UnitedHealthCare Reviews
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About UnitedHealthCare
UnitedHealthcare (UHC) offers insurance for individuals and families, employer groups, Medicare beneficiaries and Medicaid members. Its products include medical, dental, vision and supplemental plans, with prescription drug coverage available through select plans. Benefits and availability vary by location and plan type, and members can use its online tools to find care and manage benefits.
Visit www.uhc.com- Multiple coverage types
- Dental, vision and supplemental options
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- Virtual care on select plans
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- Costs and prescription coverage vary by plan
UnitedHealthCare Reviews
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Reviewed April 21, 2016
Like many good ideas and institutions like Hospice, corporations ride on the good name. Such is the case of AARP and United Health. I quit being an AARP customer when I realized it was no longer fighting for my rights but the rights of United Health. Since AARP does not wish to do this, bye, bye AARP and UH.
Reviewed April 20, 2016
I started with United Health Care on April 1. It's been an absolute nightmare. I was assigned a doctor after the first one canceled my appointment and then decided no longer to be with United Health Care. That put my appointment somewhere within the next two months because of this situation which was no doing of mine. Kept on telling them I need to see a doctor but they told me I was not eligible until May 1 even though it was their choosing to send me to a new doctor and their employee relationship with the old doctor was terminated. Told them I really needed to see a doctor because of nearly passing out. Emergency room doctor told me to see my primary care it was important.
But because of United Health Care lip service, I was told I couldn't and I was told I could and I was told I couldn't five calls later. One of the employees even told me that I needed to speak appropriately. I did not use any foul language, a bit irritated, but that maybe due to the fact that it's been two days and a lot of lip service without anything being ironed out. Today's hours on the phone and yes I mean hours. Something's finally been done so I've been told. Not quite buying it until I talk to my doctor, the one I've never gone to!
The problem is clear. They provide lots of lip service, lots of "yes ma'am we're doing our best" when it is apparently not what's going on. Bottom line: if my doctor can fix the problem, they make it go away and I would be safe to drive again. Don't you think it would cost them less than sending me to an emergency room?
If I were corporate I rethink this. They're not doing their investors any favors. They read a script. They don't understand the problem because they don't listen! I would change this if I got better treatment but so far like I said it's been an absolute nightmare. I'm telling everybody within earshot about my experience. I was literally put on hold for over 30 minutes at a time. My time is not valuable to this company, therefore, I am not. One really wonderful employee had taken care of this call the next day to set up an appointment and it wasn't in their systems. Nobody knew what I was talking about so you might think they would communicate but they don't.
They literally wanted me to visit the emergency room every time I had a problem instead of taking care of the problem. By the way, that cost me $70 every time I make a visit. Question is if I were in an accident due to this condition and they had to spend much more money where is the savings in that? I'm a healthy individual according to the doctor at the emergency room. I have a great heart, kidneys, and liver! He felt it was probably something minor that can behandled. I agree but not handled. It becomes a problem.
United Health Care is inefficient in every way possible at this moment in my life. I have a suggestion: if signing up for health care do not go with United, back away from the desk and run. These people do not treat you well. They are not concerned about your well-being. I have the horrible feeling that collecting your money is their first goal and seeing you in a pine box might be their second. I am not kidding. It was a scary experience!!!
Reviewed April 20, 2016
I had a colonoscopy done 3/18/16 and it was to be covered at 100% as preventative; this includes anesthesia, and anything bill that had to do with this procedure. As of today, they have not paid everything and I am getting bills for this procedure. I have called United Health Care several times about this and was told they will resubmit the claim and they would call me back. They have not called back or taken care of this issue. It shows all claims processed when I log into my United Health Care account but they still have not paid these bills. The customer service is extremely bad.
Reviewed April 19, 2016
Worst insurance company ever! I don't even understand how this company is still in business. Nothing but problems. They denied my claim even though they sent me prior authorization. When I asked what the authorization was for I was told it was to have the procedure. I do NOT need their permission to have a procedure done. That does not make any sense. Now they sent another denial but with the doctor billed under another name I have never even heard of. What a crock.
Reviewed April 15, 2016
It is now the middle of April since my January appt and they will not pay my claim. I didn't have my cards or FSA because they didn't send them on time. So, I paid cash. I sent them a fully itemized invoice saying all that was done and that I paid up front. They harassed my doctor and myself and still haven't paid. I lost my temper in emailing them and they passive aggressively responded every time with something snarky like "hope you're having a great day" when I obviously was super frustrated and upset. The kicker now... they still haven't paid and are stating that they may bill me. TERRIBLE COMPANY. INCOMPETENT and DANGEROUS.
Reviewed April 15, 2016
My mom recently passed away, and in going through all her paperwork, I discovered that she had United Health Care as her insurance. I wish she would have told me this because I would have warned her not to use this company due to their horrible reputation. Anyway, I phoned UHC to let them know my mom had passed away and asked them to please cancel her account. They informed me that before they'd do this, I needed to provide them a copy of her Death Certificate (which I could easily do), and that I also needed to provide proof that I was the Executor of her "estate". I told them that I could send them a copy of her attorney prepared, legally done and notarized will, which states that I am her only child and that I was indeed the executor of her "estate". I also told them that my mom had no "estate" to speak of, considering that she had lived in a small rental unit and had no car, but they didn't care about this.
The woman I was speaking to informed me that UHC would NOT accept a copy of the will, and that if I wanted to cancel her account and stop their billing, I'd need to go to court and get either a "Letter of Testamentary" or a "Letter of Administration". My husband and I don't have the money to see an attorney or to pay for one of these documents. Because of this, UHC won't even close her account! My mom is deceased, and yet UHC wants to keep her account OPEN! These people are unbelievable! I can't stand UHC and I've already warned everyone I know not to do business with them. If you're a senior and you use this unconscionable company, your heirs are going to have nothing but trouble when you pass away! Do them a huge favor and get different health insurance. I can't believe AARP even sponsors this company!
Reviewed April 14, 2016
When my upper molar CROWN broke over a year ago my provider requested service approval. The affected surfaces are occlusal and mesial. There's a huge gap between the broken PFM crown and the adjacent tooth. I started getting food impaction, constant pain in the gum, frequent subgingival infections and inflammation. According to UHC customer service rep I have dental coverage. My provider's initial request for service was denied, an appeal was denied. Reason: insufficient evidence of decay. There's no tooth decay. It's a PFM! But the numbskulls in dental review department can't seem to understand by looking at clear pictures made by in intraoral camera my provider submitted.
I called UHC dental department and made an emergency appeal over the phone. Denied for the same reason. I asked for the name(s) and location of the incompetent responsible parties who denied treatment to file a complaint with their local board of dentistry, but UHC refused to provide that information. My only option is to go to a dangerous city where I would not go under any circumstances and appeal in some court or write a letter to some stupid clueless government entity, which will not resolve my problem.
At the same time another old implant crown broke. Same story - food impaction, losing gum and bone. According to UHC I have once in a lifetime benefit and the implant crown can be replaced. Provider requests treatment, UHC denies, reason unknown/not listed. Provider negotiated a very low fee $$$$$ with UHC and does not want to appeal.
I have chronic back pain. Until last year my primary doctor could request MRI. Not anymore. Now I need to get x-ray, then physical therapy. I had zero improvement after therapy, I refuse x-ray, it will not show anything. What's the point of having medical coverage if this business constantly denies procedures. Meanwhile I still get frequent gum infection, guzzle peridex, losing bone and will eventually lose my implants due to food impaction. I'm going to drop this idiotic United Somethingcare and don't want any coverage at all, thanks to their idiotic dentists that deny treatment. I do not recommend U B.S. C.
Reviewed April 13, 2016
The insurance company play phone games. They are liars and time wasters. They continuously send me a card with a dr. that is not in network. They say it's the Dr office that needs to update and the Dr. Offices say it's the insurance co. I called to get a primary care dr.. again. Mine fell out of network in Nov! Meaning they haven't been paid by ins. Co for almost 2 years... so I was given many doctors that were supposedly verified and turns out no they don't take the ins, some for over 5 years now and not in same locations. A lot of times there is no such person at the office or at United Health Care because they lie and read that I'm sorry script. They do not give you a supervisor, they have fun doing these games.
Anyway, the insurance co with me on the phone called a dr and the girl said they take the ins. "And new patients, we welcome you..." she said. The insurance person just disappeared and I made my appt and gave my info to the office girl. A week later I called to see if I can get my husband with high blood pressure an appointment when I have mine. "Oh sure no problem and be sure to get the Dr. Name on card", that's all the doctor's offices care about that card and paperwork. Paperwork pertaining to insurance not your medical stuff of course. I called ins co. They said no problem but they are not in network so they can be updated by having them call the credential line or an online submission. So me as the patient have to get this done = again.
So doctor office was lost and confused and didn't know what to do so I actually gave her the credentials number that I got from UHC, which as a patient shouldn't even have! 2 days before the appt. Dr office twit calls and says "I didn't hear from insurance company so you can come in but it won't be covered." I told her "don't worry I spoke to a supervisor that handled it all, even the card are on the way." I called ins co, no Jessica as a supervisor even exists. I get different supportive supervisor that says Jessica said that dr and credentials are fine and "your all set cards are on the way too." They assured my appointments a go since I told them be sure because my husband and I are zipping there during his work day.
Well I got there and the cow behind the desk took my card and gave me info to fill out then was like, "o when did you make your appointment", so I told her "you know darn well it's been weeks and please don't do this circle talk to me again because by the way I am the patient and I actually been very very sick lately." She says really wise to who was standing next to her, in their cake clutch of 5, she's not gonna let me talk. I asked what she needs me to do now (for this part time job I gained), so she said "o well I didn't hear from insurance company and that's their job to update from here." So I wasted my time again. Called ins co. and they say there's no Jessica ** again and that doc hasn't been in network since last year because it's up to the Dr office to do that. Same story different day! No call back with a provider all day though they said they were calling back in an hour.
I call - they say a whole different doctor that 2 weeks ago wasn't in network, supposedly also... "that's the Dr on your cards assigned to you as of today." This is a bunch of circle jerks. They are getting paid to amuse themselves with these games instead of doing their jobs. They got paid for the aggravation, I just get more headaches. I don't feel any of the doctors even care how their office staff handles things. If they put down the cake and gossip and weren't afraid to do something, it would help. Healthcare, yea sure!!??
Updated on 04/19/2016: Since the last post I was given a primary care Dr. that United called and had me on the phone at same time again to make appointments for my husband and myself. So I made his appointment and held off on mine because I didn't like the reviews on the place. He was to see the Dr. but when I called to confirm it I was told he was seeing a Patricia. Anyway he waited for over an hour in what sounded like a zoo when he called me from there saying they are even taking walk-ins but telling him nothing except they don't have a room for him. Turns out I called there when he got home and the Dr's wife is the receptionist and told me Patricia didn't get into work yet!
Another wasted trip, time and money from work again. I find another Dr. finally that's in network and not too far. Great, I call UHC, let them know I found a Dr. definitely in network for primary care Dr. She tells me, "Yea, you can't change your husband's Dr. and there shows actually no relation and consent for you on his insurance that the girl this morning yesterday and the other 600 reps over the past five years weren't supposed to let me handle his insurance!" So they look to find a problem obviously because that authorization form was signed from day one, five years ago and I never ever had a problem calling on his behalf. The reps actually laugh in my ear and do the "I'm sorry for your trouble" script. Watch out for this company and AARP who I learned is affiliated with them. I think the reps laugh because they know they are getting paid for this aggravation that they think is funny and they do not have this insurance themselves. Health "care"??!
Reviewed April 13, 2016
My financial counselor said that my procedure was covered based on the UHC's Policy that she read online. So, she submitted for me to have this procedure authorized and it came back denied. UHC could not give a reason. They said that the policy that the financial counselor read online was "in error." It made no sense, so I have wasted much of my time calling UHC and was transferred to a few different people. Even the clinic member could not give me an explanation. So she said she would send this off to a case manager. It's been two weeks and I have not heard from anyone. I really don't think their own employees even understand their own policy. I am extremely disappointed and has caused much stress in my life. It's all about making money these days for these big corporations. Customer service is always last.
Reviewed April 12, 2016
Health coverage was to start on 1/1/16 did not get put into their system until 1/15/16 and did not receive my cards from them until 1/16/16. Had a prescription filled on 1/4/16 that would have cost $12.76, however due to not having insurance card was charged as if I did not have insurance at the price of $69.99. Requested over the phone and in writing reimbursement of $57.23 which was denied by the Resolutions Dept. Numerous calls to UnitedHealth One and each call I was on hold for 20-30 minutes before reaching a person. Terrible customer service.
Reviewed April 9, 2016
I decided to try United Health Care because they seemed to offer the best policy. True the deductible was much lower than the other major insurer offered. I remembered my grandma had used them and liked them. That was before all the healthcare requirements. I applied and gave them the first payment info. I never heard from them - no insurance card, no bill, nothing. I tried to access their online site. It says I do not have access and I must call. No one could find my policy.
Today they said I never paid the premium. I said I gave info. They don't have it. They said they sent all the insurance information to my address. I said "Did you send it to (address)?" They said "That's not what we have." I said "That is my address." The girl argued with me. I asked if they had my address from last year, before I moved. "That was not it." I asked what they had. They said they couldn't tell me. I told them I never got any info. They said they sent it. I said "Not to me. You didn't!"
I was told to go to the affordable healthcare site and change my address. I said the aca had my correct address and could I change it now. I was told no, I HAD to do it on the affordable site. I would not be allowed to access their site and they could not change my address unless that site sent them the info. I cannot pay them online with no access. She refused my payment since my address is incorrect. I can't find out where they sent my info. I am ready to just give up on them and I haven't even gotten to the point of a doctor yet! This has been a nightmare!
Reviewed April 7, 2016
On the UHC website, I researched several doctors to use under the Compass Balanced plan through healthcare.gov. The bronze plan I chose did not have my current doctors but I thought I could get by with the doctors I saw on the website. The individual plan is $685/month - NOT CHEAP. When I tried to make annual check up appointments, I found out that none of the doctors that I found on the UHC Compass Balanced website actually take that plan! The famous bait and switch routine!
The most infuriating thing is that because of the ACA imposed upon us by the dictator in chief & Pelosi, I cannot change plans even though I am disgusted with this plan. This is how the ruling party treats the minions, like slaves that have no brain to think for ourselves or demand good service or we will switch to another provider or at least a better plan. If I am unhappy with my home or auto insurance, I am free to shop at will. If I am incredibly unhappy with my healthcare plan, I am NOT free to shop until the next 'open period'. What a rip off the ACA is - to the participants and the American taxpayer who has to pay for this crock of mess.
Reviewed April 7, 2016
My wife needs a spinal fusion. MRI results provides proof along with a Neurosurgeon with 15 years experience - they say it's not needed - they don't want to pay for the surgery. They will not say why or who made this decision - it could be anyone, who knows? She is becoming dependent on narcotics to be able to dress herself etc. United Health Care is the worst company we have ever dealt with. NEVER EVER choose them for your insurance company. There is NO Governmental Agency to police these companies - we are screwed.
Reviewed April 7, 2016
United Health Care is HORRIBLE!! My husband and I signed up on December 15th, 2015 and paid our first premium the same day it came out of our account on December 17th, 2015 and was suppose to be effective January 1st, 2016. Jan. 1st came and our insurance info didn't come, no cards, no information packets. So we called they said we didn't pay for our insurance so we need to make that payment in order for us to have our insurance activated. I told them it was paid and I have proof it came out of our account. So after countless phone calls and wasted hours they found our payment... but not till Jan. 15th!! I wasn't notified till Jan. 21st that they found it!
Well due to their mistake we weren't able to use our insurance for the whole month of Jan. because they lost our payment. I asked for a credit or refund for those days that we lost because they lost our payment. I was 1st told they couldn't do that over the phone and I had to email. Then I was told they can move our effective date to Feb 1st and waive our Feb. payment. I initially said yes but after talking to my husband he said no because we would get a tax penalty if we didn't have insurance for a full 12 months. So I called to say "no move it back to Jan 1st". At that time I was told they didn't know what I was talking about and that isn't something they can even do and don't know who told me that and they have no record of anyone telling me that.
So I call and email several more times trying to get a credit for the days I wasn't able to use our insurance because they lost our money for a whole month. Now it is March so I log onto my account at UHC and I am being billed for over $1,000 (my premium is only $229.78 a month). I am being charged for 2 of the exact same plans! 1 effective date of Jan 1st 2016, and 1 effective date Feb. 1st 2016. I call and cancel the Feb. plan. They say they don't know how that even happened legally etc. It is now April 6th 2016 and I am still calling trying to get something taken care of. I am not even asking for a refund just a credit to my current bill for the days I lost. I am currently on the phone as I am typing this. It has been 49 minutes... mostly me being on hold and guess what they just offered me? To move my effective date to Feb 1st, 2016. I DO NOT RECOMMEND paying any money early to this company, because they might lose it for a whole month.
Reviewed March 31, 2016
I will not be renewing with this company next year. I had to wait a month to get approved for dental work after a tooth was broken, this has never happened to me with other dental plans. There is a separate website each for medical, dental, vision, and to get prescriptions in the mail, 4 total!! Because I turned 65 last year I can't be enrolled in Washington State Health Care anymore. It's much better and cheaper than Medicare/United Health Care.
Reviewed March 26, 2016
I signed up for the $400/month bronze plan with prescription savings plan. Once I signed up for that plan, I then found out it doesn't cover mail order prescriptions or most prescriptions in general. I called for assistance and basically was told, "Sorry we can't do anything..." I basically was lied to or tricked prior to signing up for this plan, and now each time I call it's basically "too bad for you." Also, while applying it asked for my PCP, so I put their name in. Have been seeing this specialist for years now. They put some random doctor as my PCP. Never heard of him.
Was told I cannot change it to a specialist, has to be PCP. So now I guess I have to go see some random doctor I don't know to get prior authorization for some of my medications. Which makes no sense, because in the end the health insurance is basically paying for a random doctor when I have my own. I can't wait 'til next open enrollment so I can cancel! I am in the health care field, and I make sure I tell everyone about my problems with United Health.
Reviewed March 25, 2016
Terrible customer service and why pay for health care when everything gets denied and has to go through some black hole process? I have spent hours and hours of my time and gotten nowhere with this company and 2 appeals for a smoking cessation drug that is covered on my plan but they don't want to pay and have ruined a 15 year relationship with my general practice doctor. Now I'm told no more appeals and I have to wait 180 days to go through this process again! Yeah right! If any company treats their customers this badly they go out of business!
This company will go down, just a matter of time. I have never ever in my entire life had this many problems trying to get an insurance company to pay for anything let alone a drug to quit smoking so it doesn't cost our healthcare system more money. I think I now have high blood pressure after 30 calls to them in 5 months and multiple conversations with supervisors and still have gotten nowhere. I will not be paying for this out of pocket given this drug is covered under my plan and THEY WILL NOT BE DICTATING MY HEALTHCARE. First experience with this company in my life as I've always had Blue Cross and they have lost a customer and I will be going up the chain with my dissatisfaction with this company.
Reviewed March 23, 2016
On March 7th, 2016 I called UHC AARP to inform them wife had passed and they still took the 100.00 plus dollars from our account. They said 10 to 14 days it would be back in. They lied. Today is the 23rd. Called them. They said I'm not the insured, can't talk to me. I haven't eaten since the 8th. What they pulled out of our account was the remaining money in it. Lady said "sorry for your loss but can't talk to you," so be careful. They want your money but really don't give a damn about you. I cancelled my AARP membership. Not giving them anymore money. Going to bay area TV station with this. Maybe people will realize AARP only in it for themselves. Yea, I'm dorked off.
Reviewed March 22, 2016
I signed up for United Healthcare in Alabama after disability caused me to resign my position in a hospital after 35+ years. After signing up... the nightmare began. I live on the Georgia/Alabama and my physicians are all in Georgia but I could not sign up for Georgia coverage even though my doctor is only 10 miles away. I am not able to drive, so all appointments have to be arranged with someone to drive me. So I made an appointment to see a doctor 30 miles away after being turned down by no less than 10 doctors on their so called plan because they no longer accepted UHC. I showed up for appointment, filled out 10 pages of paperwork, paid my co-pay and waited. I had informed receptionist I was being seen by a Pain Management Specialist in Atlanta, and she said "no problem." :)
I walked with my walker and mother-in-law (who drove from Florida to take me and try to get treatment for my ongoing debilitating back issues.) After getting x-rays, the doctor finally came in and informed me he could not treat me because it's their policy not to treat pain management patients. I told him I just need a primary to refer me for further evaluation because I did not wish to continue up to take medication and I wasn't asking for medication, but to be re-evaluated by specialists. It didn't matter, they would neither treat me nor refer me. I had to call the insurance company for another doctor. Spoke to insurance company again, going through the automated push 1... carousel. Finally got someone, explained situation, and he said he would find me a doctor or get an exception so I could go to Georgia. While on hold, guess what? I was disconnected.
I called back again, phone carousel, could not speak to previous person even though I had his name. She said they can't do that. Great. So for about the 19th time, I'm telling my story and I gave her my number in case we were disconnected and yes, we were. Called me back at 5:00 at which time all doctors' offices were closed. She told me they don't make exceptions so the other representative was incorrect for telling me this. Called them the next day and they finally found a doctor and I verified by three way call that they would see and treat me. Great! This is March 10 and appointments won't be until the 23rd. So asked where the nearest Urgent Care was that our plan covered... Almost 90 miles away.
Now I'm sitting in the car Friday in the parking lot in Carrollton, GA while my mother in law goes in and gets me groceries. I'm hurting so bad I cannot operate an electric scooter. She ask me if I had enough pain medication, and I said yes, I had more than enough to kill myself! So she puts me on hold, comes back and says she's going to transfer me to a help specialist and I said "great, thank you so much", and guess what, I get transferred back to the original phone carousel!!! When I finally got a person, I lost it! Needless to say the temper I had controlled all these weeks just exploded!
They put someone with an admitted bag of pills who has mentioned killing herself on hold for 23 minutes (yes I forgot that part) and then sends me back to the original phone recording. I asked him his name so I could leave it on my suicide note and he gave it to me! This is all the absolute truth. This is why my mother in law drove up here, to see me fall apart at the hands of United Healthcare.
So run, don't walk as fast as you can. They are so polite on the phone until I realized after all these calls that it was all scripted. So what am I going to do? See the doctor this Thursday, and if I'm not shown proper care and respect, I'll be packing my bags and moving back to Georgia and then they can help me to transfer my health care to Georgia. It will mean leaving my husband and my house of 15 years, but I really don't know what else to do. After caring for patients for over 35 years, I am left by the very system I put my life into.
Reviewed March 22, 2016
My daughter was born on June 14, 2015 and had one month of coverage with Kaiser before she was switched to a United Healthcare family plan. Her coverage with United Health Care started on July 6, 2015 and her coverage with Kaiser ended on July 14, 2015. United Health Care has repeatedly denied claims AFTER July 14, 2015 (when my daughter's Kaiser coverage ended) on the basis that she had another primary insurance that should be billed. I have called United Health Care at LEAST seven times to resolve this issue. Every time the "customer service" agent assures me that the issue is resolved and that the claims will be paid, but this is never the case.
On March 11, 2016, United Healthcare took back money they had already paid to my pediatrician for one office visit on 8/6/2015 and one well baby visit on 8/17/15 (both well after her Kaiser coverage ended) in a total amount of 1365.00. I have attempted to resolve this issue numerous times with United Health Care and they have not only refused payment of valid claims to my pediatrician, they have refused claims under the same false statement (that myself or my daughter has other primary insurance) for several other medical treatments that are clearly covered by our plan. They have refused payment for these treatments even after I contacted them about this error and (supposedly) reached resolution. Now they have rescinded previously paid funds that are CLEARLY owed by them to my pediatrician, leaving me with the bill.
While speaking with the supervisor at United Health Care, she revealed to me that United contacted Kaiser on 3/16/16 to confirm that my daughter did have coverage with Kaiser on the start date of my United policy (7/6/15) and used that information to deny claims on 8/6/15 and 8/17/15. United also called my husband on 3/16/15 to ask him if my daughter and I have Kaiser insurance and he said no.
I would like United to tell me why a United employee contacted Kaiser to research their responsibility for claims made on 8/6/15 and 8/17/15 but never actually asked Kaiser if we were insured through them on these dates. I am concerned that these actions are a systemic issue that is potentially designed to delay payment on legitimate claims and would like to receive comment from United.
Reviewed March 19, 2016
When I purchased this policy after moving to MS in the Fall of 2015, I was told that Dr. ** was in network and I could still use him as a Primary Physician. I still saw Dr. Calvin ** or his nurse practitioner until the end of 2015, and the claims were paid. I have been going to Dr. ** over the past month for high liver enzymes. When I received the rejected claims, I contacted Dr. Mullins and he nor anyone in his office were aware I could not be seen there anymore. He stated I see patients from MS who are insured by United Health Care all the time.
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I made an appointment with Dr. ** and upon arriving, I was told by the receptionist that I should make sure I have been assigned a primary care physician and that Dr. ** was in the network, because many patients are seeing their claims denied. I called back Member Services back and the agent told me that I was not assigned to Dr. ** and that he was not even in the network. She emailed me a list of providers and his name was listed.
I called Member Services again and was assured that Dr. ** was in the network and that I had been assigned to him. It appears that many of the employees of United Health Care are not familiar with their jobs and how to do them. And, the information provided to patients and providers re: coverage does not clarify the requirements to get a claim paid, and that this is not an isolated case.
Reviewed March 19, 2016
UnitedHealthcare probably saves about 20%. By going against standards of the industry through various fraud. The insurance industry is now being enforced by former UHC execs. The head of Medicare is a former CEO within their organization. Physicians and patients both lose and since their CEO's pay is mostly done through stock options, it makes more money for him to deny claims boosting the value of their stock at that very moment.
If you are a physician’s office and you request authorization, be prepared to fight in order to get that authorization. Once you get it, be prepared to have to send in all notes from whatever was done. Expect delays and expect them to pay only a portion so that maybe in about 9 months you might get paid from all of it with about a 20% lower payment than that of even Medicare. UnitedHealthcare is in the provider world is this. Requires 4 times the work, and gets 2 times less the pay out from any other insurance. Nobody should be allowed to do what they have done and continue to do. They really should be shut down as a company.
Reviewed March 16, 2016
The very worst you could possibly imagine. My wife had Care Improvement Plus as her medicare advantage PPO. They merged with UHC and it has been nothing but a disaster since. I would definitely advise against this company!
Reviewed March 11, 2016
Sumatriptan denial - I have managed having migraines for years. The neurologist recommendations are for 9 pills per month. It has been the standard amount for two other insurance companies. This many pills allows me the ability to work and function, knowing that I have medication if I need it. I have insurance through my employer, I also pay a premium. I cannot believe this company is allowed to do this, randomly choose not to follow MD recommendations. This medication is expensive. Shame on them.
Reviewed March 10, 2016
I had this insurance in 2014 through my husbands employer and ended up needing a hysterectomy in December 2014 - my husband's employer had already decided to switch insurance companies in Jan 2015, so I was in a time crunch. I went on Dec 8th for pre-op evaluation, and my surgery was scheduled for Dec 18th. Unfortunately I found on from the hospital on Dec 17th that the insurance had not yet approved the surgery, because pre-approval had just been submitted by the doctor's office that morning, the day before my surgery.
I called the insurance company in tears to get this surgery done, as I was in pain, and I was told she would do everything possible to get it taken care of. I also stupidly disclosed that we would be changing insurance companies in a couple weeks and I didn't know what the coverage would be and I had already met my out-of-pocket annual maximum - a perfect reason for them to delay approval to not have to cover. Imagine my surprise to get a call at almost 8:30 pm (well after closing time) to tell me it was all taken care of, I could have my surgery the next morning. Surgery was done, bills were paid, no problems.
A few months later the anesthesiologist was billing me, saying my insurance didn't pay them - I looked at the EOB's, which said I owed them $0 due to network discounts, so I called and told the provider this. They said "OK, no problem". A few months later (after my coverage ended) I got a call from the anesthesiologist again saying I owe, and that they are not in network with my insurance. I called UMR and they got on 3-way call with me and the provider and told them they are in network. The anesthesiologist office said "I don't care - we are billing it".
True to their word they sent me to a collection agency. I told them what happened (Note this was almost a year later, long after coverage was terminated with this plan). I called UMR and they send documentation to the provider showing their in-network status with a copy of the contract. The collection agency continued to call and I continued to explain to them and they told me to call the provider, which I did, and they said they would look into it, which they didn't.
Fast forward to today, March 2016, 15 months after my procedure and the termination of my UMR plan - the collection agency said I need to send EOB's to show I don't owe the balance by the end of the day or my credit is going to take the hit. I called UMR with no ID, no active plan, and no benefit to them whatsoever and spoke with Natalie, a super-sweet woman who looked up all EOB's for anesthesia (as they did not bill under their business name, but under a provider whose name the provider couldn't tell me), and she faxed the EOB immediately and waited on the phone to make sure I got it.
I faxed it to the collection agency; game over - I win. UMR reps were always understanding, helpful, accommodating and expedient. I know they say people are more likely to leave a bad review than a good one, but I believe this company definitely deserves credit for the assistance they provided me, and continue to provide long after my coverage was ended. I would recommend them to anyone looking for good customer service.
Reviewed March 10, 2016
My car door flew open in the wind and struck my face and I needed a couple sutures. I am an infrequent user of my health insurance. I go maybe once a year for my yearly physical and take no pharmaceuticals besides vitamins. After a $580 ER visit for the sutures United Healthcare hired an auditor to "investigate" to see if my auto insurance provider should foot the bill. The "auditor" was rude and sounded like she has way too much "ah ha I got you" in her voice on this minor expense, minor issue and "turned a molehill into a mountain" came to mind. I am sure United Healthcare spent more to "investigate" that my bill should be paid by my auto insurance versus if they had just paid the bill. Since this time, I have had Cigna and BC/BS, both awesome insurance companies with no issue. Good luck United Healthcare in your quest to do everything in your power to get out of paying anything.
Reviewed March 8, 2016
I'm really disappointed with this Insurance. I can't find a local Doctor that accepts this. I've been seeing my Cardiologist for 4 years and didn't mind paying the $20 extra dollars but now I have to pay $160 in full when I see him every 6 months. There are probably others nearby but I can't seem to cancel this? I've called several 800 numbers that I was told to call and they said I had to do this on the internet? I'm so disgusted.
Reviewed March 7, 2016
After dealing with a doctor that never so much as took my blood pressure I called. I needed a referral to mental health. I waited 3 months to be sent to one that is 150 miles away. It is like dealing with the 3 stooges. I filed complaints but give up changing out of this company that calls themselves a Insurance Company. I called more times and always put on hold because the "computer is acting up". Same excuse and hold time 20 minutes. They try to sound like they care but have no clue to what coverage is available.
Reviewed March 3, 2016
My mom changed to Kaiser as of 1/1/16. After not realizing she couldn't see preferred doctors, she wanted to switch back to United Healthcare. After contacting United Health Care to see if we could go back, United Health Care advised us to cancel Kaiser and send them the paperwork so they can reinstate her. Now that Kaiser has cancelled and she has no insurance, United Health Care tells us that it is not possible. This shows that United Health Care is AN ORGANIZATION THAT DOES NOT EDUCATE THEIR EMPLOYEES AND TAKE NO RESPONSIBILITY FOR THEIR ACTIONS.
Reviewed March 2, 2016
My company switched insurance companies to United/Oxford this year. I have never before had so many problems getting a medication that I have been taking for years. The medication was denied. My condition has gotten worse and am in pain which I explained to customer service. They say I need to try a substitute which I would be happy to do but it is not available to my pharmacy. In the meantime I am in pain and they are making me and my doctor jump through hoops. They are the worst, stay away.
Reviewed March 2, 2016
This has been some of the worst customer service I have ever received. In a week, I have talked to at least 7 different representatives, spent 3 hours on hold, been promised 3 call backs (none of which have happened) - all just to confirm whether or not they received the referral from my doctors office. Every representative promised to contact the primary care office and resolve the issue, and it still has not happened.
Reviewed March 1, 2016
In December I signed my wife and son up for a UHC Gold Plan in Texas. At that time I verified that their doctors and medications were covered by this plan, which was confirmed. At that time I was told that we could choose their primary care doctors. My wife's choice for PCP was her gynecologist, which they confirmed was fine. Well, that was the first lie. We found out in late January, when I called UHC that she could not use her gynecologist, even though he's on her plan. Then, UHC billed us twice around January 20th, 2016. Billing said they would send a refund check.
It's been almost 6 weeks, and we've received no check, no credit, no confirmation of one coming. Thirdly, and this is the most harmful fraud of all is that even though I verified my wife's prescription medications in December before signing up with them, and even though their two Apps (myUHC and OptumRx) showed her medications as being covered for her plan after putting her ID card registration in, which I have pictures of, they have denied coverage, and since my wife just ran out 5 days ago, her psychological health is in jeopardy.
These are medications that she's been on for 15 years and were covered by Golden Rule and Cigna, but UHC has fraudulently denied them, blaming no prior authorization from her psychiatrist, them blaming OptumRx, who in turn blames UHC. My wife's psychiatrist has filed an appeal, but according to her, UHC will drag this out for months, and they are the worst healthcare company to deal with. If this were a cancer or diabetes drug, she'd be dead! As it is, I may have to have her committed. So, I will take this to the insurance board of Texas, the Texas attorney general's office, the BBB, and all internet complaint sites.
Reviewed Feb. 29, 2016
Enrolled in Bronze Compass 5500 plan with United Health Care through Marketplace Exchange. Online payment made but never made it into system. Coverage terminated without notice. UHC admits it was done in error but after spending 2 weeks making numerous phone calls nothing has changed. UHC billing page shows coverage in terminated status. Benefits page shows coverage still in effect. UHC will only accept phone payment directly from my banks accounts, which I refuse to do. They will not accept debit card or credit card payment on phone. When I go to webpage to pay online it won't let me because my coverage says "terminated." It's a total Catch-22.
None of their customer service specialists have been able to reinstate my coverage despite claiming they have initiated reinstatement many times. There was a 5-day waiting period that is long passed. I can't get another healthcare plan because open enrollments are all done. We are totally screwed. We will pay, no problem! We should not have to give UHC direct access to our bank accounts to do so! This is criminal.

Reviewed Feb. 26, 2016
Clearly United Healthcare is well aware of the insurmountable issues they have in customer service. They use call centers in other countries for healthcare!! Additionally they unknowledgeable employees, specifically in the "prior authorization" department. Because of my employer group plan, we are with United Health. A prescription I have filled for 5 years with no issues AND other insurance providers have covered, United customers service says "no DENIED". I am advised (after paying the full cost charged by the pharmacy) by United customer service (AFTER 3 1 hour phone calls) to call the prior authorization department. The first call I followed the instructions of phone agent. Again United denied. I called back to prior authorization, followed their instructions which included a form filled out by my dr/staff and then I call again. I'm told it is the incorrect form. I requested the form. I am told rudely, the dr will know which form.
By this time I am extremely frustrated. The lack of consideration for the health care professionals is inexcusable. I call my dr's office and they have no idea why the form is incorrect. I call United back again. Prior authorization refused to fax or email the correct form to my doctor. I found a very helpful United customer service rep that escalated and found someone to help. United Healthcare behaves as though this is my job, my career to make sure the correct forms are being used. They act as though the healthcare professionals have nothing better to do than to create ways of wasting their precious time.
Every time I see one of their commercials I think why are spending money there instead of improving their system? They could care less about any of us and clearly there is a group that is gaining from what the members are losing. My hope is that there will be continued investigations into their poor, unprofessional treatment of the members.
Reviewed Feb. 25, 2016
Husband is an retired iron worker - we had to change to United. We're very upset - but no problems whatsoever. Very satisfied. They have sent information to us. Calendars silver sneaker cards... using same dr. No problem with any meds. And we take some very expensive ones.
Reviewed Feb. 24, 2016
United Health One consistently fails to automatically process payments, and sends out "Final Notice" for payments. The "Contact Us" page provides a phone number to an IVR - no option to email, let alone chat. Talking to an actual human can take upwards of an hour or more on hold. As a monopoly in my area, the cost is astronomical to begin with.
Reviewed Feb. 24, 2016
I have recently become an independent contractor and signed up for United Health Care COMPASS insurance through open marketplace for 2016. It cost $1200 a month for my husband and I. I spent 3 hours yesterday calling all the doctors on their provider list looking for a primary care physician. No doctor takes this insurance! I called customer service and they just keep sending me their provider list. I feel like I am losing my mind. I am paying a lot of money for an insurance that I cannot use and the insurance company keeps sending me the list of the same providers that I already called. I live in downtown Manhattan. The latest provider list I received lists doctors in New Jersey and in Brooklyn. I think it is an unreasonable expectation that a person seeking medical care will travel across state border to receive medical help or a referral to a specialist. I am absolutely stunned by this situation and, honestly, don't know what to do.
Reviewed Feb. 24, 2016
In June of 2015 I had a surgical prostate procedure. The hospital wanted over $500 before I even had the surgery. We used my wife's flex spending account to pay the hospital. When the claim processed, it was denied and deemed experimental. The hospital and I both appealed the decision. At the end of October, I got a letter from United stating that they accepted the appeal and would pay the hospital and the surgeon. All of this time, the hospital has been holding the money which we paid them in June. Two surgeries later, I met my maximum out of pocket which was $2,500, and that meant that the hospital was not entitled to any of that money.
After numerous calls to the hospital and United, I thought that I was finally getting a resolution in January. Sadly that was not the case. I was told that the checks would be mailed out, and I believe that they were. Rachael was the name of the United employee that helped me and told me that since I had met my maximum out of pocket, nothing would be due from me. When I received the explanation of benefits for the hospital bill, I was shocked to see that I could be billed for over $5,900 for supplies that were not allowed. After talking to another United employee, I was relieved when she told me that it was coded wrong and that I owed nothing.
I was bummed about the fact that it would take up to three weeks to send out the explanation of benefits to myself and the hospital. Of course every time that I spoke with the reps at United, it was made clear that this was a very important issue to me because the hospital would not give the money back until they had the EOB and this could be a closed case. Well after speaking to Rachael today, I found out that no letters have even been sent out yet, even though it is now several days past the three weeks that I was told. As I sit here typing this, the hospital has now been holding our money for over 8 months! Rachael told me that the letters will be mailed next Monday. Even knowing that I have been waiting for several months to get the money returned to us, the best that she could do is to mail it out 6 days from now. DISGRACEFUL!
It is obvious to me that United does not care at all to ensure that things are done correctly. They also do not have any concern for the people that they are supposed to be serving. I truly hope that an attorney sees what has gone on here and contacts me about what has gone on here. It should not be legal to hold onto money when it is not yours. I am being punished because of the incompetence of the employees at United. I have been lied to on numerous occasions. The lack of caring and the speed at which they handle claims is truly mind boggling. I'm confident in saying that it will be at least 9 months after the surgery until we get our money back. I would find this whole thing hard to believe if I was not dealing with it myself.
Reviewed Feb. 22, 2016
I've been looking for an in-network mental health provider for YEARS. Went through 3 UHC professionals who dropped UHC after 4 months of starting work with them. Recently had an emergency situation, and spent over an hour on the phone (after ** around on the website trying to find what I needed for a half hour, complete with multiple time-outs and needing to log in again and again) to be shuffled from one barely comprehensible, thickly-accented, useless, impatient, grumpy peon to another.
Note - each of these grumpy peons had a completely different website that WASN'T LINKED TO THE MAIN UHC WEBSITE that I had to type in manually. And each of these websites had technical difficulties which were obviously "on my end" according to the huffy "support" personnel. Count: 5 escalations, 60 minutes combined phone time, not including the initial 15 minutes on hold waiting for a real person to answer the phone. The last person I spoke with was finally able to tell me she just couldn't help me. Die in a fire, United Health Care. You're completely useless. Why am I paying premiums? Why isn't there a class action lawsuit against you quacks yet?
Reviewed Feb. 21, 2016
I needed two teeth capped. There was no dentist in this area in their system. I called and they said to get the work done and they would pay me back. It cost $4000.00. I sent them all the bills. After two months, they sent me a check for $25.00. Stay away from them. They are crooks, liars, thieves and a lot more but I am trying to be nice.
Reviewed Feb. 20, 2016
I had been prescribed a daily medication by a family doctor and again by a specialist who called in a prescription for 30 days. When I got it home, I found out that these people agreed with the daily dosage but only allowed 3 pills per month. Repeated calls by my pharmacist, Doctors and me failed to change their mind - the only advice that they could give my was to buy it online at my own expense. I found a source online which was only 1/2 of what these people were charging me on the copay for the 3 pills they gave me. They also refused a prescription for a medication which is only manufactured in a sixty day supply. That approved the drug but only for 30 days even though nobody manufactured it in 30 day dosages. These are totally dishonest people who manufacture reasons to avoid paying legitimate claims.
Reviewed Feb. 19, 2016
I made this account so that I could review United Healthcare specifically. Almost everyday there is an issue with United, either canceling my plan for no reason or not processing my payments. I have spent COUNTLESS HOURS on the phone trying to fix my insurance plan because of mistakes on their end. Last year, I had to file a formal complaint with the Division of Consumer Services because they had enrolled me in two healthcare plans at the same time, and were insisting that I pay the premiums for both for five months. This went on from July until November. After trying everything through their customer service and billing phone numbers I eventually compiled my payments in a credit card statement and what they showed online, along with a letter detailing my frustration and the situation. It was finally resolved by the state.
I should have known to cancel my plan with United then, but I don't want to find new doctors because of different insurance so I have stuck with them. The problems have only continued. This January (two months after that last issue), United Healthcare canceled my insurance without any authorization. I was still in the grace period, when I asked why it was canceled they said they didn't know. My insurance was reinstated but I still had to pay premiums for January and February despite not "technically" being insured because of their constant mistakes.
To give you an idea of what having a plan with United is like: Today I could not get my prescription at the scheduled time because United still reflected that I had not paid my premium. The $588.11 that I owed for January and February was taken out of my account on Wednesday, February 17th. I had to call United and ASK THEM to please update their system to reflect those payments. Do not, under any circumstances, opt into a plan with United. You will face constant problems, poor customer service, and ridiculous answers to the most basic questions. Worst company I have ever dealt with in my life.
Reviewed Feb. 19, 2016
I was insured by United Healthcare for most of 2015. During open enrollment I found a new and better policy that fit my needs for 2016. I went online and "unchecked" the box that allowed United Healthcare to automatically withdraw the monthly payment to them from my bank account. I then paid my last premium via credit card. I never rechecked the automatic payment option. I checked my bank statement and saw that UHC withdrew the next month's payment from my bank without my permission. When I called the gentleman (Kim) acknowledged the error and said for some reason their system reverted back to the auto payment option. He saw where I opted out but said he would have to submit a form to their Finance Dept. requesting reimbursements for the funds that they withdrew from my bank account WITHOUT MY PERMISSION.
I followed up about a week later and they said that they are denying my refund because I did not officially cancel my policy through the Maryland Marketplace. I told them I tried to cancel with The Maryland Marketplace but could not get through to them. (When you call you just stay on hold forever.) I understand that I did not cancel through The Maryland Marketplace but that does not allow them to withdrawal an automatic payment without my permission. I then spoke with a Supervisor (Terry) who said there was nothing she could do and has no idea how or why their system "popped back on" the option for automatic payment. So she admits their system "pooped back on" that option without my knowledge. I pleaded with her because the payment is quite high. She finally admitted that she does not have the authority to give me a refund. She said I had to talk to her Finance Department.
I asked for their phone # and she said she doesn't know it and has no way of finding it for me. So a Supervisor in United Healthcare's Customer Service Department acknowledges that their system in error reverted or in her words "popped back on" the option to automatically withdraw a payment from my bank. She then has no authority to refund what is owed to me. She also has no access to the Finance Department who she says is the Department that I need to speak to to get the refund owed to me. UHC admits their error but still refuses to refund me the high monthly payment owed to me. I will be lodging a formal complaint with the Maryland Insurance Board and with any other agency I can find to report that United Healthcare withdrew money from my bank account without my permission and admitted it but they still refuses to reimburse me!
Reviewed Feb. 18, 2016
On February 1st 2016 I made a payment to my daughter's health insurance premium online through the United Health Care Billing website. I attempted a payment and it didn't go through and I never received a confirmation number. So I waited a few minutes then I attempted to make the payment again and it went through and I received a confirmation number. The next day I noticed upon checking my bank account online they had charged my account twice for the premium amount of $368.12 which was still pending.
On February 3rd I contacted the UHC billing department about the pending charges. They said there was nothing they could do and I would have to wait until it posted to my account. I called back later that day and spoke with another representative and they put in a ticket number for the pending refund to be reviewed. I was told to call back in 5 business days to check on the status of the refund.
I called again on February 11th and the representative that I spoke with checked with the resolution/accounting department and told me that I should see the refund credited back to my account between February 15th-17th, which I did not receive. On Feb. 18th I called again to let them know that I still have not received my refund. They kept asking me if I wanted to just use it for the next month's premium. I made it clear to them that I wanted a refund and not a credit for next month's premium. This time I was told by a supervisor that I would have to wait another 5 business days before I would receive a refund. I told her that was not good enough but was told that there was nothing more she could do. So I attempted to contact someone at the Corporate Headquarters to file a complaint and I believe I was rerouted back to the Billing Department.
The representative that I spoke with this time, (after putting me on hold to find out more information on the status of my refund) proceeded to tell me that I would not be getting my refund back until Feb. 29th. Again, I told them it was not acceptable and how frustrated and upset I was over this matter. I also told them that I would be looking into reporting/filing formal complaints against their billing practices. I was told different dates by different reps ever time I called.
The supervisor that I personally spoke with (which is the last thing these reps want you to do) was not helpful at all and was not very nice about it. This was an error in their computer system and not an error on my part. It should NOT take more than 5 business days to refund a fraudulent charge. They caused my bank account to overdraw. I'm afraid it will happen again and again. I'm going to look into changing to a different company (especially after reading all the negative reviews). Not sure if it's possible though for this year.
Reviewed Feb. 18, 2016
I have had several bad experiences with this company. I specialize in sleep disorders. The studies I request are capriciously denied, and UHC requires the physician to call, and often I must remain on hold for the better part of an hour. It can take them over a month to review a case for authorization for a study, and then, when it is denied, they will give a reason that suggests they did not read the documentation that they sent. The only way to overturn a denial is to have a "peer to peer" review, which means another wait for a phone call. I have a strong feeling that they deliberately create barriers to care, so that less tenacious requests will simply give up. I can't stand working with this company!
Reviewed Feb. 18, 2016
I have been nothing but disappointed since I began with United Healthcare in October of 2015. So much so that I am willing to put my son back on my work insurance and pay 100 dollars more a month for any other company. My plan was cancelled without my notice (I have paid all my premiums on time) and I had to call more than 7 times to get it reinstated in order to take my son to the doctor. I can't wait until April 1st so my son can be on other insurance. Avoid this company at all costs!!!
Reviewed Feb. 18, 2016
Worst customer service I've ever dealt with in my whole life. They owe me a reimbursement of 2 premiums. I've sent in the proof they've required. They don't return phone calls, or my money - so far. I don't have time to make constant phone calls/emails. I'm absolutely appalled at their lack of professionalism. Changing companies ASAP.

Reviewed Feb. 16, 2016
Have been with Part D company. This year they doubled my rates (hello there was no cost of living) denied 80% of the medication I have been taking the last 6 years. It's very sad when dictatorship overrides a person's health and well being. They are crooks and bullies. Made a phone call, asked the rep for a supervisor and a racial slur was made towards me. HUNG the phone up, was not going to get my BP through the roof!
Reviewed Feb. 16, 2016
Ok so this is our second year with United Health Care and so far they really don't do their job! So my husband has a pre existing condition Gout and he has been taking Uloric, Colcrys and Meloxicam for years to manage his Gout levels and pain. In January 2016 we send for a refill and It was denied. I call United Health care and they told me the Doctor needs to call them to do a pre-approval for all medication and that Colcrys will no longer be covered because is a plan exclusion (by the way I am paying for the best PPO plan they offered). I called my doctor and I explain to him, he called the insurance. They said it would take between 2-15 days to get it approved.
2 weeks later I called again. They said the doctor never called. I called my doctor once again. He called them. Once more they said "he didn't". So on the 3rd time the doctor called and called me right back to tell me they talked to them already. So I wait 6 days to make sure they approve the medication. I called today and they tell me it is denied and they have no reason for the denial. At this point my husband is in a lot of pain, can't work, can't move and I am so frustrated and have no idea how to proceed. I need help!
Reviewed Feb. 16, 2016
I have had the unfortunate experience of health insurance "coverage" through United for the past two years via my employer. They are a complete scam. They won't cover anything or even accept/process claims because they falsely state that I have primary care through another provider. I have no other insurance, nor a spouse or any situation by which I could obtain other insurance. I have called them many times about this issue and they keep saying they will fix it but they have to "hack their system" to do it... Seriously!?! What kind of obnoxious system do they have?!?
I will tell you their system... It is to make profit and deny any coverage and make lame excuses until you are sick to death. They say they will call back... Nope, never do. I have to keep calling them and every time, it is the same story and they say they will fix it. This company is the worst. Because they falsely claim not to be my primary insurance, I don't even get the discounted insurance rate for my out-of-pocket expenses. It is as if I don't have insurance at all while paying about $400/mo in premiums.
The only fortunate thing for me is that I am in amazingly good health so have not had to deal with them much because I rarely see a doctor. That, and I have changed jobs and moving on to hopefully better insurance. I pray for all the people out there dealing with them and may God send us a lawyer who will take on a class action lawsuit against this criminal company... I know the case would be won easily seeing and hearing about the similar cases out there.
Reviewed Feb. 13, 2016
I switch plans with my employer who offer UHC as our primary plan and it would be less expensive for me. In November 2015 my doctor prescribed me an antibiotic, which UHC did not cover and I had to pay out of pocket. Here we are in February and I am need for some other type of medications and UHC did not cover my prescription again.
Reviewed Feb. 12, 2016
I am insured by UnitedHealthcare and they refuse to cover my bills. I have had a supervisor refuse to help me. They have spoken to the old insurance carriers and verified that I was not covered and still refuse to cover my bills.
Reviewed Feb. 12, 2016
I signed up for UHC through the Market Place. I called on Jan 11th to pay my premium thinking it was due on Jan 15th 2016. I was informed I was cancelled due to non-payment on the 1st of January and I had to call the Market Place to reinstate me. I received a letter days letter dated on the date I called stating I was cancelled due to non-payment. Coincidence? I called the Market Place - they submitted a claim to their Health Plan Specialist. I got a phone call from the Health Specialist saying everything was taken care of. Then I received a letter from UHC saying they reviewed the request and cannot be reinstated effective 1-1-2016 and I will owe a penalty at tax time for not having health coverage. I called them and asked why I could not be reinstated. They said it was because the Market Specialist put reinstatement date for January 1st and not the following month for February.
I need to contact the Market Place and let them know to date it for Feb 1st. I did and the lady gave me a 411 on when you apply on the Market Place when payments are due. I tried to tell her what UHC representative told me about reinstatement for the following month of Feb. She said there was nothing she could do because it was up to the Market place specialist and it shows I am active. Called UHC again before Feb 1st to see if it was fixed to pay my premium and they said no I was still cancelled.
Called the Market Place again. The young man informed me that there was nothing that could be done and I should have paid by January 1st. Frustrated I started crying and he was like "sorry Ma'am nothing can be done about it" and sign up for coverage in November. I called back to talk to someone else and she was nice but re-submitted my claim to the Health Specialist Department. I said, "okay but I already did this and UHC refused to reinstate once before." What do I do if they refuse me again? She said they wont. I still have no coverage for my children.
Reviewed Feb. 11, 2016
My mother-in-law was rehabbing in a nursing home from a broken ankle. United Healthcare stopped paying benefits as soon as she passed the bridge and at that time UHC would be responsible for 100 percent of her daily nursing home stay up to day 100. They denied her benefit stating that she did not need nursing home care. Nobody at the nursing home agreed with this assessment. We appealed this having to go by their process. It took six months to complete this difficult process but we finally got our hearing in the firm. I had a conference call with an administrative law judge. I was very sure that I would win.
I did win but not in the manner that I expected. As soon as the hearing began the UHC representative conceded the case so I won without uttering a word on behalf of my mother-in-law. I was very surprised especially considering how difficult they made the appeal process. They try and intimidate you and placards lot of roadblocks in the way but just follow the appeal process and don't give up. I did this by myself and it worked. I saved my in-laws about $7,500 in spite of UHC.
Reviewed Feb. 9, 2016
I went through the Healthcare.gov in Dec 2015 to insure my wife and had to choose United Healthcare of Alabama, premium was $405 paid Jan 1st. Went for a Doctor visit and Bam! NO INSURANCE! Made phone call to Obama care and they said all application were complete and if payment was made, I should have coverage. Called UHC approx the middle of Jan and was told that my payment did not process due to high volume of enrollment, after about a hour on the phone explaining how to get reimbursement for out of pocket payments they said problem was corrected and coverage was confirmed. Well another doctor visit said differently, NO COVERAGE! (More $ paid out of pocket.) Another phone and they told me I had coverage and gave me a ID# to show the doctor until my papers and ID card came in the mail.
Today Feb 9th 2016 went to local pharmacy to have some meds refilled and the pharmacist told me he needed Bin # and group # so I called UHC and got the #'s thinking she was covered. After filling the prescription he informed me she had no ins. I called and after talking to a lady for approx 30 mins who acted like she was confused or trying to make up a story about my payment I ask for a supervisor, on hold for 30 more mins the line was disconnected! Called back and ask for a supervisor who stated that my Jan 1st payment was not processed until Jan17th and then cancelled by the market place for some unknown reason.
Reviewed Feb. 7, 2016
We signed up and made our first payment for the coverage of United Healthcare in December 2015. On January, we called UHC for access the primary healthcare listings. Made an appointment and when we tried to verify our PCP online we found that we were not registered. When called UHC, we were informed that we were no longer covered due to "lack of payment" when we had already paid in December for January's premium. The customer representative informed us that we short $2. We then made the payment immediately over the phone, this was Jan. 23. Today is February 7 and we still have no coverage. This company had drop us after the fact that we prove to them that the funds were already collected. We had to contact our bank to verify payment via statement. My husband is a diabetic, he needs his check ups on regular basis. He also needs to see a Sports Medicine Physician as well as a Urologist and a Ophthalmologist.
Reviewed Feb. 6, 2016
They told me on joining I would have a $20.00 to pay on my doctor bills and I would never have to pay more. Ha ha THEY DON'T PAY ANYTHING! Left me with thousands in bills and to make things worse after canceling their service they are still taking money out of my bank. They claim they can't stop taking my money for another cycle and they won't put a manager on the phone with me... Living on less than a $1000.00 a month and having them take 20% of my income and pay out nothing is to me unbelievable. I am down to 1 meal a day because of these lying thieves... I can’t believe how they have scammed this old man.
Reviewed Feb. 6, 2016
I recently called my pharmacy to refill a prescription for Cipro. My prescription regimen has not changed in 15 years. However in this case United Healthcare denied to pay for the prescription and instead recommended another antibiotic. Even the pharmacist told me that what they recommended would not treat the anything near what Cipro was prescribed for. I then called United Healthcare and they said there was a drug interaction rejection (which they didn't know what drug it was). That CVS would have to call my doctor and then call them back. I reminded them that my doctor was the one that prescribed the medication in the first place. They wouldn't budge. So it's a Friday, so they are going to deny an antibiotic for the full weekend and let me get worse in my illness until Monday causing who knows what damage.
They have not only inconvenienced me to call them, they now want to inconvenience CVS to call my Dr. and then call them back and deny me the medication for a full weekend just to try to get out of paying for something I have used for years. This should be criminal and when they insert their ridiculous processes onto other people they should have to pay a surcharge to every single company or individual they make take time out of their day to cater to their ridiculous processes. United Health Care should be sued and forced out of business! I'll be posting this to every social media around. They deserve the one star rating they have.
Reviewed Feb. 5, 2016
I signed up with UHC late December via Healthcare Marketplace. I called UHC and made my payment over the phone. The rep I spoke with applied it to someone else. It has been a nightmare from there. After twice weekly phone calls, 20+ hours they are REFUSING to fix it. I have submitted proof more than once. I have never worked with such an inept company. Frankly I hope they go out of business - that is how bad their systems plus customer service is.
Reviewed Feb. 5, 2016
Prior to going to my doctor on 10-23-2014, I used the UHC estimator on their website to verify coverage for a shingles vaccine. I was told that for a 57 yr. old, it was 100% covered & "Good Job" on preventive care. That information was absolutely INCORRECT! I have been fighting with UHC for 16 months now. They state that it was only covered if I was 60 yrs. old (which is not what their estimator said). It stated that I would have $0 out of pocket cost. If they would have told me that it was only covered for 60 yr. olds, I would have waited the 3 yrs. to get the vaccine.
favor. I had informed UHC that my pharmacist told me, after the fact, that had I gotten the shingles vaccine from him, that it would have been covered. My 57 yr. old husband did get the vaccine from our pharmacist & it was indeed 100% covered. I asked why UHC didn't tell me this because I would most certainly have gone to the pharmacy to get the shot & saved myself all this grief.
I have 100 pages of documentation with UHC & about 50 phone calls & emails to them. On 9-23-2015, they sent me a letter stating "You have no responsibility for this claim. The provider cannot bill you for the difference between the contracted rate and the billed charges". I forwarded this information to the provider & thought the case was finally settled. Imagine my horror when I received a call from a collection agency stating that I owed the $210 & that UHC reprocessed the claim again & now I was responsible for the bill. UHC didn't even have the decency to contact me to let me know. I had to find out from a collection agency. The agency informed me that they would report me to the Credit Bureau & ruin my credit if I did not pay the $210 by 2-14-16. My credit score is 840 & I have never had an issue with bad debt prior to this nightmare.
I was at my wit's end & sent a letter to the CEO of UHC. He forwarded the letter to their Consumer Affairs dept. I just received a letter from them again stating they would not pay. In the letter it states "You may wish to check with your pharmacy regarding whether they will reimburse you for the charges." BecauseI have been fighting this for 16 months, we don't even have the same pharmacy provider anymore. Like I said, had they told me to go to my pharmacy to get the vaccine, I would absolutely have done that. I have been given the runaround by UHC & they will not accept responsibility for their error. The letter I
received from their Consumer Affairs dept. is a joke. She states "If you have a question on what your plan will cover, call your medical claims administrator's customer service dept."
I have had many, many conversations with "customer service" & they have been absolutely no help whatsoever. They tout their estimator as a great tool to be used by subscribers. How great is it when it gives INCORRECT information. Her statement to call customer service after using the estimator basically tells me that they have no faith in the accuracy of their estimator. How do you run a business like that? I feel I did everything I was supposed to prior to getting the shingles vaccine & I relied on the information I was given by UHC, which turned out to be false. Isn't it reasonable to expect that the information you are given on the company's website is accurate & shouldn't they stand by that information?
"Under the law of most jurisdictions in the U.S., insurance companies owe a duty of good faith and fair dealing to the persons they insure". I do not believe UHC is meeting that obligation. They have basically given me the runaround time & time again. They are exhibiting "bad faith" all around. I do not want my credit ruined because of this. I have worked in the healthcare field for 33 yrs. & am very knowledgeable about insurance. I give patients estimates as part of my job & if I feel the estimate is not accurate, I will not give the patient the estimate. I do that rather than give them wrong information. Unfortunately I cannot go to the Office of the Commissioner of Insurance for our state because this is a self-funded plan.
I have filed a complaint with the Better Business Bureau. I find it interesting that UHC's score is "D-" according to the BBB & rightfully so. You cannot believe how frustrating this has been dealing with UHC. If I had a choice, I would never choose UHC as my health insurance carrier & would never recommend it to anyone.
Reviewed Feb. 3, 2016
Recently I have been diagnosed with a health issue that is causing compression on a nerve. It has been affecting my life since May 2015. My surgeon recommended surgery and put in a pre-authorization. UHC has denied it on 2 occasions wanting to see muscle weakness or nerve damage before approving. I have been suffering for months and UHC doesn't seem to care! Insurance companies have gone downhill so far, it's not about the patient anymore, if it even ever was, it's about how much money they can keep within the company. Meanwhile, I am at the point where I can no longer wash my hair without pain. I guess we just keep trying. I mean, what's a little nerve damage and blood clotting?
Reviewed Feb. 2, 2016
This is the worst company in health care history. After seeing these reviews I was crazy to sign up with them. I have been dealing with them from day one January 1st, trying to get a specialty prescription for Prolia, for osteoporosis. It is covered under my medical benefits so it should be easy right? One month later, I am STILL trying to get the phone back call from them asking me to authorize delivery to my doctor. I have called back a dozen times, which takes about 30 minutes a call starting with a foreign call center, to get to the right department -- the escalation team. Then, once you have someone helping, you can NEVER reach them again, so every time you call, you start with a non English Speaking call center, and it takes another 30 minutes to reach someone who tries to help but the result is always the same.
I still don't have the medicine. Right now, I would rather pay a higher price and have a health care provider that does what it is supposed to do: provide health care. I also have been denied for another medication which Cigna had no problem paying for the past year. If you are thinking of signing up with UHC, run for the hills... They are worthless and you will be sorry.
Reviewed Feb. 2, 2016
I am writing this letter as a formal complaint and am requesting an appeal on behalf of my account. I am very dissatisfied with the customer service skills provided by United Health Care and the numerous inaccuracies of delivered information. On November 4, 2015 I underwent ACL surgery. Prior to surgery I did my due diligence by calling United Health Care to discuss possible out of pocket expenses, in-network and out-of-network surgeons, co-payments and future medical bills if applicable.
Due to the inaccuracies of information provided by your company, I am requesting that all inbound and outbound calls be reviewed to confirm the misguidance of my account. I am requesting that the following months of September, October, November and December of 2015 be reviewed. In the month of October I called multiple times daily to obtain information about my upcoming surgery. Upon every contact I received a different response on meeting my deductible, out-of-pocket expenses, future medical bills and possible surgeons, co-payments and post physical therapy. Out of the entire frustrating ordeal one representative did take ownership of my account and took the time to ensure that I had a clear and precise understanding. She stated that I have a $750.00 deductible in-network and a $4,000.00 out-of-network deductible to meet.
My main concern was the physical therapy treatments. She stated that I would have up to 60 visits and with a $40.00 co-payment but once I have met my out of pocket expense, all visits would no longer have a co-payment. She then explains if I had not completed the 60 visits prior to 2016 then the remaining visits would indeed roll over to 2016 since it would still covered under the 2015 surgery plan benefits.
As of December 4, 2015, I have met my in-network and out of network deductibles per the United Health Care guidelines. I am also still under the care of a physical therapist and was enthused that the next 43 visits would no longer require a co-payment of $40.00. With that being said, I also informed the office manager at the physical therapist office of this information that was provided on the behalf of your establishment. Due to the multiple inaccuracies, I still continue to call and re-affirm the mentioned information. Upon my next call, I received a completely different story and was advised that the following was based per calendar year and that the following physical therapy visits would indeed have a $40.00 co-payment and that my new out of pocket expenses would now be $1,200.00 at the beginning of 2016.
If this is indeed the correct information then I would have waited until the new 2016 calendar year for surgery. I was advised that with the ACL surgery, I would be guaranteed to meet my out of pocket deductible. I am not financially able to continue paying the $40.00 co-payment for another 43 visits. In closing, I am merely requesting that someone review my calls in the months of September, October, November and December 2015 and that your office will NOT honor any more co-payments for the remaining 43 visits of physical therapy per your representative.
Upon listening to the calls you will hear the conflicting information provided by your representatives. This has added an additional level of mental and physical stress into my personal life. I believe that in order to prevent further mishaps, I would recommend additional training so that each representative is confident and accurate when providing information to members. This is an urgent matter and I'd appreciate your immediate assistance.
Reviewed Jan. 29, 2016
When I applied for health insurance with this company, it was over the phone. The lady told me that my coverage might not actually start on January 1st (despite that being what I was applying for in mid-November) because it's a busy time with open enrollment and I should wait patiently to get all my paperwork from them so I could pay my first premium and be covered. I waited until after January 1 and I had received no communication from them whatsoever. I tried to log into their website, and since I don't always have time for phone calls during business hours, it took a day or two before I could call United.
I called and said I'd like to pay my premium and check the address on my account so that I could pay the next month's premium on time instead of this weird game we were playing. The gentleman was muffled and mumbled, and despite me telling him multiple times that I could not hear him and he needed to speak up because I couldn't understand him, he continued to be inaudible (I now suspect this was intentional). Eventually I said I couldn't hear what he was saying and if he could just take my premium payment and would I then get the coverage I had applied for and could I just get my plan number so I could log into the website?
He told me "you can't log into the website to pay your premium until you've paid your premium" (what?) and then said of course he'd be happy to take my $334 premium payment to make sure my coverage was reinstated and sorted out. I gave him my bank account info, and the payment almost immediately came out of my account. But when I logged into the website it said my coverage was cancelled and didn't even have me listed on the right plan.
I called again and talked to five different reps before I was finally passed to a supervisor who told me that because I didn't pay until mid-month (despite it being their fault they did not send me information to pay and told me they would not so I didn't suspect anything was wrong) my coverage had been cancelled and there was no way it would be reinstated under any circumstances, despite me having paid. She also said she would "put in the request that I get a refund." It's been a week, they still have my $334. United stole my money, knowing they wouldn't reinstate my account, and they still haven't refunded it. DO NOT get their health insurance. Other companies might be stingy and profit driven but at least they aren't thieves and cheats.
Reviewed Jan. 29, 2016
United Health Care is a scam. They collect your money and leave you out in the cold. Arrogant people to deal with on the phone, who treat the customers like a 2nd class citizens. Hey, we pay your salary, jerk. Disrespectful and deceptive, they pick their people, apparently based on following a hard company line of treating the people like crap, and the worst part is their representatives' attitude, much more like a hard-nosed bill collector than a helpful customer service rep. When in their phone system to find a doctor, it is very hard to get to anyone who actually will find providers for you. They are only interested in selling more of their worthless coverage, not in providing the services they were obligated to. But their real obligation to provide nothing, and collect as much money from you as possible.
They dropped me 25 days ago without any notice. When asked about why I was not notified, the insipid woman arrogantly said, "You signed up..." It was deep in the legalese, "We don't have to notify you". In other words, "go take a hike", you should have read the fine print! Well excuse for not having a lawyer standing beside me when joining.
Sounds much like a shyster scumbag car dealer, than someone who was trained to help their customers. But they are not trained to help their customers, they are trained to aggressively say no to everything they can. I will never sign up for United Health Care again. Stay away from these jerks, because they will do the same to you. I paid $1600.00, to these scumbags without 1 visit to the doctor, and they treat me like I ran over their dog. Apparently the criteria for hiring their employees is people with a bad attitude and a proclivity in being an A..H... Well they hire the people that serve their greedy interests of taking your money and leaving you holding the bag of S.
Reviewed Jan. 29, 2016
Like many others comments I too signed up for UHC via the marketplace in December 2015 because the premiums were more affordable for me. (My rates with BCBS were more than doubling). Oh how I wish I would have done more research!! I made my first payment when I signed up on Dec. 14, 2015. Got a letter on Jan 9th stating my payment was received but would not be processed until Jan. 4th. My payment was not processed until Jan. 22nd. On Jan. 28th I was unable to fill prescriptions bc my insurance had been terminated for nonpayment.
After hours on the phone, being transferred and disconnected I was informed for reasons beyond my understanding that I had signed up for automatic draft to be deducted on the 22nd. I never signed up for automatic payments, I couldn't even register online because my member ID was not ever placed in their system!!! After reading other comments, I see that I am not alone in my frustrations. If possible, I am dropping this insurance company ASAP. This is absurd. Thanks Obama, for screwing the hard working middle class, barely getting by Americans you supposedly help.
Reviewed Jan. 28, 2016
United Health Care is the absolute worst company I have ever dealt with. In the past 9 months since my son's birth, he has been dropped from my insurance every month. I've paid my premium on-time every month and 9 out of 10 times, I go to the doctor myself or my son shows up in their records as uninsured. Yesterday I took my very sick baby to the doctor and had to pay for his visit out of pocket and pay for his medicine out of pocket which cost $100 for ear drops! When I called the company, one representative said he didn't have insurance. The second time I called they said he did have it, but the issue needed to go to escalation.
This is the 3rd time this has gone to escalation and nothing gets done. I had been paying $445 a month for my premium only to find out my son hadn't had insurance for 3 months! What was my money put towards if he wasn't insured? Then I was told that my premium was $315 a month, then I get a letter in the mail saying that for both my son and I, it would cost $285 a month. When I spoke to a supervisor, she said she has no idea why I would get a letter saying that and that it's a typo.
On top of that, they switched me from platinum plan with a 0 deductible and $1500 out of pocket costing me $445 a month, to a gold plan with a $3000 deductible and $13000 out of pocket with a $488 out of pocket. So a much worse plan that cost more. This company is filled with incompetent employees that follow a script and get nothing done!
Reviewed Jan. 27, 2016
Got the ep plan from this company and not one doctor want to take it. It's a waste of money. I have to pay out of pocket to see a dentist. This company also denies to pay for my child surgery when hospital send the bill. Please don't use them NYC.
Reviewed Jan. 27, 2016
I canceled my health insurance in 2015. In January they still took an insurance premium (a very high one I might add) out of my account. I called the very next day and after waiting on hold for an hour a lovely man told me it was their error and they would debit back my account. The following week (after still not receiving back my money) I called again... and waited on hold again for nearly an hour. This individual told me that the first man was wrong and that they were issuing me a check that was being mailed that day (1/12).
The following week I called back and waited on hold for 48 minutes. Then was told by a different rep that they "never took money from my account", the check was never mailed (even though I had received a letter from them stating their error and that a refund was being mailed to me). She was not able to help me and said I would receive a call in the morning. Yesterday I got a call from service resolution that said that they did mail a check and to give it 6-10 business days; when I explained it had been over that time period she said she could cancel that check and send another but would not verify the check number or way by mail. I'm on the phone again today. It's been "shockingly" over an hour. It's also been over 3 weeks since they STOLE money from me. I can never get anyone on the phone that has any information and I've been told 4 very different stories. It's been hell and is unacceptable.
Reviewed Jan. 25, 2016
My GYN ordered a 3D Mammogram due to my medical history. I received a bill from Roper Radiologists stating that United Healthcare denied their services. I never even received from United Healthcare the EOB stating that it was denied and the reason for the denial. When I called United Healthcare and spoke with the customer service rep. Drew she stated, "We don't pay for them." When I questioned why she apparently was reading from a script that there is no proven scientific evidence to support them.
When I asked her to send me the information on which they base this she stated she does not access to this. I then asked her why they paid for the facility fee for the 3D Mammogram. Her response was, "We pay for facility fees." Makes no sense to me why they pay for one part and not the other. She states, "You can appeal." They want me to send in scientific evidence to support my denial yet they cannot provide me with any evidence to support the denial. This is unbelievable! Truly they just are trying to cut back on payment of claims. I am very dissatisfied with their service and lack of an explanation as well as coverage... I find no value in their coverage whatsoever.
Reviewed Jan. 25, 2016
I cannot begin to tell you how many hours I have spent on the phone being passed around, put on hold, switch to other depts, and hung up on. Eventually, I filed an issue, and months later they claim to have no record of it. I filed it again, and received a letter saying they are not able to inform me about their findings due to peer review confidentiality requirements. In my opinion, the type of Health Insurance they provide does pose a serious public safety concern, because it seems they deny almost all claims and force to appeal everything, in such a way I think they deny in hopes that you will get tired of fighting and give up.
I've had other Insurance companies, and United Health Care is absolutely the worst. I'm switching Insurance Company ASAP. One of the issue, is that United Health was unable to find a Doctor in their Network to accept me as a patient for needed work, because of the possible botched work I may have received in the past. When I found one outside the network, United Health Care said I could not go outside the Network. Currently, I'll likely need to find a lawyer.
If you're stuck with United Health Careless or can't switch to another Insurance Company right away, you may want to consider better protecting your family, friends or yourself with audio proof. Audio proof is basically recording the conversation you have with them to ensure quality of service. Be sure when recording them you say, "Hello, I need to let you know my phone system may record our conversation to ensure quality of service." I found often they would provide me incorrect and false information, and would conduct themselves in a dismissive and detached fashion that posed serious safety concerns.
Once you have some Audio Proof, Government Agencies, Law Enforcement and/or Lawyers may use the Audio Proof to go after them or their Individual Employees. If you want out of having United Health Careless, many States do allow you to switch Government Plans to another Health Insurance Company. The switch usually takes 30 days to go into effect. England has deemed this company as being pursued for poor care standards abroad.
Reviewed Jan. 24, 2016
Employees would tell us and the insurance agent that procedures were covered under our policy, then never pay. Avoid this insurance company like the plague, they are the worst company I've ever dealt with.
Reviewed Jan. 21, 2016
United Healthcare is the worst option for health insurance. I should have picked Kaiser or any other option. They are supremely unhelpful and misled me into thinking that my son's doctors are within their network. It turns out that they are not and my son's health is in jeopardy because of the misinformation I received. I'm currently evaluating my legal options, but I will definitely pursue everything I can because they have ruined our lives.
Reviewed Jan. 20, 2016
We paid a higher premium to get a lower wait time on procedures. It took my dental office over an hour to confirm that I even had coverage because their online system stated that I was still in my waiting period (which I was not). After paying $500 into this company over a few short months they would not cover even 1 of the $900 procedure that I needed done (deep cleaning after removal of my braces). We had never even used our coverage with them.
Reviewed Jan. 20, 2016
Continually dropped me from plan, stating I did not qualify for medicare. I am 67 years old and have had the plan with them since I retired at 65. Continual run around, no one can think beyond their script.
Reviewed Jan. 19, 2016
I signed up with the UHC Advantage Plus Medicare Advantage in early December 2015. I was told there was no premium and no co-pay for in-network. I received a call everyday for one stupid thing or another. They tried to offer me a free home visit and claimed Medicare would not be charge. I received calls daily to the point of harassment. I asked them to stop calling me every day. They refuse. I finally asked to cancel membership. I would get transferred, put on hold and then hung-up on. This happened repeatedly. They refuse to cancel my membership. I just wanted the calls to stop. To get the calls to stop I had to call Medicare, enroll in a RX plan which would automatically cancel the United Plan.
United has no shame. They called me day before Christmas, day after Christmas, day before New Year, day after NY. Sometime the calls would come at 7:30 am and as late and 8:30 pm. Each time a different department for a different reason, i.e., verify phone, verify address, verify Dr., verify DOB, verify SS#, verify condition. It was the worse experience I ever had and still not sure the calls will stop. I've been hung up on at least 15 times. I would not recommend this insurance company to my worst enemy. Talk about waste of resources and dollars. I believe they were charging Medicare for each worthless call made to my number. They are the biggest fraud. Really free home visit. Yeah right and then they turn around and charge Medicare exorbitant fees for this free visit. Total fraud.
Reviewed Jan. 19, 2016
United health care pulled 2 payments out of my bank account in 1 month, over drafting my account. When I called to ask them to put the money back they were very apologetic but said it would take a minimum of 8 days, even though they left me broke. After 10 days I called and they said they made a mistake and would have to re-open the ticket at which point it would take another 8 days. At this point by the time they return my money another payment will be due. I would be careful setting up automatic payments with this company.
Reviewed Jan. 18, 2016
I got Healthcare through the Market place for the 1st time this year. My agent processed the application with United Health Care on 12/15/2015. I have tried to log on United Health Web with my SS# and pay and it didn't recognize me or our policy. I have tried to make a payment by phone & the system doesn't recognize the policy member id that I key in.. It keeps stating other numbers that I didn't key into the phone. Finally on 1/10/2016 I was able to sign on with the Member Id. It shows our policy online... but wouldn't let me pay. So I called UHC and he said to call the Market place. So I called the Health Care Market Place and they showed our policy is active. She said that I should call UHC back and tell them that everything is good, and they had already applied premium to the UHC policy.
So I called UHC back and they said that the policy had been cancelled because I didn't pay before Jan 1st.. that I should ask for a reinstatement so I can pay the premium & gave me a ticket # and email address to make a request. Anyway after many emails and phone calls on 1/13/2016 the customer rep at UHC said that she would reinstate my policy to 10/01/2016 if I would pay my premium that day over the phone. So I gladly gave her the information and the premium payment was taken out of my bank on 01/14/2016.
Now today 1/18/2016 I call back and UHC states that they can't reinstate my policy.. that I have to call the Market Place and resubmit another application. So I might not get coverage until 3/1/2016... and they don't know where the premium payment went.. maybe is being held until I reapply. What a MESS..!! If I had know that... I would have submitted an application before Jan 15th so I could at least get coverage for 2/01/2016.. I AM MAD!!! The last representative said that over 1/2 of the customers have been cancelled. Time to call the Governors!!
Reviewed Jan. 18, 2016
My doctor writes a prescription then United Health Care, who believes they know better than my doctor, modifies my prescription so that the pharmacy either gives me something else or won't give me more than a 30-day supply which ends up costing me more money. United Health Care is one of the WORST companies I have ever dealt with. They play GOD with my health they don't care. They screw me in ways that cost me more out of pocket expenses on top of my monthly health insurance cost. If you have a choice, FORGET United Health Care.
Reviewed Jan. 16, 2016
UHC denied a claim for a residential level of care with a patient with a history of stroke and seizures. The UHC physician denied the higher level of care without meeting with the patient. The safety of the patient with a history of TIA and seizures was determined by a physician hired by United Health Care without meeting with the patient for evaluation. I am concerned for the safety of patients who are being denied a level of care based on a review by a physician who has not met with the patient. This patient may be denied by a lower level of care due to the risk and liability of that risk. Insurance companies are profit oriented organizations but that should not put a patient with a serious medical condition at risk to have another stroke. My concern isn't a claim being denied due to that all claims paid diminish the profit of an insurance company. My concern is that due to profit, patients are at risk of being harmed.
Reviewed Jan. 16, 2016
Absolute worst customer service! Over 60 minute wait times then the line simply disconnects... They are doing this on purpose! Claims not being paid... Apparently UHC doesn't pay, and tells the provider I don't have insurance even when they have my correct ID # etc. I can't get bills resolved and I was paying around $380 a month (thanks Obama). I cancelled the service. I would stay far away. Can't wait until they go out of business.
Reviewed Jan. 15, 2016
AARP needs to revoke their advocacy for this appallingly bad health care provider. United Health Care's customer service makes Comcast look superlative. I was put on hold for 27 minutes, then when she came back with partial information, she realized she needed an address -- so I was back on hold for another 12 minutes (to get an address?) then I was cut off and put into the queue to begin all over. The next rep completely contradicted what the previous rep had told me, adding that they did not even have a rep by that name. The quality of their phones is so bad I could barely understand anyone. I have since switched my husband to a different carrier because I cannot support giving money to these complete incompetents. I hope they go out of business.
Reviewed Jan. 13, 2016
Every time I deal with the so called customer service I have a problem. The biggest thing is the poor language skills of the agents. It seems United will not hire people that English is their first language. If you ask for a supervisor you are either cut off or put on a very long hold. On one call I asked for a supervisor I was put on hold for 1/2 hour. After the wait a person got on the line and pretended to be the supervisor. I asked for his name and he refused to give it and when pushed he admitted he was not a supervisor. I was put back on hold then cut off. There seems to be no one that will take responsibility for the customer service department and apparently no quality control monitoring by supervision. I call today on a billing question and I was asked my name, after giving it I was told that was not the name on file. I have been handling all communications with United Heathcare for my wife for 6 years and my name was accepted but not now.
Reviewed Jan. 12, 2016
When I was working, I had UHC insurance, and it was fine. When I got eliminated, I got UHC through COBRA. When COBRA ran out, I signed up for a health care policy through UHC. Policy was effective 1/01/2016 and required a referral to see a specialist. Well; that makes any appointment you made with a specialist VOID unless you go get a referral, even if you made the appointment months earlier. Tried to call and got put on hold. Estimated wait time was 23 minutes. I hung on for 25 minutes and got disconnected. I'm not going to accept this level of service. Here's another good one. They have no online chat and no e-mail to express a grievance. You have to call customer service and wait until someone is available. I can be tolerant, but I'm not stupid. UHC just lost me as a "customer".
Reviewed Jan. 11, 2016
12/2/2015 - paid January 2016 premium of $160.83 with credit card (thinking I was being proactive for January). 12/30/2015 - got a letter saying United Health Care would be deducting January's premium on 1/4/16. I also called to verify that my January premium had been received, and cancelled automatic payments on my billing account (removed all bank info from account). I was told my customer service that I would not have January's premium deducted if I had already paid in full.
1/4/2016 - United Health Care WRONGFULLY took $160.83 from my bank account. I called to rectify the situation. I was told that an expedited refund would be processed within 3-5 business days. 1/11/2016 - Still no refund. I called UHC billing, and was told that my refund from 1/4/16 was not processed that same day and would be investigated, so my refund can now be expected by 1/13/16. My fingers are crossed that my refund will be received. This has been a nightmare and I've spent hours on the phone with them.
Reviewed Jan. 9, 2016
I had a preventative procedure done in 2014 which I had called United Health Care's number to make sure it was done in network and was told 80% of the costs would be covered under my plan. After having the procedure I received bills and later found out United Health Care paid only 50% of the costs. They claimed the procedure was done out of network. I called and talked with a United Health Care representative who confirmed that prior to having the procedure performed one of their representatives had told me that the procedure was in network and coveted for 80% of the costs. I went thru the appeals process and got nowhere. In the end I had to pay over $2000 more than I had expected.
Recently I went to a dentist to have a crown buildup done on two teeth. It was done at Midwest Dental and they confirmed that they accepted United Health Care dental insurance. Midwest Dental checked with United Health Care Dental prior to the work I needed done. They confirmed that it was covered under my dental insurance plan and told me what amount I would be responsible for and what amount United Health Care Dental would be responsible for.
I had the work done at Midwest Dental. Soon after United Health Care Dental sent me a letter saying they had denied paying my claim due to a crown buildup on the teeth were unnecessary. Midwest Dental sent them pictures of the teeth before, during, and after the work was done as evidence along with a letter. Soon after I received another letter from United Health Care Dental saying they still denied the claim. I have had nothing but problems with United Health Care. They are crooks and should not be in business. They care only about making money at the expense of patients' health and well-being.
Reviewed Jan. 8, 2016
I have been trying for days actually off and on for weeks to get through to United Health Care. Many times when I call I just get a recording saying they are extremely busy and then it hangs up. Just now I finally got through and they said my hold time was 29 minutes. I sat on hold for more than 29 minutes and then it disconnected me. When I try to call back I get the message that they are busy and disconnect me. I have never made a formal complaint about a company before but right now I am so mad at United Health Care. I pay over $1,300 a month for not the greatest health ins. for 3 people and I can't even get anyone to help me. I am cancelling my ins. with them this month and I would tell anyone and everyone I know not to buy insurance from them unless you want to be so frustrated you could scream!!!
Reviewed Jan. 8, 2016
Endless phone calls, long waits, with no definitive answer as to why I was billed after coverage was dropped, why my payment was not processed, or why my current coverage was listed as active to their phone representatives in some ways yet appeared inactive to providers. And, no answer as to how to move forward to clarify and enact coverage. Bounced repeatedly between well-meaning but undertrained representatives of the health exchange and United Healthcare, who all seemed to believe that the other entity was supposed to resolve the issue. FINALLY reached a supervisor at United Healthcare who resolved the issue in about 5 minutes (thank you!). But the gauntlet of clueless, undertrained people at the health exchange and United Healthcare I had to go through initially, who could not recognize a problem they could not address, was amazingly frustrating.
Updated on 3/30/2016: Obtained renewed coverage in January. Unfortunately the above mentioned glitch remained unprocessed and some part of the UHC system continued to want to bill me for months which other parts said my coverage was cancelled even after a supervisor intervened. Through the first couple months of the new year I was told they were working on applying already paid money to January. In February/March it became clear that the website still was not adding monthly premiums and I could not make payments. Again reached well meaning but undertrained representative who said he was processing a request to fix everything and that no, because it was on their side I would not be counted as late.
In checking back 12 days later I found that from the billing side I found the new years monthly charges still had not been posted, prior payments had not been posted, and I was again listed as cancelled. It seems there is a deep wide barrier of undertrained, unempowered front line phone people who don't understand and/or aren't empowered to fix problems yet act as though they can. I would laugh except that when they fail I become ineligible to buy insurance for a year. I'm a fan of Obamacare, but UnitedHealthCareexchange billing is anything but consumer friendly or well staffed. PS- what is frightening about my experience is that it is simply over billing and processing of monthly insurance premiums. What would happen if there were actual complex provider expenses?
Reviewed Jan. 7, 2016
On 12/11/15, I injured my leg and by 12/15 it became very swollen and I visited my Family Dr. He did a culture and put me on antibiotics. Culture came back Staph and did not improve. On 12/22 he put me on a stronger antibiotic and told me to go to ER if it did not improve. On 12/26 visited ER and ER Dr drained the swelling and prescribed a different antibiotic and suggested I see an infectious disease specialist.
On 12/30 I saw an infectious disease specialist (chief DR in charge of the local hospital's wound care wing). He was very concerned and added another antibiotic and recommended an MRI. The Dr's staff tried to get authorization from United Healthcare, they refused and required an x-ray (~$75). X-ray showed nothing and Dr resubmitted MRI request and it was denied a 2nd time. United Healthcare required additional blood testing (~$50) AND an ultrasound (~$175). Everything came back inconclusive. Dr's staff requested MRI AGAIN and it was denied. My infectious disease specialist needed to talk an United Healthcare Dr to finally get authorization. I am currently waiting for MRI results.
My infectious Disease specialist is furious. He is very concerned that unless he is able to see the underlying tissue damage in an MRI, he does not know if the next step is surgery or a hospital stay with IV drugs. Staph infections are very dangerous and if it gets in the bloodstream, can cause serious complications. Due to United Healthcare's convoluted "red tape" process I will lose over a week of vital treatment time AND United Healthcare will waste $300 in useless tests to avoid a $500 MRI. United Healthcare WILL NOT BE MY MEDICAL PROVIDER NEXT YEAR!!!
Reviewed Jan. 7, 2016
I've had UHC for a year now. I have a platinum family plan & one would think this would be good. I've had nothing but trouble with this company. Their customer service people are very pleasant on the phone but they don't solve any issues. The company is a bureaucratic mess. The system in which they have unskilled customer service representatives working in a joke. No one can really solve an issue once it gets into their system the wrong way, It's utterly frustrating. I'm seriously thinking about contacting the insurance commissioner in my state & see if I can lodge a complaint.
Reviewed Jan. 6, 2016
It is the worst company ever in this country. They will do anything not to pay their bills. And their premium is higher than other companies and their copays is higher. I cannot understand why Tricare signed a contract with them. They do not want to cover medication procedures or labs, they make the patient and doctor life hell. THEY are being SUED by SEVERAL STATES in this COUNTRY and STILL this government use them, they must have a connection or someone in their pocket.
Reviewed Jan. 6, 2016
On the phone, I was transferred 4 times to the wrong place. Called in 3 different times during the day. The first month was paid December 9th, 2015. Today, almost a month later we don't have cards and they have no clue what my membership number is. Worse service ever. If this is the trouble I have to go through to get my cards, I cannot imagine the hassle when we have a medical claim. Nobody has a clue and talking to a supervisor is impossible. I will be disputing the charge in my credit card and will go back to Blue Cross Blue Shield, they need a lot of improvement but this company is beyond help.
Reviewed Jan. 5, 2016
Was unable to login to setup account and choose PCP 7 weeks after paying premium of $820 per month, which prevented me from using any insurance benefits. Called them regularly, but they always blamed the system and said to wait longer. Asked for prorated refund for the time I was denied services and they refused. When asked to speak to supervisor, got answering machine, and the answering machine message stated that they were 90 days backlogged in responding to messages - I should wait 90 more days. REALLY?
Reviewed Jan. 5, 2016
To make a long story short and same complaint as others, going around in circles with (telemarketers) no one can seem to get a supervisor on the phone. Dr's offices saying that your policy is expired, cancelled, or closed when indeed you are looking at an online screen that shows that you ARE active and that you have paid. No one seems to have an answer but are all saying that they fixed the problem only for you to find out that it wasn't taken care of and no one seems to have any prior "notes" in the system. I'm becoming convinced that it is all a conspiracy on all of us. Of course through the Obama care. We were pretty much forced into taking on these "so called" insurance companies that are continuing to take our money and feeding us a line of BS in return.
Reviewed Jan. 5, 2016
In 2015, I called this company passable, believing it wasn't any worse than what else was out there. Our 2016 experience has been simply outrageous. The fact that we pay 32k a year for nothing, is sickening. We can't even get answers from anyone, only vague letters that need explaining. After paying 32k last year also, they have "lost" our records and don't recall our policy either. We will be cancelling this asap and never again using United Healthcare. Our pediatrician has also said they will be reviewing their relationship with them as well, as they are disgusted with the lack of professionalism and complete disregard for human healthcare.
Reviewed Jan. 3, 2016
I would like to thank United Health Care for providing such terrible customer service that it made my decision for which insurance company I should pick easy. I'm looking for plans through the healthcare marketplace and I had some questions about one of theirs that I was interested in. Called the number for United provided on the marketplace and I was transferred once and put on hold for over 50 minutes. When the rep answered he told me I had the wrong number and that they don't offer that specific plan anymore, but he had two others.
Since I was on hold for so long I let him tell me about the two plans he had available. He gave me a very brief summary. I have specialty medications that I take daily (probably for the rest of my life); the cost of those meds play a big part in which insurance I choose. So I asked him if he could tell me how much my meds would cost with one of the plans. The rep says, "I don't have time to look those up for you. This number is for people who wants to enroll. I have a lot more people in line waiting after you."
I'm sorry I thought I was a potential customer, willing to pay you hundreds of dollars per month. My bad. So I tell him, "Thank you very much" sarcastically and asked for the correct number I should call. Well he must not have appreciated my sarcasm because he gave me a number that had nothing to do with any insurance company. So again, thank you. I went with Ambetter and their customer service so far is stellar.
Reviewed Dec. 31, 2015
Never in my entire experience in dealing with Customer Service have I ever run into anything like this. Not only is there NO ONE that can assist/guide one, that is after a wait of at least 1 hour (if you have the patience that is to call daily) but if you are lucky enough to actually get through to a "live" person then you immediately start getting passed around from dept. to dept. (by the way none of the departments have access to the same database so no one person can look up information to assist you) only to arrive back at the general "Help" number and back at the end of the queue for assistance, and the wait continues or rather starts all over again.
So on Dec. 8, I received a notice that my premium was going up by 25%. Fully understand that the cost of health care is going up, but by 25% in 6 months? Incidentally if you get one of these notices, check back online at UntiedHealthcare for your identical policy -- very interesting price discrepancy. Have I been able to have a conversation with a person yet? No! Am I going to change health care providers? Yes!
Reviewed Dec. 30, 2015
United Healthcare took over Care Improvement Plus. I had ZERO copay, ZERO monthly charge. All of sudden, they are billing me monthly, and I have copays on my card. I am very alarmed. I have NEVER used the MEDICARE. Their service seems very poor. As many are saying, they just want to make a buck. Before they had advocates that called me and followed up on me. They made sure I was signed up to LiHeap and other services for the poor and elderly. NOW, I find that it is no longer, and I have to scramble to sign up for stuff myself. I am very nervous, very worried. They are RUTHLESS and I need to get rid of them right away! As I said, I NEVER used Medicare and am afraid to do so now with THESE guys!
Reviewed Dec. 29, 2015
I ask to speak to a supervisor 10 times, I was told that she is very busy and she will call me back in 24 hours. I need to get this issues fixed now. I have been on the phone for over an hour... I keep asking questions about how to view the old website.
Reviewed Dec. 29, 2015
I recently received a 1 year buyout from my employer. Along with the buyout I received one year of medical coverage. United Health Care deducts the premium from my account the first Tuesday of the month. I signed up for Medicare at age 65 which is required - Plan A, no premium, hospital coverage only. I semi-retired at age 68.
When my doctor or hospital submits a claim to United Health Care, they consider themselves the secondary payer and Medicare the primary payer because I have Medicare plan A, which you have no choice when you apply for Social Security. Medicare Plan A pays a minuscule amount so they kick back the balance to United Health Care. United Health Care consider themselves the secondary payer so they kick it back to Medicare. Medicare says that they paid what they are required which is correct. United Health Care tells me they are the secondary payer and are not required to pay anything. Their solution is that I signed up for Medicare plan B, at $121.80 a month. That way Medicare will pick up the bulk of the bill, I still pay their monthly premium and they don't pay anything towards the claims.
Great business model, shear profit, no overhead. I told them fine if they credit me $121.80 monthly towards my monthly United Health Care premium. That didn't fly at all. Their business model can't handle that. I called my former HR department to see if they can intercede and filed a complaint with the Attorney General Office. I think that neither one will do any good. Meanwhile, my credit rating is being slammed because of the late payments - if there are any at all.
Reviewed Dec. 25, 2015
We have had UHCC for almost three years and aside from our $1,350+ monthly premium, we've been rather happy with it. Our daughter has type 1 diabetes, and they've been great covering a decent amount towards her insulin pump and continuous glucose monitor. We've also been pretty happy with the coverage of her prescriptions, namely insulin and glucometer test strips. Our daughter is on Novolog insulin, and a several months back, we received a letter asking us to consider a "less expensive" insulin, Humalog.
She has tried humalog in the past and is allergic to it. It is listed in her medical records as an allergy, and we had her endocrinologist send in a note stating that, so UHCC allowed us to continue getting Novolog, at our $50 per 30 day supply co-pay. Then we received a letter urging us to consider mail order pharmacy, which would be more cost effective for them (and now I know, us) I assume, however, I prefer having prescriptions filled at a physical pharmacy when we are dealing with something that is life or death.
My concern being, sometimes she uses more insulin and suppose she runs out before they send the next vial? Or what if it gets lost or stolen en route? Obviously, she needs insulin to live. There is no maybe about it. Without it, she will die. Anyway, UHCC seemed okay with us choosing to stay with the physical pharmacy, but then we went to pick up my daughters new prescription today and discovered that our co-pay is no longer $50 for a 30 day supply, it's now $100.
I understand this may seem like a "first world problem", because a vial (30 day supply) of Novolog without insurance is over $520, and I guess I should be thankful we only have to pay $100, but come on. We pay almost $1,400 a month for our premium as it is, and honestly, that $50 extra per month is a big deal. Type 1 diabetes is an extremely expensive disease to manage so every dollar matters. I'm assuming her test strips aren't going up in price, though I don't know yet. Because her insulin and test strips are both Tier 3, so if one goes up, I would think another would. I don't know. Like I said, I know it's not a big deal to a lot of people, but it just kind of blindsided us.
Reviewed Dec. 23, 2015
This insurance company puts profits before patients and truly does not care whatsoever about your well being as a customer. I believe they have such a bad reputation that they are now using the name Optum which is the same company. So if you can possibly avoid buying any insurance from them you will save yourself big headaches down the road. They deny benefits and claims and don't want to pay providers which is why it will more difficult to find services too.
Reviewed Dec. 22, 2015
Card indicates I have OptumRx. Mailed all scripts to mail order and pharmacy indicated I don't have mail order prescription coverage. I call UHC and they indicated my pharmacy in Arnold and I said that is an hour from my house. She said "okay use Dierbergs in Wentzville" and I call the pharmacist who called all my scripts over and filled for me and I go to pick up my card won't accept. I call UHC and they tell me try Target and Sam's club. I am what a joke. Target refuses to help me as they don't have a script to fill. Sam's helps and I got some meds filled but not all because some needed a pre-authorization now from the doctor???
Only took these meds for years. I get that done and stupid UHC only takes off $20 and thinks I am going to pay $271.00 for a thirty day supply. I call doctor and said get me something different that has a generic that may or may not work because I need meds. Now, I am making the fifth trip trying to get meds. I have three more months of this crap until I can get on Medicare and I will pick a plan that I don't have to do all the work and pay high premiums for nothing.
Reviewed Dec. 18, 2015
Since March of 2015 I have called monthly to have a claim paid as I am on a Dual Complete Plan with United Health Care. I was assured that this claim would be paid. I have in network and out of network benefits at 100% as stated by the person who talked me into the plan and every representative I have spoken with since. My first visit to a doctor who was referred by a friend has still not been paid. After another Friday evening on the phone with them I was told I am not responsible for the balance but THE DOCTOR WILL NOT BE PAID. THEY WILL HAVE TO ACCEPT WHAT THEY ALREADY RECEIVED. They lied to me for 9 months and in turn had me tell the doctor that. Now I will not be able to return to this doctor as I am mortified by the fact that United Health Care did not pay this claim as they said they were going to.
Reviewed Dec. 17, 2015
I moved from Florida on 04/2015, sold my condo at Deerfield Beach after 20 years living there. Since this date I am living in Texas, and I got a job here and health insurance also. Yesterday, I received a letter from United Health Care to let me know I went to see doctors in Florida on 11/05/2015, Dr. R. **, claim #**, copay, $141.00 and on 11/11/2015, Dr. E. **, claim #**, copay $90.00 and claim #**, $12.00. I was so frustrated and mad with this scam. I don't have this health insurance since 2010, and they use the old ID number to claim a fraudulent bill on my behalf. I called the insurance they said is not a bill, but I need contact the doctors, could be by mistake the use my ID # to bill these claims. Why United keep active my ID# from 5 years ago just to someone still the number and process a claim!!!
Please, help me to clarify this all scam claim. I have plenty witness I don't live in Florida. It's ridiculous this insurance process I claim and don't check the person does not have the insurance since 2010, don't make a copy of ID# and driver's license, don't check the age the person and don't collect copay from the patient. Sounds to me very stranger this claim and suspicious.
My concerning if I did not have forward mail to Texas, I will never discover what is going on under my name in Florida. I am 60 years old, single and hard worker and I don't need this problem in my life. My problem now is to clarify this all trouble and United Heath Care told me I need to call this scam doctors and complaint about they are using my old ID# from 2010 and I don't have this insurance. The bill is their lost. Who knows if this scam is happening with more people innocent and pay the bill just because they don't pay attention? I received a letter from Chico Service Center, P.O.Box 740800. Atlanta, GA **, Member ID from 2010 was #**. Phone #**.
Reviewed Dec. 16, 2015
I paid $800+ in insurance premium every month and they would not let me select the doctor from my area. They will assigned their own choice of doctor in a remote area and particularly one that would not provide good service. So naturally when it is matter of my kids health care, I went to local close by and good doctor for regular treatment. They would not approve the nominal doctor visit fee of $75. I requested them to change my preferred doctor who is within their network and accepts United Health Care insurance, but UHC would not do it and asked me to contact ObamaCare hotline to update the doctor on my insurance! It is a MESS, PLEASE LISTEN AND DO NOT NOT NOT Select UNITED HEALTH CARE Insurance even if they are willing to provide you the insurance for $10 a month. It is a waste of $10.
Reviewed Dec. 15, 2015
I wonder why the government still allows UHC to insure people when all they do is find all kinds of ways to keep people in pain. I have a root canal and I am in EXTREME pain, feeling like my mouth is on fire, not able to sleep or swallow, and not a single endodontist is willing to help me without an authorization from UHC. UHC REFUSES TO APPROVE AN AUTHORIZATION FOR AT LEAST ANOTHER TWO WEEKS!!! Is this a normal way to run a company?! Allowing people to suffer in pain all for some authorization that THEY TOLD ME I'M APPROVED FOR, all for the sake of the process? I strongly feel that anyone out there who is considering using UHC should definitely NOT use UHC if they want to be helped when they are in pain.
Reviewed Dec. 14, 2015
Average hold time for calling them in my experience is about 45 minutes. That alone sucks more than any consumer should have to deal with.
Reviewed Dec. 14, 2015
I have spent two days trying to get my dental plan updated for the 2016 year. Today I spent a large part of my day on the phone with these incompetents. I have specific questions that I need to ask a representative. I was transferred six times over the course of over three hours. Every time the representative would tell me that this was the wrong department and that they would transfer me to the correct department. Six times this is what I was told. They ran me around for over three hours. I have never encountered anything close to this level of incompetence.
Reviewed Dec. 14, 2015
This is to poorest excuse for an insurance company in the world. They fight every procedure and when you're sitting in doctor's office inform you that the in-office procedure is not approved. What is it we pay these scumbags for? If you sign up for their insurance you deserve what you get!
Reviewed Dec. 14, 2015
My husband is stage 4 lung cancer and has a tumor on his spine, unable to walk or sit. I got a hospital bed from an out of network provider because none of the in network providers could supply one. Now I have to appeal to get them to pay the claim. Now he needs a hoyer lift and I was sent to Apria for this equipment. They don't have them even though it was confirmed they would deliver today...? I called UHC and they gave me several names to check, most of which no longer exist and none in the network has this equipment. UHC is terrible. They are supposed to cater to the elderly and disabled under this plan. The tv commercials portray them as such a great company. Don't be fooled.
They also denied my husband to a rehab center because they were reading from a script over and over again until his doctor said "You do know Mr. ** has cancer and is not going to rehab for a fractured ankle?" Well no she didn't know because she never bothered to read the record. This is who you are trusting your healthcare to. I think not think long and hard before signing up and please spread the word about this company. Shame on you United Healthcare. Your treatment of your subscribers is deplorable!!!
Reviewed Dec. 11, 2015
I have a chronic medical condition requiring one doctor visit per month for medication maintenance. Every month there are issues with this health insurance deciding that the medicine that I've been prescribed to take every night is not approved by insurance. They only approve 28 pills per month of an anti-psychotic medication. There is not a person in the world whose doctor prescribes them 28 pills a year for chronic conditions requiring daily medication. Every single month I struggle with getting maintenance medication for my condition while paying for this insurance through my employer. It is completely unethical for insurance companies to make people go through hoops to get meds for chronic psychiatric conditions. This is one complaint of many.
Reviewed Dec. 9, 2015
I had my annual check up with my doctor of 10 years. She performed a sonic of my neck arteries for any plaque build-up. The total amount of the billing for office visit and procedure was $1,150 of which UHC has to only pay $216. This was performed on September 16th and they are still reviewing. On my website it outlines entirely the procedure, shows processing and the amounts, as if they are going to pay. Now, four months later, it's being "reviewed by claims board". I was on the phone for over 45 minutes and my only question was "what are they reviewing?" What is it that needs to be reviewed? No answers. Hold, hold, hold to finally tell me that they will send an email to the "review team" and would contact me back. This is the most horrendous health insurance in the entire country. To think that this company is being promoted as a supplement to Medicare by AARP is beyond comprehension!!! Once I retire I will NOT sign up for anything with UHC.
Reviewed Dec. 8, 2015
United Healthcare is by far the worst insurance company I have had the misfortune of having a policy with. I joined UHC 3/2015. 6/2015 I had to go to a family physician due to illness. Had to go to pharmacy to fill prescription for antibiotics. Denied for prescription because our account was showing one month past due. (Keep in mind every month our bank showing a debit of 256.00 to UHC at least one week prior to due date). On hold for over 30 minutes at the pharmacy and finally was told "yes, we are so sorry your account is up to date. Accounting department has made a mistake." I was then told it would take up to 36 hours to fix the problem!!! 36 hours to fix what?! UHC told me they made a mistake, I am sick and need to fill a prescription.
End story I filled prescription at full 48 dollar cost and was never refunded money by Walgreen's. This was the second... and wait... it gets better. UHC did it a 3rd time with our account but at least caught it and sent a letter apologizing. Not to mention the physician they did not cover the sick visit... I had to write an appeals letter for the claim. This took 3 months to resolve.
One more... my OBGYN, which UHC representative told me I did not need a referral for, guess what!? UHC did not cover, denied my claim. I am done with UHC and am going back to BCBS. I have never been so angry with a company. My husband and I make less than 48,000 a year combined and we pay 256.00 a month for our premium. 2 doctors visits are not covered and 3 accounting mistakes in 9 months. I am so sad that I did not research this company prior to signing up. I feel completely taken advantage of.
Reviewed Dec. 6, 2015
I blacked out at work and ended up in the emergency room. Had several tests and seen my regular doctor who sent me to a spine specialist in the Twin Cities. Neurosurgeon found I have a bulged disk that is pinching my spinal cord and need surgery stat. I have this insurance through my job and it is the worst! My insurance said this has to go through review and it was submitted on 11/20/2015. I am in pain, cannot do anything and it still is not approved. When you pay for your insurance since when do they get to pick and chose what your doctor said you need. Please help!
Reviewed Dec. 4, 2015
I kept calling to find out why my account was not active and I was sending my payments in. I couldn't get access to my online account to find out the problem. Kept calling representative and was told to wait 5 to 10 business days and it should be back clear. I had this go on countless amount of times. Two months of not being able to access information. Not knowing if my payments were received. Wasn't getting statements of the amount of my premium cause of my tax credit changing periodically. It was like a roller coaster ride from one representative to the next. I was frustrated until I was in tears. I came to my last pushing point, when I could not be seen by the doctor, after waiting for a 2 month for the earliest appointment. My account with UHC was showing that my insurance was not active.
I contacted UHC the same day to find out why. They had been telling me my account was ok. Every representative you speak with says something different I'm told "it's ok" and another "you're not." I kept calling and each time there isn't anything showing where the matter was address. You have to start over from the beginning. Even if you give them a reference # to the supervisor they make you think the situation is being taken care of and you call back for the same thing because your problem still is going on. I got tired and finally closed my account with UHC. I was sending my payment in for my premium and it was not being submitted and showing up that my premium was paid. They still couldn't give me a explanation for this. Their error messed me up from getting access to my benefits and I'm the one suffers from it.
I asked to be refunded my amounts for the months I couldn't use my insurance. They submit it and said I would be sent a refund for the months and the days it would take for the process. Waited the days and nothing ever came was told over and over it was being sent. Call to find out why I haven't received the refund. I got the run around countless amount of times. I was told to do this and that done it and once again it got to be too much back and forth. The last supervisor told me that I was not do a refund. I was in shock and I had no more fight in me. It made me feel like that was what the goal was to make me stop.
This company has no remorse for people's situation. There are couple that made a difference but the ones that came after destroyed what was corrected. Each time you call back to find out the status it's like you never called the first time. Their representative need to be more experienced. Most of them don't know what they are doing. I will never ever deal with insurance company again. It was a very emotional roller coaster ride. That drained me dry.
Reviewed Dec. 3, 2015
While I receive none of the benefits of signing on through the marketplace, the only plan that was somewhat within reason had to be purchased through the marketplace. I was under a time constraint to be signed up for coverage beginning Dec 2015 as my old coverage (Health Republic) decided to close down with little notice. I got an agent to help sign me up (no easy feat) and then followed the required steps of setting up a bank account for automatic payment. I received a confirmation number from I thought it was a United Healthcare Rep in billing that Dec was covered and I would be receiving my card and would have insurance effective December 1.
Lo and behold, the company cannot locate the payment information. I get forwarded to call centers and placed on hold for lengthy periods of time only to have my phone battery die. To date, I do not have coverage and have not been able to reach my broker or any other employee of the state or united healthcare. The entire system is a disaster.
Reviewed Dec. 3, 2015
I needed a routine physical. Checked their database of in-network providers. Found one. Called customer service to verify provider was in-network. Customer service rep verified. Went to physical. Received $1,000 bill for said physical (a physical is preventative care and is covered 100% by my plan). United wouldn't cover because they said the provider was out of network. I showed them their database listed the provider as in-network and they also had a record of my verification call. They finally said it was their bad and a manager would have the claim paid. 8 months later, I continue to call every 2 weeks and talk to a manager who re-recognizes the error and says they'll have the claim paid in 3-5 business days. Claim is still not paid. If you have a choice, choose another insurance provider.
Reviewed Dec. 1, 2015
UHC is the most horrific company I have dealt with in my life. I highly recommend you avoid it.
Reviewed Nov. 28, 2015
I have a big issue with this company. To be exact the marketplace United Health Care insurance PA state was enrolled from March 2015-September 2015. I finally cancelled out after being let down so many times. They drop you from the insurance if you dont make payment by the first. I had special enrollment and 90-day grace period to make payment and keep on being drop from insurance even when payment was made. They never notified you until you realize it. Once I called they put me back in knowing I paid but the emotional stress is too much and being pregnant needed monthly check ups. They cancel me three times. After that I was done.
Made pay from months they said they would cover by doing retroactive where they were at fault. I am still waiting for them to pay my medical claims from July 2015 - September 2015. They have issue ticket numbers saying it will be resolved and nothing. I keep on waiting monthly while my bills get referred to collection. Any advice? I wonder who else is going through this. I wonder if I can get my money back since they not doing their job in paying their portion of the claims. Every time I call they apologized but is not enough. I wonder if my next step is an appeal or lawyer involvement?
Reviewed Nov. 27, 2015
I have AARP Medicare Complete United Health Care Secure Horizons plan. They denied coverage for the removal of a 10cm mass on my ovary. My oncologist wants to be able to remove the mass, biopsy it for cancer and if it is cancerous, remove tissue from surrounding areas, do biopsies and continue removing tissue until any cancerous tissue is removed. United Health Care denied coverage for surgery! I was told by a United Health Care representative that it was medically unnecessary! I am in pain and am not able to get out of bed without pain medication. I have been taking both Miralax and Dulcolax. Without them both, I am unable to have bowel movement.
I have been post-menopausal for 10 years. With any ovarian mass it is always possible that the ovary could twist, causing excruciating pain and requiring emergency surgery. As my mass is very large, the size of a softball, I can not for the life of me understand why they would say this is a medically unnecessary procedure! Not only is it necessary, but time is of the essence, especially if this is cancerous. I have cancelled my coverage with United Health Care and gone back to traditional Medicare. I don't have time to mess around with appeals. My life is in danger and I am in lots of pain. Beware! An AARP endorsement is not an assurance of trustworthiness! DO NOT USE UNITED HEALTH CARE!
Reviewed Nov. 25, 2015
Attention Ladies! My OB/GYN doctor ordered a 3D Mammogram for me due to my family risk of breast cancer. I had the scan and then later found out that UHC does not cover a portion of 3D scans. They say it is not covered because "this procedure is unproven" and are asking for "scientific evidence" that shows this service is effective. Well why would my doctor order a 3D over a regular mammogram if it was not more effective at showing early stage breast cancer? I'm stuck with the full bill; just trying to stay ahead of this awful disease. Thanks for nothing UHC.
Reviewed Nov. 25, 2015
I cannot express how terrible and awful this company is. They denied my son's insulin for his Type 1 diabetes which he needs to live. I pay $900 a month thru work for this worthless pile of crap they call insurance. They say he needs too much so they won't cover it, WTH??? You cannot tell a Type 1 diabetic who needs insulin to survive that he can only use a certain amount when he needs to have 1 unit of insulin for every 7 carbs he eats. What the hell is wrong with our health care system???
Reviewed Nov. 25, 2015
I'll keep it short. The single worst company I have ever done business with in any capacity. Just getting prescriptions filled is proving to be a near impossibility. My employer made the choice to move to UHC and they are so bad. I am considering changing employers just to move away from this disaster of a healthcare provider. If you have any option other than UHC choose it.
Reviewed Nov. 22, 2015
I signed up for United health care in April 2015 and have had hell ever since. I am on an automated payment system but I constantly get invoices saying I have not paid. Today I went to pick up a prescription and was told it was denied for nonpayment. How could that be? It is on automated payment and I have overdraft so it cannot get denied. I can't take my payment because it is Saturday and when I called them no answer. I can't call on Monday because I have to work. I can't afford to stay home for an hour and sort thru all the ignorant representatives who don't know anything, getting transferred from one person to another... then getting cut off just to have to call again!! I don't have time for that! I have a new job! Also cannot call from work for the same reasons.
Online is worst!! I spent hours trying to get a new password but there have a very glitchy site-- lots of error messages! I put in all my info just as it is on my card and it says... you are not a member!! This is the worst health insurance for consumers. Please Consumer Affairs! Please help!! I am at my wits end with them. I cannot take my medicine because of United Health Care can't handle their bookkeeping and pay systems. And all this and paying $1500 per month for my family!!! Help!!!
Reviewed Nov. 20, 2015
I have United Healthcare Platinum Compass 250 health insurance, purchased through the marketplace myself. I was recently made aware that only the Compass insurance products (the coverage purchased through the marketplace) have changed their referral policy so that doctors must go through a much more tedious and extensive process to make a referral for a customer to get required and much needed healthcare from a specialist. Apparently this new policy requires the doctor to submit referrals via online only, but United Healthcare will not help them set up the proper account, the doctors now need to do this.
I have been waiting for a week to get a referral for a specialist. The physicians assistant spent an entire day on hold mostly. The assistant never was able to get things straightened out. They have tried multiple times since then to get it straightened out, but haven't had any luck. My sudden on-set symptoms are so severe I cannot drive to work or perform my job and I have now lost my job because I cannot get treatment. I cannot get diagnosed with anything because I can't see a specialist, for all I know I am dying. I know I feel like I am.
Reviewed Nov. 20, 2015
I am 61 year old female who was deemed permanently disabled in 2008 after a Dr. gave me an injection in my back that was contaminated. I ended up with a thoracic laminectomy and severe nerve damage. I have had UHC as a co-insurance to my Medicare disability. UHC has increased my insurance premium 10% every year. I just received my January 2016 increase which brings my monthly premium from $530.00 to $582.62.
I also received a notice that they will not be covering two of my medications next year. One is $1100.00 a month and another is $358.00 per month. Not only will they not cover the medication they will not cover the generic either. I was also informed that over the next two years there will be no coverage for rehabilitation. This could be for fractures, serious operations, anything that would require rehabilitation after acute care. I'm worried sick over these increases and really want to know who ObamaCare has helped other than those who can't afford any insurance payments. These folks will receive very low if not zero premiums that have been subsidized by those who are paying outrageous premiums.
Reviewed Nov. 19, 2015
I have had a United Health Care Policy since Jan.1, 2015. Purchased this on the Healthcare.gov site with no subsidy from the Federal government. Just over $900 per month. They have been impossible to deal with since day one. We have an HMO from them and we need a referral for other doctors. They contacted my wife's doctor one day prior to a schedule surgery to advise they needed more information before they would pay for the surgery. This is after they had all of the information for 2 months prior to the surgery date. This company absolutely sucks. Avoid at all cost!!!
Reviewed Nov. 17, 2015
DISGUSTED in you guys. Have 2 friends who are currently being denied coverage. One has cancer and the other has had a fractured hip since April and surgery still not scheduled. One of these friends is a RN and I am a RN of over 30 yrs. DISGUSTED!!! You guys should be ASHAMED of yourselves. STOP denying coverage that people have paid for!
Reviewed Nov. 15, 2015
I had united health care for about a year before I finally had enough. Every time I tried contacting them I spent at least an hour on the phone with them and most of it was on hold. I had spoke to a representative there and I asked for some information on what facilities around me are compatible with this insurance and I was given a few locations. During this process the person I was talking to was not professional at all. What so ever. At one point, he laughed at some of the questions I asked to top it off. I did get upset and asked him to tell me what I need to know and not to laugh at me and that I'm calling you to ask for help on where I can go to take care of my issue! Nevertheless.
So when I make it there I was set up with a doctor and had my physical done and I also had a ruptured salivary gland. I showed it to the Dr. and he said they couldn't do anything for me and gave me another facility I could go to. So he just spoke to me about how I ruptured this gland and I said all I did was bite my lip. Swollen the next day and next thing you know, I did it again the following day and it was ruptured. I dealt with it for almost a month. Shortly after my visit to mercy health maybe 2 days, luckily it went away on its own. Swelling went down and all was normal again. I started watching what I ate and drank and boom it was gone. I get a bill from mercy health about a month later. Just over 100. I call United Health. Of course on hold forever. I tell them all I had was my physical done.
What's this bill for and why am I getting this if my first 3 physicals are free? They said disregard it and they'll contact them and take care of the issue. I waited almost an hour for less than 2 minutes of a conversation and got disconnected a couple times, how I don't understand. Then after another few weeks go by, I get a bill from another facility advantage health for the same amount. I call united health back (another waiting period) and ask them why am I getting this bill again and now from another facility? I went to mercy health for physical and had nothing else done why on earth am I going through this for no reason! I called and asked where I can go which was no walk in the park and I got upset and ask them what they are doing. Why are they just playing hot potato with this bill?
If I'm paying for health insurance why are they not taking care of this? Why don't they just take the close to $200 I'm giving you out of my pocket every month and pay the damn thing? If I'm giving them money it's for a service not just to give you money! I wish someone would just give me about 200 a month and say I'm helping but not doing anything. Just saying! This issue was back in may. Because it's taken so long to resolve I have past due fines added to this. Advantage health did nothing for me. I don't even know where this place is located. I never stepped foot in their door. I just canceled my health insurance with them and went to blue cross.
There are many other bad situations I've had with them. But every time I went to a clinic that was supposed to be compatible with United healthcare, they either had trouble with my card and couldn't get it right with however they ran this thing or I payed full so I can move on with my day and not sit in a clinic forever looking at a few people staring at my card and trying to figure out how to get it right. Like watching cavemen use tools for the first time. I've had blood work done a hand full of times, got on Accutane for 5 months, had my physical and it was nothing but trouble, stress, on hold, disrespected and still left with a weird bill from this place I've never been to.
Never again will I go through united health or recommend it to anyone. I feel like they should return my money. They gave me nothing but more of a hard time, and I was laughed at and disrespected by a representative! United health, I feel like you barely did anything for me. I wish I could say more for you but it's the truth. I feel like you stole from me. I been disrespected and will never come back.
Reviewed Nov. 12, 2015
DO NOT PAY UNITED HEALTHCARE IN ADVANCE cause you will NEVER EVER GET A REFUND! I paid United Healthcare a month ahead... then called before the billing cycle for next month began & cancelled my policy. Instead of cancelling my policy they re-instated my policy for 16 days so they could prorate some of the premiums I had paid! Never got my full refund!!!
Reviewed Nov. 12, 2015
My wife and I bought Health One Dental Insurance. The cost for us is a little over $80/month. The max yearly payout is $1000, but you have to pay in for a year before they even cover any major dental work. Our plan was supposed to pay 50% for major dental work, but that is 50% of what they allow for a particular procedure. I needed a crown, and my dentist was charging $1100 for this, but they only allowed $598, so they only reimbursed 50% of $598, or $299, so I had to come out of pocket for over $800. This is truly a major Rip Off! I would have been much better putting that $80+ in a savings account, and just paid my dental costs on my own. DON'T BUT THIS RIP OFF DENTAL INSURANCE!!!
Reviewed Nov. 11, 2015
I have been a member since January 2015 and have been unable to see a doctor. I was paid almost $500.00 per month, Jan. to Aug. total $4,000 then the premium change to $78.00 but still every doctor I called said they was no longer in their network.
Reviewed Nov. 9, 2015
I had a procedure done out of network on August 25. The surgeon is well-known so he has a reputation to protect and uphold. He has a dedicated staff member to help patients with insurance reimbursement. My claim was submitted to UHC on September 8 electronically. I phoned UHC to inquire about the status of my claim on September 18. They said they had no claim for me. I quickly called my surgeon/provider's office and the woman in charge, who had already submitted the claim once, got on a call with them and re-sent the claim via fax. UHC suggested it would expedite matters rather than sending it via snail mail. I called again, they had difficulty finding the fax but finally did. They said it would take 30 days or less to process the claim... A $12,795 which I paid out of pocket.
I called again on October 1. They told me they'd just sent a letter to my provider on September 27th requesting additional information about medication that had been administered - they don't reimburse for medication, firstly. I had a spirited conversation with them asking why they waited more than a month after the surgery to request additional information. They had no excuse. They said it would be another 30 days from then. I phoned again at the beginning of the second week of October. I was transferred to a "patient advocate" who asked me to repeat the story for now the 9th time. I did. She said there was something "fraudulent" about the claim that was being investigated. She said the claim was for $39,000! I argued with her because I had a copy of what had been submitted to UHC right in front of me, which was for $12,795.
As my ire increased she made an effort and noticed that, hmmm, some of the claims seemed like duplicates. Long story short, some moron at UHC had opened a SECOND claim - yes, because they had requested it a second time from my surgeon's office. I spoke to the plan sponsor whose contact details I have because I sat with the group when UHC pitched to be our insurance provider. I was very opposed because of previous experiences with this disreputable company who said they would intervene.
It was finally determined that in fact UHC had made an enormous blunder - surprise, surprise. And then they said the claim was going immediately to the "pricing" department. This is a very simple task - they look at each item on the claim, check it against a code, and then determine how much (supposedly 70%) of that amount they will reimburse. In my case there was the surgical suite, the anesthesiologist's fees and the doctor's fees to be "priced" - three items. It is now November 9 and I have yet to see a penny from these thieves. But I continue to pursue the matter and assume I will ultimately be reimbursed. They have submitted a proposal to my company for a renewal contract, to which I have stamped a huge NO and will do everything in my power to boot them. The entire company is made up of illiterate buffoons.
Reviewed Nov. 9, 2015
I have Silver Compass with United Health. I pay $338 month with a $1600 in network deductible. I cannot go to a doctor because every time I try, the doctors say they don't take new patients. With this plan I was told my GYN took the insurance. Now United has an annual visit claim to pay and they are refusing stating she is not I. Their system. I even had the Governors office verify that she was in network when I got the plan. They are taking my money and I cannot get medical care. Why is this legal???
Reviewed Nov. 9, 2015
I have been trying for three weeks to get the copay corrected on medication that I have to take daily for the rest of my life. Thank God it's not life sustaining or else I'd be dead. The problem is simple (at least it seems to me) the drug is erroneously listed as a tier 3 when it's actually a tier 2 medication and while everyone at MD-IPA agrees, they can't seem to get it corrected in their system. The first time I called they said it would be corrected in 10 days. When I followed up they said the initial action had not been taken and it would now take three days for them to submit a reversal form. When I called again to follow up they told me the same thing, an additional three days. My last contact with them they said "another" problem had been fixed, but not the copay problem. What other problem was there that's the only reason I'd called? So now guess what, another three days. The saga continues. Meanwhile, I'm still without my medicine.
Reviewed Nov. 8, 2015
WHYYYY do I continue to be billed for services rendered at the doctors office every time I go??? They never pay any of the doctor bills even for the physicians in their network... It has to be a law against this or something... They can't possibly keep getting away with holding customers benefits and still receive premiums... I miss my BCBS. If Blue Cross premiums didn't cost so much I'd drop UHC so fast it'd make their head spin.
Reviewed Nov. 6, 2015
In 2011 we purchased my wife a Medicare Advantage Platinum dental plan. We paid the premiums on time every month. To that end...no problems. Things went abruptly south last spring when my wife lost a tooth. We referred to UHC's provider list in our town (pop. c. 500,000). Although the list was several pages, no provider would accept the plan (some were dead or retired!). After having written 2 letters to UHC & having contacted the AZ State Insurance Commission, we did receive a response from a rep named "Gwen", who said she wanted to "research the problem". Gwen actually did call my wife once/week for several weeks to report her lack of progress. Those calls ended a month ago. At this point we are considering filing suit to retrieve our premiums.
Reviewed Nov. 6, 2015
Had UHC since March of 2015. My coverage was supposed to start as of January 2015, but didn't due to an error on their behalf. Needless to say my initial impression of UHC wasn't the best to begin with. My plan I pay for is supposed to be top-notch, only a $15 co-pay, low deductible. I have paid EVERY month, if not on time, then only a week late. Throughout this year I have tried to go to the pharmacy to pick up my medication and I have been told on at least 3 different occasions that I was cut off due to non-payment. I now have outstanding bills with my physicians because UHC has not paid anything, I have 0 coverage. I have called in if not every month, then every other month because I keep being cut off without any explanation and without warning.
I received a bill last month for $2,000 from UHC. I called about that and they said it was "an error" - what's new? Every single time I call they claim I have an outstanding balance even though I have confirmations and PROOF of payment. UHC has been nothing, but stress since the moment I signed up. I am now sitting here, yet again, after paying my premium on Oct. 23rd without insurance.
Reviewed Nov. 6, 2015
I became a member of United Healthcare in January of 2015. At the time, I signed up online to have my premium payments automatically paid on the first of each month (when due). Their website is SO screwed up, the payment has never been automatically deducted from my checking account. I have called the customer service department multiple times every month and would get the same answers: insincere apologies, empty promises and worthless reassurances that it will work next month. After 11 months, it still does not work.
I cannot begin to tell you how many hours I have spent on the phone being passed around, put on eternal hold, and hung up on. In the meantime, when I end up making the payments on the phone, there were months when the payments were not applied to my account, when I was labeled as "not current" with my premium payments, and I had multiple services rejected as a result. Needless to say, after this year is complete I will terminate with them. I have never ever had this sort of problem with any other Healthcare Insurance.
Reviewed Nov. 5, 2015
I went online to make my October 2015 premium payment on Sept. 28. On Sept. 29, I received an email stating that my account would be automatically drafted on Oct. 1 for my October premium. I called United Healthcare immediately and advised that I had already made payment. I was "informed" that I had set my account up to have my payments auto-drafted. I informed the customer service rep that I had NOT! I was told to go back and remove the banking info in order to have the draft stopped and there would be no problem. I did as instructed. On Oct. 1, my account was drafted by United Healthcare anyway. I called and demanded a refund. I was asked if I would rather have the funds applied to my November premiums and I said NO. I wanted my money put back into my account. I was told it would take up to 21 days. I said that was fine and once I received the funds, I would make my November premium payment.
After 28 days, I called United Healthcare and asked why my funds had not been returned to me. I was informed that the money would be refunded by Friday, October 30 or by the following week. Today is November 5 and I still have not received my refund, so I called United Healthcare once again. Today, I was told that yes, they see where I have requested the refund but it seems it has been applied to my November premium instead. I said "that's funny because my November premium shows outstanding." I was then informed that it's because they haven't received their funds from the "Marketplace."
I have fought with this insurance company for the entire time I've had them, trying to get bills paid, even after having gotten approval to go to emergency facilities for treatment. The only problem I haven't had is with the prescriptions... everything else is terrible. From the customer service (which I believe must all be sent overseas) to the 3rd Party billing. I would not recommend this insurance to my worst enemy!! I wish I could give them a zero!!
Reviewed Nov. 5, 2015
My wife is suffering from Stage 4 Breast Cancer. At every step of the way, she and her doctors have had to fight with United Health Care in order to receive every diagnostic test and every medication. Everything, absolutely everything is denied at first. Then the doctor has to get involved directly with UHC. Every medication refill, including her chemo, is denied until hours are spent on the phone between Dr's, the pharmacy, and my wife. My wife is fighting for her life, she shouldn't have to be fighting with UHC for the treatment her Dr is prescribing. In dealing with UHC, they will always proudly state that they have complied with every request from my wife's Drs. What they leave out is the prolonged, and unnecessary battle between them, the Dr, and my wife.
Reviewed Nov. 5, 2015
I've had United since 01/15 through my employer with previously being on LA women's Medicaid program. I'm 32 years old without any health problems except for mental health issues of which I take one medication. I never had any problems while being on Medicaid and I was able to see a therapist for free and pay a $10 copay for my Rx. Needless to say I was grateful to have insurance and not have to rely on the state. Well, I'll lose my coverage by next year because I am now a part-time employee again so I decided to schedule a doctor appointment. I had been trying to change my PCP online for months but kept getting an error message and I just forgot about trying to resolve the problem and to just go with the assigned PCP.
As it turned out, my PCP was located at an urgent care Center and he actually never worked there. I did find it strange that a PCP would work at an urgent care Center full-time and with a copay of $100. I obviously cancelled that appointment. I kept trying to change my PCP online without luck and then started to call offices asking if the listed doctors were accepting new patients only to be told by 5 different offices that the doctors I had asked for either did not work there or that they had NEVER heard of them.
I then tried to call the LA member customer service number and when I went through the automated system the phone disconnected. Also, I forgot to mention that back in February I went to a psychiatrist that was in network, but I had to pay full price for the office visit (UHC is supposed to pay for 80%) and the receptionist submitted my claim 3x but I never received a refund! I should have researched this insurance carrier before but I was so excited to have coverage. Please, stay away from this company and their Phantom physicians.
Reviewed Nov. 5, 2015
I lost my left hand in a bad accident, it was my fault. Ok I have United Healthcare. Number 1, the insurance company will not even pay for my amputee socks. Number 2, I worked so hard, made so many trips to the prosthetic company, getting used to my new robotic hand. Now United Healthcare want pay for the hand. I get thru with 1 appeal United will appeal again and again. This year has been a nightmare trying to get this 39 cent company to pay something. Just a very terrible company to deal with.
Reviewed Nov. 3, 2015
I have had UHC for a year. My wife and I pay a total of 1061.00 per month for coverage. I have attempted to use my insurance maybe 5 times this year and have paid all the bills for about $3,000.00 for a total annual outlay of $15,000.00 after tax or over $20,000.00 pre-tax dollars of income. I have literally not received any benefit from them. Yesterday, they debited my account for 2 times the premium without notice or reason. I am tempted to have someone arrested for grand larceny if I thought it would not consume the rest of my life to fight this BS. UHC are government authorized monkeys and thieves. Enough said.
Reviewed Oct. 31, 2015
My wife and I bought a Medicare supplement insurance policy, for my wife, age 65, from United Healthcare salesperson, Arturo ** (**). We had one condition for when selecting an insurance plan, the plan had to include Doctors Mary ** and Amir ** and the SE Hermann-Memorial hospital, and the insurance plan provided to us does not include our Doctors of choice. Mr. ** will not return our calls, and we are lost as what to do. We need to cancel the insurance plan from Care Improvement Plus. My wife has coverage from Medicare A&B, and Aetna insurance as primary. Can you help? Best regards.
Reviewed Oct. 31, 2015
The first few years being with United Health Care through AARP as a Medicare supplement, I had no problems whatsoever. The problems started just this year - in fact, this month. I am so disgusted with them, I would tell everyone I know not to deal with these people. Recently, I moved from Wisconsin to California, to be near my son and his family. I let everyone know I was moving and changed my address with those companies that I needed to alert, including United Healthcare. Actually, with them, I was required to call, which I did, and thought I was all caught up. I moved here on September 24, and when I went to get my first prescription filled here at Walgreens like I always do, I was told by the pharmacy worker that my insurance was cancelled. "What do you mean, cancelled?" I barked at the fellow in the window. He told me that on his computer, it said that my policy was cancelled.
Irritated, I called United Healthcare RX insurance and proceeded to spend hour after hour on the phone with those people. Each of the different people I spoke with said, I was supposed to have re-applied because I moved out of state, and I retorted, "How in the world would I have known that information? Each one of them said that whoever the person was I spoke with about my change of address, told me this information. I told them, at first in a nice way, that NO ONE ever mentioned this to me at all. NOT A WORD." I said, "Don't you think I would have done this if they told me to do this or the result would be the cancellation of my insurance??" Of COURSE I would have! I take several prescription medications daily, and I cannot afford them on my own - that's why I have this insurance!
I called and spoke with someone different every time, and this went on for at least 2 1/2 weeks. They each told me something different, and when I tried to pick up my prescriptions after they said I could, I was still told at the pharmacy that my insurance was not reinstated. After the initial calling and getting absolutely nowhere with them, I started asking for the supervisors right away, and even THEY gave me the runaround. Finally, toward the end, one of the supervisors told me that they would have someone listen to the tape-recorded message of the conversation I had with them, notifying them of my change of address.
After several more days of not knowing what was going on, but STILL not able to refill my meds, finally I called again and spoke to a supervisor that said he was going to help me. He contacted the department that listens to the phone conversations and after waiting on hold and talking with him for HOURS, he finally came back on and said I was right - that the worker NEVER informed me that I had to re-apply, otherwise, I would be terminated. I tried telling that to every single person I spoke with regarding this, but they obviously didn't believe me. They didn't believe me until they heard the conversation for themselves. That supervisor, reinstated my insurance and backdated it to when the termination date was. Which I appreciated. But I was so aggravated by this whole situation, without the ability to get the medicine I needed at the time, except to pay for it out of pocket and some of my medications are several hundred dollars.
Well, that might be an option for someone who has the money - but I'm not in that position. I live on a fixed income and the whole purpose of PAYING for this insurance was to be able to afford the astronomical prices of medication as it is! It's NOT like they're giving me something for nothing! I decided to file a complaint with some insurance board - I forgot who it is now - as I'm waiting to hear back from them. I think they need to be held accountable for a few issues here, and that's why I filed the complaint. It drives me crazy that people, especially older people, are expected to just believe what they're told by the medical community and are jacked around like we're idiots. I resent that, and I resent this company not giving me the benefit of the doubt before they could prove that I was lying.
This country's whole court system is based on presuming someone is "innocent before they are proven to be guilty," not the other way around. United Health Care needs to step their game up and get it together. AARP should lean on them to do so as well. With more and more folks getting into the age of Medicare, United Health Care and those like them, need to treat those of us who have worked our whole lives and paid our dues, with more respect and courtesy than they are presently doing. Give us the benefit of the doubt that we are telling you the truth or we truly don't understand something, before you jump the gun and cancel our life-saving medication access. Next time, someone may not be as lucky as I was and it could cost them their life.
Reviewed Oct. 28, 2015
My work switched to UHC from Blue Cross in June 2015. BCBS was increasing their rates, and my employers thought they were getting a better deal from UHC. UHC representatives came in, touted themselves as providing better care than BCBS. They said that none of us would have to change providers. They said we may have issues with a few prescriptions, but to just work through it and everything would be okay. I am 26 years old, and in fair health. Shortly after we switched companies, I developed my first case of vertigo. The doctor prescribed meclizine, which UHC denied. Whatever, it's $15, so I just paid cash.
Then, I went to the doctor to start treatment for psoriasis and psoriatic arthritis. The doctor ordered blood work and referred me to a dermatologist. There was a place to have the blood taken at the doctor's office, but only people with actual health insurance get to use that. UHC will only take blood work done by LabCorp facilities, so I had to wait a few days (it was a Friday afternoon) and drive out in the boondocks somewhere to go. LabCorp failed to send in my blood results so I had to call the doctor a week after it was drawn to get them to contact LabCorp to move things along. LabCorp took no initiative.
I finally see a dermatologist, who diagnosed me with severe psoriasis, and is concerned I may have psoriatic arthritis already (I have terrible wrist and knee pain. I cannot kneel for more than a few minutes without days of pain, which is unusual for my age). He prescribes me Otezla, a new drug that is the safest psoriasis treatment on the market. UHC denied me Otezla, citing I need to try Stelara or Humira first. Stelara & Humira are both immune-compromising biologics. I almost died at birth from tuberculosis, and should not be endangering my immune system in any fashion. In addition Stelara and Humira both leave patient's psoriasis WORSE if they ever get off of it. They can induce psoriasis in patients who take those medications for other reasons (like Crohn's disease), and induce painful, pustular psoriasis plaques in others. Permanently.
My specialty pharmacy, my dermatologist, and Otezla themselves appealed UHC on my behalf. Multiple times. UHC literally could not care less about your health. Let me repeat, they do not care. They have deals with some drug companies (The only reason they would tout Stelara/Humira over Otezla, as Otezla is actually LESS expensive than the drugs they're trying to put me on) over others, and have bought their own pharmacy that they use to gouge their health insurance customers. (How is that legal???)
I might as well not have any insurance, at all. I now have to go begging to Otezla to continue to give me that medication for free, as the cost of Otezla without insurance is $1,500/month (Humira, at its lower rate, is $1,800. Stelara is $3,500). Otezla has been fantastic BUT I HATE having to ask for handouts. I have health insurance. Health insurance is supposed to pay for medical treatments when you cannot. Therefore, I cannot really call UHC health insurance. They take your money and give you nothing back.
With UHC you are not a person, not a face. They don't care if you have a family, a job. They don't care if you are young or old. They don't care if you're in pain or not. They don't care if the treatments they are trying to make you take would kill you. They don't care. You are a number. That's it. UHC is terrible enough that, should my employer fail to switch providers again come 2016, I will need to seek other employment. That will be almost the three year mark for me, which is really a shame, but I am not comfortable with not having insurance. And I don't.
Reviewed Oct. 28, 2015
Enrolled in U.H. Care Medicare Advantage PPO plan this year 2015. My husband recently retired, he enrolled also. Everything went smoothly, U.H. Care approved both of us. I have my plan and he has his. Husband canceled his former Empire Blue Cross Blue Shield from job. We are no longer in their computer system. Went to my primary doctor, filled one subscription, everything went smoothly and was paid. Had thyroid ultrasound then orthopedic specialist for frozen shoulder. Specialist doctor gets flak from U.H. Care, they won't pay because they said I have another insurance plan that is primary, Well Point. We never heard of this.
My husband called Well Point after searching for phone number, they said we are NOT in their computer system. He called our former insurance, Empire Blue Cross Blue Shield, they said we are NOT in their computer system either. They said Well Point was a dental branch of Empire. Now just HOW did U.H. Care manage to booger their computer system having us down as having a different primary insurance that does NOT exist? Medicare (gov.) pays U.H. Care $800 per month to do this to us??? Liars, thieves, they should be penalized by the Federal Government!!!
Reviewed Oct. 28, 2015
I am fully paid with my insurance United Health Care. They 1/2 way thru my plan change and force me to use OptumRx. Well I call they tell me I can't use my card from Lyrica which saves me $60 per month x 12 is $720 per year off my copay. I am then told I am getting charged for one copay $85 3 times as one mail of 90 day supply for 1-3 month supply. How is that fair 1 transaction 3 times the price. Well I proceed to the ripoff and to pay.
They say, "we cannot allow you to pay for your meds. We are going to inform you of a bill owed from 18 months ago." We never sent you a statement or ever tried to collect. But now want to hostage your meds also your Orthovisk knee injections that keep your knees from getting worse. We will not send those either, due to we can save money for CEO BONUSES FOR UNITED HEALTH CARE. They refuse to accept a payment plan or anything but still don't try to collect this money. They can care less due to the fact it has saved them 6 thousand dollars in refusing medical treatment I paid for. Why pay the damn insurance if they hold up benefits??? 40 calls - never can get one to 3 way call the other to get anything accomplished. They play stupid. It is smart actually. They are saving money screwing me.
UnitedHealthCare Company Information
- Company Name:
- UnitedHealthCare
- Address:
- 9700 Health Care Ln
- City:
- Minnetonka
- State/Province:
- MN
- Postal Code:
- 55343
- Website:
- www.uhc.com