will be directed to a person that I cant understand, either they on a head set mic, just don't speak plain English, or use slang! The person becomes offensive!
Reviewed Jan. 24, 2015
ATT quit paying for our medicine. We had to find someone else. Our doctor's name is in the policy manual for United Health. When my husband went to the office for his blood work, they said we'd have to find another doctor. It took three yrs. to find this one. Said we can't change until next year.
Reviewed Jan. 22, 2015
My 17-year-old son has serious issues with drugs, ditching school, theft, and a 14-year-old girl. He has been in two intensive outpatient programs that he got kicked out of for repeated drug test failures. He has stolen over $1,000 and caused another $1,000 in damage breaking into locked rooms. His probation officer, psychologist, and we parents all agreed that he needed inpatient treatment.
I called United Healthcare to see what are insurance would cover and was assured twice that they would pay 100% of the cost. We checked him in 4 days ago. I just found out that they will not pay for overnight care and that we will need to come up with the $756 a week that it costs for the next 40 days. In addition they decided to not pay for the first day he was there. Why would they tell me that everything would be covered before we made the decision to place him at this facility, and then deny the claim?? I hate this company.
Reviewed Jan. 21, 2015
It would literally take pages to tell you everything United Healthcare has done to not pay for a new prosthetic for me. It is absolutely a covered expense and they have been giving me the run around and phone tag for 7 months now and still are denying to pay for a new prosthetic. My "In-Network" doctor has called them four times and spent hours on hold, etc. The doctor won't even deal with UHC anymore telling me they are just giving me the run around. I have spoken to over a dozen reps and supervisors to no avail. They never call back or return calls. They hope you just give up so they don't have to pay anything. IF YOU ARE IN SEARCH OF INSURANCE, STAY AWAY FROM UNITED HEALTHCARE. THEY ARE HORRID AND CORRUPT!
Reviewed Jan. 21, 2015
Decided this year to go with United Health Care over Blue Cross Blue Shield. Once decide on www.healthcare.gov I was forward to United's web site to "pay first month's" premium. This $537.61 was on 12/11/2014. As of today, 01/21/2015 I have NOT received any receipt for my payment whatsoever (except from my bank card company), have NOT received any enrollment package with benefits information, and have not received any ID Cards for myself or family. I have however made 6 calls to UHC seeking above information and have also received 2 calls from them including one just now. The UHC rep told me to call their billing department if I wanted a receipt.
Also, I complained to her about having to pay out of pocket for a generic Rx last week. She told me to file a claim manually? Of course no offer was made to assist me with this. It seems UHC wants me to do all of the work as they can not or will not do it? I have spent way too much time on this and feel I should be put on the UHC payroll or at least reimbursed for all of my service. Needless to say I am very disappointed, frustrated and angry with this sorry customer service.
Reviewed Jan. 21, 2015
This is the worse scam of an insurance company out there. I was diagnosed with Type 2 diabetes in August of 2014 and my Doctor and Hospital Diabetes Group stated I needed Metformin and Januvia to get it under control. They refused to pay for Januvia but after 45 days of me keeping records of my non improving Blood Glucose readings as they requested my Doctor supplied them with copies of my chart and they agreed to provide the Januvia approved until 2034.
I then was denied test strips as they said I tested too many times as per their request. Finally got the strips approved. Then January 2015 they again refused to pay for the already approved Januvia saying they no longer will pay for an already approved and as per their website an approved medication which was preapproved again. It gets worse as in December I also had a serious Kidney Stone attack and was hospitalized. I then found that their reputation stinks so bad that NO Urologists will accept their insurance as they stink in paying claims. DO NOT BUY UNITED HEALTHCARE INSURANCE or as I now call them USELESS HEALTHSCARE UNINSURANCE!
Reviewed Jan. 20, 2015
I have tried for 3 days to call because they have not cashed my payment for Jan. 2015. Day 1 - hold time 25 min before I gave up. Day 2 - 47 min before I gave up. Day - 2 said yes I would answer the survey and got answered in 6 min 15 sec. The rep. had the account number and my phone number yet when the call dropped he did not try to call back. Day 2 - 3rd attempt. Gave up after 30 min. Day 3 - as I type this on hold for 1 hour 25 min. I now also have a bill saying I owe two months of premiums. What is going on with this company? What are they doing to fix the issue.
Reviewed Jan. 20, 2015
I have been on the phone with United Health Care for the last two days. I purchased healthcare with them on March 21, 2014 and they debited my account on March 22, 2014. However, they have never sent me any cards or the benefit plan. I now have to show proof of medical insurance to the IRS and have no proof. I have been on the phone for three hours today alone and just tossed around. I need to find a way to report this as I feel that I have been scammed and/or ripped off.
Reviewed Jan. 20, 2015
My family just started with this insurance January 1, 2015. Bad decision. When I went to pick up my prescriptions I was told my birth date was incorrect as per the UMR and I could not use my insurance card to purchase them. Would have to pay full price. (I'm out) called them today and was told my HR would have to submit my correct birthdate in writing before they could change it. I have a doctors appointment in 2 weeks that I have waited for 6 months to get and will have to cancel it. Not to mention my prescriptions will not get filled until this error on their part is corrected. Can't wait for this year to be over... going back to blue cross.
Reviewed Jan. 20, 2015
I find it extremely disturbing that an insurance company can prescribe and change a member's prescription drugs without a doctor's input. I've been taking the same sleeping aid every night for 10 years. As a new member, United Healthcare decided that I shouldn't be taking this drug, and should switch to another medication. I had taken their new suggested drug previously and had serious side effects. I have now been abruptly cut off from my sleeping medication for 3 weeks while they review it. I'm a senior citizen with heart problems. Cutting off a medication like this can cause serious side effects. If I die from complications due to this, here it is in writing that United Healthcare is to blame. Very scary!!
Reviewed Jan. 19, 2015
Since registering with UHC in early December I have been unable to get the correct PCP assigned for my family and me. I am sent member cards almost randomly with the wrong doctor assigned. I have spent hours on the phone over 5 occasions and am now waiting, 7 to 10 days, to see if my last attempt today will resolve the issue. I am underwhelmed with the customer service and the follow through. I have no confidence that UHC will be able to provide health care for my family.
Reviewed Jan. 18, 2015
"Conventional" treatment for Prostate Cancer leaves 50% of men impotent, incontinent, or both. Here in NV, the costs are approx $50,000 and up. There is a new procedure (FLA), FDA approved which has been being used in soft-tumor cancers for years (and paid for by insurance companies INCLUDING UH on SOME PLANS) which is less expensive and with no life-altering side-effects. Will UH even consider paying for it? Of course not.... they consider it "investigational".
They would pay for the $50,000+ procedure (but of course not for the depends or **).... And they would pay for any "complications" (blood loss, nicked bowels, and Sepsis & C dip are fairly common) but not a $30,000 procedure which over 400 men have now had with a 90%+ success rate (higher than conventional treatment by the way). Seems they would rather pay bureaucrats and lawyers than provide a decent outcome (and I guess it must work as they have been making record profits the past few years). And "Appeal board" (in house of course) what a joke....
Reviewed Jan. 18, 2015
My father retired 12/31/2012. He signed up for UHC Medicare plan effective 1/1/2013. He had emergency gallbladder surgery 2/13/2013. UHC paid claims but 11 months later, UHC took back payments from providers. After researching issue, found out employer did not terminate my father from group plan until 2/27/13. Two years, UHC nor BCBS are paying and my dad is getting bills for over $7,000.
Reviewed Jan. 16, 2015
I attempted to call United Health Care customer service and was on hold for over hours and never spoke to a representative. I call back and was on hold again and never spoke to a representative. The on hold music played over and over and there were numerous messages apologizing for the delay and others about automatic deductions. Still after hours of waiting, I never spoke to a representative. This should be in violation of Medicare minimum standards.
Reviewed Jan. 16, 2015
I now too join you kind folks in damnation and burn in HealthCare Hell. I applied through Marketplace with LIMITED plans or should I say plan that wasn't even close to affordable and choice applied to more than one. UHC silver compass HSA 3600 base premium 318.00 per month 3,600 deductible is the only plan they offer with coverage on Hospitalization. Blue Cross Silver offers 3 plans with a jump of 348.00 per month premium and 6,600 out of pocket maximum leaving two plans with a slightly lower premium with an even higher out of pocket max and one with a lower premium of 272.00 and 2,400 to meet, and with it a co-insurance you'll need to do your homework on.
I am in need of hernia surgery that requires abdominal plasty. I will be hospitalized up to two weeks and recovery at home, 3 months mandatory HomeHealth required then 1 month minimum restriction. I am a 47 yr old divorced female living alone. I work 6 hrs a day, 4 days a week and made 6,773 in 2014. I have paid the Dec premium and have the visa statement with it proving so on dec 8, 2014. Marketplace website account I created to apply and enroll for coverage Beginning Jan 1, 2015, was correctly completed. I now can log onto MyUHC and prints cards. No can do! My info and social matches none of their records.
I now call customer service and Kris gives me ID and Member numbers and tells me I can keep the appt on jan 14 with the surgeon referred by the on call Medical Dr given to me on Jan 7 when I came in to the Hospital Emergency Room seeking emergency care. The Numbers Kris gave me, from Customer Service at UHC, were completely useless. Yesterday was my surgery consult appt, remember I was given a thumbs up to keep it. The office manager ask for my cards and I go up with all my hot pink post it notes I grabbed at my computer desk, held hostage, for countless hours totaling into whole days by UHC. Again, wrong numbers.
I'm desperate and so I show her the visa statement which she says she can't look at my information but ask if there's a phone number. Yes! She calls it. It's no longer a working number. I have my consult but will be billed patient responsibility and cannot schedule surgery until I have cards. I started at 9:30 determined to succeed. Made sure I had chargers, iPhone, two cordless land lines both fully charged. I began calling UHC located in Birmingham, Al. With 205 area code for Birmingham.
Constance answers and her accent is a red flag. I ask what country, city, state, or continent are you in. She says, "Our offices are in blah blah blah." I inject, "No, where is your body physically located on Earth." She says, "Manila". I hang up. I call another number also with a 205 area code. Rachel, same accent answers. I ask her where in the world am I geographically calling. She says the same statement on where offices of UHC are in the U.S. I stop her and say "No! What country, state, city is your body sitting, standing on the ground in." She says, "Philippines."
How is it possible that people whose voices sound like 12 yr old girls have access to my social security, full name, residence, phone, and probably my Visa account from a government healthcare act that is coming from the state of Alabama is NOW in the Philippines /Manila? The tactics they manipulate in all aspects of UHC is 100% Too Simple To Fail. Avoid, Avoid, Avoid!
Reviewed Jan. 15, 2015
The patient has been insured with United Health Care for quite some time, and has always been prompt with his premium payments. United Health Care has denied the patient's medication, which his team of medical doctors have prescribed, to prevent acute encephalopathy. The patient is delirious and cannot possibly file an appeal for himself, so I've attempted to help him resolve United's oversight. I cannot possibly imagine that they wish for the patient to die, or at the least, suffer permanent, irreversible brain damage. After spending well over three hours on the phone, being transferred from one person to another, none of whom were very informative (or well-informed, themselves...)
They've suggested that I write them a letter, explaining why I think the treatment is necessary. I'm not a doctor. What difference would my opinion matter. I asked if they wouldn't prefer to have a letter from the patient's primary physician, and one of the supervisors said, "That would be OK, too..." I am appalled that they will try to get an answer and resolve this problem "...within two weeks." I'm completely disgusted with this company and will be reporting them to our state's Insurance Commission. Then I will be reviewing other insurance companies to find a better replacement.
Reviewed Jan. 14, 2015
United healthcare sales woman sold me a policy without informing me of the $350.00 deductible on a policy which only cost $310 per year. I ended up having to pay so far $200.00, earlier this week. The rest will be tomorrow. I'm totally disabled and only receive SSDI. I may not be able to get needed medications due to their "bait and switch" behavior. Phone calls useless, told I'm stuck until next open enrollment.
Reviewed Jan. 14, 2015
MCO unethical placement of my son into out of state RTC. By legal hearing, my son was sent into a TX RTC. He is currently suffering physical and mental abuse 560 miles away. Staff ratio is 1:5. Our plea to keep him 160 miles away was denied only due to, as the MD stated, due to treatment time. Even though my son had a fitting psychological logical evaluation at Santa Villa Maria. They believed they could help him. We all believed the environment there was a good fit for his sensory issues. Their style of treatment is less aggressive.
UHC MD Bob manipulated a NM RTC to except Daniel. We didn't accept this action. We believe similar tactics were used for current TX RTC. This is because only a week prior, we contacted the TX RTC and they stated they had no available beds or future ones. After almost 24 hrs of his arrival at approximately 1 pm, my son's clothing wasn't checked in. He slept in the same clothing, had no shower, or teeth brushed. He complained that the place was very noisy, kids were fighting, and his roommate scared him. Within days, his roommate destroyed my son's family drawings and photos. Inappropriate placement time kept him 3 months at NMSH CHP.
Reviewed Jan. 13, 2015
UHC says they never received my payment for Medicare Plan. The check was sent out by my bank and I have the check number and reference. I have been waiting for 30 minutes so far to speak to a UHC agent and am forced to listen to those idiotic messages. Yesterday, I waited 35 minutes to speak to a CS REP who was very unhelpful and 'misinformed'. When I suggested UHC allow us to request 'call back' as Amazon and Social Security/Medicare do, she told me, 'Medicare won't let us do that'! I am very very dissatisfied with their CS and their responsiveness. Will be switching insurers in October for sure.
Reviewed Jan. 13, 2015
This past Sunday at 4:30PM my wife found herself in an emergency situation when her spinal cord stimulator failed. For a moment we panicked as she fell into intractable pain. We had not dealt with this before with UHC but I called about 5PM to ask them for a referral for a neurosurgeon. They gave me 5 names and suggested I contact one right away to get her the help she needed.
I chose a surgeon, left a message with answering service and he called back in half hour. He immediately knew the consequences. At 8AM his office scheduled an appointment for 2PM and they also coordinated care with Medtronic which is key to the necessary equipment needed. We all met on Monday at 2PM and at 6PM after pre-op testing, she was in surgery to get a new stimulator implanted.
For those not familiar with this device, it is used to reduce pain and give a patient a life beyond pain so they can function as a human being was meant to function.We left the hospital at 10pm and she was the woman I know. No more tears, pain or fright. UHC really came through in an awful emergency that could have had dire consequences if left unfixed. Thank you very much.
Reviewed Jan. 13, 2015
United Healthcare is a complete disgrace. I have been a contracted provider with them for over a year now (Podiatry in FL) AND THEY STILL do not have me listed as a participating provider on their online site or in their book. They ALSO WILL NOT open up the MEDICARE (PPO OR HMO) to anymore providers at all. JUST to even GET ONTO the Commercial Plans was a HUGE hassle & I got the run around for hours on end. HORRIBLE INSURANCE COMPANY.
Reviewed Jan. 12, 2015
This nightmare started last June when my husband's employer switched insurance carriers. The first week we had coverage the denials began. I am a very bad migraine sufferer. I have been on migraine medications for as long as I can remember and it's documented through various doctors and neurologists. My doctor prescribed me a new medication to try Frova which is supposed to be the best meds for migraines. When I went to pick up my script, I had a script for 11 pills however united healthcare will only allow me 4 pills. You can take up to 3 pills in a day for migraines. And the copay was 40.00 for 4 pills. This is absolutely ridiculous. I decided to appeal the decision for my full script.
After about a week I get a response denied. So I did an internal review that my doctor sent the required documents for my migraines and after about 2 weeks I was denied once again. I am so angry. How can they deny me a better quality of life with medications my doctor feels will benefit me. What is the point in having private healthcare if the insurance company denies me the very meds I need to feel better. I need help advise to navigate through this healthcare red tape. This has been the most frustrating year of my life. I can provide my denial letters upon request. I am unable to upload my letters.
Reviewed Jan. 10, 2015
USELESS COMPANY!! Was told someone from UHC would call me upon enrolling. Nobody ever called me and that was a month ago but they didn't waste any time taking my money!! I have yet to get cards or anything else! You can't even log into their website because you need your ID# or your social & the group number but you can't get this info unless you get ID cards or something from them! What a ** joke! The way I see it, they owe me money back for coverage I have paid for but can't use! I want some of my money back and I will be reporting this company. Starting to think this was nothing but a scam!! Seriously, taking my money immediately but then taking their time getting me anything to use the coverage? What a joke!!!! I WILL NEVER RECOMMEND THEM!! As a matter of fact, I will tell everyone I know what a crappy company they really are! If you can avoid it, DO NOT USE THIS COMPANY!!!
Reviewed Jan. 7, 2015
I have been with UHC or United Healthcare for a few years with my Federal Gov plan. I have several complaints. Spent countless hours on the phone and been transferred to multiple customer svc people who are clueless. Took a year for them to pay my Allergist's bill because after a year of 20+ phone calls, someone was able to tell me that for my Allergist, they needed (2) 6 month referrals and the (1) yearly referral was not sufficient. In the meantime I am in contact with my primary care docs office and they say the referral is good and the Allergist's office says the insurance co is denying all claims for the entire year due to lack of referral. Nobody at UHC could explain this for over a year. Had me on hold from 1 to 4 hours, hung up on me and when asked to speak with a Manager or Supervisor they said they were not available. Contacted them by email and complained and requested response but none received.
Next, when looking for a specialist, none within 30 miles of me were taking new patients. When called, they said I should see someone within 60 miles. I am guessing their call center is in Kansas? lol I mean I am a single mom with a 4 hour commute utilizing public transportation here in "big city" Washington DC. Next, I have been keeping tabs on their claim payments. My wonderful specialist who spends an hour with me bills a mere $160 for the visit and UHC paid her $8.63 and oh she also got my $40 copay. How can docs survive. With $48.63 for an hour, she cannot afford her staff or her lease or light bill.
Shame on you UHC!!! I reviewed my LES and every pay period (2 weeks) I used to pay around $75 meaning $150 monthly. Well, last year it went to $95 then for 2015 its going to $120 for single coverage. In other works, I would be paying monthly $240 for premiums and the Fed Gov pays them around 460 so UHC gets $700 all in all and they pay my doctor $8.63 our of $160?? Guess who is making lots of profit especially from the Fed gov.
Now I called to find out about prescribed orthodontics coverage because I have plantar fasciitis. They do not cover it and it will cost me almost $600. I have flat feet and my heels get very painful after a long day but UHC will only cover foot surgery. Does this make sense? Next, I call to find out if they offer any discounts to gyms or for wellness programs. They said no but they offer information on their website. Hate to tell you UHC but the internet has been around and Google gives me all the free information I need.
Final straw was when I went to pickup my routine generic meds with my $7 copay at the pharmacy which I get monthly, the pharmacist asks for $65. Call UHC and immediately, they transfer me to their mail order pharmacy Optimum and the lady was clueless and tells me, "Well things always change at the beginning of the year so maybe it sent up tiers meaning generic is $7 for Tier 1 and the price goes to $35 to Tier 2 and $65 for Tier 3." Decided to wait 2 weeks to get my meds when my new Insurance plan kicks in. I called UHC and asked about this and was told that it was a mistake and it can be reprocessed in 2 days where I only have to pay $7. I said hallelujah, I made the right choice in dumping UHC. My new insurance provider lists all my docs plus they have wellness discounts for gyms and exercise equipment and supplement.
Last but least, I have to let you know why I am really angry at the greedy corporation. I speak with great background knowledge. I have worked in various sectors of the health industry as a professional care provider and as a medical biller. If I cannot understand what they want in their EOB and they cannot explain this to me...hmmm, how can a person who does not have my background understand it or an elderly person? Nobody should have to spend hours on end for one claim. Some of my providers have said they don't bother to re-bill when claims have been denied because 2 hours on the phone with UHC is not worth the $8.63 payment. In other words, UHC gets to pocket all those $8.63 claims they denied first because providers do not have time to resubmit them and take a loss instead. This is fraud!! I wish the Fed gov would get rid of this plan.
Reviewed Jan. 6, 2015
I have never had difficulty with insurance until now, and it couldn't come at a worse time. It's bad enough to lose your hearing, and then United Healthcare has done everything they can to get out of paying any claims related to the services my doctor ordered for me. The doctor ordered a MRI with contrast, calling it medically necessary. Now UH is saying it was not authorized and they don't consider it "medically necessary." I called my doctor and had him send in documentation proving it was medically necessary and UH denied again, so I am out $485 while I appeal the denial of the claim (I had to pay neurologist to avoid being sent to collections). After I got the MRI and the doctor recommended I get a hearing aid, UH only covered a small fraction of the cost, so I'm also out $2,350 for that! As a single mom, it is difficult to budget for "emergencies" and unanticipated expenses, which makes insurance even more important! I have asked the doctor to provide me the documentation directly, so I can appeal, but I have a feeling I'll never see anything come of it. This company is so horrible to deal with, especially if you have to file a claim yourself!
Reviewed Jan. 5, 2015
I have been tossed around on the phone since 9 am today trying to find someone to answer my questions. They just keep transferring me from one dept to another. They have billed me twice but I still have no cards and am unable to log on to print any because they can't find my account. Pretty funny since they have cashed my check and billed me for a second month.
Reviewed Jan. 3, 2015
This is the worst company I have ever had to deal with. They refuse to cover my anti rejection drugs for my kidney transplant. They are looking for every way to not cover drugs that they list as covered when I enrolled in their medication plan. I have spent many hours on the phone trying to get this resolved. I had Humana for five years with very problems. They need to be exposed for what they are.
Reviewed Jan. 3, 2015
I went to my PCP with chest pains. My PCP directed me to go to the emergency room after ruling out asthma, which is what I initially thought it was. The emergency room doctor admitted me to the hospital based on the American Heart Association criteria. The following day I took a heart stress test, which came back positive. The cardiologist said I needed to stay in the hospital for monitoring and do sniggers because of the positive stress test. United Health Care is denying the claim for the cardiologist because prior referral was not obtained. They are claiming that the hospitalization was medically unnecessary. Go figure! This insurance company reminds of the company that was the subject of Grisham's "The Rainmaker".
Reviewed Jan. 2, 2015
UHC is complaining of bills incurred in 2012 that were paid via eft. They want our check numbers? They also said that there was new software installed in their system that could be the problem. Do these people know what they are doing?
Reviewed Jan. 1, 2015
I'm a military vet and have had UHC for 4 years..On Long Island 5 years ago we had the feds and state nacs crashing Dr. offices and 1 guy murdered a full pharmacy looking for pain meds making it impossible for real people who are disabled to get their meds..After 6 months of being sick and in pain I went on suboxone even though I'm not a drug addict..After taking it for 4 years now, it's been over 3 weeks and I have a Pre auth open and have had to pay out of pocket 100s of dollars I don't have..I'm sick with the amount of customer service agents who have no idea how to do their job..Health care should never be a business..words like corporate policy should never be spoken in a medical setting.. This is the worst of the worst insurance..
Reviewed Dec. 23, 2014
April 29, 2014 I visited Dreyer Medical Clinic in Aurora, IL. Prior to that visit, I phoned United Health care to verify if Dreyer was in their network. I was told by a United H.C customer service person that they were. When I got to the clinic (26 mi. from home) I asked the receptionist to verify that they accepted my insurance. She stated she verified this and all was ok. I paid them the $40 co-Pay. Approx. 8 weeks later, I received a "going to collections" note from Dreyer and about the same time, a statement summary of services from United Health care stating the claim was denied. United HC said that Dreyer incorrectly submitted the charge in some way and needed to correctly resubmit it. I call Dreyer, spoke to a woman in collections who told me it was submitted properly and she was not going to resubmit the claim.
Months later and 5-6 CSR's later, United was no help at all. Now they are telling me that Dreyer WAS NOT in their network when I went there but that they are now! Curtis, a supervisor told me to appeal the decision because lo and behold!! He actually found the summary sent to me stating that Dreyer WAS in their network and that I was not responsible for that bill. He said to submit an appeal, he can do nothing!! AARP gets paid fees to attach their name to United Health Care, by the way. AARP said they could do nothing in the matter to assist me and that I should "call them back and ask for a supervisor". WOW. It appears that AARP and big corporations really do consider American Public "STUPID".
Reviewed Dec. 22, 2014
I got a letter from UHC that said my Extended Cobra plan would no longer be recognized by the state of FL. I immediately called the number on the back of my card and said I needed a new plan. I wanted to stay with my same doctors, same plan etc. I got the Golden Rule. My old policy was good until 4/30. Golden Rule immediately started with their plan. I set up auto billing with my brokerage account. I figured UHC was the same company, same name?? I caught the mistake on 5/2 and immediately called and faxed my proof. No one got back to me. I called and 1 day spoke to 17 different people, repeating my story. I finally received a case number, so I'd be directed to the correct Manager. Long story short, neither branches of UHC could refund my $2,600 for the double billing. What can I do now? I'm an individual, they're a giant corporation.
Reviewed Dec. 20, 2014
My domestic partner that was being covered by our UHC plan (very clearly covered by the plan) has now been denied payment because she is of Medicare age. Seems like "breach of contract" to be as well as age discrimination and just a plain "straw man" argument to not pay the bills they contracted to pay.
Reviewed Dec. 19, 2014
I was in the Marines for 10 years and probably could have made several claims for chin splints, knee pain, loss of hearing, and loss of sight that occurred while in active duty, but didn't. I have a condition with my jaw where it clicks and locks into place whenever I open it, and, whenever that happens, closing it straight down without moving my jaw laterally first is impossible without a lot of pain and possibly breaking something. That happens every time I yawn. This is the only condition that I've ever asked to try to fix, but, according to United Healthcare, I don't have a legitimate claim because this condition isn't one that is covered. I don't ask for much, but when I do, it's for a legitimate reason. I see so many people get things covered that don't have much less effect on their ability to operate day to day than with my condition. I have to eat, I yawn and sometimes open my mouth. Something that hinders my ability to do that comfortably is legitimate. They take my family's money, but aren't providing the services I expected.
Reviewed Dec. 18, 2014
I am disgusted with this insurance company. I have suffered from migraines for most of my adult life. Botox injections have been the only thing that has stopped them. I was at the point where I was afraid I would be on disability. This treatment was a lifesaver. Now I have United Health Care and they have not approved the procedure. The headaches are returning and I fear for my career now. I have contacted the insurance company and just get the run around. Disappointed and disgusted.
Reviewed Dec. 17, 2014
I got a bill from United Healthcare for the month of October that I was not expecting because I was under the impression that if I wanted to quit I was to just stop sending in the $19. I called in on Nov 5 and talked to Nichole who said the billing was automatic until I stopped it. I informed her that I wasn't using the gym and wanted to quit. I asked if I could speak to a supervisor and was told none was available because of lunch, but a supervisor would call me in a half hour. I did not receive a call.
On Nov. 6 I called and spoke to Natasha and related the above info to her. She gave me a number to Healthways 888 423 4632. I found this is a billing only contractor and had nothing to do with my problem according to Melanie at their customer service. So I called United Healthcare back and spoke with Dominique and related the same story as before to her and asked to speak to a supervisor to see if I had signed anything saying I needed to pay until I called and cancelled. Dominique advised that she couldn't give me a supervisor’s name and their system was down so she couldn't transfer me. She said I would be put on a 24 to 48 hour call back list and would be contacted early next week. I was not called.
On Dec 16 I called and talked with Latisha and told her my story. After a considerable time on hold I was connected with Erica who said she was a supervisor. Erica listened to my ordeal in trying to resolve the Oct billing for $19 but was sorry to inform me that since I didn't call in before the end of Oct I owed $19 for Nov. I was put on hold while she contacted her billing dept. to see if she could get Dec $19 waived since I called in on Nov 5&6 to cancel and get October's bill taken off. Erica informed me that December's bill would be cancelled. I spent 1 hour and 15 minutes on the phone to hear I owed an extra month to Silver Sneakers. Approximately 1 hour and 5 minutes was spent on hold.
The tactics employed by United Healthcare, in my opinion, are the same as trying to quit a gym membership. They promised call backs they never intended to make, being put on hold for unreasonable amounts of time and a general runaround to pass the buck.
Reviewed Dec. 16, 2014
For about 2 years or more now, I have been getting my new AARP Medicare Complete card with the incorrect primary care physician. Actually, there is no such physician at the clinic I use. I have called, written twice, and tried everything in my power to get them to put the correct doctor on this card and in my account, but to no avail. They don't even answer my letters and impossible to get them on the phone without long, long wait. So, here I sit, yet AGAIN, with a new card for 2015 and with a physician name on it who doesn't exist and who is NOT MY PRIMARY DOCTOR. What steps can I take to get them to acknowledge my request? I should have cancelled while it was still early enough but will think about another insurance company next year.
Reviewed Dec. 16, 2014
Although our insurance supposedly covers the omnipod, United healthcare has repeatedly denied my 10 year old son. He was diagnosed 2 years ago with type 1 diabetes and for an active child, we decided to go with the ONLY tubeless pump. According to UHC this item is a luxury item and we are not able to have it. I have attempted to appeal and was denied all the way to the final decision. I tried two different distributors and again denied. UHC does not want to provide us the coverage we pay for and they are denying omnipod for people because they don't want to pay the bill. Awful insurance, I have never had so many bad experiences. And considering any insulin pump a luxury is egregious.
Reviewed Dec. 15, 2014
My oncologist prescribed a specific drug for my chemo treatment and United Health (doesn't) care. Advised him that they would NOT approve that drug. How can an insurance company tell my oncologist what drug to prescribe for me???
Reviewed Dec. 13, 2014
I work in a billing department for a large practice. UHC is THE worst insurance I have ever dealt with. Their reps are totally oblivious and incompetent in what the are doing. They bounce you around from one rep to another, most of them requesting the same information that you have provided before. So when it comes down to it, you end up having tons of emails, faxes, notes, etc. that you continually have to provide to each one because they conveniently can't see or don't have access to what the other has. We have a local rep that we are supposed to be able to contact when we have problems/questions but the majority of the time she replies "refer to your contract". We have been having ongoing issues with UHC not paying for a patients global (bundling) maternity care. There are times where a patient miscarries, transfers care or switches insurance. When that happens, then there are certain ways you have to bill insurance. UHC will deny claims when you bundle or unbundle. It doesn't matter which way you do it, UHC WILL find a way to deny it. On one patient you may unbundle and they will pay, but do the same for another patient it will be denied. No consistency on their part.
And their supervisors/managers are worse than horrible when trying to get something resolved. In my opinion, those are the people who need to lose their jobs and be put out on the street (literally). I would say more about their supervisors/management, but there aren't any words that are bad enough for them. I'll give you just one example of a claim I am working on now. Just one of several. Patient delivered in Jan 2014, UHC paid for global maternity care. In June 2014, UHC took their money back because the policy was retro-termed back to Dec 2013. No problem, we just went ahead and billed delivery only to the secondary (which is now primary because UHC termed before delivery) and billed UHC for the prenatal visits. Things should be OK. Now it really gets bad. UHC denies the prenatal claim because it was past the 90 day filing limit. They said we have 90 days from the date of service to submit a claim. You see what just happened? We were notified in June 2014 that the policy retro-termed to Dec 2013. How in the hell can we submit a claim within 90 days of the date of service if they are terming the policy about 180 days?
After calling them, they sent the claim back for review. Then they denied the claim because they said you can't bill for the prenatal visits because you already billed for the global maternity (bundled). Remember, we did bill for globally but they took the money back in June 2014. How can we bill for global maternity with a date of service of Jan 2014 when the policy termed Dec 2013? See what they are doing?
Now fast forward to now. After numerous appeals/calls/reconsideration forms/emails/faxes we are still fighting to get paid and now they are saying "there are no funds available because this is a self funded plan. We need to reach out to the employer". Done that. Employer was given the same run around as us. Like I said before, this is just ONE of the claims. Now can you imagine why it cost so much to go see the doctor? We spend so many hours, working late and fighting with UHC just to get paid for what they should be paying for. In my opinion, UHC is corrupt and they spend a lot of money to get employers to offer their insurance to their employees. Hope UHC goes bankrupt and the people who are responsible for the corruption loses everything and serves at least 20 years in prison. Bunch of _______'s (fill in the blank).
Reviewed Dec. 4, 2014
I have so many issues with UHC that it's hard to choose where to start. This is our second year on Tricare. The first year, Tricare was administered by TriWest. We had no problems at all. Part of the way through the year, Tricare became administered by UHC. I had taken my daughter to a psychiatrist. We were reimbursed in a timely fashion by TriWest. I took her to the same doctor six months later, and suddenly she was not covered! UHC's records stated that the doctor was a member of UHC which she is not. We sent documentation of this fact to UHC who still continued to deny the claims. Still fighting this issue two years later.
Reviewed Dec. 3, 2014
Have not been with United for 11 Months now and just got call from OptumRX about someone’s request for Medication and so I called them to let them know they had the wrong person! My wife and I changed Insurance for the sole reason to get OptumRX out of our life. The problems my wife and I experience with this company is beyond belief and they were ongoing and even after we talked to numerous Supervisors with this company that told us they would get the problems taken care of, the problems continued. We talked to United's Customer Svc Dept who also got involved to no avail. United Health Care has an ongoing problem with this company that United Health Care or the Powers that be at OptumRX are unable or unwilling to solve. I have found no rating low enough to describe OptumRX or United Health Care in regard to their ability to solve their ongoing problems in this area. Thank you for this opportunity to express my displeasure with all the very, very numerous problems we had with them, it is beyond my comprehension that this company can continue to exist with apparent full knowledge of United!!!
Reviewed Dec. 2, 2014
If you buy UHC Golden Rule don't get sick and don't expect to speak to anyone. I am moving as soon as I find a new company. At some point I hope that everyone that works at this organization is subject to their health care coverage (if you can call it that).
Reviewed Dec. 2, 2014
includes the patient's 30.00, 40.00 and 50.00 co pays. It is important to note that the reimbursement rate including copay was 50.00 SEVENTEEN years ago. Other Insurances would never think of pulling this stunt. Their decisions are based on greed with no regards to patient's well being. One year, UHC had a year end net profit of 280 million dollars. Patient's annual premiums are increased up to 21.7%. I urge patients with this Insurance to file a complaint with your local Insurance Security Commissioner.
Reviewed Nov. 30, 2014
Every single doctor listed as taking their insurance does not. Every single one. Without exception. I have not been able to see a psychiatrist since getting this insurance. Totally useless and horrible insurance. Really just the worst. I cannot emphasize enough how bad UBH/Optum is.
Reviewed Nov. 24, 2014
On September 24, 2014, I filed a claim for a hospital stay at the Rush University Medical Center from September 17th through September 19th. I have an indemnity insurance policy that is obligated to pay me $60.00 for every day that I am confined in the hospital. The claim still not been paid and I have been getting the runaround. I sent them the information from the hospital, but they acted as if they did not receive it. I sent the information with a detailed explanation and have not responded.
Reviewed Nov. 20, 2014
I signed up for Health Insurance with United Care in August of 2014. My wife and I realized three days before the start of the policy that we would be unable to use the Insurance for our children and immediately canceled the policy. I called United Health 3 to 4 times over the course of two months, and waited and spoke for hours before United Health acknowledged that I should receive a refund. I was told that the accounting department would get in contact with me and two months to the date of my call I have not been contacted nor I have not received a check. I called today and as usual waited on the phone for over 30 minutes. A Manager was unable to speak to me and the poor agent I spoke with could do nothing to remedy my situation. I personally think that this issue borders on being criminal, because United Health Care have the case recorded in their system but are doing nothing to proactively resolve the situation. Stay away from United Health Care.
Reviewed Nov. 19, 2014
Well we have insurance through uhc and it's the worst anyone can have. They won't fill our meds. They want us to appeal it, then it still wouldn't approve. They told us to get a different brand that's more addictive, won't approve the generic. When I had bcbs they had no problem, so I'm paying them for no help. I will never suggest this company for anyone ever. What company would not help people in need especially when they take our money to help us. Worst company ever.
Reviewed Nov. 19, 2014
I have bone spurs, 4 herniated disks just to start with. My neurosurgeon filed a claim on 10-24-14 knowing that it was a 21 day waiting period. By the doctor’s files, United health claimed they didn't receive some of the forms. Doc resent forms. United then ask doctor to fill out different forms, Doctor fills those out and sent them. Again United Health said they didn't receive them. Then at 4:30 pm before the day of surgery United Health denied coverage. Family in from out of state, hotels rented. Mother is here, 90 years old on oxygen. Wife took 2 days off. What a mess. So last thing United Health said was they could not get in touch with my doctor because his phone would not work. My reply was that's funny I talked to them twice today.
Reviewed Nov. 14, 2014
Uses Third Party in determining authorizations for healthcare - My Orthopedic Doctor determined I needed to have physical therapy for an injured Achilles tendon and under my medical plan for the year I am covered for 20 visits. After my first I receive a letter telling me of this third party called Optum Health Care who determines authorizations but in the same breathe they state that the care is determine between your healthcare provider and you. Now after my 11th visit I have now cancelled 2 visits and possibly my 3rd because I can't get Optum Health to authorize any more visits as they are stating I am at or near my Maximum Therapeutic Benefit and this was even before they spoke with my therapist, which she states we have much more work to do. This Eric ** has committed Fraud on the paperwork my rubber stamping he spoke to my therapist and has no idea what he is talking about. I am now having to escalate this to my HR department and to the UHC representative through them.
Reviewed Nov. 12, 2014
It is November 2014. Since April 2014, I have noted that we are not getting credited for prescriptions filled against our deductible or against our out of pocket maximum - both of which we reached by July 2014. Our prescriptions cost on average $700 per month. In addition, our pharmacy has documented for me that on at least 3 of our monthly prescriptions we are charged 30-50% more for the prescription BECAUSE we have United Healthcare than we would be if we had no coverage at all. In one case it is over $200 more for the prescription when she adds our insurance provider!!! Who gets the money? The Healthcare provider. So I am not getting credited. I am paying UHC additionally for my prescriptions, that's ROBBERY. I have gone through our company representative trying to get resolution, she recognizes the problem, but NO ONE has corrected it. Is there legal action that can be taken? I can EASILY document this and have repeatedly both for UHC and for my company representative. WHAT DO I DO NEXT?
Reviewed Nov. 10, 2014
First of all UHC makes it practically impossible to use your FSA. I find that disconcerting since if you don't use all of your money the company gets to keep it. So maybe they split the difference or whatever. Then when you quit they make it so hard to get your Cobra set up that you almost give up and let them have it. It took me over a month to get them to send me the billing so I could continue my FSA then they still had it wrong and sent me 2 different bills - both with the wrong amount. They are totally incompetent. This is how we should reform our health system - get rid of idiots like UHC!
Reviewed Nov. 6, 2014
Canceled Deluxe rider @ 35.00 month on 12-27-13 through phone calls to Uhc, who connected me to their dental department. I told the rep that I did not wish to continue the rider into Jan. 2014. Rep said ok, no need to take further action, and I thought all was done. In Jan. 2014 I received a bill for 35.00 for the Jan. Payment. Promptly picked up phone and called UHC. They tried to say that I had not cancelled the Rider. They asked if I wanted to cancel and I explained that I had in Dec. 2013. They say no I did not, I say Yes I did. And so we go back and forth. I have made numerous phone calls to UHC - each time being transferred to about 5 different people and sometimes they conveniently drop the call. Each call takes 1-1.5 hours. I AM fed up and tired of dealing with their inefficiency, poor customer service, and cheating ways. Looking for a new provider.
Reviewed Nov. 3, 2014
My late wife was taken to the ER in Gettysburg by the police and evaluated by a psychiatrist. Although not her choice, the hospital is, in fact, in our network. But the psychiatrist was not - so UHC denied the claim by the dr's office. I repeatedly filed claims, but only received "robot letters" - it was very evident that no one had read and answered them. After months of this I contacted a case manager who may be able to get this covered, but come on! She was in an ER - against her will! What was she supposed to do? Tell them she would not talk to the psychiatrist because he was not in her plan? I doubt the Dr. would even know. My wife would not know. Are we to quiz all the doctors in the ER to see if they are in our plan? What if we are unconscious? What sense does this make?
Reviewed Nov. 3, 2014
My experience with United Healthcare has been the ultimate disappointment. I went to a Dr thinking I had TMJ after years of pain in my jaw and they confirmed I had some really serious jaw issues. When I went for a second opinion the Dr told me that only surgery would correct it for good and that the pain should go away instantly. Needless to say I was so excited to get started. The headaches have been such a game changer for me in life! Who knew that the only thing standing between me and getting rid of constant pain would be United healthcare. The Dr. proved it was congenital but the clinical services dept still declined it and when I called in they could tell me why they declined it besides that they didn't see it as congenital. When the Dr and I asked why they thought it was not Congenital and how come they were shooting down the Dr provings, they said they didn't have those notes but the regional director of clinical services was the reason it had been declined.
I asked to speak directly with the regional director since they were the only ones who seemed to know why my claim was considered not congenital and Monica told me she couldn't let me speak to a manager or to the director because they were not allowed. Today I called in and tried to get some more help. They told me the same thing. I feel like they are discriminating against people with jaw issues and are considering them cosmetic because they don't want to pay. But in the mean time I am having constant headaches and need help. I feel helpless I can't wait to drop these people! I have always paid on time and did my copay's etc but when its their turn to step up they will not!
Reviewed Nov. 3, 2014
I paid for this insurance then I need surgery and they pay nothing. I have had this insurance for 12 years, keeps getting worse. I need this surgery to not die in my sleep. My sleep apnea is very bad and cap doesn't work. Get a different reason for denial each time I contact.
Reviewed Oct. 31, 2014
United Healthcare has been a nightmare. We tried to follow all the rules by contacting them prior to receiving medical services and finding out exactly what our plan covered. The hospital where we received the medical services obtained the required pre-authorizations. The pre-authorizations were issued for so many days/sessions. We were told that we would owe a co-pay for each session and that United Healthcare would cover the rest. It should have been a straightforward process. By way of explanation, the treatment is considered to be an out-patient office visit. For each medical treatment, the hospital submits three claims. One for the doctor's consultation, one by the hospital itself for the actual treatment, and one claim by the anesthesiologist.
United Healthcare's first blunder was to treat the anesthesiologists as out-of-network, when, in fact, all of the anesthesiologists, but one, were in-network. UHC tried to apply the out-of-network deductible and out-of-network co-insurance. I had to call customer service. They changed the processing to in-network, but tried to charge in-network co-insurance, which they were not supposed to do. Second, they denied a claim, saying that we had other insurance. This was false, and I had to complain. Third, they improperly counted each of the three claims for each session as three different sessions. Thus, they were triple counting. They started denying claims, saying that we had exceeded the authorized limit, when we were nowhere close.
At this point, I complained to our state's Department of Insurance. Fortunately, the Department of Insurance has been very forceful with UHC, and has been making them correct their errors. If it weren't for the Department of Insurance, I'm not sure what I would do. I've made at least 20 calls to their customer service, bounced around from individual to individual, given bogus excuses, and each time told to wait 10 business days. I was given the run around until the Department of Insurance lowered the hammer on them.
Reviewed Oct. 28, 2014
I have been seeing a medical professional on a weekly basis. I have (or thought I had) insurance through UMR's United Healthcare Choice Plus Network. After talking to my doctor the other day, I have come to find out that none, I repeat, none of the weekly visits were covered under my plan for the duration of my visits. I started visits in July and now going into Nov, I am facing an $1800 medical bill. My doctor informed me that United won't pay any of the claim. They instead encouraged him to write off a large portion of the balance. I feel like I am paying into a Ponzi scheme and the options of Obama care aren't any better.
Reviewed Oct. 26, 2014
In November 2011, I had spinal fusion surgery on my L3-L4 vertebrae. On the day before my scheduled surgery, United declined authorization. My surgeon was forced to change his approach the day of surgery, and United relented.
Reviewed Oct. 26, 2014
I'm looking for anyone who can guide me to any pending class action suits against United Healthcare's recent policy of dropping physicians off their plans without proper or adequate notifications to patients. For example: I just received a notice from United dated 10/14/2014 saying my PCP of the past 7 years is no longer covered. However, even though the letter is dated 10/14/14, which coincidentally was the date of my most recent office visit for a severe throat infection, United has stated this cancellation went into effect on 10/2/2014....2 weeks before they bothered notifying me, the patient, and my doctor's office.
United refuses to assist in resolving this matter and had told me to just appeal the bill for the office visit. Aside from my disgust at their attitude that it is my problem to resolve and deal with, taking up my time and effort, I'm now left with no PCP while I have serious ongoing medical issues. I'm curious and hoping that other members may be filing a class action suit against United for their failure to appropriately notify patients and give them an opportunity to find new physicians while allowing for some temporary continuity of care. I should note that according to United, Continuity of Care is an option allowed only to people with cancer or HIV/AIDS. I'm just looking for a place to start. I'm in Arizona, however, I'm sure this "attitude" and new policy of United is nationwide.
Reviewed Oct. 25, 2014
I was diagnosed with CIDP, my specialist being one of the top in the field of muscle / nerve diseases and on staff at a prestigious Medical Center, UNMC. I was informed this week UHC had denied the recommended treatment of IVIG (for the second and final time) - it is very expensive and no doubt why they denied it. My doctor underwent a "peer review" with their doctor and came away with the firm impression that: 1. The treatment criteria they use is very outdated; 2. The UHC doctor did not understand CIDP (it's rare) well enough to discuss treatment options in any meaningful way. I find it frustrating that at a time when I am in extreme pain and exhausted from CIDP, trying to keep on working 40 hours a week so that my family survives, I am now expected to undertake a major battle against a huge insurance company if I wish to get the treatment I need.
Reviewed Oct. 23, 2014
I have to receive psychiatric care since I was 13. Except for the time I was unemployed and not by choice I was always able to find a psychiatrist. In March of this year even though the Dr I had been seeing for quite some time suddenly announced during what turned out to be my last visit, that his specialist was treating depression and not the other 2 problems I had in the past and because that he was not qualified to treat me. That was it. Two weeks later when I tried to schedule an appointment with my therapist whom I had been seeing for almost the same amount of time told me in a 3 minute phone conversation word for word the exact thing my psychiatrist. Because they did not make any effort to find someone they thought was more so called qualified to treat me I began the process of finding a new doctor. Since I had never had a problem in the past finding a doctor I wasn't that worried about it. There were only 2 doctors that would accept UHC and they were not accepting patients. It was the very same thing with therapists of all kind, not accepting new patients or my insurance.
This occurred in March and I still have been unable to find a Dr who will see me. I have contacted all the Drs in the 2 cities close to me and the result has been the same thing. I thought I might have found someone because the website said she was taking new patients. Everything was going well until I mentioned UHC. Then she said she couldn't see me because I had UHC and that I needed to check their website for Drs who took UHC to stop wasting the time of doctors who were not a member. I told her that checking their website was how I got the info on her. I did not even know she existed before I saw that info so how could I know to call her, where she was located or anything else about he. She said that there was a reason she was on their website and that reason that she does see patients who have UHC. But the only reason she is still willing to see them is because of the length of time they have been her patients but she is no longer willing to see a new patient who has UHC. I said to her what is the problem with UHC. I always was lead to believe that it was one of the best companies there was.
Then I said the only reason I can think of that prevents doctors from using it is because they do not reimburse them enough, She said that was the reason.Every time she saw a patient with UHC she lost money instead of making money. I have contacted every Dr on their list and some of them are not accepting patients, some of are not even practicing there anymore and some of the Drs I called had not been 3 years but they were still on the list. I even called an office to try and find a Dr only to find out that the Dr who accepted their insurance although I have not tried any more cities if I were able to find a doctor I would have to drive at least one hundred miles one way to see them. I will say that I have has some medical bills that I was pleased with the coverage they provided. However what is the point of paying for a policy when it has become impossible to find a Dr who uses UHC.
Insurance companies have never provided the same coverage for the treatment of mental illness as they do for legitimate medical conditions but unless they increase the coverage the amount they reimburse the doctors it is not only going to be psychiatrist not accepting people with UHC, the so called real Drs are going to start doing the same thing. That is not going to only hurt the persons who have UHC but have a dramatic impact on the profit that UHC looks forward to every year. I am so depressed can barely eat or even get out of bed but I no longer have anyone to prescribe the medication I need and it doesn't look like that is going to change. We have mental health center but because of the economy it takes at least 4 months to get an appointment. The way I feel now unless there is a miracle I will not even be living in 4 months. It is one thing to have to suffer because you can't afford to see a doctor but having to suffer because your insurance pays Drs so little they won't even see you. I know my complaint is a lot different from the other ones I have read but it's another reason why everything UHC promised is not worth the paper it was written on.
The owners of the company where my husband works and is the source for me having UHC have a reputation of extremely Christian people. Based on that fact I actually contacted the CEO of the company to inform how difficult it was becoming to find a Dr who would accept UHC. I thought maybe given their Christian reputation that once they became aware of that fact they maybe they could try and find another company, they would not affect them financially but would but one be one that more doctors accepted. Just as my opinion will not cause UHC to make any changes, it will not cause my husband's company to make any changes. It doesn't do anyone any good to complain about a situation that something could be done to change it because no cares anymore regardless of what they actually say. The only thing they care about is money.
Reviewed Oct. 22, 2014
I bought this insurance through my university. Because my university ended contract with the previous insurance company and contracted with UHC in the middle of my pregnancy, UHC refuses to pay any of my maternity fees. OK, the law says the previous insurance company should be responsible. Now I haven't got any solution whether the previous insurance company would extend my benefit. My university is assisting me with this. But even the previous insurance company would do that, they said the extension will end on the day my baby's born. Therefore my postpartum care won't be covered. And UHC said anything related to my pregnancy is none of their business including the post-partum care. Now who's going to cover my postpartum care fee? Why I bought UHC while it is totally useless? Be careful!! They have lots of tricks to deny covering your medical care. You would be insecure to buy such trash insurance. Do not choose it for your family, your wife, your children.
Reviewed Oct. 19, 2014
I have carried insurance from UHC for about 7 years. I have had many very serious health issues including 5 surgeries. Fortunately at this time I am in good health. During the past 7 years I found an excellent Primary Care Physician who participated with UHC. This year I was told his contract was terminated in May 2014. When the doctor tried to renew his contract, the office was given the run around. Apparently there is a new way of conducting business at UHC and it stinks. This was a very reputable company at one time, but no longer is. I filed a complaint with the NY State Department of Insurance.
I recommend that AARP drop its association with UHC and that the US Government cancel all contracts with the company. Everyone I speak to there is rude, ill informed, unhelpful and really seems to have no interest in signing up providers for the members or providing basic services. I live in NYC and was told by one agent that no hospital in the 5 boroughs accepts this insurance. I find it unbelievable that an insurance that is offered in the State of NY is not accepted by the hospitals in its largest city. This is plain wrong. And if it is just misinformation, well that is wrong too. UHC has the most backward group of employees I have ever spoken with. It is a complete waste of time and money. Shame on UHC. They should be thoroughly investigated and put out of business.
Reviewed Oct. 17, 2014
I am prescribed an medication that is administered by injection. My prescription allows for a refill every 30 days. According to the CDC multi-use vials should be disposed of after 30 days. United Health care will not cover the cost of the medication. Nor will they allow the pharmacy (walgreens) to release it to me even if I pay for it 100% on my own. Since when can an insurance company override the doctor's prescription and the recommendations of the CDC?
Reviewed Oct. 15, 2014
I have been trying to get a Quest lab bill paid for months. I was told it was coded wrong so it was denied. After months and numerous phone calls bill was resubmitted with the right codes.. Now they want me to get medical record to support it.
Reviewed Oct. 14, 2014
Requested written information and before he would send this I had to say I would sign with Jim. I received the information and called mt kisco medical center who said they are not accepting UnitedHealth because they never signed a contract. I left a message with Mr. **. He called me back angry. I couldn't get a word in. I also told him the medical center also gave me the ones they use. He got more angry and said he didn't want my business and at that time I hung up. What should have happened, he should have said there has been a mistake and he would call the billing department and get back to me. Who would want to deal with such a horrible person. I joined Aarp to participate in this health program.
Reviewed Oct. 13, 2014
I am a Columbia County, Georgia employee who has UHC for health insurance. Several other employees including myself have experienced UHC changing prescription drug's prices without any type of notification. According to UHC, they do not change drug prices according to the market. However, they stated they do raise drug prices when the cost of the drug increases. This seems to be DOUBLE TALK. According to UHC, they can change a generic drug that starts out at a tier 1 (lowest tier) and raise it to the highest tier when it becomes the best health care value for UHC. They do this without prior notice and the insured doesn't find about the change until the prescription is picked up at the pharmacy. This is the worst health insurance company that I have ever dealt with.
Reviewed Oct. 12, 2014
I am a 2 and a half year uncontrolled hypertension heart disease patient. All conditions discovered and treated by Dr. Eric **. Now United Health tells me he is out of the network! They tell me I'm a dependent under his care and then tell me to choose another doctor. What kind of sick joke is that?!? I HATE UNITED HEALTHCARE. They send me bills for everything from blood work to X-rays to water. Yes water. They won't cover a cat scan of my chest ordered by my cardiologist to try and figure out what's the cause of my severe chest pain. My cardiologist persisted with a pupil to pupil review and they persisted with a don't give an F! Ha, he will bite the bullet next I guess if he continues to try and help his patients. This company is a thief. Legalized thieves. I need to stay with my doctor and will search other insurance that will allow it if I can afford it. My life depends on it.
Reviewed Oct. 9, 2014
Every time I have called cust. service & other depts. has been a maddeningly frustrating experience. Despite the recorded message that "this call may be recorded for quality..." I usually get someone that seems as if they have been plucked from the mall or the corner and plopped down at a desk w/ a phone and told "have at it." I am incredulous how time after time after time I have gotten persons on the other end of the line that seem not only incapable of transferring a call successfully and to the correct dept., but also incapable of telling you their name, some kind of identifying number and where are they in the U.S. I know they do have a training period but it's quite obvious to this departing customer that they pay no attn. during their training classes, perhaps on their phones or playing Candy Crush because they certainly have no knowledge about their company or its product. Most calls and experiences have been so bad they could have been used during a training class as to "what not to do while on the phone with a customer" or "what not to say to a customer."
It is disgusting that UHC cares so little about its customers that they put employees that are completely incompetent, inept, empty headed, inarticulate, and completely ignorant of the product they are selling on the phone with the unsuspecting public. And the people that are supposed to be training these call center folks ARE NOT and should be fired. NO wonder that many corporations are going to offshore call centers. American call centers are inept and completely void of any work ethic at all. I'm done! I've had my time wasted being transferred to only God knew where. I'm going over to the competitor. And eventually UHC will lose more and more customers until one day they will have to lay off some employees and the guys at the top will see their jobs in jeopardy. But by that time it will be too late. I also will see what government agency I can make a complaint with. Simply corporations should not be allowed to do business this way.
Reviewed Oct. 8, 2014
The problem is solved now, but I do not want to waste my time once more because of bad information. They have to update their files and to be more precise and provide the right information.
Reviewed Oct. 6, 2014
10 years, and AARP United Healthcare doesn't give a ratz ** about caring about me or my health. Being not one, or two, but all my doctors are now out of network, so they fire me and my doctors, so I'll fire them as soon as my BC BS cards come in. So thank you, but no thank you as I've been a great customer now for 10 years which means crap to you and your bottom line. Now me and 23 have moved on from AARP United Health Care Medicare network, and I have and will continue to get as many as I can to fire this full of crap insurance uncaring company as I possible can. I'll say more later. Thank you all, and please put this company out of our misery and put them out of our Network. Stop giving them your business.
Reviewed Oct. 5, 2014
I became a UHC Advantage Medicare (HMO) member in April 2014 in Greensboro, NC. In July 2014 I moved to TN and called to advise UHC of my change of residency, new address and to be enrolled in UNC in TN. I was informed numerous times by UNC I had full coverage in TN. I identified my primary caregiver and they verified my physician was in the provider group. I also told them I had an appointment on August 13 and wanted to make certain I would be covered. After seeing my physician, UHC denied payment stating it was outside my provider group in NC. I received incorrect information on numerous phone calls to customer service. I was NEVER informed my coverage would not begin until 9/01. I was disconnected/hung up on more times than I can count. I am in the process of appealing this decision and hopefully will be successful since the total bill is $$$.
Reviewed Sept. 30, 2014
Getting through to your cms isn't a walk in the park. I tried to contact Danielle ** out of Louisville, KY. She is very rude and unprofessional. She answers the phone saying hello and even hung up on me. Once I was able to speak with her she had an attitude. I heard a dog barking in the background, a kid crying and what sounded like rap music playing. What kind of business is you people running? Needless to say I hung up and will be contacting a supervisor. Not happy at all!!
Reviewed Sept. 29, 2014
On September 1st United Health care dropped our primary care physician from our network. I had a very difficult time finding another primary care doctor who would accept medicare and was assigned a doctor an hour away. I was scheduled to have surgery mid Sept but had to cancel it because the insurance wouldn't honor my primary care physician's referral (in July) to the gastrologist.
My husband had a massive stroke and needs to go to the urologist every six weeks. Of course United Health Care requires a referral from the primary care physician. We will change our insurance company but our new insurance will not go into effect until January 1st. I feel A.A.R.P. should seriously consider dropping their endorsement of United Health Care insurance. I will not be supporting A.A.R.P. until they do.
Reviewed Sept. 26, 2014
After over a year TriCare has requested a refund of "overpayment" for services. When initially asked, in this seamless transition from Triwest to UH, we were told rates would be same. When asked those rates, we were told we'd know when we got EOB. We are now being told they made a mistake. When contesting this action there was no response from the "refunds" team. When a letter was sent to person overseeing this debacle there was also no response. Apparently they feel no need to justify or defend their incompetence.
Reviewed Sept. 26, 2014
United Health Care was awarded the Military Healthcare contract for Tricare West. Their website for payment for premiums is the most stupid, low tech website I have seen in some time. It is completely secure, but has no access for secure payments for premiums. The links for military beneficiaries go only to snail mail forms that have to be printed from home, filled out by hand and mailed. I finally defaulted to the printed bill for mailing. Does anyone do this anymore? I haven't paid a bill by snail mail in "forever". I wonder how our wounded and injured soldiers, and their families navigate this company and their website. It was a tremendous hassle, with no joy from my end. Can't imagine the suffering of our wounded warriors and their families endure to get healthcare through United.
Reviewed Sept. 19, 2014
I would like to take this opportunity to express extreme dissatisfaction with the United Health Care approach to mail order prescriptions. Through 26 years of employment with carriers such as BCBC, Aetna, and others, I have often utilized the mail order programs for recurring prescriptions. UHC has an interesting (and customer antagonistic) twist on this. Each year they will quit covering your prescriptions at the pharmacy until you contact them and specifically indicate if you want to continue getting your prescription at the pharmacy or utilize their OptumRX program. I have medications for family members that were free and started being charged at the pharmacy at full price simply because they had not specifically been omitted from the online service. While they automatically quit covering your medication, they do not automatically initiate the mail order prescription - guaranteeing they will not have to cover some prescriptions - seems like a fairly underhanded way to generate some additional revenue at the expense of their clients...
Reviewed Sept. 18, 2014
United Healthcare - what can I say. I am covered through my employer for health insurance for the last three years. This year, my doctor advised a vaccination that comprises of three prescription shots. Each shot to be at least 3 months apart from the subsequent one. So that's about 6 months at minimum. Each time, the claim was denied with more than 6 calls I made for each claim's status follow up. Each time, the agent was different. Each agent has a different view of the claim.. some blaming physician for putting wrong codes, some claiming no info received (even though I personally sent a copy of physician's diagnosis & treatment documents by certified mail). Several times after going round and round chasing the agents, I am put back in square one to restart the run. I wonder how does this company run business? How does it get business? Why do other companies sign up for group plans with UHC if it consistently delivers on the poorest service in return for hefty group customers..? I am filing complain with my State's Bureau of Insurance. Anyone wants to lead a Class action, please post the links on this forum.
Reviewed Sept. 16, 2014
18 years with Tricare and United Health Care shames the Tricare name. I know the government can terminate the contract for cause (lack of performance) or for convenience and I hope everyone out there reads this and knows they can cancel this contract! I have been asking for it and now have proof that United Health Care even refuses to follow Tricare policy.
I disputed a denial and asked for a peer to peer review in my letter after talking to my PCM and he agreed to the peer to peer review. The director of United Health Care simply ignored my right given through Tricare and properly requested btw, and decided to deny without a proper appeal. Please report all violations that United Health Care is responsible for so we can get them fired. They lack the ability to properly service military and military families and retirees and should have never been awarded the contract. I spoke with a United Health Care rep and mentioned I would report my complaint and she said "go ahead, we are Tricare"! They have no clue.
Reviewed Sept. 15, 2014
This is my 3rd time for refilling my scripts via OptumRx... each time has been an ordeal. This prescription that I'm still waiting for was supposed to get here by FedEx on Saturday. I'm still waiting. The powers that be still have in the pharmacy. If you ask for a supervisor they tell you that just because someone tells you that it's going to be sent out doesn't mean it will be sent out. I waited all day Saturday waiting for my meds. If you knew that it wasn't coming you could get an extra few days to fill somewhere in Ft. Collins if your Dr will do it and if UHC approves you going to a different pharmacy. It is a real dog and pony show. I called almost every day about this and other prescriptions to make sure that I had all my ducks in a row. The latest person told that my meds would go out today and get here tomorrow. I've heard this before. I'm calling my doctor to see if they can give me a couple of days while I'm waiting for OptumRx to do their job. What a nightmare.
Reviewed Sept. 9, 2014
United Healthcare instituted a program to try to drive customers to fill certain medications by mail order pharmacy vs. local pharmacies. This is an understandable attempt to lower healthcare costs. The problem is the letter they send to customers does not fully describe the customer's options but instead makes threatening claims that the customer is "reaching the maximum number of refills" and "If you do not take action as described above, you may pay 100% of the cost of your medication at a retail pharmacy". It is presented in a hard sell manner and the one line of "if you prefer, you can choose to disenroll from mail service" is obviously purposefully dwarfed by the push to buy mail order. The letter only enrages and does not clearly lay out the options to the customer. Only from getting the information they provide to companies on the program was I able to understand clearly the parameters of the program. Now why wouldn't United Healthcare present the program to customers so fully???
Reviewed Sept. 7, 2014
They don't pay squat on medications prescribed by Doctors forcing the patient to go to ER & run up MORE medical bills!! There is NO customer service & NO value!! You pay the premium & are hung out to dry!!!
Reviewed Sept. 6, 2014
Attempted to call because I could not access the web site. I kept getting a message about not being able to find my account. This idiot company is supposed to take care of the medical needs of our retired military members. They are irresponsible, incompetent, and have no idea what is going on. My wife needed a pacemaker. The doctor who examined her stated that it needs to be done now. UHC dragged their feet saying that it would take at least 10 days to get the doctor on the authorized list, which he was already on. When we called and complained they were upset because I raised my voice to them. The health issue was irrelevant.
For those retired military members, UHC was able to secure the TriCare contract because of politics. TriWest was excellent and served retirees honorably for more than 15 years. These idiots are in it for the dollar. I also have had 3 Dr. appointments cancelled because UHC did not approve them. These were all with my PCM and you don't need any referral or permission. I tried calling them about it but after about 20 minutes I just gave up. UHC should go away.
Reviewed Sept. 5, 2014
I have been fighting for 3 months to re-fill a prescription for something that I need to take for the rest of my life. I have been on the same medication since 2004. After getting enrolled in United Healthcare last year due to a change in jobs, they forced me to change brands of medication. Then this year they required me to get a pre-authorization on the same medication that I was already taking at their insistence. They have denied the authorization, claiming they needed information that was not provided by the physician. I have changed physicians several times (due to moves) and have had the diagnosing physicians records and the subsequent physician records sent to my current physician, who has submitted the information to United Healthcare. They still continue to deny, and the only option they leave me is a much more inconvenient treatment, requiring injections every 2 weeks, and causing a greater level of discomfort and inconvenience. The only logical and apparent real reason for this would be to save them money.
Attempts to contact and get information regarding this matter from them has proven to be frustrating, infuriating, and incredibly slow. They seem to be proud of the fact that authorizations can take up to 2 weeks, and appeals can take up to 45 days! This company has absolutely no grasp of the terms "Customer Service, Quality Assurance, Patient Care, Compassion, Empathy".
Reviewed Aug. 30, 2014
I am an employee of a Towing Company and have been since 1998. I operate and drive a tow truck. The owner of the company and myself have been on the Health insurance as 2 employees. Over the years employees have come and gone. In 2005 I married the owner but stayed on the health ins. as my own and him as his own. NOT Employee and spouse. It's not like I work somewhere else and he has me on his ins.. I've been an employee for 16 years and want my insurance to be mine not under anyone else. He wants his as it's always been. All those years the company was with Mamsi and then United Health Care took over. No problems, until this years renewal when we no longer qualified. What nothing has changed?
I called the risk dept. and I was told "we need another employee because husband and wife is consider 1". I'm an employee of the company and I lay down in the ice and snow to hook cars up and flip cars over from police accident calls. I should count as one employee like always. Why should I be discriminated because of marriage? I said to the Risk Management person on the phone, "So you are telling me if I get a divorce then we will be accepted"? She commented back "yes". Like I said before, if I was a house wife or worked somewhere else, I could see being under a spouse's ins.. But I'm an employee and stressing right now because UHC risk dept. is telling me it's the Fed. Government not them! What Now!
Reviewed Aug. 29, 2014
With little to no notice to policyholders, AARP Medicare Complete (UHC) Advantage has canceled over 700 physicians in Alabama. To me, notice is not really valid since I used their physician list and formulary last year to decide to use them. Then mid-year, they decide to cancel 700 physicians for no cause. First, customer service supervisor finally told me that I could request "disenrollment". After spending several days on this, I learned that it was not feasible as we would lose drug coverage. Then another customer service person advised that I could request "continuity of care" for specific physicians which takes about two weeks to determine. My husband, the insured, had just had a stroke and fx hip in the resulting fall. The "authorization" customer service person was condescending and made no helpful suggestions. Right now, I have no idea what we'll do but UHC's actions have had an adverse effect on my husband's health--all for their bottom line.
Reviewed Aug. 28, 2014
My son has cerebral palsy, has been on Tranxene for 15 years, now it's hard to find the brand and generics we have tried do no work for him. We started with UMR under united choice plus in July 2014 and they approved it with a $50 copay. Now in Aug 2014, we asked the rx be refilled and it came back with a 240 copay... All of a sudden it is a specialty order of some kind. I talked to a Pharm. rep and she said she would investigate and someone would get back to me. I called again the next day and another rep read the notes and was not very helpful, put me on hold for five min then transferred me to a supposed supervisor, but apparently it was a wrong number and I got a recording that said the line was no longer in service.
I spoke to the pharmacist at Walgreens, who was trying to help me. He said the insurance had approved 75 pills of the 180 written on RX by my son's doctor.. so does that mean the pharmacy has the right to reduce his dose? This is ridiculous! This drug is hard enough to get now and we have to jump through hoops every month just to find it and now with no real explanation and no forewarning they up the copay. He is on disability and cannot afford it! Without this in combination with his other meds, his tantrums get worse and he will lose more weight... He is 33 and weighs 90 lbs, so he cannot afford to lose much more! Insurance co. are running our lives. I don't feel like we will be able to afford healthcare when we get old, or have to sell our home to be able to afford it? Too confusing.
Reviewed Aug. 26, 2014
United Health Care has denied claims for more than one year on the false assertion that I had another provider. This after 50 calls, including eight calls from Medicare and the Office of Coordination of Benefits, telling United Health Care that it was my only supplemental provider. After I spent more than 100 hours, United Health Care paid recent claims but not claims dating to 2013. United Health Care also refuses to release their records to me documenting my repeated telephone calls.
Reviewed Aug. 26, 2014
While people were looking for new insurance on the health market, I had insurance with United Health at the time and did not feel I needed to switch over. But unfortunately, that was a wrong move on my part as United Health decided that even though the laws had changed on Health care, since my original policy was started back in August of 2013, and I basically renewed it January 12th of this year, that meant I was subject to pre-Universal Health Care rules. United has since tried to come up with every ridiculous reason not to pay on claims. I am fed up and would like to get anyone to help me bring this company to pay on claims as that never stopped them from collecting the premium for my owning the account.
Reviewed Aug. 26, 2014
First of all, the name they use on their membership card, "AARP Medicare Complete," is a sham, a cleverly designed way to make you THINK you're on Medicare, but you AREN'T. You're insured by United Health Care, which means, you CANNOT use any doctor you wish to use, you must use THEIRS. So, when I asked all my current doctors if they accept "Medicare," they all happily told me that they accept it, and I was good to go. Little did I realize that they DO NOT all accept the "Medicare Complete" plan (United Health Care), that in reality, it has nothing at all to do with Medicare at all!! Get it? I must admit that I was confused at first, but only after talking with a "real Medicare" representative did I learn the truth.
Here's how United Health Care REALLY rips you off. The month before you turn 65, they HAMMER you with all sorts of official-looking documents and plans that make you feel comfortable, INCLUDING integrating the word "AARP" in their banner to give you even MORE reason to believe that this is "a good deal." Yes, for cheaper procedures like little office visits, okay. But if you ever need something really important (and expensive) like minor or major surgery, if you don't use their physicians, you're ** out of luck. I don't know about you, but I want the freedom to pick who I want, when I want. Their phone rep assured me that I could use my own doctor. He lied. Thankfully, in two months I'll be able to cancel my membership with United ("AARP Medicare Complete") and sign-up with who I should have in the first place... original Medicare.
Reviewed Aug. 25, 2014
If I had my choice, I would drop out of my companies health insurance and find a new plan, but can't afford that! Once again my daughter's meds require a prior authorization even though she has been on them for over a year. What gives an insurance company the right to override what her doctor feels she needs? It is so unfair that insurance companies have you by the "short hairs". Something needs to be done and soon. If I go to a store and don't like a product, I don't have to buy it, but you can't do that with insurance companies. Even my doctor doesn't like insurance companies. We need to start a revolt against the insurance companies.
Reviewed Aug. 24, 2014
I must say I HAVE HAD IT with United Health. I want my money back and if I don't get it ASAP I am going to the attorney general, the Better Business Bureau and what ever other state and Federal Regulators that govern their industry. United Health received our payment of $3500 on Aug 6th and it cleared our bank account on Aug 11th. We HAVE NOT been able to use the coverage until today, and, when I went in to pick up medications that my 2 children and I have not had for over a month, they told me United Health would not cover it unless we received prior authorization. The Pharmacist further explained that the doctor would need to submit paperwork to United Health which could take 7 to 10 days and they might require us to use a different brand from the one we had been using for years.
To add insult to injury, the ones we did pick up the co pay was $20, BUT he said they had run it under some "Family Care Program" for people WITH NO insurance and the co pay was $7 and $13. HOW NICE! I break my back to pay $1700 for my family plan for which I have a $20 co pay and someone with NO COVERAGE pays less. That is RIDICULOUS! My sons have not had the medication now for over a month, they are both going back to school next week and need that to function in the classrooms.
Reviewed Aug. 22, 2014
I am overwhelmed with emotion in response to the interaction that I had with a United Health Care customer service representative. I am currently inundated with medical bills from a myriad of providers after having a baby which included delivery complications and a week in the NICU. This requires vigilant review of medical claims on my end which is a difficult task on top of caring for baby and returning to work.
I was made to feel incredibly stupid while trying to understand some bills that came in of which had no matching claims on the UHC website. I actively remained respectful and cooperative while on the phone and attempted to ask my questions, but the representative cut me off and stated that he did not understand what I was asking and began to condescend to me in tone and short response. I am not a dumb person by any means, at least I'd like to think so. I am a doctorate level professional therapist and no stranger to conflict as a result of metacommunication and tone.
I became quite assertive after at least 15 minutes of patience while the representative rattled off numbers and provider names and stated "I don't know what you are asking, you are not saying something right." I asserted that I was speaking respectfully and that insurance adjustments are not my specialty and that I was having a difficult time wrapping my head around just how the claims were being managed. I even recoiled and apologized for my ignorance which really upsets me that I blamed myself for not understanding. I can appreciate that the man on the other end of the phone may have his patience tested time and again, daily, and that he may have felt frustrated with me, but I am a customer and I needed assistance.
I am a customer who was following up after a very stressful experience in the hospital and a major life change as well. So why am I emotional about this? My healthcare experience ended with a happy, healthy, bouncing baby, but others may not have a happy ending or may be in the middle of a life-threatening struggle. Medical issues alone are difficult to cope with and then one is forced to reckon with medical bills, the insurance company and possibly made to feel like an idiot for not completely comprehending the details of the business?
An insurance company is profiting from someone's real life experiences; customers at least deserve to be treated with sensitivity and understanding. A representative must be trained to operate from this awareness. Regarding myself as a healthcare consumer, I know my comprehension level is clouded at this time of life adjustment and I can imagine that I am not alone in this experience of feeling somewhat...distracted.
Reviewed Aug. 22, 2014
UHC (United Health Care) Insurance is scam. After paying a lot of premium amount for insurance they declined for Omnipod for my son. My son is a Type-1 Diabetic. UHC is taking just money from consumers and not covering anything for type-1 diabetic. They are running business but they don't know what is Type-1 Diabetes. Their customer support is sucks. My company have moved from Cigna to United Health Care. Since then we are having very much trouble all the time.
My son (who is 13 years old) is running out of POD/Insulin. Type-1 diabetic can live in today's world only after taking insulin. I am writing so someone who is working on healthcare dept in gov. can take any action to United Health Care. If Cigna can accept anything then why not United. I am paying premium more for United than what I was paying to Cigna. What kind of law is this? What kind of Health care system is this? Who is driving this kind of business that they cannot take care of new generations. We don't know what to do... I would appreciate if govt. authority can perform a audit on United Health Care Insurance. There is no cure for Type-1 and these insurance companies are doing the things whatever they want... why?
Reviewed Aug. 19, 2014
I was on a medicine that I desperately need. First I had to have my Dr write letters and make phone calls to United Health Care to get them to cover it. I get it covered finally for a few months. My Dr needed to raise the dose this past week.. Now they want me to go thru this whole thing again with writing letters etc for them to cover the raised dose. The dose I was on runs out today. I do not have the time to go thru this whole thing again now. I have been on this medicine constantly for months and now when it's gone I am scared of what is going to happen to me. I have never had these issues before in my life. This is the horrible horrible horrible health insurance. It really doesn't help anyone at all.
Reviewed Aug. 18, 2014
I had a mastectomy and our company was sold to one that held United Healthcare Insurance before I began the final phase of my breast reconstruction. Since neither my surgeon or my hospital were in their network, I contacted UHC about continuing coverage and submitted a form filled out by my surgeon via fax. After waiting several weeks, I contacted them again to find that they never received the form. So, I resubmitted it via email this time.
I finally received a letter (so did my surgeon and my hospital) saying that they "were please to tell me that I would be covered by United Healthcare as in network" as gap coverage. I was ecstatic and had my operation schedule for 8/14. Two days prior to surgery, I was contacted by someone at the hospital in the finance department saying that she contacted UHC about coverage. She did so because she said that "they pull stunts like this all the time" claiming that they will cover an operation but don't.
The bottom line was that they were only going to pay $3,000 to $4,000 of a $106,000 operation leaving me with a bill of over $100,000. They never mentioned anything like this in the letter!!! I met with the hospital rep and we called UHC together. After a phone call lasting 1 hour & 27 minutes and being transferred 8 times, they stuck with their guns. I asked where a doctor was that would do this surgery for $3,000-$4,000 and they were speechless. Hmmmmm.... wonder why! If you ever have a choice, run, don't walk, away from them. They have no morals, have lousy customer service, and are very deceptive. Needless to say, I have to get up every morning and stuff socks into my bra.
Reviewed Aug. 16, 2014
I just started with my new company Xcel Energy in 2012 and they have an HSA plan through United Health Care. Early this year 2014, my wife had pneumonia and had a 5-day hospital visit in BSA of Amarillo. Early on they, "United Health Care", started asking if my wife was covered under another plan, which she was not. They sent us paperwork which I just had to sign and send back that amounted to saying does your wife have other healthcare, Yes or No. I stated NO and sent it back.
I added her to my insurance because she has no other insurance. They claim they received no such paper work and are denying the claim of $18K of which her deductible is $3500. They are saying that we owe the whole thing. This is very wrong and unethical. At the same time, my mother is dying of cancer in home hospice and passed in April 2014. After her death, my father has been diagnosed with stage 2 bladder cancer. I've been busy, but assumed that my letter had been received so everything would be taken care of. Apparently not.
Reviewed Aug. 11, 2014
In the middle of contract period when I am unable to change health insurance company, I was told UHC would no longer accept my ophthalmologist as a participant in their health care program. I have been treated for a very serious eye infection which for a period left me legally blind. Infection is now cured after much effort by my doctor & now I can finally have cataract surgery. This cannot be scheduled until after UHC cutoff date. This doctor is so familiar & informed about my condition that I am very hesitant to have surgery performed by someone. UHC reason is "to provide me with better health". I don't believe this & have spent hours asking for an explanation for this cancellation. I also have been told that my file could not be retrieved & several times have been unable to hear or understand UHC representative.
Reviewed Aug. 11, 2014
UHC uses OptumRx for their mail-order drug provider. They (OptumRx) are the only option I have through UHC. OptumRx is HORRIBLE at service and fulfillment of prescriptions. If UHC cared about their customers they would provide an alternative to OptumRx for mail-order prescriptions. I contacted UHC and they basically said "tough" that's the choice. Thus my inference is UHC also could care less about customers problems. Based on my experience with both companies I would leave IF I had an alternative.
Reviewed Aug. 7, 2014
I am a PPO consumer of UHC. I have been having quite a lot of problems with my insurance... am not really sure what I can do. It seems I need to take the next level up... but I just don't have the energy or fight to do this. It took four calls (each telling me to wait 3-5 days in the expedite dept) just to finally request a supervisor as I was not getting anywhere, to get the 60 visits approved (I was at 55 due to my insurance not being able to tell me what was covered, I would get different answers when I asked... only after my dr was not getting paid, is when we discovered what they really covered). The 4 people prior to the supervisor all said the Dr's 4 page progress eval all said the same thing: This paperwork is for the claim date of December 1st. The first line of the 4 page eval started: "initial date seen, December 1st 2013."
Omg... ridiculous. Well the supervisor did get 90 visits approved in a timely manner through September... but I have not been able to go back, as getting my dr paid, for dates 30-55 has been another horror. Each time I have to call, wait 3-5 days... each person apologizing so much for the errors... it's the same story, different voice. I am so sorry, I will make sure I take care of this, I will call you back, blah blah blah. It's almost like they are reading from a script. Each time, they get a couple visits paid, and often not at the correct amount. I feel like I am trying to get a first grader to do this job. INCOMPETENCE.
Reviewed Aug. 5, 2014
First, United sent me a letter in 1/2014 saying I couldn't get my usual script because there was a NEW generic alternative. Turns out the new drug is different dosage. My Dr. tried everything to keep me on original drug, no can do. On 6/2014, I got my prescription for the new drug and went to CVS to fill it. My Dr. prescribed 90 tabs/month. CVS tells me that my insurance won't pay for 90 but will cover 60/month. I asked how much out of pocket the other 30 would be. $600. That was double the cost of the original drug.
So now I'm taking 1/3 less of my medicine and hoping nothing happens. When did a person 1/2 a world away get more power than a MD who sees me monthly? I've never even spoke to United. Somebody is definitely getting rich on the new medicine. Hope the dead bodies are worth the kickbacks. I used to have Anthem BCBS with my last job but my new job makes me use these criminals. Now I get preauthorizations every 6 months and headaches each time I go to pharmacy.
Reviewed Aug. 4, 2014
I'm a little surprised at all the negative reviews. I've had UHC for many years and have not had any trouble or bad experiences with them. They are very upfront about what they will pay for. They have always paid everything for preventive care without any delay or problem. Coinsurance amounts have always been what they say it is. The only small negative I have is that their network providers is limited in the area where I live. I have to travel 30 minutes to my primary care physician but I really do not mind. They do care about their customers unlike some of the comments I have read on here.
Reviewed Aug. 1, 2014
F- minus on customer service. Do not let your elder parents sign up for this plan. They will NOT get the same benefits as straight medicare from the govt. I have to fight every bill, every benefit for my sick parents. Customer service call center was closed when I called on 7/28/14 even though it was during business hours. My mom who is 90 years old has given a verbal agreement to them to let me, her daughter, ask questions about her bills, but this was not documented, so now I have to fax medical power of attorney plus some form they are sending to my Mother, not me. She lives an hour away. They do NOT care about patients or their families. Two of the people I have talked to were incompetent and could not even speak clearly.
This plan is very limiting on options. We are being forced to send my ailing father to a skilled nursing facility with a 1 star rating because it is the ONLY one we have to choose from. ONE PLACE! Straight medicare has a long list of places but United will not cover them. United healthcare is supposed to manage medicare for the govt.... not limit resources to the patient. But they are uncooperative and very hard to deal with.
Reviewed July 25, 2014
Pretty sure Lucifer owns a business and that business is United Healthcare. Anytime I see a doctor with this insurance, they hit me with more and more costs. I miss my BCBS insurance!!
Reviewed July 25, 2014
Imagine my surprise when I called in a prescription refill to CVS and they stated that as of July 1st they no longer accepted United Healthcare insurance in conjunction with my state's Medicaid program. I have used CVS for years.
Reviewed July 18, 2014
United Health Care Insurance took money out of my check for insurance that I canceled while I was on a Company Convenience from work. Left me 43 bucks and have five children to feed. I have also heard complaints similar to this from co-workers.
Reviewed July 17, 2014
As a provider, we have had a contract with United Healthcare for many years. When the two doctors in our group split, we requested a new contract using a new tax ID (since the business name changed). United told us when we submitted all the required paperwork in December 2013 that our effective date of service for the new contract would be December 1, 2013. Instead, we have been told by multiple patients that United is telling them we are out of network. We have documentation to show the paper trail of emails and phone calls proving that United admitted they made a mistake and would get us in the system "right away."
Now it is July 2014, and we have had patients canceling their office appointments and their surgery because United has not fixed this problem. We are not getting our payments, and patients are being charged for out of network service. We have just reported United to the Insurance Commissioner of Georgia and urge all consumers to do the same. There is a simple form to fill out online that can either be completed electronically or sent by fax. We are going to supply the forms in our office waiting room as well. If enough people complain, maybe United will start abiding by the law.
Reviewed July 17, 2014
I am no longer able to order my asthma inhaler through my regular pharmacy. United Healthcare has refused to allow me to do this saying that I must order through their online pharmacy. I have been very successful with this medication using it to regulate my asthma for over 5 years. It has been the only medication that works for me. Now the online pharmacy is telling me that one month's supply is $523.06. When I asked her if this was because of a particular deductible, of course she couldn't tell me and I had to talk to United Healthcare again - another convoluted call. I hate, hate, hate United HealthCare.
Reviewed July 17, 2014
Part 1 – Description of complaint: Summary of telephone call between United Healthcare, Longevity alliance and myself. On May 1, 2014 I received a telephone call from a Tiffany **. Tiffany is a sales support coordinator for Longevity Alliance. She told me she was simply making a courtesy call to see if I have any problems or questions about my United Healthcare policy and to see if she can be of any assistance. After a few minutes we thought it would be best if we had a United Healthcare representative on a three way conference call. One topic seemed to lead to another topic and another and another. After a lengthy phone call with several different people, Tiffany said I will summarize our conversation for you.
The main topic of our conversation was when I was asked, “If you are living in Nicaragua and cannot use your policy living out of the country why don’t you cancel your policy and get another policy when you return?” I said I tried to do that when I first moved to Nicaragua about 5 or 6 years ago. I was told I can cancel my policy at any time but when I return to the States I will have to answer medical questions before I will be issued a new policy. I told the woman that I was over 70 years of age and probably will not be able to pass a medical questionnaire when I return.
I said it simple does not make any sense for me to pay your company every month for a long period of time if I can never use the policy since I am out of the country. She said, "Sorry, that’s the law." I told her I cannot risk my health later in life. I must have a supplemental policy. I told her to keep the policy active and I will continue to make payments. At this point there was silence on the line and I could sense there was a problem brewing. Then a woman named Karen said, "You were given incorrect information. You are from New York and that state does not require medical evaluation." I can absolutely be enrolled for a new policy when I return home with no medical concerns.
I immediately cancelled my policy and received a one month reimbursement within 2 weeks. I asked if I can receive a reimbursement for the 5-6 years I paid a premium unnecessarily. I was told I can write a letter requesting a reimbursement and was given an address. Within a few days I sent them a letter explaining the situation.
Comment: I want to emphasize that I did not call anyone about a complaint or a problem. I received a courtesy call and during that telephone conversation it was pointed out that I was making payments for nothing. I can stop my policy and obtain another one when I return to the States with no medical inquiries. I immediately cancelled my policy.

Reviewed July 17, 2014
AARP United HealthCare Advantage (PPO) which I have been a member for 2 years is now dropping three of my specialists and this is in the middle of the year. It would not have been so bad had they waited until next January when I would have had a choice of health insurance companies. My Pulmonary doctor whom has been monitoring my lungs for cancer, my Urologist for kidney stones, and my Dermatology doctor. All of whom I have been seeing for the past 6 to 8 years or more have been dropped. United HealthCare has not been very clear on alternative doctors, and many doctors do not accept traditional Medicare, and their provider book has not been updated to reflect these changes. From what I have been reading Missouri is not the only state that this is happening to.
Reviewed July 14, 2014
I am an independent provider of care in Ohio and UHC refuses to pay me for services I have already provided. This process started over a month ago. As a provider we were not informed that our billing methods would change and I happened to stumble upon the information on 5/25/2014 and the change would take place 6/1/2014. I rushed to do a 50 page application and had it overnight-ed to their demographics office. It took me 15 days to get entered into their system and even then my "PROVIDER ADVOCATE" would not assist me with the claims submission process. I finally was able to bill after working for free for 30 days but for every reason under the sun I have not been paid. I am now 45 days in with no paycheck and no clear answers as to why... At this point I am at my wits end... UNITED HEALTH CARE IS THE DEVIL.
Reviewed July 11, 2014
I went to my doctor in February for my yearly wellness exam which is covered 100% under my plan per Obama care. My doctor also ordered some "preventative" blood work to make sure my levels were OK. I was stunned when United Health Care did not pay for my preventative blood work. They have given me two different reasons why they did not pay for my preventative blood work. First they said that the doctor submitted the order with the wrong codes. Then that told me that none of the blood work my doctor ordered for me is considered preventative. Not even for anemia or cholesterol. When I called a supervisor she told me that consumers are now supposed to get the codes ahead of time and look them up on the United Health Care website to make sure they can be conducted. Who has time for that and I am not educated in entering test codes. What exactly am I paying for?
Reviewed July 11, 2014
My company switched from Blue Cross to United Healthcare after ever increasing premiums, only to find out that UHC has little to no coverage for very few prescription drugs that are required beyond their mandatory generic requirements. Our daughter suffers from seizures and has been the subject to seizures for the past 10 years. After finding the right formula and meds, she has been in the clear with "Topamax." We never had an issue with BCBS, but now UHC will NOT PAY ANYTHING towards this prescription and recommends a trial on generic drugs that have an 80%-125% swing in "active" ingredients. NO THANK YOU, not after you see your daughter suffer a seizure. We want what works. One company that does not work is UHC. You get what you pay for!
Reviewed July 7, 2014
Every time you call their general number for UHC West ((877)988-9378) you get put with a different representative. I have been contradictory information, numerous times, by people within UHC. For example, I have been told initially that they had not received anything. 5 minutes later I call again and speak to someone else and say they have received the same thing (which had been sent a week ago). Other times I have been told conflicting information about what fax number to send authorizations to (clinical fax vs authorization fax number/urgent or routine). I have also been told different things about who actually needs to send the authorization (whether it be a referring provider or the provider conducting the surgery).
There is no in-network provider for over 100 miles away from us and filling out the paperwork to get any reimbursal for travel costs includes reviewing 9 different documents to see what applies and what doesn't - too much of a headache to work through. There is no way to speak to the same person twice, unless by accident as they only give their first name and maybe last initial, but you cannot ask to speak to the same person. This bureaucracy is tied for first place in my book for the worst. Over a year and still waiting on approval or denial for one procedure. Absolute disservice.
Reviewed July 5, 2014
I recently signed up for UHC insurance. I have a chronic illness asthma and have 2 inhalers that I have to get monthly to help me with my breathing. I went to pick up one of the inhalers to find out that it was $49, that United Healthcare covers .97 cents of the drug. I can deal with that monthly, but when I went to ask about my Advair inhaler, the inhaler that keeps my asthma from flaring up and has worked for me for well over 20 years, will now cost me $300 a month, I almost hit the ceiling. This is absolutely ridiculous! The UHC pharmacist told me this was the cheapest prescription.
I do not have an extra $300 floating around a month to cover the cost of an inhaler. I am sickened by this and will see about dropping coverage all together. I can't pay this period. I had to let people know about this atrocity. Why is my deductible $5000, which the pharmacists stated that I had to meet before my costs go down! $5000?? I will never meet that deductible, or it would take years. I am seriously hoping that I have time to drop this insurance because I will never be able to pay that amount monthly with my measly salary.
Reviewed July 2, 2014
I have a rare neurological condition affecting my brainstorm, respiratory center, various parts of the CNS. Auto-antibodies were circulating at levels in excess of 100 times normal, causing damage and destruction of neurons. First line of treatment is immunosuppressant and I was on Prednisone and cell crept for 12 years. When I developed diabetes, Prednisone was withdrawn. A year later, when I contracted shingles with the complication of zoster ophthalmicus (penetration into cornea), all immunosuppressant therapy was halted and I was treated solely with IVIG infusions monthly. Claims were paid without incident until the fall of 2013 when the first denial came.
My provider continued treatment thru 2013 expecting UHC to pay. I missed three months of treatment, to my detriment, until UHC approved treatment for 3 months after requesting additional info from my dr., accepting that info to support Medical Necessity, and once again, on 7/1/14, has denied coverage, on the basis of lack of medical necessity. There is no other treatment for this degenerative disease but UHC has determined my quality of life, and likely shortened lifespan due to complications that would have been avoided thru treatment, is acceptable.
Reviewed June 28, 2014
My wife suffers from MS. When her doctor recommended IV steroid treatment, United Healthcare sent a visiting nurse to our home to train me to administer the medication. I was told that nurses would be available to monitor the process and then I was on my own. I thought this was the standard operating procedure so, despite my misgivings, I went ahead with the plan. We experienced many complications, the nursing support was erratic and we ultimate switched our insurance to GHI which ended up being much cheaper. When it was time for another steroid treatment, I was thrilled to learn that GHI would pay for the medication to be administered in a medical facility by trained nurses.
Reviewed June 27, 2014
Tried for 3 months to get my prescription meds from UHC… Lost 30 lbs and 4" off my waist and was sicker than a dog. Doctors requests and appeals went on deaf ears. I changed my plan to WellCare and had my meds in one week.
Reviewed June 25, 2014
I work for a small medical office, treating many military families. They reject billings left and right. UHC sticks it to the providers!
Reviewed June 24, 2014
My husband is diabetic and they expect him to drive an hour for fasting blood work! Diabetics cannot fast and drive an hour without passing out or dying. For this reason, they are not only putting my husband's life at risk they are putting EVERYONE'S LIFE ON THE ROAD AT RISK SO THEY CAN SAVE A FEW BUCKS! This actually redefines the word "healthcare," we can now refer to it as "homicide by vehicle."
Reviewed June 23, 2014
As of June 1, 2014 my new United Health Care insurance was effective so I called OptumRx Monday 6/2/14 who reported to me about my $180 credit from a January 2014 miss pick by them, paid on my personal BOA credit card. I ordered new meds for $210 and we discussed reducing my bill by $180 so I would owe them $20. The next day I saw posting to my checking account debit card a charge of $120 as only my flex card was authorized I was surprise to see these charges on that card. I called and the $120 charges was removed the next day. Two days later the charge appeared again bouncing my account as they still owe me $180 credit. After a few more calls, OptumRx reported to me twice about how they processed a credit transaction for $180 on June 11 to my pay flex card master card ending **. Today June 23, I called pay flex twice to verify looking at last years 2013 - 2014 account and this years 2014 - 2015 card and there is no refund from OptumRx. Where did my $180 go? I called HR who will investigate my issues.
Reviewed June 22, 2014
I was told it would take 7 days to receive papers for a refund about 6 weeks ago. Scene call was made after 2 weeks with a run around. No papers yet. I feel like I pay most of the bill anyway.
Reviewed June 22, 2014
Anytime an organization has a CEO that makes 1000 times the amount of one of their employees, there is going to be a huge discrepancy between what the business "Leaders" want and what the workforce is willing to do for the pay. I was a past employee for UHG approx 4 years ago and at that time, provider claims were a complete train wreck. Now for a multispecialty practice, we are in process of terminating our contract due to nonpayment of claims.
When I was a rep, the employees had no clue how claims were actually processed and they were given generic instructions on how to handle the claims. Result, nothing really ever got fixed. When I started 6 months ago, we had 1500 claims on what I can only describe as the UHC merry-go-round of them saying in their best trying-to-be-English voice, "Oh yes, we will take care of that for you and it will take 14 to 21 days." 4 weeks later, we get the same denial which doesn't match the claim we submitted or our contract, to boot our provider rep finally too fed up with this organization resigned for greener pastures due to the nonsense.
Reviewed June 21, 2014
On Thursday June 12, 2014 a nurse practitioner was sent to my house by united healthcare to interview me about my medications and health concerns. I gave her my medications so she could list them. After the interview was over and she had left my house I was missing one medication and one box of diabetes test strips. I called the house call department of United Health Care and inform them that their nurse might have taken my medication and test strips by mistake. They told me that they would look into the matter. Well after I called them back four times, a supervisor finally told me that my matter was investigated by whom I have no idea. Anyway it was determine that nothing had been taken by their employee. Needless to say I was never contacted to get my side of what I thought had happen since I made the complaint. So I would like to know what type of investigation was this. I even call United Health Care customer service and still I was unable to get a satisfactory answer. So anyone can take this for what it is worth.
Reviewed June 16, 2014
We are a health care provider with an eleven year old contract with UHC and since the beginning of 2014 we have claims that are treated as out of network and some treated correctly as in network. Although our many efforts to identify a person in UHC that can fix the problem, we have not been able to do that because United Health Care would not give us the opportunity to have a meeting in person in UHC's offices to present the problem and to get it fix. At this time UHC owes us over $200,000 in claims handled incorrectly plus all late payment penalties as per Texas Prompt payment Act.
UHC employees would not identify their supervisors or managers when asked to do that and this makes the case so frustrating because no one seem to be responsible in UHC about a problem that clearly was inexistent in 2013 and all of a sudden we have this problem in 2014. Definitely UHC did something in their claim processing system and is now processing claims in an erratic form. We are now going to report each case to the Texas Department of Insurance to see if we can have a resolution or we will be forced out of business by UHC actions or better inactions to solve a problem created by UHC alone.
Reviewed June 12, 2014
I had asked to cancel my policy because I had found a similar plan through Oscar Health Insurance at a much lower price. I was told over the phone my policy would be canceled at the end of the month. Two months later they were looking for a premium for one month. I told them I had found another company. They asked me to fax them proof of coverage which I did. Two days ago, a collection agency called looking for the one month premium. United Healthcare had turned this over to a collection agency because of their incompetence. I explained everything to the collection agency. They asked me to send them the same information United Healthcare had asked for. I told them I spent enough time on this. I work too much as is.
Beware of this company, they are greedy and will do whatever they can do to make money. I have always paid all my bills and have a good credit rating but to me, principle is more important. Remember the smaller companies have less overhead, and it would be worth your time looking into them.
Reviewed June 4, 2014
Changed deductible after sign up on Maryland Healthcare Exchange. I downloaded from Md. site and have terms they mailed me. Different Customer service reps blamed Md. After so many calls, we got to the deductible which was higher than sign up. Fighting them was useless so you give up (that's what they want). Next they raised premium only two months on plan. They did not send 45 day notice like they are supposed to as stated in contract. Customer service reps blamed MD healthcare again!
Finally, after many upsetting calls, one rep with United says "Raised because of your birthday" signed up for March, birthday in April. She said you are older and you will go to doctor more. WTF, I have not even used it yet and here it is June! Guess who is going to get every test now. They really need me off then. I owed half of May premium and June 2, they told pharmacy we were terminated 5/31. Paid in full for prescription. I called and was told because of non payment by Ashley @ 502-318-0147 with United. And yeah, she was a snot about it. She said if you don't pay us, how do you expect us to pay your bills?
In our benefits contract, it states we have grace of 31 days and they will continue to pay bills. But since we are tax subsidized, it is required for 3 months. They are to continue to pay our bills under Federal Affordable Act. One rep Michelle said after I read her page 11 article 4 that "Oh that does not mean prescriptions." I beg to differ. She gave me to Jacob in billing. I read same page 11 article 4 and he said I was right. They should not have cancelled. June 1, date was not right for them to stop coverage. He got supervisor like so many have did, and said they will right it. WHY, WHY do I not believe him!!
I have been down this road with them so many times. I paid the rest of May premium so I am up to date, but what's next? So now I am writing to State of Maryland, Office of The Attorney General Consumer Protection Division. Please, everyone do this! It's the only way to be really heard. If you are a lawyer email me: **. We need this to stop it, we are not the only ones. We are tapped out and not a economy booster anytime soon (thanks Obama). God Bless.
Reviewed June 3, 2014
A portion of my annual physical was denied for payment because United Health Care stated I was being treated for a condition and it was not considered preventative so I am subject to the deductible and coinsurance amounts for this portion. I am not being treated for any conditions and it was a purely preventative exam, the same exams they have paid at 100% for the past six years.
I appealed twice in writing, only to be denied both times in a very sloppy, disorganized manner by their appeals team. I requested the documentation the claims examiner used in each instance to make their decision. In Appeal 1, it clearly shows the coding for exam and tests as all preventative, but still the claim is denied. Appeal 2, also denied was even worse, the documentation used by that examiner wasn't even the correct section of the summary of benefits.
I requested a third-party review of my claim which UHC granted. The third-party overturned the denial on May 29, 2014. On May 30, 2014, UHC retroactively denied a third-party review so it wiped out the reversal. So even when they lose, they win. I contacted ERISA and was instructed to contact an attorney. ERISA could name United Health Care as the insurance company by my description without me saying their name. In my opinion, United Health Care is nothing short of lying thieves that steal and provide nothing but misery, hoping to bombard their members with paperwork in the hope we give up and just pay their portion. I am contacting an attorney for legal advice on how to proceed against these monsters. I will also be filing complaints against Medica (their front company in Minnesota) with the state department of Insurance.
Reviewed June 3, 2014
A good friend asked me to help with a state external appeal - after denied by UH on serious chronic mental health issues. It was stunning. She was overwhelmed, but wanted to fight the rejected claims. Not only did UHC fail to send all of the documentation required by federal law, but the timing of some of the determinations was in violation. One is supposed to appeal but doesn't have the rejection letter - how? The external review has been tedious and difficult. UHC re medical necessity ignored state and fed laws on parity and mental health chronic diagnoses, accused doctors for having no treatment plan. It is like they rewrite all the rules and hope this works. They find a phrase and hang on it and twist it. Why do they have all the secondary Medicare business? So undeserved.
Reviewed June 1, 2014
Before joining United Healthcare in May 2014, I gave the representative on the phone the names of my doctors to make sure that they were in their network. I was told that they were. Three days later, I found out that my doctors were not in my plan of United Healthcare, so I canceled my enrollment. May 26, I received notice that United Healthcare would not cover the CT Scan of the abdomen and pelvis with contrast after a diverticulitis attack, nor the monthly rental/maintenance cost for May of my motorized wheelchair. Since United Healthcare misinformed me about my network of doctors, I had every right to cancel when I did and they are responsible for paying for the month of May, even if June 1st, I will be enrolled elsewhere. They and the waiting world need to know that I will not pay one thin dime. Maybe then their phone help will not lie to people in order to make a buck.
Reviewed May 31, 2014
UHC has very poor customer service. If a claim is incorrect, which they are almost always incorrect, then you have to email them and a month or so later you get an email. If only their website with the claims were accurate they would be great for the claims part. Customer service hours are horrible and are not convenient for many people. Every time I am able to reach someone, I get no answers.
Reviewed May 30, 2014
I was scheduled for a colonoscopy. The Doctor who authorized it sent me somewhere that was Out Of Network. I was told I was out of network, but the doctor's office never could tell me for sure because they got conflicting information from UMR/UHC. They said yes, I was In Network but that UMR/UHC would only cover the procedure if it was done in a Hospital. That cost was about 5 times as much as a surgery center.
After going back and forth for about 3 months, they finally said that I could have the procedure done by the original doctor at a different surgery center. I did and now they say it was not "pre-approved" and are asking me for more information that I obviously do not have. I see no reason I should have to prove anything. Add to that the UHC CEO made over $16M last year! I see how he did it! Theft!
Reviewed May 30, 2014
Long story short, united healthcare is dictating that I MUST use their mail order pharmacy in order to continue my required maintenance medications. Best part, I found this out from my local pharmacy when attempting to fill a prescription. The end result, I'll purchased my medicine out of pocket and have no choice but either to get another insurance company or use their program. Why can they dictate my freedom of choice and know more than my dr.??? They care only about their profit margin and not my well being. The mail order program claims I will save a few $ year. Whoppie do! But, I am sure the savings are not truly passed on.
Reviewed May 25, 2014
I've been trying to call and no one is helpful and I've gone on the website to try to find a physician and I click "Find a Doctor" and then it just takes me to a blank page with just the United Health Care logo and a return to home page button. I also tried to make an account because I thought maybe that's the issue causing this and then every time, it says "ERROR!" I've tried a million different ways with different browsers and nothing is working! I don't even know why I'm paying them when they do absolutely nothing for me!
Reviewed May 21, 2014
No coverage for Silver Sneakers at Curves unlike every other health care provider. Get out of UHC!
Reviewed May 21, 2014
She said UHC wouldn't pay for her suboxone for pain. That's funny because UHC pays for suboxone for addicts ALL DAY at my work. Another funny thing is that they get it FREE! Not even a co pay! Even funnier is that the company I work for just switched to UHC and I just had a baby, so my insurance before UHC was 11.89 a month, after UHC and a baby it went up to $568 a month! I not only cancelled before open enrollment was over, but I put in my two weeks at work. I will not work for a company that does not do research and only cares about their bottom line. Even if I love helping people get straight in their lives, it's funny how the hardest working Americans cannot afford to be alive. But people abusing the system get everything free and rich people get all the perks. STAY AWAY FROM UHC!
Reviewed May 18, 2014
United Healthcare is not paying their portion. 5 and 6 months later I am getting higher bills from doctors and hospitals because they have not paid. United Healthcare has did this before many years ago and if this starts again, I am going to the federal government about this. I asked everyone to reach out to the federal government to start an investigation.
Reviewed May 16, 2014
Three weeks ago I was diagnosed with Lung and Lymph Node Cancer. Needless, my family and I have been devastated. I have a very good Cancer Dr. but I would like a 2'nd opinion as to diagnosis and plan of treatment. My choice for that is Moffitt Cancer Center in Tampa Fl. Yesterday I called Medicare Complete to be sure they were in my network and was told they were. I contacted Moffitt to get the appointment set up. I gave them the info they ask for and was told that as soon as my lung biopsy was complete to have my Dr. fax my records and they would call me with an appointment date. I felt good knowing I was getting a second opinion before starting Radiation and Chemo therapy. Not 5 minutes later, I received a call from Moffitt telling me they were not in the network for that company since Dec.1, 2013. I ask the cost out of pocket to see a Cancer Specialist one time and was told it would be $1,522.00. Which I can't afford.
I was given the wrong information by Medicare Complete, I wasted 2 hours or more of my life by being given the wrong information. I was so upset about their incompetency that I just sat and cried. I realize that things happen. But no one I spoke to at the ins.co could give me a valid reason why their records were not updated since December and here it is the middle of May. All I got was a run around from them. I ask for a supervisor and was left on the line fifteen minutes and then told the supervisor was still busy. I ask for the name and address of the CEO in my area and all I got was double talk and was never given a name and have been unable to find it myself. (Maybe you can help me with that? ) The customer service rep said she would find me another Cancer Dr. in their network. She gave me the name of several Drs. who are in the same office as my current Cancer Dr. Why would I want a second opinion from a Dr. in the same group??? That isn't even sensible to me! She then gave me the name of two others whose names I couldn't even pronounce. So, I can imagine how much I would understand their opinion.
Why would the largest health insurance company in the state of Florida not be able to keep their records up to date with the technology we have today? Their annual profits are staggering. And here I sit a little nobody, trying to fight this disease the best I can and being given the wrong information from a large uncaring conglomerate while they take a big chunk of my Social security every month and laugh all the way to an extravagant lifestyle and vacations in the Hamptons???
Reviewed May 4, 2014
I have been taking ** .625 for probably 30 odd years. I have tried not taking it and at my age of 73, I get serious burning, and cracking in my private parts. And I get very anxious and nervous. I am a very nervous person that has to control my nerves with some ** at time. I have serious tinnitus in my ears that ring so loud, it makes me crazy at time. But, I went to order my ** and the druggist told me that United Healthcare was denying or not covering this med. And I have gotten a ninety day supply for years with one free co pay that way. And now like with my ** they only give me a sixty-day supply, so I do not get the free copay for the third month. But, after they denied me, I called my dr's. office and they spoke with United. And they then okayed the pres. but, my first box I picked up they charged me $87.00 for a 28-day supply.
Then I went back today and they do not have both boxes so I have to go back Monday and pick them up. But, they are really bumming me out. I have been a retiree from Illinois Dept of Corrections for 23 yrs now, and started working for the state in 1964, so for what 49 yrs I have been fully covered and now, they are cutting back and charging more co-pays and just technicalities that are making me crazy. This is hard on a person as they get in their 70s and shame on you United Healthcare. I had Medicare since I turned 62, and then Cigna was my secondary. Now the state made us change to United Healthcare, so hopefully it will all work out, but at this time, I am very annoyed with them. And my ** is going to be $75.00 a month, unreal. I do not know if using like Walmart would make the co-pay less from my United Healthcare or not?
Reviewed April 28, 2014
After a trainee conducted an interview and was told by her supervisor she had done it wrong, I was denied a repeat interview. My son who has attended his medical day care center for 10 years is being kicked out. He is ** with a heart and spine condition that must be monitored on a daily basis. I am in the appeal process but have been told it's useless.
Reviewed April 27, 2014
I'm angry. Due to Obamacare our company changed healthcare providers. Obviously it's with UnitedHealth Care. Though physically I may be better off than most people, I do require medication to get me through the day. I've struggled with a bad back. Not getting into all the specifics, not very uncommon for my sciatic nerve to flare up, and struggle with severe pain. Easy chore became tedious, which led to depression. Because I just couldn't live life to its potential. Well, a doctor put me on Hydrocodone which was great for a time. I became an addict and my personality changed. I needed to get off, so I sought help.
I found a doctor to treat this problem, along with my depression. He put me on Suboxone. My life changed for the better. I'm myself again, full of life. I've lost weight and have been real active. Though this medication is a narcotic, one doesn't get high off it. It's a treatment that allows one to slowly wean themselves off the narcotic. Without all the withdrawals that one may get without using the drug. It also has properties to help with depression. I'm now what the doctor considers "stabilized". And will begin to wean myself off this miraculous drug.
Today I just received a letter from UnitedHealth. They will no longer cover my medication under the plan. As of July 1st, it's done. No suggestions and no help from them, you're on your own and good luck. Stopping the use of a medication like this straight up will put me through severe withdrawal. It's not recommended, but what do they care. It's supposed to be done slowly with time, they know this. But the cost is high, and they are dropping it. Is it life-threatening? I couldn't tell you, but it's not recommended, like I said. Anyway, I said my piece and I'm not looking forward to this. I wish I had the power to do more. But, for now this posting is all I have. If you're an individual or corporation looking into UnitedHealth as their provider, don't. Look elsewhere. Whatever they have in writing on their plans, they can change midstream in the year Versus giving one fair warning to plan ahead. Two months is not fair warning.
Reviewed April 26, 2014
The great thing about finding this site is that I now know I am not alone. My son is a Type 1 diabetic. It took me 46 phone calls to get his test strips approved. UHC approves 3 strips a day, which is less than prescribed and less than the American Diabetes Association recommends. I had to get an override from the doctor, which they lost twice. Then they told me I had to get them from Optic TX, which costs $146.00 per month vs. the $15 I pay at Walgreens with BCBS. Today, they declined his insulin (again) because I need another proof of diagnosis - not like his diabetes was cured since last month... unbelievable run around. Same story each month, with every prescription - deny, ask for doctor's note or new prescription, agree to pay a lesser amount, delay in updating the correct information on your plan, refuse to pay for three months so you can't get service or drug. I have lost months of drug coverage because if it takes three months to resolve, they will not fill the months past... So whatever you buy out of pocket, you will never recoup... They know I can't wait so it is in their interest to delay and then refuse to fix retroactively.
Reviewed April 24, 2014
What I have gone through with this company is unspeakable. Between my husband and I, we have made at least 50 phone calls this year to employees and "managers", all promising different levels of reimbursements. What we have gotten is spread sheets, smoke and mirrors, hung up on. It is unthinkable a company could behave this way. The one thing we have not gotten is a penny of reimbursement as promised. Not a penny after being promised tens of thousands of dollars. Waste of time, company should be ashamed of themselves.
Reviewed April 18, 2014
Complain to your HR group, your State Insurance Commissioner and your state's Attorney General's office. You deserve better coverage than these clowns. They hate your out-of-network doctors and will do anything to get out of paying the claim. Try to file an appeal and you send your letter to a fax number that most likely isn't operational and in following up it is impossible to reach anybody in that appeals group on the phone. They make it impossible to reach them so much that you just give up. Google up this outfit and you will understand what the culture is all about. The paid huge settlements after getting caught back dating executive options and again after using procedure cost numbers that were too low so they could rip off customer reimbursements. Absolutely disgraceful company and if your company is so cheap that they use this bunch of chiselers that speaks about what your company thinks of you.
Reviewed April 17, 2014
I have bad knees and need knee replacements on both knees. I take Hydrocodone 1 to 2 pills a day. I do not abuse them. It can be verified by the doctor or pharmacy. I walk on concrete all day long. When I finish work my knee is throbbing. The doctor will only write a prescription for 2 months then he says I have to come back to see him every 2 months. My knee problems are not going away until I get replacements. So I make an appointment and takes 2 to 4 weeks but I am out of pain pills. So I have to turn to Aieve which gives me internal problems. To me it seems the doctor just wants me to come so they charge me an office fee and the doctor does not care about me. I used to have the best doctor in the world. He retired now. I have this doctor who does not give a crap.
Reviewed April 2, 2014
Could not be happier! Huge claim last year and paid fully and promptly. On the other hand, my experience with the companion dental plan, not so much! I've been trying for at least 6 weeks to get a "pre-authorization" for a procedure. The kindest words I can possibly have for the dental plan are that their system is broken!
Reviewed March 28, 2014
Today, when I called customer care services of UHC, the guy in the line was answering my questions very reluctantly, in a very lazy way as if he doesn't want to work there at all. I had some important questions which may be very trivial for him, but he should not treat me as a foolish guy. This is not the only time. I would like the human resources department there to train their employees, especially the persons in customer care services very well. Train them well to speak politely and charmingly. At least train them to pay some respect to the customers and their questions!
Reviewed March 21, 2014
I had been fully covered by UHC for 3 years when I had a baby. This birth was covered with a $2,500 deductible. 6 months after the birth; after the hospital had been paid by UHC, UHC rescinded their entire payment and the hospital started calling me looking for their $20,000. I contacted our insurance rep who assured me it was a mistake. He got it settled with UHC and I thought the issue had been settled. Two months later, the hospital calls me again saying that UHC never settled it with them and I still owe them $20,000 for a standard child birth. My insurance rep had to refile new paperwork to get this issue settled. I've been told it's taken care of now, but I hardly trust UHC to keep their word.
Additionally their website is incredibly difficult to use. Even following explicit instructions....and I'm computer savvy too....I cannot figure out how to do simple things like change my correspondence to mail not email. I have since switched to Blue Cross Blue Shield and couldn't be happier. I have to wonder if this whole rescinding of payment to the hospital is some kind of punishment for leaving UHC....
Reviewed March 21, 2014
They called wanting to schedule a 30 min conference with me about some coding and billing issues. They mentioned that new coding was in place and of course this was old news since it has changed 15 months before and I was quite familiar with it. The new service coded basically divide the psychiatrist's work into psychotherapy and medication management. It was intimated that the medical director needed to conference with me to discuss my high usage of psychotherapy codes, and also that I provided psychotherapy without prescribing medication.
The most convenient time for me for such a conference would be 5 PM EST making it 4PM Central Time with the "medical director". However, he leaves at 3:30PM and that won't work. I asked how early in the day it could be done. They didn't start until 10:30 AM. I declined to schedule a 30 min time slot to discuss my use of the new codes. I offered copies of any charts or data that I personally had. Not good enough I was told. It had to be a 30 min conference. I declined. I was then told that it was a violation of my contract not to agree to the uncompensated meeting.
In the end, I declined to set a time and invited them to do whatever they needed to. The worse thing that could happen is that they intimidate psychiatrists into not doing psychotherapy with their patients. Already United has run off the seasoned and capable non-medical therapists with lower reimbursement. Do they want to run the psychiatrists away too? Perhaps they would be happier if we just pushed drugs or didn't provide mental health services at all.
Reviewed March 8, 2014
I think your insurance company is lousy. I am a Diabetic on Social Security. You raise your Rates 30% and cover less my medication costs $ 2000.00 a month. You put me in tier 3 and don't cover most of my medicine. I am Changing Insurance companies next year and sending a complaint letter to ARRP. What a waste, we should have socialized medicine and run you out of the insurance market. Greed is what you stand for and wasting money on your stupid wellness programs.
Reviewed March 7, 2014
This company has held us hostage. My daughter is in dire need of IVIG therapy, denied, denied, denied. I now have my state rep and state senator involved. They read from a denial "script" without regard for the person/patient. If you have an option, go some where else for health insurance. They should be ashamed of themselves.
Reviewed March 7, 2014
This company angers me more than you will ever know. Obama was supposed to make Healthcare more affordable. Not with this shyster of a company! Beware! They will take away you're right to purchase medicine at your local Walgreens and then make you pay higher prices through (they own this company), OptumRX! We are paying $180.00 a month for meds that cost us $60.00 through Walgreens! Outrageous!
I want my Blue Cross back! Unfortunately, Hubby owns his own business and they won the bid! Beware, they will squeeze you like a turnip to reap a profit. Worst insurance company I have dealt with! Stay away and run, they suck big time! Obama has ruined the insurance business and we are left to pay the price. So sad!
Reviewed March 6, 2014
Absurd excuse for a health Insurance company. Suddenly force you to use Internet for your meds and actually keep them from you until you jump through hoops to get them. I am elated to report that I am actually the owner of my company and I am dumping this ** company for another Healthcare provider. I presently pay 30,000 a month for my employees. I will be pulling this revenue from them small as it is to them, they will never again see a dime of my money again. I will also tell every human I can to never choose this company.
Reviewed March 4, 2014
I am so extremely dissatisfied with United Healthcare that I have advised family members not to seek medical attention for me unless life or death. I have since July of 2013 worked with my physician's office (they have been wonderful) to keep re-coding a routine annual mammogram to United Healthcare would pay the bill since my plan states routine exams are no cost to the member. They paid only half and numerous times advise me and the physician it was due to miscoding. It has now been sent to a collection agency who calls me in attempts to collect the remaining balance. I assure you in 2015, I will return to Kaiser where I was a member several years ago and never encountered any issues.
Reviewed March 2, 2014
United HealthCare fired me after 30 yrs of service because they state I could not meet production standards. Less than a year before being fired I received a $3,000 raise. I was passed around from manager to manager, given different directions as to how to do my job and called on the phone almost everyday. I was a telecommuter. I was 60 yrs old at the time and did take time off due to my illness. I was given the most difficult work and management/supervisor talked to me in a disrespectful way. Having experience in almost all jobs they had and fully knowing how the company operates, I believe they wanted to get rid of me because I was making too much money and costing them too much in medical bills. They fired me over the phone. I was not given any severance for my 30 years of hard work and experience. I know this happens in all private sector jobs, but I deserved better for my dedication. I believe that I was set up to fail. I say this because they would pull me in every direction possible as far as what they expected of me and never give me enough time to understand. I strongly believe that I was fired due to my age.
Reviewed Feb. 28, 2014
I have United Health Care/Oxford insurance without out of network coverage. I was diagnosed for the 2nd time with breast cancer and this time needed a mastectomy. My breast surgeon and oncologist that I previously used are covered by my plan but the doctor from the plastic surgery group that goes to Winthrop University in Mineola does not. The plastic surgeon said that he can apply for an exception from insurance. Oxford did pay for the consult but the day before my scheduled surgery, they denied coverage in a letter via regular mail. Why waste my time and tell me from the beginning that the doctor was not covered to do the surgery and not approve the consult? I had an aggressive cancer. Oxford gave me the name of 2 doctors to use - one is a hand surgeon and the other only goes to a different hospital. This would have meant that I would have to put off the surgery wondering if the tumor would get bigger.
I would need two surgeries - one for the mastectomy and the other for reconstruction at another date. The plastic surgeon recommended to me said that he would do the surgery and fight later. It turned out that the cancer was caught early enough, that I need no further treatment. Would Oxford rather pay for multiple surgeries and treatments so that I use one of their doctors instead? It does not make sense. Remember, I am not having the plastic surgery because I wanted it - I wish I didn't have cancer at all. Not a way to treat cancer patients.
Reviewed Feb. 26, 2014
Being a member of AARP with whom I trust, I needed a Medicare Advantage Plan. Promoted on AARP's site was United Healthcare. I called them a month ago and spoke with a young lady who said and confirmed, (sharing and both seeing website United health plans) that my 3 doctors were on their approved list as well as my 2 medications. She said she had submitted this plan to Medicare. Two days ago, I received United Healthcare's booklet showing only my primary doctor available and none of the meds I needed. I began calling United Healthcare reps, (4X in 2 days) and all I received was, "oh, sorry" NO HELP AT ALL! I asked to speak with a supervisor and rep said that I'd have to wait 72 hours! I called again, this morning and spoke with a very kind woman - I was calm, but remained irate inside! She did some research and promptly disco'ed my health insurance plan! I thought I could trust AARP and their recommendations - not so sure now! JUST FYI - Buyer Beware!!
Reviewed Feb. 26, 2014
United Health Care patient transport in Arizona - Horrible, unsafe, dangerous, arrogant transportation provided by insurer of disabled indigent patients including broken and junk yard axles making wheelchair vans rear ends weave back and forth, perpetual bad, misfit tire substitutes that rub and screech the entire ride against old van bodies. Prescott Transit, Dial-a-Ride refuses to provide patient (upon request) with guaranteed SAFE and NON-DANGEROUS transportation to doctor appointments and treatments. Transporter service for United Health Care in Prescott, Arizona tells patient that they will get the next vehicle up on the list, with no guarantees even for on time pickups.
Patient with advanced multiple sclerosis and broken back in wheelchair made to wait over 1 or 2 hours for a return van and driver. Transporter considers any patient not living in Prescott or Prescott Valley, but south of that area to live "outside" the area to be shoved off to the last patient picked up for a return ride. Transport company refuses to use other van services that keep well maintained vans; they established their own monopoly by not using these other better van services. There is nobody to complain to at United Health Care, Phoenix, as complaints are not taken well by them, nor Prescott Transit Authority, nor Dial-a-Ride. They are a closed circle unto each other.
I recently rid of the United Health Care, Prescott Transit Authority gypsy gang and went to another insurance plan with a much better transit for my safety and health. Oddly, I found out three days later that my home PA had dumped United Health Care and went to the same (only other state AHCCCS plan for indigent or disabled) plan as I did.
Moral of the story, don't inherit multiple sclerosis (and get to the advanced secondary progressive stage) and don't let the worst drug addict in the area broadside you on the driver's side twice breaking you spine! No better neurosurgeons will stoop to doing surgery on you with the cheapness of this Obama plan insurances-United Health Care and their cheaply bid transport services(with very little former real medical transport experience)!
Reviewed Feb. 25, 2014
Claims department decided I needed to pay certain portions of the doctor's bill to satisfy requirements that were not necessary for me to pay for the services I was to receive fully free of charge according to the benefits department.
Reviewed Feb. 25, 2014
In March of 2013, I found a company still taking an automatic deduction from my deceased mother's checking account. I later determined that United Health Care was billing my mother $33.00 per month for a service that no one knew about. I was informed that my mother's estate would be reimbursed for the several months of billings after my mother's death. The bigger question is how did this payment to United Health Care get initiated? I attempted on my own to get answers and even requested intervention by the Better Business Bureau all of which was stalled by United Health Care refusal to respond.
I finally requested my parent's estate attorney to forward a letter. I now have a letter in hand dated November 4, 2013 with a post office stamp date of 2/20/14 stating that my mother approved for a deduction as far back 1985 for AARP Group Hospital Plan V4. Of course, my mother never billed UHC and they could or would not produce a signature card signed by my mother authorizing these services. I have been given 90 days from the date of the letter to now collect any documents that might provide a claim to submit to UHC. Of course I have concern with the language in the certificate rider and letter which looks like they can deny any potentially qualified coverage.
For 28 years UHC collected money from my mother and never provided any service, updates or notification of this service. Oh, forgot to include my mother was diagnosed with Alzheimer's. I believe the connection started with AARP and was never caught by mom or her caretakers. Off I run to get all the documents for any hospital stays that I can find for my mother.... Wish me luck. There are lessons to be learned. But shame on AARP and their continued connection to UHC.
Reviewed Feb. 25, 2014
I chose to enrol with United Healthcare as my insurance carrier (enhanced advantage plan) after the representative went over all of my medications & told me what tier the drug was & what the co-pay for each would be. Based on this, I could save $ each month. This was November 13th, 2013. It was not until January 18th, 2014 had I even heard the word medical used at all, but on that day I was told 2 of my medications had been denied because they were tier 1 but part B medical & under the Medicare guidelines I was going to have a $50 co-pay on one & the other a $43.98 co-pay.
If you add those 2 amounts together and add my $33 premium it comes to $126.98 & that does not include all the rest of my prescriptions. I have spoke with several UHC employees about this matter & have had some to file appeals on my behalf & have had several to verify what I was told on November 13th, 2013 to be correct. I feel as though UHC should honor the co-pay amount on these two medications without anything being categorized as medical part b. I have asked for transcripts of the conversation between your rep & myself, but all UHC employees steer away from that saying they show nothing about it.
Reviewed Feb. 21, 2014
My employer left Blue Cross and Blue Shield as the employee benefit provided health insurer, misled into thinking they would save money by switching to United Healthcare also known as Oxford by United Healthcare. The rates increased gradually over time to the point where United Healthcare is now more costly as an insurance brand. We just got a quote for better healthcare coverage from Blue Cross, because we want our doctors to be motivated into providing us the best healthcare possible. It's a reasonable fact that a doctor paid fairly by a good insurer will do more for their patient.
Doctors love Blue Cross Blue Shield insurance because the doctors get paid fairly. Many doctors will refuse to accept a patient who is insured by Oxford and United Healthcare because they know there is a high probability United Healthcare will find a reason to not pay the doctor at all, or only pay a small amount of the doctor's fair wage.
Our employer went into the embracing arms of United Healthcare with the promise of "affordable healthcare for small businesses" and now Blue Cross Blue Shield is less expensive. Blue Cross is "the holy grail" of health insurance to a doctor seeking payment. Oxford and United Healthcare is the insurer that HARDLY pays their bills, if at all.
After all the dust settles, Oxford by United Healthcare is overpriced, offers terrible customer service after accepting your policy premium payment, will find any possible reason to deny paying claims-no matter how unfair, and is owned by a greedy business group of individuals who care only about profit. In 1999 I needed a hernia operation, doctor knew I had Blue Cross insurance, doctor said he can fix me the next day, and was paid fairly.
2011, I needed back surgery for a ruptured disc, doctor knew I had Oxford by United Healthcare and said despite my excruciating pain that he had to delay fixing me until he was sure United Healthcare would pay him. Doctor wanted $15,000.00, United Healthcare waited more than 40 days to counter-offer the doctor $7,500.00 and he accepted it under the condition that instead of performing my back surgery at the hospital, the back surgery had to be performed at an outpatient surgical facility not affiliated with the hospital and located about 20 miles from the hospital. Mind you, while United Healthcare waited 40+ days to do anything near reasonable, I laid on my floor awaiting a slow painful death or back surgery, and would have gladly accepted whichever came first.
My back doctor is a nice guy who wears cowboy boots in Connecticut. He is a professional surgeon as was his father. Oxford by United Healthcare agreed to pay him $7,500.00 to fix my back. They only paid him $680.00 (six hundred eighty dollars)! I owe my dignity to my doctor. I owe my scorn to Oxford by United Heathcare. Do not be lured into doing business with United Healthcare, for their promises to deliver are false. They pick up accounts by claiming to be "affordable health insurance for small businesses", and as time passes execute their "bait and switch" by gradually raising the premium rates to the point where they COST MORE for insurance that sucks than what you would pay for great health insurance. Avoid United Healthcare, they are bad for both your health and your wealth.
Reviewed Feb. 19, 2014
Just read the complaint from the UHC insured where he was forced into purchasing drugs from an online company (Medco). I know of people who are fighting an issue concerning Medco and United forcing them too to purchase from Medco. United is a very rotten company and this is just the tip of the iceberg. United depends on business groups. What needs to be done is contacts any chamber of commerce and let them know they should inform companies of United's bad business practices. If you don't feel your complaint is prohibited disclosure, send a copy to your local news media as a News Release! We must draw attention to this very bad company. United give a very name to the Free Enterprise System.
Reviewed Feb. 17, 2014
Most of the complaints that I have head about UHC are spot-on. My employer switched from BCBS to UHC a little over a year ago to save money. I have had doctor and prescription claims repeatedly denied. My doctor and I have to navigate through an unending maze to get things approved which should never have been denied in the first place. UHC's policy appears to be to make claims processing so difficult that a percentage of its members will give up. Unfortunately, the money that UHC maybe saving themselves with this tactic is going to raise the cost of health insurance for everyone because the costs are being borne by the physicians that have to navigate through it and these costs will be passed on in the form of higher physician fees. If you have a choice in choosing a company for your health insurance needs, then I would steer clear of UHC.
Reviewed Feb. 12, 2014
Need eye surgery. Medical group mailed photos to United. Refuse to give address to 1 day ship photos. Only a PO box. Then, United tells me and MD that they did not receive photos. Medical group emails photos. United claims they didn't get them. Oh I have spent HOURS on the phone with United. MD was going to do a Peer to Peer, but United still won't approve surgery without color photos. They did admit getting the fax. I finally found a truthful United supervisor who told me it takes "a month" for the piles of mail to be "attached" to the patient files. Meantime, surgery cancelled. What happens if they find the photos later? Absolutely NOTHING. They do NOTHING.
Reviewed Feb. 11, 2014
I am absolutely certain the action was taken to cut cost. The fewer "Network Providers" the fewer appointments can be made, the fewer appointments the fewer procedures and services to be rendered and the bottom line the less United Health Care must pay for our healthcare! I was treating with a dermatologist for about a year for Basal Cell Cancer on my nose, I had surgery (Mohs) and was really trying to get over then knowing I had another spot to address and scheduled my appointment for after Christmas. This time the biopsy came back Melanoma, I had been treating with this doctor for almost a year. I was comfortable with him and really needed to be with someone I was comfortable with but he had been cut from UHC provider Network by UHC January 1, 2014.
UHC canceled my surgery (4 days before) and said I had to find another doctor from the "Provider Network". I downloaded the list from UHC web site and thought, "Oh not so bad, there are 51 doctors listed. it will not be too bad just much more terrifying without having someone I know and trust," but that was not the case. One group with each doctor listed over and over (some listed as many as 6 times). They run commercials about every 15 minutes on local TV stations fishing for unsuspecting patients (if a physician must resort to television advertising that is huge red flag). I called and was told no I would not be given an appointment with a doctor. I would be seen by a nurse and she would decide when and if I needed to be seen by a doctor and it would be a month before I could even see the nurse!
I already had a biopsy done and provided it and I could not see a doctor! The next doctor available was 54 minutes each way from my home! That is NOT a reasonable distance. I filed an appeal and of course the response was "You do not have out of network coverage (well I already knew that). Duh that was the issue, I could no longer see the doctor I had established a relationship with during a very difficult diagnosis and treatment plan!
I have called UHC numerous times with absolutely no assistance other than see our web site! Or, if you are not comfortable waiting for more than a month to see someone you can always pay out of pocket for services... Well why would I have insurance? Where am I supposed to get this money from, my copay went from $25 to $45 (though UHC repeatedly processes my Primary as a specialist) and charging me $45 copay (one was more than a year ago and they still have not paid my doctor properly).
Then there was the "fasting blood work". I was sent to 4 different labs by UHC each one when I arrived at the address the Lab was closed and had been for months, I would call UHC and be sent to another closed location. The fourth location "bingo" there was actually a functioning lab, I signed in and sat to wait my turn, I see a sign on the wall, "Please have your insurance cards and credit card ready for the receptionist." Lab Corp required that I leave them a copy of my credit card for them to automatically take any amount due! NOT! NO WAY do I leave my credit card in someone's database or file folder to be used at their pleasure. I ended up going to the local hospital though not in Network. It was now 12:30, I am fasting and still no blood work has been done. Again I contacted and filed a grievance to no avail as it was simply an error with no "malice".
Reviewed Feb. 9, 2014
I initially signed up for both Medicare Supplement and Prescription Drug program with United, since we're endorsed by AARP. I signed up early in December 2013 asking for the program to start on January 2014 since I was retiring from my job. When I signed up I told the agent from UHC that both me and my wife were moving from Virginia to Florida, which the agent replied "no problem" and we signed up for the program. On January 10 I received a call and several letters telling me that our coverage was being terminated and I had to apply again which I did, all of these took over 40 minutes of cell time to reapply. Two weeks later they called again and another 40 minutes of my cell time was used to reapply again.
Just 2 days ago they once again called which I blew a fuse and told them off. I am sorry that I chose UHC and will assure you that our membership in AARP will be reviewed by me as well as coverage with UHC when enrollment time comes in 2014. How's it that an association like AARP gets involved with the MORONS of UHC??? I have used most of my minutes speaking with these folks and I am not even sure that all is resolved with them. Please get involved and settle this issue. Thank you.
Reviewed Feb. 8, 2014
I had to leave the City of Los Angeles health insurance under my husband's policy after he got injured on duty as a law enforcement officer. When he had to go on state rate, he lost his city coverage and we could not afford the $1861.00 a month under the cobra plan. We were originally excited about Tri-West before United Health Care attempted to take the military reserve coverage. They are incapable of handling this contract on a professional business level.
We signed up for insurance in December 2013 ... for Jan 2014. We were approved and received our cards. Then our banks sent us new Visa cards with new numbers due to the Target security breach. When UHC West tried to withdraw the money... it was declined... That was the beginning of UHC West's inability to handle a situation. I was told since we were originally approved for enrollment, we only needed to submit a reinstatement form. Weeks later I was informed that was inaccurate and we needed to re-enroll. It has been two months since the beginning of this process. After I re-enrolled I was told to call back next week. I have submitted our bank routing number and account number so it can be directly withdrawn from our account. This is unacceptable. Where do the reserve members go to change this? We are without insurance that we qualify for and we can't call customer service that can help. We are told to call back next week because United Health Care has no direct customer service for military reserve members.
Reviewed Feb. 1, 2014
United Health Care provided my sister with a member ID number that reveals her name misspelled, middle initial is incorrect, and the locality is incorrect. She had been dealing with similar problems since 2013. They will not correct it or send her corrected card. They say it is Medicare's problem. This problem has caused serious issues with my sister receiving treatment with stage 3 or 4 of colon cancer. The problem was suspected in February 2013. After being sent your incorrect or out of network doctors, she started to hemorrhage in December 2013 and was rushed to the hospital. The doctors are trying to treat her but UHC is giving her and the doctors the runaround. UHC had no problems cashing her payment checks for service. The rating for this company is equal to the service that they provide... 000.
Reviewed Jan. 29, 2014
I take ** 250/50 for Asthma and ** 120 mg/day for Fibromyalgia. Both my Primary Care Physician and my Rheumatologist sent numerous forms to United Health and were both told repeatedly that United Health had not received the necessary forms from them. I finally received "permission" for my **, but wasn't certain it would arrive in time. United Health's only suggestion was to get enough to last (a few) days, in case I didn't receive it in time. ** is not pill form. It is a 30 day/60 dose inhaler that manages my Asthma. They then told me they would authorize a refill which I would pay for, but would get no reimbursement. I did not have over $300 to pay out for this medication.
Fortunately, my medication arrived the day I ran out. With the **, they refused to approve the dose my Rheumatologist prescribed for me, which was 120 mg. once a day. They said the "medication book" indicated that only 60 mg was needed for depression. My doctor and I went back and forth repeatedly with them explaining that the ** was for Fibromyalgia, not Depression. Yes, ** was originally prescribed for Depression, but was then changed for use for Fibromyalgia. I finally got the necessary prescribed amount, but my doctor had to send forms four times and there were also phone calls.
Anyone who has tried to call United Health knows that it is a nightmare to speak with their representatives, if you get that far. You can't get the same answer twice from any representative. I told my doctor she should have sent them a bill for her time, since she had billable hours and I didn't. I have a letter allowing one of my medications (maybe both) with an end date in April. I will be starting the approval process in February, so as to allow me time to get "permission" before I run out. Another issue I have had with United Health was that I was "forced" to use Mail Order Prescription Service for three of my expensive medications. I never used this opportunity with my previous insurer, because my mother had problems with missing or stolen medication. I preferred to pay one month extra out of my pocket, rather than trust Mail Order.
If I didn't use United Health's Mail Order, I would have been required to pay the full cost every month at my local trusted Pharmacy. I had to order three prescriptions over a three-month period and Express Scripts (their Mail Order provider at the time) managed to screw up every one of them. Try talking to two companies that were clueless about dealing with other. Bet Mental Health had a serious increase in cases until they got rid of Express Scripts. OptumRX, their own company service , continued the mess by making me go through approval for medications, because absolutely nothing was transferred correctly. My final opinion, so far, is that United Health, could screw up a two car funeral. I would willingly pay more to go back to Blue Cross Blue Shield. I had them for several decades and never went through such stupidity and garbage. Let's hope that my service with United Health doesn't get worse now that I have voiced my opinion of them.
Reviewed Jan. 28, 2014
UHC consistently reneges on the very small amounts it says it will pay resulting in more out of pocket expense for me months after the fact. My dental insurance only covers $1,000 a year, but they refuse to pay even that. So subsequently six months after I thought I'd paid everything I owe I get a bill for over $400 from the dentist, who explained that insurance companies do not have to adhere to their promise to pay what they said they would pay at the time of treatment. In other words, they routinely lie. This appears to be the norm with UHC, and after years of the same thing happening repeatedly I'm finally catching on. Although I detest the intrusiveness of Obamacare, I certainly see the reasoning behind it. These people are nothing but thieves and liars.

Reviewed Jan. 25, 2014
UnitedHealthCare should be renamed "UnitedHealthDestroyer". This evil empire denies benefits and coverage arbitrarily. It's number one excuse (and UnitedHealthCare has all employees well trained to repeat the same story) is to blame my employer for the benefits that it elected and didn't elect for my employer's emloyees. The second and most common excuse is to declare that they never received my claim. I send it again. And again. And again, and they claim the same. Icing-on-the-cake: you cannot send them a letter through United States Postal Service with a return-receipt because their address is conveniently a PO Box. My doctors and my hospital hate UnitedHealthCare. But this evil empire has complete and total control over Washington D.C. There is nothing we can do... or is there?
Reviewed Jan. 25, 2014
Joined before the deadline. To date I have not received an i.d. card and information related to my "account". I was given a series of numbers to give my providers in lieu of an i.d. The numbers were wrong and one series was missing according to my pharmacist after he contact United. I had to pay retail for my meds. Called United and was presented with "ghetto attitude" and lectured, spoke to 3 different people, was given no help at all... After reading many, many complaints, I have come to the conclusion that they are WORTHLESS and I want to unsubscribe....
Reviewed Jan. 21, 2014
I live in Denver. My son is in college in Dallas, TX. Because United Healthcare (UHC) tries their best to make everything as difficult as possible for its subscribers (in hopes that they will get frustrated and give up, thereby boosting UHC's profits exponentially), they REQUIRE that my son's primary care physician (PCP) be located here in Denver, instead of allowing him to use one of the MANY PCPs that are in UHC's network that are within a couple of miles of my son, in Dallas.
SO, whenever my son needs to see a specialist (which, unfortunately is quite often, due to some medical conditions he suffers from), I have to actually FLY him from Dallas to Denver to meet with his PCP, who can then refer him to a specialist in Dallas. And so, of course, I have to fly him back home to see the specialist. The round trip airfare for this is in the range of $500.
This is ABSURD, but UHC refuses to be flexible on this. They won't even let my son "meet" with his PCP over the phone to get a referral - they INSIST that he sees him in person. This is what I mean by them making things so difficult that people simply give up. I know they want me to say, "To heck with it, I'll just pay the entire bill from the specialist, to prevent paying for the round trip airfare". This is SO VERY WRONG - it should be against the law. UHC SUX!!!!!
Reviewed Jan. 20, 2014
I have called United Health Care's customer service line on 5 separate occasions trying to get information on how much my prescription drug coverage and cost. Multiple agents continued to send me on to other agencies who then reported me back to United. When my prescription was finally submitted, I was told I would have to pay $1,496 for my medication because my account had not yet been set up, had my insurance set up my account my cost would be $50. My account has been valid for a week now, so I am paying for this coverage, but someone hasn't set it up?? Their customer service line is only only 8:00am - 8:00pm, and not open on Holidays so I have been unable to fill my prescription for three days now. Thank God this isn't for a vital heart medication or I would really be in trouble! How can such a large company not have better customer service???
Reviewed Jan. 17, 2014
I recently had some odd bills from a provider. I went through the explanation of benefits and realized I had been double billed on two occasions. It appears so far they are billing under the physician and the group where the physician works. I thought the provider had double billed, well...it turned out to be United Healthcare. It was corrected, but I was held responsible for the billing that cost me the most and insurance the least. I found another bill handled the same way and UHC is currently investigating because both of those were paid. I'm sure it was meant to find out which one cost them the least, but it actually was paid in error.
What I thought is the provider was double billing. They weren't. It was United Healthcare doing the double billing. Why would an insurer do that to themselves? The only answer I come up with is to find the cheapest amount they have to pay. Also, they have wordy policies that are contradictory regarding the same diagnosis. I really wish we had a better option, but in general healthcare is becoming more and more of a nightmare. I'm still in the beginning of investigating why an insurance company would double bill themselves. I will keep you updated on what I find.
Reviewed Jan. 16, 2014
Co-pays for medications allow this company to actually profit from prescription drugs. On one medication for a common medication that can be bought for $10 a pill, they charged a $60 co-pay and only allowed three pills per month. Also refused to cover medications, they could not negotiate a profit with on the medication cost. When my employer chose this insurer, I had to change almost all of my medications and some they would not allow at all. Even though the cost of one script would have been only $108 per month and they could have charged $60 co-pay that wasn't good enough for them. And there was no alternative for this drug that would stop the seizures it was treating. Amazing company. Google them with the word lawsuit.
Reviewed Jan. 13, 2014
I am a kidney transplant patient. I have had 3 kidney transplants over the last 36 years. My issue is with the Pharmacy UHC makes me use now. Until last year, I was able to get all my medications from my local pharmacy. Since the company I work for switched to UHC, I am no longer able to. Only two out of the many I take, have to be filled from OptumRx, contracted by UHC for "Specialty" Medications. This, to me makes no sense, since my Doctor is here and not in California. I have numerous issue with trying to get just these two medications. Both are anti-rejection medications. All I get is "I'm Sorry." That does me no good if I do not have my medications.
UHC gives only two "Emergency fills" at your local pharmacy. Last year alone, I had to have 6. Half the year worth of screw ups, by UHC's pharmacy of choice. I am left with the cost of two prescriptions. Right now I am waiting for a Saturday delivery. It never showed up. Again all I got was I am sorry. That doesn't cut it. I work. I don't expect people who work to pay my way, but I will never be repaid for time lost from work to run to the pharmacy and wait. That is if the local pharmacy has any of the medicines on hand. UHC has been nothing but a headache since I started with them.
Reviewed Jan. 13, 2014
I am on medicare and have a med Advantage plan with UHC. For the last year, since my doctor joined a larger health group, things seem to be messed up. I originally blamed the "new" office help but have recently found the problem. My original Primary Care Physician took 6 months off and another doctor took over for him. When I started receiving bills from the doctor's office for things that should be covered, I called the office and was told the bill wasn't paid because I didn't use my primary care physician (PCP). I had my explanation of benefits in my hand at the time and it said the doctor was out of network. It seems UHC doesn't use the same explanation of non benefits for the doctor as for the patient.
I called UHC and they told me the doctor was out of network. I said, "I have your BRAND new booklet here in my hand that says he is in network." I was put on hold for about 15 minutes. They came back and said my doctor has 2 numbers and the number he used for my claim was the out of network number??? I talked to the doctor's office and was told ALL claims are submitted with his current number and he retired several years ago from an office in a different city and UHC must still have that number on file and are using it for his claims. Now I am 3 months behind with unpaid bills and still can't get UHC to admit their screw up. Evidently it isn't a screw up, just a SCAM to get out of paying out what is owed.
Reviewed Jan. 7, 2014
My Medicare insurance is AARP's United Healthcare plan. Several months ago I had surgery at a major Boston hospital, under general anesthesia, with the understanding that my hospital stay would be either one or two overnights. My surgery was very early in the morning and by evening I was feeling very good and only wanted a good night's sleep. Well, hospitals are noisy and busy. I asked if I could possibly go home that same evening and was examined by docs and discharged. Got a good night's sleep and on to recuperation. All good, right? Not exactly.
When I got the bills for my part of the medical costs, instead of being a few hundred dollars as I expected, they were about $4,000, representing 20% of the cost of the operating room, hospital, surgeon, anesthesiologist, etc. I learned that because I headed home late that night, the insurance company was treating my entire surgery as an "outpatient procedure", charging me 20% of all bills. Because I chose to minimize my stay and the cost of my medical care, they are characterizing this surgery as an outpatient procedure. Crazy. I appealed of course, asking them to treat the surgery as inpatient, since I had been admitted and my doc was planning on my staying at least one night. They denied the appeal in a circular argument that was based on the logic that they made the decision they made because they made that decision. Bottom line, people, stay away from United Healthcare. They are scoundrels and they don't give a care about people, circumstances, reality, or YOU.
Reviewed Dec. 30, 2013
We started with them in November - two months before the end of the fiscal year. I had an MRI and they slapped me with the ENTIRE bill, telling me it was to satisfy my deductible which will start over again NEXT WEEK!!!!!!!! I explained that I thought it was unfair and they should let it stand as my deductible until next November. Then they said no and that is just the way they operate!!!!!!! I am going to dump them as quickly as possible!! Also, it is CHEAPER for me to get my thyroid medicine in 3 month increments not using the insurance than to get it through them!!!!!! SCAM.
Reviewed Dec. 26, 2013
My wife can't get the help she needs because she is restricted to 1) a plan, 2) a county 3) an incompetent personal physician. The advertising of united healthcare repeatedly states no networks. I cancelled my enrollment at end of October. Have yet to get notification of said act.
UnitedHealthCare Company Information
- Company Name:
- UnitedHealthCare
- Website:
- www.uhc.com