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
- Online provider and benefit tools options
- Virtual care on select plans
- Benefits vary by plan and location
- Network and referral rules may limit provider choice
- Costs and prescription coverage vary by plan
UnitedHealthCare Reviews
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Reviewed Oct. 20, 2015
I didn't experience problems with United Healthcare Insurance until I moved to Lynwood IL. Before leaving Wisconsin, I transfer my coverage to IL about three years ago. I met with the representative, who came to my home to assist me through the process. The professional representative help me to picked a network providers. My disability requires on going treatment. United Healthcare provided a nurse visit to make sure my medication were taken correctly. Two years & $30,000 later, I learned they paid less than 10% of my doctor visits. I appeal their decision but don't get a response. I pay medicare and co-pay to the doctor's. I have medical collections office that will take me 30 years or more to pay, plus I have to pay cash to see any doctor. Now I am out of money and living in pain. I don't know where to turn. United Health has really destroyed me financially and medically.
Reviewed Oct. 16, 2015
I have been with United Health Care for more than 20 years now. I pay them $300.00 a week. $15k a year and have never had a benefit approved. At this time I have a lump that is growing in size and now is the size of a softball. I have been to my doctor and he needs an MRI to diagnose, NOT APPROVED! So, there is Nothing that can be done. There are no dentists within a 100 mile radius that will accept UHC and accepting new patients. When I have to see a doctor for anything it is actually cheaper to tell them that I do not have insurance than to disclose UHC. There are always two prices, one for people with insurance and another for people without. Doesn't that prove that ins co is being ripped off at our expense? Their customer service is not helpful. Where do you go for help?
Reviewed Oct. 13, 2015
My family is on their 3rd experience with United Health Care as an employment benefits provider. Each time our experience gets decidedly worse. I am the Father of a severely disabled young teenager. He does not, walk, talk and suffers from a seizure disorder; thus is 100% dependent on assistance. This is not a new condition. He was born with these limitations. We have claims from time to time to get him durable medical equipment for use such as a wheelchair, among other things. UHC has denied such claims by stating "they are considered as Personal care, comfort or convenience." Let me restate, he does not walk and is a 5'4" 100# teenager and growing.
The wheelchair and bath chair (the two primary and most egregious denials) are not requested but every several years for growth, not something that is frivolously requested. And yet, we are denied. It isn't difficult enough already, then to have a provider deny these claims and or having to fight for others. Our medical history is well documented and they have access, so they know we are not frivolous and are asking for what we are paying for, service. Poor service, each of the three times my company came to use them as primary provider. If we had a choice, an alternate we would absolutely change, immediately.
Reviewed Oct. 13, 2015
My PCP ordered MRI and United Healthcare refused it. It took an appeal and more than 10 phone calls and was bounced around from one department to another. Endured severe pain for more than a month. And finally, some had mercy and approved it. For the last several months, I received a letter stating that I have a 2 month balance due. There has been no missing payment because they withdraw premium from my checking account, usually within the first few days of the month.
When I call them about the letter, they say, "Disregard it because there is a glitch in our computer system and you are fine." I take the agent name and reference number. Jot it down on the letter and wait for the next month. Around the 25th of every month, I get a similar letter and I go through the same vicious cycle. This month when my doctor requested a pre-approval, UHC denied it and cc'd me on the letter stating that I have not paid my premium and I am in the second month of grace period. I tried to convince my doctor by bringing all bank statements and UHC letters and reference number. But the doctor's office says they cannot do anything about it. They will only see me if the computer system at UHC okays me - which I don't see happening anytime soon. Stay away from UHC if you can. Worst company, worst business, poor accounting, poor customer service, and poor communication.
Reviewed Oct. 9, 2015
United Healthcare EPO is terrible. I wasn't able to see my doctor that I had been seeing for 25 yrs. Instead they sent me to a ghetto doctors office that had torn chairs, filthy torn exam tables & the fill in doctor was sucking on a lollipop during my consultation and exam. Can't wait to change insurance companies on November 1st enrollment 2015.
Reviewed Oct. 9, 2015
Please heed this advice. Do not under ANY circumstances enrol in this healthcare plan. Just today I went to get a script filled for a medication I have been taking for 5 yrs. I take it 3 times a day. There is danger if I suddenly stop taking it. So, I go to get filled and it is rejected because UHC says I missed a premium. I call UHC, tell them my premium is taken out of my account automatically, and my bank records show it has already been taken out for this month. They admit mistake is theirs, tell me they will have it fixed between 3-24 hrs.
I tell them this will not work as I have to take this medication everyday and there are physical ramifications if I don't. Customer rep tells me ok, she will put on hurry and it should be ready in 3 hrs. I call back after 4 1/2 hours tell them it is still not taken care of. Different rep this time called "Josh". I again explain the importance of this being filled today. He's says he understand and he will "escalate" again. And he says he will call Rx and call me back in exactly 1 hr. I'm sure you can all guess, he did not call me back.
So I call a third time, again a different rep answers. I ask for Josh, am told there is no way to reach Josh. I explain my situation for a third time. Again am offered to have them escalate it. No way. I am connected with supervisor "Bill". (I find it interesting that everyone I talk to, though they are obviously from a different country, they have very American names). I explain situation, tell him Rx will be closing in a couple hrs, that if I suffer symptoms from missing this dose I will hold them liable. Supervisor says he will take care of it, puts me on hold, comes back on says I can go pick up script. I say "are you sure? because I am leaving house to go to Rx right now." He says yes. He also says he will send me email, with apology I guess was never clear on that due to language barrier.
I drive 40 miles to Rx, and of course nothing has been fixed and they are closing in 15 minutes. I call customer service back and a recording tells me they are closed and to call back during business hours. So, I end up having to pay cash for script. What do you think the odds are I will get refund from UHC for the difference? This insurance company was willing to let me go through withdrawals rather than fix THEIR error in a timely basis. Stay far, far away. You can go on UHC complaint site to read roughly 700 more complaints on this company..
Reviewed Oct. 6, 2015
My dear mother was given three weeks to live. I took her home from the hospital which only gave her codeine patches and this company refused to pay for the patches. They put my poor sick mother on hold for hours (we have phones records) from one department to another department! They knew my mom was old. They knew she was sick and they treated her with no respect!!! What a shame!!! Worst company ever!!! It's like being on welfare!
Reviewed Oct. 6, 2015
UHC was so bad about paying claims I had to go through a lawyer in S.H.I.P. in AL. Suggest anyone having issues with them saying doctors and/or clinics are "out of network" do the same, as every state has a legal team in SHIP. I will be switching to another insurer on the first day I'm allowed.
Reviewed Oct. 6, 2015
I got the most expensive insurance that United Healthcare offers and I needed a CT scan on my back because my leg is going numb and it hurts so bad that I can barely walk. United Healthcare denied my CT scan so now I cannot have any kind of treatment! I have been paying $600.00 a month for my coverage and this is what I get. Run from United Healthcare - they don't care about you!!!

Reviewed Oct. 2, 2015
In July 2015, I was set up with an individual health plan with UnitedHealthcare through an independent company here Indiana called Crosspointe Insurance Advisors. I was assured this was the plan for my needs, budget, etc. What a headache dealing with UnitedHealthcare has been already!! I wish I had looked up reviews on them before committing to my health plan. My insurance started on Aug. 1 -- but I did not receive my ID cards until late August. Numerous customers (including myself) were sent incorrect monthly bills in mid-September saying that UHC didn't receive our payment for Sept's premium and we now owed double. When I called UHC, they said this was an error. I went ahead and paid October's premium over the phone then.
Then two weeks later, UnitedHealthcare sent out bills stating that October payment was due Sept. 22. This was another error -- they meant Oct. 1. I called them because I had already paid Oct's premium over the phone on Sept 17 and had a confirmation #. The woman I spoke with was very rude and unprofessional. She said she'd ticket my account then hung up!
Reviewed Oct. 2, 2015
United Health Care (UHC) repeatedly loses my payments. They are sent by Electronic Funds Transfer (EFT). I sent them proof of payment but they still can't fix their problem. They acknowledge they have a problem but after 5 months they can't fix it. As a result they stop approving claims. They tell providers I have not paid. I find it hard to believe they cannot resolve receiving payments electronically from a major bank. If they would work hard at anything it would be getting cash in the door. I wonder if they are purposely trying to aggravate customers with a lot of claims so they go away to another insurer or lose coverage. Or maybe they are using outsourced vendors to do all their call center or IT work as some health insurers do – and maybe it is offshore vendors – and they are ** worthless.
Citizens of the USA we need to make all the health insurance companies go away. Get one national business to process all the policies and claims. It would save billions in operating expenses which means we would save and doctors would get paid. It should be a non-profit entity. It should be managed by the customers to ensure true customer service. This would end every healthcare problem in the USA.
Reviewed Oct. 1, 2015
I work in a doctor's office in billing and am shocked at the company's strategies to not pay providers. The employees deny almost all hospital charges forcing us to appeal with documentation. There was actually a very sick patient whom they denied payment stating that the charge did not reflect the patient's level of care. It was the LOWEST possible billable code!!!!! I think they deny in hopes that we will get tired of fighting and give up. By the way, look up the CEO's Salary!!! In the millions!!!!!
Reviewed Oct. 1, 2015
I've had United Health Care since 01/15. Everything was ok until 06/15 when my premium jumped from $281.00 monthly to $776.00. However that was due to the market place removing my tax credit. The tax credit of 516.00 has since been readded to my account. However United Health Care has failed to update their system and keeps telling me I owe them 776 or sometimes up to a thousand dollars or more. Since the entire tax credit screw up, I have faithfully paid the full amount for my insurance EVERY MONTH and every month I call to find out my balance after I have paid the representatives tell me I am paid up. Now this month's payment has jumped back up to 776.00. I've checked my payment history and all the payments are saying PROCESSED except for 2 which are saying SUBMITTED. On their system they say that processed means that the payment has been sent usefully however submitted means it hasn't been sent.
If a payment has not been "SENT" then why is my bank account saying otherwise! I am at my wits end with this company, no one wants to help when you call in. They tell you what they want to hear to get you off the phone and then the next month your bill is screwed up again. A representative told me to email my statements showing where the money was withdrawn, which I did send them. However, it was a phony email address. No one there knows what they are doing. I just need my account to be corrected! I am sick and tired of going through the same dilemma and being on the phone for 4 hours each month and getting the run around!
Reviewed Sept. 30, 2015
I have been a member of United Health Care since May 2015. I went to pick up one of my September meds and was told that I voluntarily canceled my policy. I called the office and was told that that was wrong information. A few days later I was able to pick up the rest under the insurance. However, on September the same pharmacy (Wal-Mart of Route 60, Vero Beach, Florida) told me my insurance had been canceled for nonpayments. I called the insurance again and was put on to a representative who told me I was canceled in July because I'm not a U.S. citizen.
I have been making numerous calls and I either got hang up on or left holding the line for long periods of time with no one returning to me. I'm a U.S citizen and have paid my monthly plan up until August. At no time had anyone told me to stop paying for any reason at all. One representative advice me to re-enroll and continue paying but my policy would not be effective until the new enrollment in November. Please for your kind help because I do not know what to do and not having my health insurance will have serious consequences on me in a number of ways.
Reviewed Sept. 29, 2015
I've gone in circles with UHC for the past month attempting to find a specific type of therapist in network in my large metro area. Apparently there are none but UHC continues to give me the names of two therapists, along with contact numbers, who do not exist. I've called the numbers (provided by UHC) for these supposed therapists, and the health care group on the phone tells me that these therapists are not employed by them. Furthermore, I can't even find these therapists on the Internet; it's like they simply don't exist. I got tired of calling UHC on the phone multiple times, so I finally sent an email, thinking that perhaps things might be more clear in writing.
In my email, I listed the full names of these nonexistent therapists and told UHC that these therapists do not exist, so what other therapists are in network? UHC's response: "Here are the therapists in your area in network : 1 Nonexistent therapist #1, and 2 Nonexistent therapist #2." (This was the response to my original concern where I provided the names of these nonexistent therapists and said that they don't exist!) I even suggested to UHC that it may be best for them to actually determine if providers are still practicing before providing such obsolete information to patients. UHC likely won't do that, though that idea makes too much sense!
Reviewed Sept. 29, 2015
I have been paying my premiums every month. When my daughter went to get her prescription filled in the beginning of August, she was told that United Healthcare put a hold on my account. I called them and they said part of June and all of July were not paid. I was told by the pharmacy that the same thing happened to another woman with UHC. I sent the insurance company copies of the cancelled checks which they denied receiving. My premium payment is $132.12 and I was billed for $309.24 & $132.12. If the $132.12 was covering July's payment, where does the $309.24 come from? I contacted my lawyer because 3 to 5 business days for a response turned into 2 months. My lawyer and I were holding on a three-way call with UHC waiting for them to find a supervisor, when after 45 minutes of holding, they hung up on us.
My lawyer sent them a letter describing how negligent they are and how much my daughter and I are suffering without our medications. They never responded by the deadline date, so I had to call them. They said I am all paid up and to check with the pharmacy to see if it's off of the hold. It is now finally off of hold two months later, but now I have to send copies of all the cancelled checks for the year so I can be reimbursed for the overpayments I made for June and July. I will update when I get a response from UHC.
Reviewed Sept. 29, 2015
I have no idea what's going on... Through my work I have United Health Care along with an HRA. My employer initially provided $300 in my HRA but I get more depending on how many hours I work. First off, they back charged me like 3 months. My employer tried very hard to get my money back for those three months but due to an error on their part, which WAS explained to them, they refused to give me my money back so now I had been covered through November of 2014. I had health claims during that time but they had been paid off by a previous insurance.
Six months later I receive letters from that previous insurance saying that because I had UHC at that time, they were supposed to be billed first... Well excuse me for not saying, "Hey those bills that are paid off, you need to resubmit them!" to my doctor. I tried to explain how I got back charged but they were extremely rude telling me I should have told my doctor about this other insurance. How was I supposed to do that when I didn't have the insurance at the time?
So I called my doctor's office and told them to resubmit the claims to UHC and then, whatever UHC didn't cover would go to my other insurance. They seemed to understand completely. I watched the UHC website as the claims came in, and they used my HRA to pay off what they could until it was down to $0. At that point, I was either told I owed a certain amount or that it had been paid off. I never received a bill from the doctor's so I assumed UHC and my other insurance had taken care of everything.
Two weeks ago I checked the UHC site and found that I had $450 in my HRA. I wasn't expecting them to pay out until the end of the year so that was awesome. Today I needed to go to the doctor for some pains I've been having, so I go to double check that my HRA money is still there and it's not. I checked the claims, and the many claims that told me I owned $0 were "adjusted" and not only is my HRA completely drained again, but now those same claims that were at $0 now say I owe money. There is no excuse here, these claims were from almost a year ago. There is no reason I should have to be sitting here worrying about medical claims from a year ago.
I'm pretty sure they waited to "adjust" the claims until my HRA balance came back so my employer would have to pay and not them. I wanted to call UHC to figure out what was going on, but after reading the reviews here I'm not sure I should even bother. I also received many letters about someone talking to an appeal service on my behalf which I never did. I never appealed anything, unless my doctor did, but I think I would have been informed. I have no idea what's going on. I'm scared now that I'm going to have to pay almost $3000 because these two insurance companies can't figure this stuff out. I'm also sitting here in a lot of pain wondering if I should even TRY to go to the doctor or not. I'm afraid I'll be told I’m declined for insurance or something.
Reviewed Sept. 28, 2015
I paid my premium for the month of September on August 27. The day after I paid them the premium, I switched health insurance companies. I called back the very next day after paying, to request a refund. I have been waiting one whole month, to the day, for this refund money. They processed the payment. It was taken out of my bank account literally the second I hit the submit payment button on the keyboard, but to get this money back in my account is merely impossible. I have called on several occasions, spoke to supervisors, and each time I call, I get a different excuse as to why the refund hasn't been processed. I am still waiting on a supervisor to call me back from my phone call today.
Reviewed Sept. 26, 2015
A neurosurgeon in United Healthcare's network informed me I needed surgery due to a herniated disc. I'm experiencing pain equal to and sometimes greater than labor pains, but in the thigh area. An MRI was done along with x rays to support the diagnosis, however I was denied the surgery. My surgeon informed me I had been denied, not United Healthcare. I called them and was told I could appeal however it could take up to 30 days for a response. I'm on all types of prescription drugs, still in agonizing pain. United has not given me any alternatives. They could care less about how much pain I'm experiencing and how it's affected my life. This insurance provider is the worst I've experienced in my lifetime.
Reviewed Sept. 25, 2015
I have been with UHC since February this year. As an independent contractor I have to pay my own insurance premiums at nearly $700 per month for an individual. I had knee surgery in May and have been recently diagnosed with Glaucoma. After locating a primary care doctor (I had a referral sent to each doctor), UHC help desk in the Philippines says you can see a single doctor 6 times in a 3 month period, which I haven't even seen these doctors, but 3 times each but my claims are not being paid and now my doctors cannot see me unless I pay out of pocket.
UHC Service Helper, James ** in the Philippines said he would transfer me to his supervisor "John" (he didn't know his last name), but hangs up on me. He has my phone number and doesn't call back. UHC Service Helper: Ben ** said he would resubmit with my referral numbers and call me back. He never calls me back and the bills are still outstanding. If anyone is looking for an insurance company in Florida, spend the extra $25 per month and go with Florida Blue. I had them before but elected to save money since they increased their premiums.
Reviewed Sept. 25, 2015
I made a phone call to Customer Service at United Healthcare to get the names of some In Network doctors I could go to for a "wellness" visit - that is a physical exam, a mammogram and a shingles vaccine. My UHC insurance is supposed to cover 100% of wellness claims. The Customer service rep. gave me the name of the University of Wisconsin Health system as In Network.
I made an appointment, and nothing was covered. They have sent me letters that say the customer service reps cannot be relied on to give the correct information. They say they listened to my phone recording and this is not what was said. When I requested the recording, they say I need a subpoena. Then today they say they never recorded that particular phone call. They will not give me anything in writing. Does anyone out there have a similar problem and want to start a class action lawsuit?
Reviewed Sept. 24, 2015
I have so many problems with United Healthcare I cant possibly list them all, but here are a few: We purchased platinum compass PPO 250 at a cost of $1200 per month for our family, Dec 2014. At time of purchase they listed Banner Health doctors as in the plan. By Jan 2015 no Banner Doctors were accepting United Health Care. Thinking I purchased a PPO, we tried to find another primary care doctor for each of our family members. Finally did but was hard to find decent doctors in the plan.
Then came to find out our "PPO" requires a referral in writing and electronically for all specialist doctor visits. I thought PPO meant you choose your doctor? HMMM??? I think advertising this policy as PPO was false and misleading. They told me yes, I was correct and that it was misadvertised on the web, it actually is a "managed PPO". Throughout this year we have discovered that the vision plan and dental plan for our kids is not connected to United Health properly (they are separate companies) and those departments have not ever shown the proper totals for our out of pocket deductible or out of pocket max, so we have paid everything for those visits out of our pocket and tried to get reimbursement.
Every department: customer service, claims, pharmacy, dental and vision and the my UHC customer page, are all on different computer systems and none of them communicate and our accumulated totals have never been accurate or the same on any of the systems. Why is this important? Well because every time we go to a doctor, urgent care or pharmacy, what they charge us is based on how much of those totals we have met. Lately, most doctors or urgent cares just hear the name "United Healthcare Compass" and demand an upfront payment because they can't get accurate information ever on people's accumulated deductible totals. I have had 3 audits done and yesterday the audit mailed to me said we have met all deductible and out of pocket totals yet my doctors and pharmacy do not show that so they keep charging me at the wrong rates.
This company is truly criminal in its practices in my estimation. Customer service people only read what is on their computer screen and it is always wrong and after speaking with them for usually 30 - 60 minutes they sometimes figure out that they aren't seeing the right totals. It truly is like being in the twilight zone. They are cheating us out of benefits everyday and there is no way to get help. I have sent in request begging for audits to our account and they send them back without even looking at anything I tell them is wrong. The grievance dept has sent generic letters back to me and they are wrong and are obvious they do not know this plans details.
Seriously, this company is breaking the law with insurance practices. They are causing us to pay for things that should be covered simply by not having correct numbers and accumulated totals in their system. Additionally, I know they will not pay claims to doctors if bills are not submitted in 90 days and we too, like many complaints we've read, had a claim not paid due to their mishandling of a claim in a timely manner. Many doctors and entire health systems (Banner AZ) will not accept them anymore because they have terrible systems and cannot get paid correctly or get accurate information on the phone or the computer system due to the insane computer systems that are not connected to each other in each department. Each department is an island, they cannot get anything done because they all work on different computer systems that don't update each other.
Their customer service people have no idea what is going on. They only can read what is on their screen and often that is wrong. Every time the totals are different than what is on claims dept. screen, vision dept. screen, dental dept. screen and pharmacy dept. screen and what I see on the myuhc.com page which is supposed to be my accurate account information portal, never never ever matches what any of the customer service agents in any dept. tell me the totals are. They have misprocessed several of our claims and our account has a ridiculous amount of plus and minus to the totals, one claim for example was reprocessed in and out of our totals 16 times!!
I hope a big health insurance attorney or firm will look closely at this companies practices, I am sure there is giant lawsuit here. I have lots of documentation of the misleading documents, totals and mismatched accounting of deductible and out of pocket totals between all the systems. Please consumers beware, they are the worst company I have ever dealt with. Save yourself the heartache and find another healthcare company. They are putting lives at risk with these terrible business practices!
Reviewed Sept. 23, 2015
We are a provider for this product and it is impossible to get help beyond the minimum. I tried calling their helpline (877) 842-3210 which put me in a redundant loop of automated responses which did not help. I finally got a "customer service rep" who did not speak English and was not authorized to answer my question. She told me she would transfer me and when I requested the telephone number she was transferring me to she gave me the telephone number that I had dialed! I said that that would not help me and she transferred me right back into the loop! I had already gone on the website to verify benefits which did not suffice, thus the reason for my call. This is just unacceptable for a company that wants to do business. I would not recommend this company to anyone because it seems that their main business is to frustrate rather than serve.
Reviewed Sept. 23, 2015
In the 27 years I've worked in billing, UnitedHealthcare makes the most mistakes when processing claims. This is frustrating for both the member and the provider. Frequently claims are processed as "out of network" and a deductible or penalty will be applied when the provider is in network and has been for year, such as the physical therapy clinic I work for. Also, they outsource their provider services department overseas and I am put on hold many times, sometimes end up getting disconnected while on hold and have to call back again.
An example is, they receive a claim and deny it stating on the EOB that the member has reached their benefit maximum of a certain amount of visits. The patient has not even come close to the maximum. You look online at their website at the claim and it says it's pending for medical records to be sent which were sent a month ago. You call and the customer service rep tells you they have received the records and the member called and informed them that they are not at their limit of visits, so they will then go ahead and have the claim reprocessed. However usually when this happens the provider will get a letter in a couple of weeks stating the claims processed correctly and you have to call again and the cycle repeats itself. They are the worst of any insurance company with processing claims correctly.
Reviewed Sept. 21, 2015
One thing doesn't change: the TRICARE benefit. TRICARE remains committed to providing the best possible health care for the 9.7 million military members, retirees and their families that use the benefit. On April 1, 2013, United Health Care Military & Veterans replaced TriWest Healthcare Alliance as the TRICARE West Region health care contractor. In other words, they lost the bid and TriWest Healthcare Alliance lost their contract.
I was lied to. Even though I receive quality health care, it is at a PRICE! When you're not smarter than a 5th grader customer service agent answers the phone you're guaranteed to receive one of the following responses; "Oh, are you the provider" then ask for Tax ID number, refuses to fax a form to doctor's office, a completely and totally different answer every time you call. I would rather be put on hold while they look up the answer than have them make something up. My sons coverage changed and UHC refused to send a new card, was told to printout one from website. My favorite is when you're promised a call back from a supervisor in 24 hours and it's been well over a week. I believe the worst thing that has happened to Military Members, Retirees and their families is the care contract through United Health Care Military & Veterans.
Reviewed Sept. 21, 2015
I have been extremely dissatisfied with United Healthcare Student Resources. They go out of their way to delay payment of claims or avoid payment entirely. When using an out of network provider, they are now requesting (in addition to the claim being submitted) for payment showing that the doctor has been paid in full. One must also show proof of payment (that is a canceled check showing the doctor has received the payment and deposited the check into his/her account). In other words, one must wait until the doctor has deposited your funds before even beginning the claims process. What is the reason for this?
Reviewed Sept. 21, 2015
This insurance company is by far the worst our office has ever dealt with! They reject claims multiple times for reasons that are unclear to even seasoned professionals. If you fix a claim and resubmit it, they just reject it again for another reason, not just once or twice but multiple times. It's no wonder Drs' offices are dropping out of it!
Reviewed Sept. 19, 2015
Awful experience with this insurance company. I received the payment letter and it said that I have unpaid bills but my bank show all my MONEY is being taken by this insurance company. This is completely ridiculous.
Reviewed Sept. 17, 2015
In March husband signed up with United Health Care, $247.74 a month for insurance. I was then laid off in March, so we cancelled this so called affordable insurance. Today, Sep 17, 2015, we received a bill from United Health Care, $1,522.18. Mind you in the last couple of months we haven't received any bills. I called market place today, and the Lady couldn't discuss this with me because I'm not on the account. Anyways I said, "On the back of the bill it says, Your premium payment for each month is due on or before the first day of each month. If we do not receive your premium payment by the end of the grace period, your coverage will end."
So I read that to the Lady, and asked, "How long is a grace period?" She said "30 days." I said, "Then why is he getting billed when we haven't paid in over 30 days?" She couldn't discuss with me because I'm not on the account. I said, "You know, I believe United Health Insurance is taking advantage of the elderly. I use to take care of the elderly as a Home health Respiratory Therapist, and I know a lot of 70-80 year olds who would just see this bill and pay it. This bill doesn't even really exist."
Why did they bill him $1,522.18 for an insurance we cancelled and is WAY beyond this so called grace period. Now, when my husband comes home from a hard day of plumbing, I have to explain this and he will have to call, and it's just frustrating. And seriously taking advantage of people. What if they say we have to pay this? It just don't make sense. You don't pay your water bill it gets cut off. You don't pay your power bill it gets cut. You don't pay your car insurance it cuts off, but you cancel and don't pay your health insurance, they keep billing you? And not send the bill by the way till September! We cancelled it the first of April!
I know people have way more problems going on today. I just hope they don't think they can make us pay this, and prayers my husband don't flip out on whatever they are gonna say on the phone to him. May the Grace of God be with us all! I don't usually complain, but I could name 5 people I took care of that have money, would see a bill and just pay it. It's not right. They are definitely taking advantage of the elderly for sure!!
Reviewed Sept. 17, 2015
United HealthCare community plan. The WORST health care provider ever! What's the point of making a health plan where 9 out 10 places won't accept?! Changing my health care.
Reviewed Sept. 16, 2015
I've had United Health Care through my employer for about three weeks. My wife is on several medications and every single one is requiring pre authorizations. She is suffering greatly from severe nausea and we've been waiting to get authorization. The medication has been ready at the pharmacy for three days now, but we're still waiting on UHC to authorize it. I'm just going to have to pick it up and pay cash for it today. This is by far the worst insurance I've ever had, and so far we've only dealt with prescriptions. I hope that none of us become severely ill or injured as we'd be worse off than if we were uninsured.
Reviewed Sept. 14, 2015
I was going to an endocrinologist for the better part of 3 years to positive results with my type 1 diabetes. At mid-2014, I went to schedule an appointment and was informed that the provider would no longer be accepting UHC. At that point I began looking for a new physician, only to find that the majority in my area were not accepting the coverage because of the hassle of trying to get paid by UHC. After successfully finding a provider, I assumed my issues were done. Fast forward to now (9/15), and I am looking for a psychiatrist for my wife to see. All but one refused to take her as a new patient because of our insurance company. What is UHC doing to make providers stop accepting their coverage?
Reviewed Sept. 14, 2015
I've had united healthcare insurance through my husband's job and I got pregnant around april and I went to my doctors appts the first 2-3 months. When I was getting ready to go to my appt my doctor called and told me my insurance had been terminated. I called the insurance company and they told me that they had terminated my coverage because I never sent the paperwork saying I was actually married to my husband but they never sent us any paperwork and when I told them and asked them to send us the paperwork again they told me it was too late and there was nothing they could do. I am 6 months pregnant and I haven't been able to see a doctor because they left me high and dry. I tried applying to other insurances but I didn't qualify and now I don't know what to do.
Reviewed Sept. 10, 2015
This company routinely delays payment to pre-authorized claims for longer than two months. Also denies claims with ridiculous reasons like not accepting electronic claims and requesting paper records, then claiming they are not receiving them or they are not good quality. It is a ploy to hold on to the money in which the only person hurt is the consumer (patient). If I could find a regulatory board that would hear my complaint, I would file one.
Reviewed Sept. 8, 2015
We had absolutely awful experience with UnitedHealthcare HMO.
1) Choosing primary physician should be easy, but nothing is with UnitedHealthcare: The list of in-network physicians on their website is irrelevant. Once I started calling doc offices from the list to verify they accept my insurance, 9 out of 10 said they don't accept it. Even when I called UnitedHealthcare customer service and asked them to give me valid in-network physicians, they give me the wrong ones who don't accept my insurance.
2) Customer Service is confusing and incompetent: You may call 3 times and talk to 3 different people about the same question, and you will receive 3 different answers. And you will never be able to prove that. They don't want to give you anything in writing. You will never be able to prove what they told you on the phone, because even if you have your call number, they just have the general description of the conversation and no details of what they told you. They also claim they can't email of fax anything, so, for example, they tell you they called your physician office and were told such and such, but you don't have any proof they actually called and what there were really told. This customer service is meant to leave you helpless and confused.
3) UnitedHealthcare tries really hard not to pay for your annual wellness check: You can only go to your primary physician for annual wellness check for it to be covered, and you need to be very careful there: wellness check includes saying to the doc that you are perfectly fine and don't have any complaints. If you say anything that sounds like a complaint in the doc office, they will not consider it part of wellness check, they will bill you for an office visit and UnitedHealthcare will not cover it. Wellness check also includes and standard bloodwork. Now be sure to get the list of tests your doc ordered and call your insurance to verify if all these tests are covered before you go to the lab. Also make sure the lab is in network.
4) UnitedHealthcare tries to process claims as out-of-network by default and make you pay the maximum price. They hope you will not pay attention and just pay the bill from the health provider. I got a bill from a physician's office and thought the price was suspiciously high. Called UnitedHealthcare customer service and found out the claim was processed as out-of-network, when in fact the doc office was in-network. I had my bill adjusted and cut in half. Had I not called them, I would have paid double price. Apparently, you can't just trust that UnitedHealthcare will do its job honestly, you need to keep an eye on them and double check everything they do.
You just can't trust them. UnitedHealthcare is the worst insurance company our family ever had to deal with. We are going to vote with your feet and walk away from this scam, this company will not get another dime from us ever again.
Reviewed Sept. 8, 2015
I have insurance through the Marketplace. I started last year with BC/BS and had no problems. This year I switched to United Health Care because it was less expensive but I found out the hard way, you get what you pay for. I paid my payments online from January through April always on time, generally I would pay them early. I paid my May payment at the end of April as usual but when I went to pay my June bill at the end of May I saw that showed that I did not receive a tax credit for May so I called the Marketplace to find out why. They told me that they needed more documentation regarding my annual salary. They said that they would inform United Health Care that I was still eligible for the tax credit as long as I got the additional required documentation to them by August. I sent the required documentation immediately on May 22nd, 2015 so I wouldn't lose any coverage.
The next week I looked on my billing account from United Health Care and it still said that I did not have a tax credit and I owed the premium. I called UHC customer service and they said that they did not receive any documentation from the Marketplace saying that I had a tax credit even though when I looked on my account through the Marketplace, it clearly said that it did. I called the Marketplace and they told me that they have documentation that they sent UHC my updated information and that UHC should take care of it. I called UHC back and they said that because they didn't have documentation for May that I had a tax credit I owed the premium for May. I thought that that would be it and so I sent the additional $218.00 through my checking account as a one time payment thinking that my account would be corrected and I would be back on the right track. At that time I also paid my June payment with my credit card.
When I looked at my billing account after I verified that UHC received my two additional payments, I was shocked to find that the payments were not accounted for! I immediately called UHC and asked why they did not apply my payments and they told me that they had no records of my payments even though I had proof that they had cashed both of them! I was furious! UHC made me call my credit card company for a transaction # so that UHC might be able to look it up. I actually did that . My credit card company said that UHC did not give it a transaction # but showed their insurance company name and a phone number next to the payment. I called that number and it was a number that was not in service. I think UHC is fraudulent and negligent in its practices to say the least! So for the next 3 months I have been going round and round with UHC to try and correct this and get health insurance.
One representative told me that my insurance was terminated in 5/31/2015 but they would fix it and it should be fixed in 5 business days. It wasn't. I called back and another representative told me some other story and that it would be fixed in another 5 days. It wasn't. So it went on and on all summer until August when open season was over and then UHC told me that I could not have insurance because it was no longer open season. But the representative gave me an email address to write to and ask to be reinstated. The company that is handling UHC emails is Cisco. I sent them an email explaining my situation and asked to be reinstated. They replied that after looking at my account that my insurance was terminated on May 31, 2015. I wrote back to them (contact person: Dellan **) and told them that I was contacting an attorney because they were fraudulent and liars and thieves.
I received a response that day saying that upon further research that I was being reinstated. So I went to my billing account to pay for September (because as per their notification my insurance was terminated in May and I did not have insurance for the months of June, July and August). I was livid to say the least to find that they were charging me for those months as well as May!!! I sent an email back to Dellan ** at Cisco saying that if I would have needed to be seen by a physician or go to the hospital during those months they would have denied claims saying that I didn't have insurance. He replied that there was no gap in insurance and I owe the full amount that was on my bill even though I have his email from August 7th stating that my insurance was terminated on May 31, 2015!!!
I have had it with United Health Care! They are the biggest liars and thieves and should be put out of business and be punished for their negligence and fraudulent practices!!! Does anyone know of an attorney that is handling this type of case? I would appreciate it greatly to be in touch with someone who can help!!
Reviewed Sept. 4, 2015
Was told when I selected the plan there were co-pays. I was paying $40.00 specialist co-pay then started getting bill for a 20%. So what happened to my co-pay?
Reviewed Sept. 3, 2015
I went to the Dentist in January of 2015. I gave them my insurance information. I know I was out of network but all I had done was a cleaning and x-rays. In March 2015, I received a letter of denial from United Health Care with an explanation that I had no coverage which was totally untrue. I called them and asked what was going on? I was then told that the claim had been sent to Salt Lake City, Utah. They informed me it should have gone to Milwaukee, Wi. I got a copy of the claim form and mailed it myself to the correct address.
In May 2015, I found out from the Dental office I went to, that the bill still hadn't been paid. I had to pay out of pocket. The bill was $273.00. I continued to call United Health Care and was told they hadn't received the claim form. This has continued for months, me calling them practically every week with no resolve. I was told last week, that the form that was sent in in May was the wrong form. Now we have sent in what United Health Care claims is the right form, but only till October.
I have been getting the runaround for 9 months and I am very frustrated. I am on a fixed income of less than a thousand dollars a month and having to pay $273.00 for a simple cleaning that is suppose to be free has put a strain on my financial situation. I haven't gotten a straight answer from this Insurance company in the last 9 months and I am angry. There is only a couple of weeks left in September and I will be back to square 1. All I want is someone to recognize this problem.
Reviewed Sept. 3, 2015
I purchased UHC via Marketplace to cancel out my work insurance but when I found out that my job would not cancel my insurance I had to cancel the UHC. I took every step to make sure this was done properly. I purchased the plan via Market Place on 02/27/15 and canceled on 03/03. They told me that it would take 14 days for it to show up canceled and then I would receive my refund. Well 7 months, lots of phone calls, lies and many hours put in over the phone later and I have yet to receive my refund.
I have spoken to all kinds of managers and was promised all kinds of lies about turnaround times and people getting back with me. I have even spoken to Jeff in Consumer affairs and he ignores my calls and won't even take my calls anymore. This company needs to be SUED CLASS ACTION STYLE! Just reading these posts I'm glad I didn't do any further business with them! I would love to be a part of a Suit. I'm seeking my own lawsuit now against them!
Reviewed Sept. 2, 2015
For a month I haven't had any insurance. They said I didn't make my payments for the months of July or August. The problem with that is I paid two months at a time. I paid for August when I made July's payment. I went to the pharmacy to get my medicine and couldn't. That's how it started out. So for the last 3 or so weeks I've talked to at least five or more people that work there. They all say the same thing at first. They tell me that I owe for those two months. When I tell them that's not possible they say "can you hold on and let me look a little bit more?" Upon looking, they eventually find out my insurance is paid. They tell me they will fix it, but never do. After about 3 or 4 people done this, they put me through billing. Billing said they would have it fixed in three hours, and go back to get my medicine. I couldn't go back that day, because I had to go to school, so I had to wait until my pharmacy opened on Monday.
So when I went to get it Monday, they still told me that I hadn't made my payments. I finally was tired of talking to everyone, so when I called again this Monday, I asked for a supervisor. He was worse than the regular employees. He didn't even try to go any deeper. When he didn't see, he just said it wasn't paid, and I need to get a confirmation number from my bank. He told me that he would call me back in 20 minutes, and not to call back because he already had my information. Well today is Wednesday, and I haven't received a call from him yet. It's like they know they screwed up. I will say this though, if I can't get my medicine because of their negligence, and I have a stroke or something, I promise I will sue this pathetic company for every penny they have.
Reviewed Sept. 2, 2015
Had to have hernia surgery. Had trouble finding prefer service surgeons. I requested help from UHC. They found surgeon and hospital a hour away. I agreed to their location and surgeon. 6 months later claim denied. Done out of preferred service provider. Long holds on phone with hard to understand operators.
Reviewed Sept. 1, 2015
United Health Care has a third party called House Calls calling my mom for her to enroll. She said "no thank you." So they now are harassing her with calls and letters, to get her to accept. High-pressure sales for medical house call? This is wrong.
Reviewed Aug. 29, 2015
I had put my credit card info into the Gov. Health exchange website for auto payments to UHC. UHC had a "glitch", said I am overdue and they dropped me. I hurried to their website, put in my credit card info again and they took the money. Two months later they said I was dropped. But they had put me on another plan of theirs. This made my deductible for my son restart! Now I am getting $500+ bills from an audit company of theirs saying I owe them! I think this company is crooked and taking advantage. I feel they will bombard you with hoops to jump through until you just give up!
Reviewed Aug. 28, 2015
My ENT sent a referral to see a allergist. Little did I know that when the allergist sent in the claim they didn't realize they needed to get the referral from my PCP instead of the ENT (their mistake). I couldn't believe it. With my plan, you need the PCP to send the referrals, not any other Dr. OH by the way no one verbally told me and it's not in their handbook they sent me. So because of something that little they denied the claim instead of denying it with an explanation to the Dr and what they need to do to fix it. Which is get a referral from my PCP. I'm certainly not paying it. If that's the protocol, then my allergist can fight them. It's not my fight.
They made the mistake and UHC is a lousy company because they have all these little rules like for example they denied two different drug prescriptions because they needed... wait, get this... "an override/approval from my Dr writing the script." DOES THAT MAKE ANY sense at all? It's like asking the Dr if they are sure if I need the prescription. What a messed up system they have. Terrible.
Reviewed Aug. 27, 2015
United Health CARE STINKS!!! They have not PAID my caregiver for 2 MONTHS! What's going on, cannot get anyone to answer the phone, all lines are busy. What's going on? How do I get in touch with a supervisor???
Reviewed Aug. 26, 2015
I chose the HMO plan along with another few of my coworkers. We each chose a primary care physician prior to completing our sign up. UHC changed every single one of our PCP's to a doc of their choosing. Then when we tried to switch they fought us on changing for a full calendar month saying they won't pay for the visits. They denied medications for me saying flat out they don't pay for that. So I have to go back to the doctor in order to be prescribed something they'll pay for, but they've seen to it that I can't see a doctor. Unbelievable.
Reviewed Aug. 26, 2015
Consistently when I try to get services authorized for my patients, I get the runaround at United Healthcare and its mental health subordinate United Behavioral Health. Additionally they do not authorize care based on typical guidelines and even are not consistent in their following of nationally accepted definitions of diagnoses and service types. These are the reasons that providers try to avoid United Healthcare more than just their low reimbursement because when you can't get needed services for your patient, then you as the provider are mutually at risk with your patient.
Reviewed Aug. 26, 2015
12 days ago my husband fell and injured his wrist. He went to the doctor and they took an x-ray. The x-ray revealed no break, but the doctor told him to come back in one week for another x-ray and to go to an orthopedic for an MRI. United has denied the MRI now twice. Today they advised us that my husband should get physical therapy. The physical therapy unit won't begin treatment on him because they said they don't know if this is a fracture or torn ligaments. How do we respond????
Reviewed Aug. 22, 2015
I was looking for health care and couldn't find one in my budget, talked to a guy and he found one. We discussed it but never authorized it did. He would call on Friday to verify the account. He didn't call on Friday and the following Monday money (83.75) was taken out of my bank account with NO AUTH. It took a hour out of my work day to get to someone who could help with the problem. It has been a week since then, and I just got another bill in the mail after the lady told me that my "account" had been disconnected. That was a lie. I had to close my bank account and open a new one because they wanted to pull money out and I couldn't get a hold of anyone that could help when I had time, so I wouldn't recommend at all. They don't stand by their word, they do un-AUTH. transactions.
Reviewed Aug. 21, 2015
I always pay by the due date. I was denied medication and payment of services because they had not "applied" 2 months' worth of payments to reflect that I was up to date with premium payments. I called, and a representative said it would be fixed within 3-5 days. 3 weeks later, same issue. My doctors were receiving letters that their services would not be paid for. The website was still showing 2 months' worth of "unapplied payments." I called again and they finally managed to fix it and send me an apology letter. This is unacceptable.
Reviewed Aug. 19, 2015
After 3 consecutive days trying to get resolution of a bill, I have given up. I could not get customer service rep to LISTEN to my question, let alone provide any help. Management needs to listen to the phone calls for QUALITY purposes. The billing entity also indicated they had submitted required documents twice and would do so for the third time.... They are frustrated also. It indicated this is not a new issue with UHC. I will definitely shop for new insurance for both my wife.
Reviewed Aug. 19, 2015
Ok my husband and I pick United Health Care platinum government health care exchange... and what a joke to found a pain management that will take it. I call the list of doctors and they're not many in the list and they hope we do not take plan I have. I have to travel 30 miles to found a doctor that take it and that does not work out too well. Not the nicest people there... so I am back to square one again trying to found a doctors to take this insurance. We do monthly for this plan for us. It pricey but we were thinking it was good deal for us. But it driving me up the wall to call to found out if doctor take this insurance and running into walls... The doctors do not like taking this insurance at all... specialist anyway and that wrong. If you are a doctor and you are taking United Health Care plan why not take everyone that has it other than leaving us out to dry because we went through health care exchange to get insurance?
I really hate living in pain and I want a doctor that will treat with respect. Just want to feel better... I was really hoping health care exchange program for insurance but they are not. Next year I am going to found different plan since this one is not working for us... It all comes down to money with doctors and this plan does not pay enough for doctors to take it.
Reviewed Aug. 18, 2015
I enrolled with United Health Care effective Jan 1, 2015. After seeing my PCP I was referred to see an Orthopedic on Jan 27, 2015. After my visit, I received a bill from my doctor stating that this claim was denied. UHC claimed that this visit was not authorized or authorized after the fact and they would not cover this. Each time I have had to visit a doctor UHC has basically turned down my claim almost every time. It's like I don't have Insurance although my premium is $605 monthly.
In March I received a notice letting me know that as of 4/01/15 I would not be eligible to enroll in the program. I had several appointments scheduled in April 2015 and I needed to get my medication refilled. On 4/01/15 I tried to use insurance but found that my insurance coverage was canceled and I was not able to see my doctor, therefore I had to cancel all my appointments and get samples. I found an agent who re-enrolled me back through marketplace. However, she chose United Health Care. The worst thing I could have agreed to.
After my agent re-enrolled through UHC they took out the first payment in April 2015 for May 1 2015, even though I was not able to use the insurance until mid-May 2015, but on June 1, 2015 they took out a double payment. My coverage ended 3/31/15 and I was not able to received coverage again until mid-May 2015. They have charged me for a month and half of coverage that I did not have and has not returned my money. And every time I file a claim they find a way not to cover the claim. I do not understand how they do people this way and remain operating. I have been trying for over 2 months to get my money back. Something needs to be done.
Reviewed Aug. 17, 2015
Since February 2015, I've been enrolled in United Health Care of Florida, Inc.'s Bronze Compass health insurance under "Obamacare." Hopefully, I can spare others from making the same mistake. For the first three months, they processed my premium payments correctly. But in May, June, July and August 2015, they cashed my checks within a few days without crediting my account properly. Every month, I am double billed: for the current month and the previous paid month! I have spent hours trying to get Customer "Service" (?) to locate my missing payments. I am beyond disgusted. No one in this company seems to know what they are doing, no one seems accountable, and - what's worse - no one even seems to care. Shame on everyone associated with United Health Care of Florida, Inc. If you are a wise consumer, you will avoid this company like the plague!
Reviewed Aug. 15, 2015
I had a routine health exam on May 22, 2015, and since then I've spent over eight hours on the phone with UnitedHealthcare "customer service" (not!) staff; reps from the blood-work lab and radiology lab that performed my routine, preventive tests and read the preventive exam x-rays; and my doctor's staff. I had received several bills that should have been covered by UHC, because there was a minor problem with the billing code the doctor's office staff sent to the lab. I thought I had straightened things out with the first round of phone calls.
I had spent an entire morning relaying information among the labs, billing departments, doctor's office, and UHC, and I thought I had everyone on the same page: understanding that these tests were ALL ROUTINE AND COVERED BY MY INSURANCE!! But no. I've had to contact all of those people again THREE TIMES over the past few months. And today I received a note from UHC saying I'm required to pay one of these bills--$77 for routine blood work that we've all agreed is covered under my UHC medical insurance. What a freaking nightmare. I will never do business with UHC again.
Reviewed Aug. 14, 2015
UHC lied to us from the beginning including which doctors were on our plan and limited hospitals to 2, one of which is 40 miles from us. After paying 40.00 for my medication for the past year (they said it was a tier 2 generic) they required me to try 3 out of 4 other drugs before they would cover my current medication. I did as they asked and was in great pain and had many adverse reactions so my doctor contacted them and explained I needed to be put BACK on my previous medication. They agreed but now my medicine (still generic) was a tier 4 and would cost me 250.00 dollars.
Their coverage has been going downhill since we got it and we are paying out of pocket for this insurance. My husband has had 2 heart attacks and they will not cover his required Crestor. Costs 250.00 so he is unable to get it and must take a generic which is causing him to have poor treatment and reactions that concern his cardiologist. I was able to get help with my Eliquas from the company as they would charge 250 for it as well. Would not recommend this insurance to anyone as most doctors will not accept it. Can't wait till Nov. for open enrollment.
Reviewed Aug. 13, 2015
I have called this insurance company over 30 times in the past week to (this is no exaggeration) try to get an ID card, to find providers, to just figure out easy questions to my plan. Almost every time I am transferred to the wrong department, my call is dropped, or I'm told the WRONG information. It is extremely frustrating and a waste of my time to have to constantly call back or be misinformed about services. I called a total of 10 times to find out if one of the doctors I would be seeing would be covered under my plan and each time I got a different answer. This company is a piece of **. I will NEVER sign up for them again. I'd rather be fined and have my money go to the government than this worthless company.
Reviewed Aug. 12, 2015
I called UHC on 8/12 to ask a complicated questions regarding a very sick patient's benefits for home care. I was connected to someone in the Philippines. I asked to be transferred to a nurse in the U.S. and this person refused. I could not understand her and she could give me another phone number to call. The customer service for our "American" products is horrible. Why are we forced to talk to people in other countries who we can't understand, who can't understand us. I know that because I am always asked to repeat everything I say when speaking to a person in the Philippines. I can't wait for Donald Trump.
Reviewed Aug. 11, 2015
Forget about getting help. I needed to provide payment receipts to my employer for proof of insurance and could not get anyone to answer a phone much less figure out their pos website. NO EMAIL!! Only one phone number for everyone and they close 3 pm, AZ time. You UHC are scum.
Reviewed Aug. 11, 2015
I recently contacted the United Health Care claims department about a claim. The claim involved hospitalization of my wife (3 days). I received a letter explaining that my wife's hospitalization was not medically necessary. The explanation I received was such a crock of **. The claims agent told me they have an agreement that can alter the admission status from admitted to observation. She also told me that as a railroad employee, I should understand contract negotiations and how they work. I understand that any Union member expects a fair days pay for a fair days work. I don't need to be a "bully" to get what I want as a 40+ year member of organized labor. She tried to tell me that United Health Care is only working to get me (& United Health Care) the best value for the huge premium that my employer and I pay.
I'm not sure who is benefiting from my huge premium - me or the CEO of United Health Care. HIS SALARY FOR 2014 WAS $66,000,000 (66 MILLION DOLLARS). I will use every resource available to me to make a change to this bullying tactic.
Reviewed Aug. 10, 2015
United Health Care lied about covering the medication. I have been taking for 10 years. They denied me after assuring coverage before we bought the policy. UHC has put my health in jeopardy. Every day the pain gets worse. What can I do? Please help.
Reviewed Aug. 10, 2015
This company double bills me 2 times in a row. When calling to get the issues corrected I have had the absolute WORST customer service. Hours on end on the phone with them being transferred around everywhere. Clearly all of their staff have a major lack of training - as over the 5 different phone calls and hours of aggravation I was told I would be refunded by two different supervisors who stated that they would follow up with me... Never heard from one of them and still have not received any of the money back that they took. This is all before I have even had a chance to use the health insurance. I can't even imagine the runaround I am going to get to try to see a doctor. DO NOT get health insurance with them if you can help it.
Reviewed Aug. 10, 2015
In December 2014 went to apply for healthcare through UnitedHealthCare. I did not qualify for subsidy or tax credit cause my and husband's income was over the limits. New plan started January 1, 2015. Received my cards after premium was paid $250.25. Had a doctor's visit in late March and was given RX for a rash on face. Received a bill from doctor about 2 wks later stating the insurance refused to pay. (So meanwhile May's premium paid.) So I called them up April 13. The person I spoke with told me that someone called and cancelled my policy February 12 2015. Needless to say I paid for the whole claim out of pocket and paid premiums up to end of May 2015. Never a phone call or written letter in saying why am I continuing pay on the policy I don't have instead just taking my money.
So I called and requested refund for partial month of Feb. and the following months March, April & May. No they say I'm not entitled to it but, we will put in review for the month of May $250.25. I should get refund in about 3 wks. It will go for review and check will send out. I have received nothing!!! I have called multiple times and same thing is said - under review. Just called again today August 10, 2015 same thing - "We will call you and give updates to email". Same as I heard first day I called April 13, 2015. Just isn't right United Health Care is not entitled to my money but yet kept taking it.
Reviewed Aug. 7, 2015
I purchased United Compass this spring and paid more than other plans for the top tier coverage. I pay almost $1,300 per month. I call dr after dr in my area, no one will take the insurance. The current dr I see has told me they will no longer take the insurance. United does not pay them and limits their pay when they do. I am stuck and can't cancel because there is no open enrollment until January. This is fraud and Obamacare is making me pay premiums for insurance that is not usable or I will be fined. I am stuck in a plan because of Obamacare and can't change. This is maddening!
Reviewed Aug. 7, 2015
6-23 called and asked to change address for my Father-in-law. Was told to do a temporary change for 1 year. And was advised to take him to an urgent care facility. Urgent care referred us to a urologist. Urologist ordered surgery. United Healthcare would not authorize surgery. They were splitting hairs about wording temporary vs permanent address change. Urgent care vs primary dr. visit. After spending an entire day on phone with customer service, they gave the go ahead for surgery. They didn't send the authorization to the surgeon's office. So I had to call again. This time they tell me the lady I spoke to prior did not have the authority to give authorization. I had already had my husband leave work and take Dad to pre operation appointment. I have names and times of the calls. My father-in-law had paid for and never used the plan in 20+ years.
They put policy before patient care. This delayed his surgery. I had to cancel the plan and get a new one. Waited till August 1st so new plan could take effect with Humana. The amount of depression and stress this caused my whole family was unbelievable. All we wanted was to help my husband's Dad get better and to care for him during this rough time. I followed all the directions I was given by the insurance company. I have never experienced this poor of quality in customer service ever! They acted like being able to urinate was an elective surgery. And I should have just left my father-in-law to fend for himself in San Diego away from his family. When I asked how much the same plan here in Walnut Creek was, the price doubled! It really was all about the mighty dollar vs patient care. They just didn't want to pay it. They told me I could pay for it out of pocket. Maybe I should have and then hire an attorney. Just sad how we treat our seniors!
Reviewed Aug. 7, 2015
To all potential customers... DO NOT BUY insurance from UHC! As soon as you need coverage for medical conditions they will find a way to not pay. They use terms like 'plan excluded' and 'not medically necessary' for every possible condition that arises! Just read all of the customer posts on UHC Facebook. Day after day customers complain about all the things UHC refuses to cover. My latest complaint... Vitamin B12 injections for B12 Deficiency and Pernicious Anemia are plan excluded by UHC. I was told by UHC rep that oral B12 would be covered instead. However, with Pernicious Anemia, oral B12 is not absorbed by the body and results in a deficiency that can cause neurological problems. Once again UHC has denied coverage for the services I need. We would be better off to have self-insured rather than pay the outrageous premiums to UHC which provides zero benefit.
Reviewed Aug. 5, 2015
On July 19, 2015 I was told by the doctor's office that health insurance for my kids was terminated on 6/30/2015. When I called United they told me it was due to enrollment through NY state health exchange. I haven't received any notifications from the state but I did the enrollment anyway. I was surprised to find out I did not need to do it at all as my enrollment was valid till 8/31/2016. I was calling every day to check the status and every time it was a different answer, that state needs to send them enrollment info, which they did, then it was not the enrollment info they needed. Couple times I conferenced state and United Healthcare to verify the enrollment and eligibility and I was given a confirmation number promised it would be resolved and till today it is not.
I filed complaints everywhere I could but nobody seems to know how to resolve that issue and nobody is willing to resolve it which is the worst part. My premium was paid till October, till today I haven't received anything in writing about the cancellation. NY State exchange tells me my kids should be active and United Healthcare says no. Can somebody finally hold this insurance company accountable for these actions? Why is it that a policy can be canceled at any time without the insured being notified that there is something needed? Or in my case how can I even be sure that there is something needed if one party tells me "no" and another tells me "yes"?
Reviewed Aug. 4, 2015
This company cannot find my payments after 3 months. All they do is open trouble tickets and do nothing about it. After making my payments they still show me inactive. I have also filed a complaint with the better business bureau. Please do not use them. They are the worse.
Reviewed Aug. 4, 2015
After making a three month payment through United Health Care's billing services they tell me that they could not find it because it never posted to my account. A situation that I thought would take 2 weeks maximum to resolve ended up taking 2 MONTHS! For those 2 months I was back and forth on the phone with several different representatives telling me to give them more time to resolve the issue when I was given the runaround over and over again. Finally when the payment was posted I had to pay for 2/3 MORE MONTHS of coverage because my lost payment was only applied to the previous months before.
My issue with the company is when I asked to be credited just 1 month of health insurance since I was terminated due to the lost payment and I could not go to the doctor they could not even do that. I had no issue paying for the current month but I did have an issue paying for coverage of the months that the company was giving me the runaround and I could not go to the doctor anyways because of United Health Care taking their sweet time to fix the issue regarding my payment. They are totally unprofessional and only care about the money. They don't care about customer service or making taking care of the customer.
Reviewed Aug. 4, 2015
No wonder United Health Care is cheap and picked up by employers as they provide the worst of the worst. I first called United Health Care as my doctor wanted me to attend diabetes education. United Health Care (888-470-8022) said my diabetes education was 100% covered if it truly was education. After my second visit from diabetes education, I received a hospital bill from Bristol hospital. Upon calling 888-470-8022, United Health Care said I had a $600 deductible to meet before my 100% covered was in effect. In 40 years, I never been let down and lied like I have been the last two years working with United Health especially the OPTUMRX who never deliver my meds as promised.
Reviewed Aug. 1, 2015
I have had BCBS for 20 years. I tried going through the Marketplace and found UHC premier Gold Compass to look much better and slightly cheaper on paper. They said in the initial website I could choose my current doctor but turns out I can't. All pre-existing conditions apply. I spend over $1300 per month for my wife and I for insurance which is more than my mortgage and they do not cover anything. I cannot wait until Dec. for open enrollment. They blatantly lied about their coverage, doctors and premiums. They messed with the wrong person now. Affordable Healthcare Act, Obamacare, what a joke. My premiums doubled and my health insurance is twice as expensive. I'm sorry BCBS I hope Congress investigates UHC and finds out they are scammers and crooks. Does anyone speak English there???
Reviewed July 29, 2015
It is July and I have not used my health insurance because none of the doctors in network will accept the insurance. I joined because the practice I go to was a top tier provider. When I try to make an appointment - they say "we haven't taken that insurance in years!" I have no primary doctor & without that I cannot go to any other doctor. They show 48 doctors in my area as primary providers. First half of them are about 150 miles away (UHC claims they are within ten miles - NOT!). Next the rest will not take the insurance. Their site says they update the network like once a week. It is summer. I've told them these doctors won't take the insurance & they are still on the site as in network. This is FRAUD!
Reviewed July 28, 2015
United Healthcare collected premium after my insurance was cancelled and has not refunded the premium after multiple requests over this month. What are my options for recovering these dollars?
Reviewed July 28, 2015
I enrolled with UHC in December 2014. None of the payments I made online and by phone ever posted on time to my account. When I went to make my April payment, my account status said 'TERMINATED - NON PAYMENT'. Called up the customer service and they asked me to email my bank statements to prove that I have in fact made them payments. These imbeciles have such a ** system in place that they take our money, give us a confirmation number each time you make a payment and when we mention the same confirmation numbers or the credit/debit card details, they can NEVER EVER EVER find it in their ** system.
After 5 calls to the customer service, the first from March 24th to the 5th on June 25th, my status changed to 'Active' for exactly a week and then back to 'TERMINATED - NON PAYMENT'. I had to delay my wife's medical checkup as my PCP says I don't have an active insurance even after paying UHC close to $3600 this year. No peace of mind. Waste of time almost 25 mins for at least 5 days of every month on call with the 'Customer Service'. This is a piece of crap insurance service. Would love to hear from others with similar billing issues. It's time we get our minimum rights and sue such incompetent companies.
Reviewed July 26, 2015
This company never sends notification of anything, at least to me. I have been undergoing cancer treatment since last November -- seeing the same Dr., having same treatments. I saw my oncologist on May 8th & had my chemos, etc. I get ready to have my tests on June 29 and follow up the next week for blood work, treatment and Dr. visit. But June 26th the center calls and says the insurance denied my visits -- no tests, nothing, allowed. The ins. person at the center spent 2 days on the phone trying to find out why before she called me. She was finally told I needed a new referral -- to see someone I had been seeing for 8 months! So, my primary Dr. was gone and 8 days later I finally manage to get his office to send a referral.
Nothing happens. I keep checking and everyone says there is no referral with the UHC. So, I get a new fax # and the office tries again (of course, 2 weeks went by). Finally (after several more days) everyone says there is a referral but that is not what they really wanted -- after telling the oncologist's office, my primary Dr.'s office & me that they needed a new referral!
Now they say that the place I go for my treatments is no longer in their coverage & hasn't been since January!! I was never told this or I would have tried to make other arrangements as quickly as possible. So, here it is July 26 & since early June I have had no care, no tests, no treatments -- nothing. Can't even get my port flushed to prevent it clogging. They are trying to decide if I can still go there or if I have to do something else & I can guarantee it will take at least a month more to decide. I truly do not know what to do at this point. I guess if I die my husband can sue them, but I doubt it will do any good. Insurance companies can deny care any time they want even if it leads to death and they do not go to jail like other murderers.
Reviewed July 24, 2015
In May of this year my husband received a statement from United Health Care notifying him that he owed various providers over $20,000 for visits and hospital stay for the period between 08/14 and 04/15. However, they first paid the bills, then took money back from the providers! Several phone calls did not result in any action; in fact, the "Customer Care" (what an irony!) employees were totally clueless. They seemed to have been taught to tell customers that they will be contacted, and of course nothing happens. My husband sent a letter with full documentation to the CEO, no response. Then he was told that the payments were denied because he has Medicare part B (which he does not). Further, he pays full premium, so it is not clear why Medicare is even mentioned.
As of today, the bills keep on coming, and nothing has been resolved. After a few hours of research on the internet I found out that the company cheats on everyone: their shareholders (by backdating stock options), their employees (by refusing to pay for overtime), the providers (they take money back from providers such as doctors and hospital for alleged "overpayments" and dropping doctors from provider lists overnight) and the policy holders, by refusing to pay the claims. But they outperform S&P 500... Absolutely disgusting; please stay away. It's not that the other insurance companies are better, but at least they are less evil.
Reviewed July 24, 2015
I am a provider and I am now down with these bottom feeders. They have weaseled out of their last payment with me for the last time. Consumers who have United can now get in line with the only agency left in town willing to take them. Another bridge burned. Total disgrace.
Reviewed July 23, 2015
I recently went to dentist to have teeth cleaned. This is new for 2015. Well, they told me I could keep the same dentist that I have been going to for almost 30 years. So I enrolled. Guess what? They now will not pay my dentist. The customer service agents do not have a clue. They tell you what they think you want to hear. So I am paying an extra $35.00 a month for nothing. But this is the last year I will be with this company.
Reviewed July 22, 2015
Signed up for health coverage via the HealthCare.gov website in Dec 2014. The first issue I had with them was that they listed the plan as a "NATIONAL COVERAGE PLAN" then AFTER I enrolled and paid for my first premium they sent me a letter stating that there was a MISTAKE ON THE WEBSITE about the "national coverage" and that my plan was in fact NOT a national plan and would only be effective for providers in the state of Florida! The whole reason why I chose that particular plan was so that I could have national coverage and go to providers in other states where my relatives/family live.
On another issue ever since March of 2015 I have had an enormous amount of constant billing discrepancies. I have paid my premiums on time every month either via their online website, a mailed check, online bill pay through my bank and also telephone instant payments and none of these payment methods have made any difference in correcting what now has been a 7 month long battle of billing discrepancies. Billing discrepancies ranging anywhere from double premium invoicing to "lost recorded payments" to misposted payments. My premium payments NEVER get posted and my bank account gets debited every month. I have spent roughly 32 hours in total on phone calls to the billing dept and nothing ever gets resolved.... A total waste of my time. I am counting the days until OPEN ENROLLMENT because I will not be renewing with this healthcare provider!
Reviewed July 21, 2015
Prior to signing with United Healthcare, my insurance broker & I both contacted UHC to confirm that the hospital where I had my mammogram done was in their network. We were both assured it was. I went to that hospital, had the mammogram & then received notice from UHC that the hospital was not in network & my claim was denied. I appealed & was denied again. I requested an external appeal & that was denied because my "problem" was administrative. So now I am responsible for a charge of $1677.10 for the mammogram. The hospital stated they could not help me with a discount because I had insurance. Yes, I had insurance but it denied the claim.
I am still fighting this since April & am probably facing a bad credit score because they sent me to collection. After posting of Facebook about my dissatisfaction with UHC, I was contacted immediately but again, nothing was done. I had a stroke last year & had to stop working for quite some time. I now only work one day a week & am expected to be able to pay this bill.
Reviewed July 20, 2015
My brother-in-law who lives with us is disabled and 55 years old. Has had many falls, hospitalization, broken bones from falls. Has Cerebral Palsy and needs the use of a motorized wheelchair. Has Medicare which is horrible and has United Healthcare plan. United Healthcare has denied him for the motorized chair. This denied him quality of life. Has him lingering in a manual wheelchair he can not operate. His doctor is also to blame. Not advocating for him.
Reviewed July 17, 2015
UHC did not cover my preventative colorectal cancer screening as required by the Affordable Care Act. I contacted UHC prior to my colonoscopy and was told it was covered at 100% with no cost sharing. I have asked the claims be reviewed again. However, I continue to get the runaround. Every agent I have spoken to has given me a different answer as to why the claims were not paid and my deductible applied instead. I believe that UHC is willfully trying to get out of paying for something that they are responsible for and are in violation of the ACA.
Reviewed July 14, 2015
I had knee replacement surgery 8 months ago. The surgeon said he did not participate with UnitedHealthcare which is my Medicare provider. I paid the surgeon's bills in full and have been trying to get reimbursed ever since. UHC says the surgeon is participating. The surgeon's billing office says they called UHC Provider services who confirmed he is not participating. We submitted claims with proof that we paid all the bills in full. But, the surgeon was paid a second time for one small bill, even though I paid all the bills already. They paid me for one small bill saying the provider was not participating. Now, they are saying he is participating, again. I have made about 30 calls to UHC and get a different person every time. They say they are going to correct the problem, and they never correct the problem or get back to me. They don't care about their clients, and if something is not routine you may never get it resolved.
Reviewed July 14, 2015
I was billed 350 for an x-ray after paying a 55.00 copay. I called to ask why since on their website that preventative care, at a specialist clinic, it says 100% covered by UHC. They said because my doctor office is considered a hospital because the x-ray machine is in a different room than the exam room. I then asked if there was a facility in my town that I could go to that X-rays are not billed as hospital and she hung up on me. Worst Customer service ever. I will do without health insurance and pay the fine rather than give these jokers any of my money.

Reviewed July 14, 2015
I've paid UnitedHealthcare faithfully since January 2015 using their envelope and enclosing their letter stub as instructed. This month they say that they haven't received a payment since March even though the checks have cleared my bank, and last week I received an email from them that I have a credited payment (that email is a first). At no time did the invoices that arrived show I had a previous balance. After speaking with a rep last week, I sent copies of the cleared checks per her instructions. At the time I mentioned that I was certain I was not the only customer experiencing this issue. I was told that I was. I see from this website that was incorrect.
Today I get a letter of cancellation from UnitedHealthcare and what happens "now that I don't have coverage." I called UnitedHealthcare. After 30 minutes on hold, a rep finally picked up and found my information including where I had sent the copies of the cleared checks. I asked if I had health insurance now. He said, "No, it's on hold, is that okay?" No that's not okay. Even though I don't need the insurance at the moment, I've paid for it and I have copies of cleared checks which I have provided. The rep offered to expedite my request (like he was doing me a favor) to research the issue. That might take as long as 5 days. In the meantime, I still don't have the insurance that I paid for.
Reviewed July 13, 2015
No coverage no cards. My son got this insurance and four months later and several phone calls, he still doesn't have them. Can't get on their website, it says he doesn't exist after making an account and paying his payments. Called today. They said they haven't posted his payment that was made six weeks ago so he's not covered until they do that. Meantime he has staph infection in both legs and if he goes to the emergency room before they post payment they won't cover the bill. Please do not get this insurance, it sucks.
Reviewed July 13, 2015
I have been with United Healthcare Insurance since Jan. 1, 2015 thru the Healthcare Act and it has been a nightmare since day one. First, I'm told I have to pick a doctor which I do at the time of my first payment in December 2014. They send me the card with my doctor's name only to receive three new cards over the course of the next several weeks with three different doctor's names on them because for some unknown reason my choice was changed in the system. No one could provide a good reason why.
The next nightmare started in April when I received my monthly statement where I had been back-billed Jan. through March and double-billed for April. They sent a letter to my providers telling them that any services I had during this time may not be paid since I had not made my payments to them. I pay via their website before the 25th of each month and had all my confirmation numbers and emails to prove it. Thank goodness we didn't sign up for automatic drafts. They would have taken all those payments out of my account and I'd probably still be trying to get it refunded. As it was, it took the whole month of May to get that corrected but in the meantime I was mortified that my doctor was told I was behind in my payments.
Then, when they applied my May payment it was posted to the January premium showing that May was still due and I was only current through the end of April. It took several phone calls and emails to get that fixed. Come June they did the same thing, again taking several calls and emails to get it fixed. My July statement was sent and I made my payment on June 22nd. The bank cleared my payment on June 23rd. It is now July 13th and my payment has yet to be posted to my account and they've already billed me for August.
I called on June 30th to alert them to the problem. Was told it would be done by July 2nd. On July 3rd it still wasn't done and was told it would take another 5 days to be posted. By Fri., July 11th, it still wasn't posted so I re-emailed them about it. I called again this morning (July 13th) and asked for a supervisor. I was never allowed to speak to one but Andre has assured me he figured out that my payment was sent to the wrong department and that he has redirected it to the department that handles my payments and that he would call me on Fri. to let me know it was fixed -- another 5 days!!! I will not be holding my breath for that call. They never call back.
I predict that my next statement will bill me for July and August and my providers will once again be receiving letters saying that I haven't been making my payments. This is the worst nightmare I have ever in my 56 years have had to deal with. I have had to contact them every single month since I've been with because of their errors. I am an accountant with nearly 20 years experience in accounts receivables and payables and for the life of me, I don't understand why they can't get this fixed. When it comes time to renew with ObamaCare at the end of the year I will be looking for another insurance company even though it will mean having to change doctors yet once again (for the 3rd time since it was enacted) in the hopes that the next company will not cause me the stress that United Healthcare has. Do not sign up with them if you value your sanity.
Reviewed July 11, 2015
My insurance changed Jan 2015 - I received no notice - tiers changed. Potassium prescription copay is outrageous; it's just potassium pills and has changed to Tier 4 copay. It is now at 36.00. First there was a deductible and now this. I don't know what happened but I will be changing in October. This has got to be the worst possible insurance.
Reviewed July 10, 2015
I have been with UnitedHealthcare Insurance for the past 2 years under an employer sponsored plan (section 125). I have been receiving the same prescriptions during the time I have been on the UHC plan. I renewed my meds this month and was told by the pharmacist the insurance company would not renew one of the medications without a prior authorization from my doctor. I never received a notice from UHC requiring an authorization. Another medication I have been taking for the past 2 years had a formulary change as of July 1, 2015 and a price increase. Again no warning of the change. My co-pay was $65.00 with my insurance and $30.99 WITHOUT insurance. Don't really understand the purpose of having insurance if I am going to pay 2X more WITH insurance. The 4 prescriptions I normally pay $60.00 a month now cost me $146.00 this month.
With all the regulations in place for healthcare, why isn't the carrier required to notify the patient of changes? Why are changes made mid plan year on an employer sponsored section 125 plan. As an employee I am not able to make any changes mid plan year unless it is a QUALIFYING EVENT. Why aren't the same standards held for insurance companies?
Reviewed July 10, 2015
I was given a script to get fitted shoes for Diabetic!!! (4) months later no shoes, 850 phone calls, 85 hours wasted and United Healthcare Oxford has been fired!!! Mr. CEO I don't work for you!!!
Reviewed July 10, 2015
I paid $477 for health care monthly insurance premium on 6/10/2015 via government's market place for July coverage for myself and my son. The company (United Health Care) has taken the payment but they haven't issued health insurance as of 07/10/2015. I have called United Healthcare on 3 different occasions and spent more than 2 hours on the phone to process my health coverage but they haven't done so. I haven't received my ID card or any information yet. My coverage should start on 07/01/2015. Today is 07/10/2015. I have paid for the entire month of July of which, 10 days have already passed. I still don't have my health insurance. I feel very frustrated.
Reviewed July 9, 2015
I have pectus excavatum and am now on prescription-strength painkillers 24 hours a day for chest pain. Both my father and brother had to get surgery for the same condition. I have been denied the operation three times now by this awful company. I hope terrible suffering befalls everyone who has any real power in this company, as they are all horrible people.
Reviewed July 9, 2015
Cannot manage medications, Poor customer support, don't care about its clients, all about their money. I was butcher by a dpm on my left ankle and foot! When I went back he wanted to cut off the toes he just repaired two years ago! I called uhc for another doctor opinion, and they said ok and approved it, then two days later sent me a letter stating I could not see this doctor, who is rated 5 star for orthopedic surgery! I told them I would only go to the doctor of my choice due to 8 surgeries on this foot! And it cannot be messed up again! I am 59 years old and no more time to keep getting anesthesia! Or remove foot and fit for prosthetic foot! I am going to federal government for help against UHC! They refused help! STAY AWAY FROM UHC!
Reviewed July 8, 2015
Seven months into the most trying experience of my life... I found this page. Wonder if it will even help. I am curious as to how many of those posting on this page have consulted lawyers and even gone ahead with filing a lawsuit. Something needs to be done. Strongly considering a lawsuit. My son was placed on an ADHD medication at the age of 5, when we risked being removed from preschool. Please don't scoff and think "oh my every kid has ADHD these days". There are children who have severe issues and need medication to, first and foremost, protect themselves and others from their impulsivities. Medication is critical to their success in social arenas and being able to focus on coping methods on not just a daily but hourly basis. Most ADHD children have many hypersensitivities as well - sound, texture, various fears.
In July of 2014 my son was prescribed the ** - it is a transdermal delivery system primarily for pediatric patients too young or hypersensitive to swallow capsules. Everything was fine until I went to fill the December prescription and found that the last day of November UHC excluded his medicine from the formulary guidelines - without notice to the patients. What if this had been insulin? I had to pay $281 on that day to pick up his prescription - you can't just stop and start the medication and he needed it to get through the school day. At first I thought this is a moderate inconvenience that I can resolve... not to frustrated.
I appealed the exclusion and was finally sent an acceptance between 45-60 days. I called several times during those weeks wondering what was taking so long since they said it only takes 30 days. I had to pay another $281 for January refill... but Hooray!! February magically was covered! Stick with me folks. I promise you this gets way worse. The appeal clearly stated that the ** is covered. In no part of the documents does it ever mention dosage. Guess what, in April my son's dosage had to increase - and the prescription was denied... bye bye another 281 bucks. This time, UHC told me that I had to wait a minimum of 90 days between appeals.
So I would have to wait one more month to appeal this new problem, and two more months for them to do anything about it. The representatives kept telling me I should use the capsule alternatives - that there were many options open for him. They were not concerned about helping me because they felt I could cram a pill down my son's throat and move on. It's not like children matter. I should probably beat him into submission too right?? (sarcasm)
Another 281 later I had no choice. I am a single mother, single income, w a growing child support arrearage total glaring at me every time I click the Attorney General site to see if his father cared enough to pay anything. I spent that 4 weeks on the last private pay prescription watching Youtube videos on how to teach children how to swallow pills, having him practice with tictacs, hiding my tears when he kept thinking he was drowning... there really just aren't words. My child was hurting - and UHC doesn't have an excuse for that. Hang in there friends... yes, it gets worse.
With minimal success at swallowing pills (still takes us 10-20 minutes each morn and several tries, and many ruined pills - hope he doesn't end up in the hospital from pills that open!) We request the ** prescription UHC told me to have my pediatrician write. Pediatrician mails me the handwritten script (because this is a controlled substance and cannot be called or faxed in) and I go to fill it a few days later. The pharmacist fixed it up and asked for $341.00. Turns out... 4 days prior UHC removed ** from their formulary guidelines list. I was on vacation 6 hours away from the pediatrician... Of my vacation I think I made 7 different phone calls to UHC, spoke with 7 different people (because they won't give you extensions, or better yet - one extension I was given turned out to not be accessible lol) spent a minimum of 12 hours begging someone/anyone to help me fill my son's meds.
I'm glad that we were on vacation and he didn't have to suffer school without his medication - but vacation was stressful on us all as we dodged sudden headbutts or kept him from leaping from a pontoon boat, playing with fish hooks, you name it... It's a miracle we didn't have an ER visit during this time. Returning home... the saga continues. This has been long enough so I will try to wind the rest up quickly. I'm told my UHC that the extended release options now available to my son are the following: ** - a brand name drug no pharmacy within 100 miles of me carries. ** - a generic drug no pharmacy within 100 miles of me carries. ** - a brand name drug no pharmacy within 100 miles of me carries.
For those brand names above pharmacies will happily offer the generic option they DO carry. You guessed it, the generics are excluded from the UHC formulary plan. For the drugs "not carried" - no pharmacy is willing to order - they can't order in bulk, have no other customers using it. I called again today - probably my 29th call in last 6 months - every now and then I find a nice person but they can't really be helpful. Mostly I find unhelpful unhappy people who do their best just to stay professional sounding.
For the first time in 6 months one of them suggested I try OptumRx - in fact I was even chastised for not having used THEIR pharmacy mail order and I could have avoided all the troubles I was complaining about (swear to God!) First I heard of it you better believe I jumped online with her still on hold - registered - pulled up my son's plan and started requesting his meds and would you believe... OptumRx doesn't work with controlled substances - exactly what I told the girl when she decided to chastise me - no one is going MAIL a controlled substance lol geez.
So here I sit... my son has now developed 2 behavioral ticks from the on and off of medication, changes of medication, changes of dosages in the diff medications. I have finally just started borrowing from family and use GoodRx coupons which help some to get us through until this can be resolved. I sent off a request for prescription reimbursement back in April. They haven't even sent an acknowledgement to me.
But the girl today told me if I wanted to initiate reimbursement I'd have to appeal the second ** dosage first. Ummm what?? I'm going to appeal it for you to now approve it after finally getting him to swallow the damn pills you told me to get him on because you wouldn't allow the appeal at that time??? I asked her how about just reimbursement on the 10mg scripts you did approve an appeal on then - that 700 bucks would be awesome right now. It could pay for his next 2 months you aren't going to cover. She said, they wouldn't look at any reimbursement until I filed the appeal on the 20mg... Please remember - the approved appeal said ** was covered - no dose specified. It approved the drug.
I'll end here... God bless you if you actually read this whole rant. There is something morally, ethically, and legally wrong when a child suffers because of corporate disregard for human health care. We are not numbers, we are not things... we are children, we are elderly, we are human. A doctor prescribes us medicine because we need it - not because we think it would be fun to start a 9 month battle with an insurance company. I've compromised. I've willingly agreed to alternatives - I have bent over backwards and said to numerous UHC representatives - "You find me a prescription I can fill, that's covered, and I'll TRY it." Oh... yea, they can't find one. Meanwhile, enjoy yet another month of my premium payments. I do think it's time for a lawyer. Thanks for allowing me to vent.
Reviewed July 8, 2015
When I went to visit my pcp I gave my insurance card which had my doctors name on It! I received a letter from United health care that I didn't use my pcp doctor and changed it to a doctor unknown to me. I called them and explain what's wrong and said they would changed it back to my pcp. Well they changed it once again to an unknown doctor again! Been with United health care for six months and they changed my pcp four times! Can't wait to change to another insurance company. Stay away from this company. Worst of the worst! Say they are fixing the problem and only makes thing worst!
Reviewed July 8, 2015
I left my job in May and while looking for another position was waiting for my Cobra ins paperwork to start in June. I paid my premium for June on the 23rd and they withdrew it right away. However, I was told I had to wait 24 -72 hrs to get my meds because it had to register in their system. Well, many phone calls and 2-3 lies and it showed I was covered for June, you guessed it July 1st!!! I was told "no you have to pay your July premium now of 474 dollars and you still can't get your meds for another 24-72 hours." So, almost 1000 dollars in six days and I still can't get my meds. So I've been waiting and calling and lied to some more about various things and although I paid on 7/1/15 and it's now 7/8/15 I still can't get my meds. And to top it all off I log on to the website to see if anything has changed and guess what, they mysteriously raised my premium to 512 dollars starting, you guessed it, 7/1/15!!!
So now, although, they told me what to pay on July 1st it says I owe 37 dollars! How did that happen, why didn't I know yesterday when I called them? So, who knows when it will kick in. Is this a scam to take your money and offer no services in return? Isn't that theft? I'm literally dumbfounded that this is occurring in our country and its legal! I tried to call them and they told me their truly efficient system is undergoing maintenance and my account is in that part undergoing this and to call back in an hour and a half! I'm so frustrated and wonder if the employees of this company would like themselves or their family members to be treated this way!
Updated on 07/11/2015: I paid the extra 37 dollars because my premium was raised on 7/1/15 without my knowledge. I called back this morning and was told he would have it fixed within 3 hours or so. He stated that if I didn't get a call or email by 2 pm to call them. Well, no call or email by 4:30 so a telephone call again. I've called this company approximately 20 or so times since 6/23/15. They tell me now my policy was cancelled and changed on the first and that they needed to contact my old HR dept to update their system with the new policy number. That my old HR dept is supposed to do this automatically. Now I have to wait 3-5 business days for this to happen.
I'm beyond frustrated and not only did I have to shell out the 479 dollars for June which was unusable because of UHC's delay but also 512 dollars for July and I still can't get my medication from June or July. If it changed on July 1st why haven't they followed up by now with the million phone calls and emails I've sent? It's almost comedic if I weren't so frustrated!!! Who does a person turn to, where do you go for justice?
Reviewed July 8, 2015
I am a medical personnel, and I absolutely encourage all patients to not get United healthcare! Please you might as well have no insurance. They deny things left and right. And I'm not talking about just little things I'm talking about MAJOR medical necessities! I've had our amputee patients get denied their prosthetics! This is ridiculous! Not only is the patient having to go through this life altering experience are having the unnecessary stress of some deadbeat deny them coverage and the patient is left responsible for a bill they cannot afford! And if they do approve something they do the bare minimum.
We have patient that should be considered k3 level ambulators but are being denied because they would rather us basically lie and say they are k2 level ambulators so they can save a couple bucks! This is outrageous. It is not fair to our patients who are paying for a service that should have their best interest at hand. And to appeal anything is an act of congress trying to get a human being on the phone to question! Please never ever get this insurance they will deny almost all physician request and you will end up paying for a service that does nothing for you except rob your wallet!
Reviewed July 7, 2015
Tuesday 7/7/15 I work for a Durable Medical Equipment Company submitting clinical documentation for review to see if a client meets criteria for equipment. When an item is denied there are two options a Peer to Peer Review or a formal appeal. The Peer to Peer review is when the client's prescribing MD calls UHC (UNITED HEALTH CARE) and speaks with the Medical Director to dispute the denial. This process has a time sensitive urgency which used to be 10-14 days after the denial. As of July 1st, 2015 UHC has implemented a new policy for the Peer to Peer review. UHC states The peer to peer must be conducted by 3 pm on the day the denial was provided. There are many issues with this.
First, many times we as providers do not receive a phone call notifying of denial. Often times we do not even receive a letter. And every once in awhile the client does not receive one on time, or at all. Secondly, UHC is demanding that an MD be available at a moments notice to dispute a denial. Everyone with common sense understands a medical doctor has several clients booked throughout the day with little in between time for much else. In my particular case we were not able to reach the client until 2:45 pm. The client did make an effort to call his MD however the clinic is closed on Tuesday's. How is this policy even legal? Never mind the fact that it's immoral and unethical. This policy should be illegal. This is not fair to consumers who pay for their coverage. Judges, lawyers, somebody PLEASE HELP! United Health Care is out of control!!!
Reviewed July 7, 2015
If you think you are getting a deal with this company, think again. After paying 3 months of bills through the mail, I receive a letter in the mail in May saying that I didn't pay for March so my insurance is terminated. Why did they wait until May to tell me this. That means I had no insurance for two months without me knowing. I paid the two months before the grace period and have proof. I made the nightmare phone call to speak to the minions who you couldn't understand and had no clue what they were talking about. So frustrating!! I now plan on emailing the company with a copy of the two checks that I paid and complain about this whole situation and even threaten to sue. I am unemployed and cannot afford to deal with this nonsense. Ridiculous!!!!!
Reviewed July 7, 2015
I enrolled my daughter in this health plan last year because it is the only plan the university offered. United Health plan did not send my daughter her ID card until four months after enrollment. In the meantime, we found out afterwards that all her medical claims not filed within 90 days will be denied. Since we did not get her ID on time and was not warned about this very unusual 90 days filing requirement ahead of time, we now have to pay her medical expenses out of our own pocket and UnitedHealthcare gained financially in a very unethical way. We also found out many students had run in the same problem. We also found out that UnitedHealthcare not only charge a higher premium than most, they also pay only 50% of your claims without any explanation. Please urge your school to avoid UnitedHealthcare.
Reviewed July 3, 2015
This was a disaster from the start! I initially chose United since it's the only insurance my Neuro accepts that I can purchase online. When I paid my first month's premium, 2 months was 'accidentally' deducted. Well, it's been 6 months AND I'M STILL TRYING TO GET THE EXTRA DEDUCTION FIGURED OUT. They did refund me the EXTRA money they removed but now it looks like I'm behind a month? It looks like when they refunded me it wasn't a refund and now I'm behind? Convoluted mess with something so simple! On top of that, they actually sent a letter to my doctor saying I was behind and she wasn't getting paid? WTH! I have MS and they have actually suspended delivery of my medication because it looks like I haven't paid my premium. I pay every month, on time, and have bank statements to prove it. Yet, their incompetence has left me angry and literally sick. Forget trying to get help on the phone.
They must all read from the same script. 'I apologize for the inconvenience and will send this to someone who will review and get back to you blah blah blah.' Guess what? THEY NEVER GET BACK TO YOU. On top of all this, this past month they deducted 2 months out of my account instead of 1!!! AGAIN, BECAUSE THEY SAID I WAS BEHIND A MONTH!! It would be funny if it wasn't so very sad. It's also dangerous for people who need those doctor's appointments, who need medication and who don't need the stress due to the incompetency of United. Come January, I'm definitely changing insurances even if I have to unfortunately change my neuro. I just can't deal with them anymore.
Reviewed July 3, 2015
This is the worst health insurance company that I've ever come across! First they use my money to pay someone else's healthcare for 2 months, I just recently got 1 payment back from them which took a month and a half, they still owe me another payment. Then they just took out WAY more money than they was supposed to and get this! I never authorized them to take monthly withdrawals from my account!!! Now I just called them and the recording says is open from 7 am - 7 pm but it then says the office is closed?!?! All the mailing addresses are PO boxes! I'd rather go without insurance and get fined at the end of year than give these bottom feeders another dime of my money!! I've called and called and called and the representatives are so full of crap! I absolutely HATE THIS COMPANY!!!
Reviewed July 2, 2015
I have insurance coverage since March 2015. I paid all my premiums on time on - 2/25/15, 03/29/2015, 4/25/15, 5/1/15 and 6/2/15. But this is just frustrating that I see that my account is TERMINATED based on NON-PAYMENT. I am trying to pay my this months premium but I cannot do it online now. I called customer service and they said that they cannot access anything as their system is broken. I cannot express how angry I am now. First I pay them all my premium and then I was notified that I did not pay them and they terminated my insurance. This is just a big fraud. Also when I talk to customer service 2 weeks ago, it was said that everything will be taken care of by last week. Unfortunately this has not happened and I need immediate assistance. What an awful and fraud company. I am going to complain everywhere about them.
Reviewed July 1, 2015
United Health Care is to be likened to the mob. True gangsters! I do not believe this is what Obama had in mind at all. The plan took so long to be implemented because insurance companies had to find a way to give the least while getting the most. They have succeeded. My husband works for one of the largest law firms in Houston, I'll just give the initials... Bracewell & Guiliani. We have a plan with 5000.00 deductible plus 4000.00 out of pocket. We were signed up for mail order but decided to price our local pharmacy as well. There was a 1000.00 difference between the two for a three month supply of an item needed.
So we went with the cheaper at our local store. Never realizing that if you had signed up for mail order that you could not use the local pharmacy more than twice in a year and only for one month at a time if you chose the local store instead of mail order. We have thousands of dollars never applied to deductible or out of pocket. With one month left before the new year starts in August I am 40.00 shy of meeting the deductible and find I am in need of cataract surgery for both eyes. So I run their little app to find out how much it will cost me using in network Dr. and facilities. They only will cover 400.00 of 2500.00 procedure. Now double that. Have you ever see the movie Falling Down with Michael Douglas... that could be me. I am so frustrated by this whole sham. Biggest con ever pulled on the U.S. citizens. What to do, where to turn? Am looking to move countries.. seriously!
Reviewed June 30, 2015
I have been to UHC multiple times for my chest each time they do an EKG and X-ray. I went last night and even told me them that my pain of worse as I walked, stood, and went upstairs etc. along with trouble breathing. The Dr. prescribed me 400mg of motrin every 8 hours like they have every time I go. The doctor also came back and said he didn't know what was causing the pain. He didn't even try to figure it out. If the doctors don't know how to do their job then you need to find doctors that do.
Reviewed June 30, 2015
I signed on to United Healthcare to cover my prescription costs. I have type 1 diabetes, so they're in the mid to high range. Now, their premiums aren't bad for what benefits I'd need - $37 a month for no initial spend down, and a slightly higher limit before I enter the donut hole. So I sign up, and as usual for a month or two before the payments are automatically taken out of my disability, I'd be getting bills in the mail. No bills came. When my disability payments on the third month came in, I discovered United hadn't taken their cut. So I called them in March, asking why I hadn't been billed /ever/ for the services they're providing, explaining I never got a bill in the mail and they've taken nothing out of my disability payments like I signed up for. I'm told "Social security is taking care of it" and that I "have nothing to worry about." This lack of payments from my account continues up until this month.
Two weeks ago I get a call from United Health Care about an investigation into a series of billing errors, but as of right now I have no back balance. Then last week I'm called about a resolution to these billing errors - I now owe six months of back payments due to their error I called them on months ago. I ask why this is suddenly my responsibility when I already told them what was wrong in March, when they said I had nothing to worry about. I'm told it's to pay for services rendered and I'm one of "thousands of people" this has happened to. Justifying a bill with "we've made this same mistake thousands of times" is probably one of the worse things I can hear from someone asking me for money.
Bear in mind I'm perfectly fine with the monthly payments - if I wasn't, I never would've signed up for them in the first place. But now that they want me to pay back on them while also paying current monthly installments, the minimum on the payment plan they suggest would drive me below zero in my bank account on a monthly basis. I'd actually be paying over $70 dollars in monthly installments on a $37 dollar plan, simply in the act of nullifying my overdraft fees - far from a sustainable financial situation. Oddly enough, until this time all customer service I've received was more than positive. And in light of my sudden and arbitrary rise in premiums, I'd say the cost versus benefit ratio has shifted from decent to abysmal.
Reviewed June 29, 2015
I signed up with United Healthcare through the Affordable Care Act in 2014. Last year, I had no problems with their billing department. Each month, I would go online and submit a payment. This year has been a complete nightmare. With the exception of February and March, I have been on the phone multiple times each month (4 to 5 hours total) to try and get my billing issues resolved. In April, I went to pay my bill online and was told that my account was "voluntarily suspended." This was news to me! After several phone calls (and several hours), an agent told me that the company was in error and that I could pay my premium by phone, which I did. I was given a confirmation number, and the premium was deducted from my checking account. I was told the issue was resolved. It wasn't.
The same thing happened in May and in June. Both times, I paid my premium by phone (after many phone calls and many hours), was given a confirmation number and was told the issue would be resolved. Today, June 29, I went to pay my July premium and found that my insurance has been terminated for lack of payment! According to United Healthcare, my policy was terminated on April 30 - and there is no record of my payments for April, May and June. Their computer system is a mess! I called and spoke to a representative, gave her my confirmation numbers, told her that the money had been deducted from my account, and she said they would look into it. She gave me a turnaround time of 5 business days. I told her that this is unacceptable, particularly with the holiday this week.
I have sent the company numerous emails, I have asked to speak to a supervisor, I have made repeated phone calls over the months - all to no avail. In the meantime, I have held off on any routine doctor visits this year, waiting for the UHC billing issues to be resolved. It is now June 29 and I still can't see a doctor. In fact, now my account is terminated for "lack of payment!" I'm infuriated. I have complained repeatedly to the New York Health Exchange and as of today, they are going to look into the issue for me. I'm not holding my breath! Needless to say, I plan to get this resolved and find a new health insurance company as soon as its possible. In the meantime, I have paid them thousands of dollars for lousy service!
Reviewed June 29, 2015
1st payment after initial setup with UHC mailed to PO Box in Dallas, TX, with coupon incl., mailed 06/10/15 for July 1st. Called customer service in PA several times. Kept saying, "Give another week." Was told Dallas, TX no office, was a PO Box only for payments. I am questioning how the payments are processed and by who. Today is June 29th, two days my payment is due July 1st. Can't get straight answer from customer service. Told to wait another week, or place stop payment with my bank and reissue. Ask if there was another address. Was told no. After seeing all the complaints of mailing or online payments not being posted to the accounts, I question why the Insurance Dept. for all states has not gotten involved to stop this insurance company's deceitful practices.
Reviewed June 27, 2015
In January 2014, my father fell and was taken by ambulance to the hospital. The ambulance provider claimed that UHC never paid their portion of the cost, so my dad was on the hook for the full amount. Over the course of the last year and a half, I have made numerous phone calls to both the ambulance service provider and UHC to reconcile the difference between the patient co-pay and the insurance covered amount. During my last call on 6/17/2015, I was assured that UHC had paid their portion via electronic check to the ambulance company (they talked directly with the ambulance company; something I had suggested several times).
UHC stated that they would send me an Explanation of Benefits, which I then could submit to the ambulance service provider with other pertinent information and finally get a partial refund for the total amount my father's estate paid out of pocket (my father passed away shortly after his last ambulance ride...). Not having received the EOB after two weeks, I called UHC again today. Each time I call, I have to review the situation with the new person on the phone.
This time I was told that the EOB had not been submitted because they (UHC) were still working to resolve some sort of issue going back to 2014. However, the guy on the phone was not quite sure what it was. At that point, I told UHC that I had had enough run around, that I would take this to my lawyer as well as discuss it with whatever consumer advocate I could find. This is absolutely disgusting and disrespectful.
Reviewed June 26, 2015
United Health Care has AWFUL and I do mean AWFUL customer service. Since returning from Hong Kong I needed to get health insurance. What a job it has been to get them to take my money and possibly get me signed up (possibly). I won't go into details. Bottom line: NO customer service. One cannot email them, unless you get special permission from a supervisor. They are too busy to deal with issues. If you have one it is your responsibility to follow up. You should KNOW insurance ease and know what to ask at what point. Ridiculous! Unless you must use United Health Care, run from them. Perhaps all insurance companies are the same, I don't know. It looks like that I will go without coverage for a short time due to their incompetency and inability to get a fax from their mail room on to the system.
I can, of course, pay full price to doctors should I need to see a doctor until they get this issue fixed. They will reimburse me. We all know what this means. I am sure this would take a minimum of 6 weeks. This system is broken. I know I am singing to the choir as many of you already know this. I am seeing red. I have done what they asked me to do. Most of the time on the day the request was made others the next day. It was not good enough. One month is not enough time to get a policy...
Reviewed June 24, 2015
Oh boy where to start.. Before I even signed up with this insurance I checked to see if my OBGYN was in network because at the time I was 4 1/2-5 months pregnant.. It said I was in network.. Next thing I know they are saying I am out of network.. I called them to see if considering my situation, they would approve me to go out of network until I had the baby. At this time I was 7 months pregnant.. I am also on medications and I did not want to change doctors at this time so late in the pregnancy..
To make a long story short, I ended up talking with almost 10 people!! Each person I spoke with told me the same thing - "okay you're approved. We will email you the paperwork to fill out now and then mail it back to us". Well after not receiving this paperwork, I had to make numerous call over and over with each time the rep had no idea what was going on. And then would tell me the same thing - "We will email you the sheet now. You're approved, etc.".. Few days go by, never receive anything. So this repeats itself over and over again..
By this time I have not been to my OBGYN for my prenatal care in almost 2 months because every time I schedule an appt I have to reschedule, because I am not getting the paperwork to fill out.. By this time I am LIVID.. The last time I called, I talked with 6 different people, INCLUDING A SUPERVISOR, which, by the way, transferred me to a provider representative!!! All I have to say is this company is a bunch of idiots.. And I really want them to know, if something is wrong with my child due to lack of prenatal care, I will make sure this company is at fault.
I will hire THE BEST LAWYER there is if something is wrong, or if something happens to my baby.. At this point in time I do not even know what to do.. Honestly, I am prolly going to end up just paying out of pocket for the care for me and my baby.. and just stop the premiums.. It's like I am paying for Insurance and paying for Medical care too!! Absolutely RIDICULOUS.. I WILL get to the bottom of this, you better believe it...
Reviewed June 23, 2015
My primary care FNP requested a CT-Scan for pain in the abdomen, and request was denied due to the fact that abdomen was not distended and the white count was not elevated. Because of denial primary care had to get me an appointment with a gastrointestinal Dr., and he performed colonoscopy which revealed diverticulitis and a polyp. I have been suffering with this since March and was treated with antibiotics to no success. Because I have an unnaturally low white blood count due to chemotherapy, I was denied immediate service. I will be looking at other insurance options in future. This could have been a bad situation had I not insisted on another avenue.
Reviewed June 23, 2015
I bought UHC to replace COBRA as an individual policy. My card shows United Healthcare 7 times. I pay UHC. The website to use is UHC. Now I find out that I have Golden Rule. I do not have the same benefits, the doctors are confused and worse yet, their own customer service dept is confused. I checked out specific benefits before I bought this and was assured that they were indeed covered. After endless hours and finally escalation, the answer is "Sorry you didn't understand this." My answer is "I understood what you told me except you told me the wrong thing and now expect me to live with this diminished policy." I pay for their BEST policy. Classic Bait and Switch... Consumer Beware!
Reviewed June 23, 2015
I joined United Healthcare through market place on February 2015. From February to May 2015, I made four payments to the plan of $1133.41. I set up an automatic withdraw payment for the month of June 2015 using the online system at uhcexchange@uhc.com. On June, I received medical services and after a week the doctor office communicated me that the health insurance did not pay them claiming that I was terminated from United Healthcare market place plan. I called United Healthcare through market place and they indicated that could not find anything wrong on the system and that my payments were in order and they could see that I set up automatic withdraw from my bank account to pay for the month of June.
They also indicated that there was an error on the system and that they would fix it and reestablish my account to withdraw the premium for the month of June. They said all would be good within 3 days to a week. After a week nothing was resolved and my health provider was following me up on the resolution with the Health insurance. In addition my wife needed some medicines to be delivered and they were on hold due to the issue with the health insurance. I called United Health care again and found out that this time they deleted one line from my payment history and they indicated this time that I did not pay the month of May 2015.
I indicated that I have evidence of all payments I did to United Healthcare - market place and that they have a big issue with their system. I offered making a payment by the phone to cover the month of June but they said that they can not accept the payment due to the account not being activated. They promised all would be solved and that I should be able to make the payment next day. That did not happen. I am still waiting for them to correct the problem. In the mean time my wife does not have her medicines and my health providers are not happy with me.
Reviewed June 23, 2015
Wrong info on the website. The Doctors are mostly, "We do not accept UHC thru Marketplace (Compass)," and UHC have them listed as cost efficient and in network doctors. There is no point calling the Representatives and ask for a Doctor. They also follow the incorrect info which we see on the web as well. Allergy and specialist (Child) is not possible to locate within the area (within 20 miles). I still do not know where to take my child for an allergy issue. They change contract with the Doctor and do not notify us and change to some different PCP without checking with the member. We had prescribed medicines for our Child and they were also not covered. UHC is expensive but a third class, poor service which an insurance can provide. Please a big NO to this provider. I am totally frustrated.
Reviewed June 22, 2015
Their list of doctors is out of date and outright dishonest. I called some doctors and it was a wrong number. Other times people answered and had never heard of the doctor. It was a waste of three days. And none of the major hospitals accepts this insurance. Finally, I cancelled this insurance and now use a different company.
Reviewed June 22, 2015
Since I switched in January, my experience with United Healthcare has been more frustrating than with Humana if that were possible. I just ended a 45 minute call to the referral service, 3-way calls, labor-intensive and obviously designed to make the process as difficult as possible for not only the consumer, but medical personnel... That way, the consumer will get so discouraged, they won't even make appointments. WE NEED TO VOTE FOR SOMEONE WHO WILL MAKE SURE WE ALL GET THE SAME LEVEL OF HEALTH CARE AFFORDED TO MOST OF THE COUNTRIES IN THE WORLD. EVEN "3RD WORLD" COUNTRIES HAVE SINGLE-PAYER HEALTHCARE. That system allows companies to compete, driving down healthcare costs.
We still don't have healthcare in the country with the sky high co-pays and premiums. While living in England, we were able to see the same doctor. They were a lot nicer to patients and there was no excessive waiting. And-- we left the office with the prescription!! Can you imagine that convenience? WE DON'T HAVE THE BEST HEALTHCARE IN THE WORLD-- WE'RE RANKED 37TH. The ones who have that "best healthcare" are the members of the House and Senate-- our "public servants" who are taking money from the insurance companies.
Reviewed June 22, 2015
Their website shows up to date payments $1,374 per month for 2 people. The Doctor submits a small claim for a check up. They decline saying non payment. After talking on the phone to India for 2 hours they say they will manually try to fix it and to resubmit the claim. They said they terminated the coverage April 30, but said nothing to me but continued to accept the money. They will not refund saying they will report to my credit bureau, non payment. There is no recourse. This is just the worst company to deal with. I made the mistake of signing up through ACA.
Reviewed June 21, 2015
I have had this insurance for only 6 months. And 5 of those months they kept sending late payments. I am never late on any bill. Never have been. So I call. They say "well we do not know what happen." But this time they have went too far. They sent my dr. a letter saying I was behind in payments and if I do not get caught up he will not get paid. New dr. so mad. Do not take this insurance if you have a choice. Will be calling a supervisor tomorrow. Not that that will help.
Reviewed June 21, 2015
It seems United Healthcare has something going on. I scheduled for a procedure for my child. And a day or so before the day the provider informed me that upon approval for the procedure UHC claimed that the provider was not "in network" yet at the time of scheduling. They were "in network"? They almost have no specialty doctors "in network". Very frustrating when you have a child that needs to see a specialist. When they give you an "in network" doctor it's either a closed business or a doctor 50 miles away... They will not pay a doctors bill and claim that you were not covered then and when you call they say it was an error. Having UHC is as good as not having any insurance but worse since you have the extra expense of paying the premiums. We have to raise our voices and stop the mess!!!
Reviewed June 20, 2015
January 26, 2015 I set up automatic payment by phone. UHC took one payment out, (referenced on my financial institution statement as an automatic payment. During the month of April 2015, I called UHC regarding the statements I was receiving from my healthcare providers; my providers had not been receiving payment. I was advised by the UHC Representative that all would be paid and there was no problem.
June 17, 2015 I received a letter from UHC stating, "This is your monthly billing statement for your health insurance plan. Payment is due in full on or before 06/01/2015." The letter also states that I have an outstanding balance of $159.93. I immediately called UHC to remind them that I had automatic payment set up. I was advised that my insurance had been cancelled, they had no record of my automatic payment, nor the name of the representative I established the automatic payment. I said, "well let's resolve this right now. I have my charge card in my hand or checkbook. I will give you a payment now." I was advised they would not accept a payment. I was advised that five previous letters were sent, (none of which I have received). Upon the termination of my telephone conversation, I signed in to my online account with UHC to discover that my health insurance had been cancelled on March 31, 2015.
I was discussing the Obama Care plan with my physician and was informed that written into the agreement with healthcare facilities accepting Obama Care, that in the event of a participant not paying their account for three months, the member is cancelled and all payments preceding the three month cancellation would be required to be returned to the insurance company. Based on my experience with UHC and the thousands of similar complaints I read online, I believe that members like myself are being deliberately cancelled by the fraudulent actions by UHC.
The payments and outstanding balances due my healthcare providers, I signed up in December 2014, (three months prior to March would be the first visit to the physician in January 2015), far exceeding my budget. I have a very good credit score and do not want it damaged because I held up my end of the bargain, by setting up the automatic payment with UHC like I do my other recurring expenses. Originally, I signed up for Obama Care because I am not quite eligible for Medicare - a diabetic. Living on Social Security, the cost for private insurance was prohibitive.
Reviewed June 20, 2015
My husband died one month ago. I called United Health Care to inform them of his death and to ask them to refund the insurance payments he made for the rest of the year. He died on May 7th. He paid his policy for a year in advance so I figured we should be refunded for May 7 to December 31. I spoke with a rep and she said that a check would be issued for the remaining part of the year and to expect it sometime in July. She then said she would forward me to the prescription department and I could notify them of his death. We were disconnected. I called back and got the most frustrating aggravating upsetting customer service representative ever!!!
She said she could NOT talk to me until I sent in a certified copy from the courts naming me the executor of MY HUSBAND'S affairs. I also had to fill out forms she would send me and mail everything back certified mail with receipt of delivery. I needed to obtain previous deceased authorization. I tried to explain I just wanted a refund, not information about the policy. She kept on and on about obtaining all these forms and letters and certified copies of stuff. More and more money!! She is making it impossible to get a refund. How horrible to lose your husband and best friend then have to go through hell trying to close out his affairs. What a horrible experience. I have lost faith in this company.
Reviewed June 18, 2015
First of all, I signed up for United Healthcare Coverage through the marketplace. I checked the list of providers before enrolling & it listed my current providers. It's been one nightmare after the other since enrollment. Insurance cards took 2 months to arrive; had to keep delaying an apt for myself & daughter waiting on them. Found out my providers opted out of accepting UHC, but ONLY those policies specifically from the marketplace. Could not find ANY local providers who accepted UHC marketplace coverage. In fact one dr's office asked me to please call them back if I found anyone, so they knew where to refer people to. They would get calls weekly asking if they would accept UHC marketplace according to the receptionist. Had to resort to traveling out of town for coverage as it was impossible to change plans through marketplace. Found out none of my Rx medications were covered - basic anti-depressant, & migraine medication.
Daughter's Dr. had a hell of a time getting payment from them. I received a bill from my Dr's office b/c they wouldn't cover a regular visit. Called UHC to inquire on why it wasn't covered - and they notified me my coverage was CANCELLED AS OF MARCH!!! I have PROOF of payment on my CC for all months through June 2015. UHC customer service transferred me to billing department to figure out why my policy was cancelled. (BTW obviously with no notice!!) Was on hold for 45 minutes, only to have the woman tell me to contact the HEALTHCARE MARKETPLACE b/c they are the ones who initiate cancellations?! At this point, I don't even want it reinstated, but I do want & deserve my premium payments refunded, so I can't just let this all go. All of this hell for insurance that hasn't helped me with any medical costs, but costs me $1,200 a month.
Reviewed June 18, 2015
We moved my husband over to UHC after he was laid off from his company of 10 years. The medicine he is taking is not covered by UHC. After calling UHC to request an equivalent that they would cover and providing this information to doctor our claim was denied. I contacted UHC who said it was Optum who was denying the coverage. I contacted Optum who said that UHC was denying the coverage. I contacted UHC with the doctor's office on conference and they then blamed Optum again. So I then made another conference call with Optum and UHC on the line together and they blamed the doctor's office for incomplete forms. These people are a joke. Still do not have a resolution or any direction.
Reviewed June 17, 2015
I really wish I read these reviews before I signed up with them. I chose the $300/month Compass Balanced-EPO plan. It said I would not need referrals to see specialists (I do not, but that is an extra $75 if without any referral). Most doctors shown in their network are either no longer at that phone number, address, medical group or do not even accept this plan. I keep getting bills from doctors that this plan was allegedly covering but was not for whatever reason. Hermann Memorial is out of network. I ended up paying a LOT more for the routine services than I did with Aetna.
Reviewed June 17, 2015
Mailed a claim in February, 2015. Never received payment. Followed up and was told claim didn't have correct subscriber number so couldn't be processed. I suppose calling or following up would require a bit of initiative or customer service so we know that didn't happen. Sent claim a second time in April. Have been calling repeatedly since then and told over and over that it was in process and/or being expedited. Today I was disconnected. Called back asking for supervisor and was sent to an automated message telling me the office was closed. Called back and was put through to "Executive Support System" where I was informed that the claim was missing all its paperwork and would NEVER have been processed.
Yet, every time I called prior I was promised the claim was in the system. Why are these people allowed to operate this way? We are held hostage since they are the healthcare provider our employer has chosen. There are no consequences for their lies, stupidity and incompetence. The most recent person I spoke with seemed professional and competent. Of course it's another ten days while they process everything I re-sent. I'm waiting to see what happens. Bottom line, United Health Care is part of Dante's circle of hell.
Reviewed June 16, 2015
My story is like hundreds if not thousands of others. Called UnitedHealthcare to sign up May 11, 2015. Was told they needed first month payment to start coverage June 1, 2015. I paid that day over the phone through their affiliate Key Bank. My payment was posted May 12, 2015 as per my account through UHC. Card with info pack was to arrive by June 1. June 1 came and went. I called after checking my account and noticed Key Bank had posted my payment May 12 but it still showed "Unapplied Payment". UHC stated no problem, it would be applied within 5 days then I would receive a card.
After 10 days my account still showed unapplied payment and now my account also shows my status as "Dropped as of June 30, 2015". Called UHC again, on phone over 1 hour with billing. No problem, promises made that in 5 days it would be applied and card would be mailed. June 15 still no card, payment shows not applied and status as dropped June 30, 2015. I will not pay a second payment. I will wait till October for next signup with a different company.
The main thing is the criminal fraud that is happening here. First payments are being taken by their bank and kept and people are forced to find another company. Easy money for the bank, take thousands of payments from customers, give no coverage and then cancel them. Let's see, 10,000 customers times average $50/month payment equals $500,000 pocketed by UHC and the bank. This needs a class action lawsuit. Look up complaints on UHC. The pages go on and on. Affordable Healthcare alright, for the crooked companies. Thanks Obama.
Reviewed June 16, 2015
When we enrolled with this plan we confirmed our doctor was in network. After seeing my doc several times and having one hell of a time getting referrals to specialists, I am informed by the prior auth agent for my doctor's medical group that they are not under contract or in network!!! They say they left the employer group two years prior. So, surprise, now no primary care physician! this I discovered after scheduling an abdominal hernia and having it cancelled two days prior. Can't find another primary care doc that can see me until August, so I guess I'll just walk around with a finger in the hole. This is healthcare? On top of this, United Health Care fails to update their accounts and sends letters to the medical group informing them my policy is unpaid, when we had made an electronic payment the day prior to the month of coverage!
Reviewed June 16, 2015
I have been getting no response. It's ridiculous..
Reviewed June 15, 2015
My father needed to have a CT scan per his doctor to make sure that his cancer (has been cancer free since 2000) had not come back. His claim was denied by United Healthcare. The reason stated was "You have cancer in your nose and throat area. You have neck pain. You have a sore throat and pain in the roof of your mouth. Your provider suspects spread of 'cancer' to your brain. Your provider asked for a CT scan of your head/brain with and without a dye called contrast." The letter goes on to explain what a CT scan is and what a MRI is and then states that "cannot be done for medical reasons and you have a brain function problem such as mental confusion, change in vision, slurred speech or a new severe headache."
My father receives this notification and is devastated!!! First of all, he went the doctor with throat and pain in the roof of his mouth. He NEVER complained of headaches, mental confusion, change in vision or slurred speech. He contacted his doctor and the head nurse called back and apologized over and over again since the information that was sent to him was a LIE!!! She confirmed that no one in the doctor's office provided that information to United Healthcare. It appears that someone that works at United Healthcare falsely added this information/LIES to his records so that the medical services requested would be denied.
I am sure this is not the first time that this has happened to customers of United Healthcare. Please do not use United Healthcare for your medical needs because they falsify medical records so they do not have to approved medical services or items. How many others has this happened to? Who can help with this type of fraud?
Reviewed June 15, 2015
I have never in my 50 years had a worse experience than with United Healthcare. Every month they send me a bill saying I never paid my balance and I PAY every month. I have to call and wait on their horrible voice mail forever to have them tell me that they made a mistake. But in the meantime I cannot get anything covered... No prescriptions refilled or having them pay my healthcare provider! THE WORST COMPANY EVER... Cannot wait to change.
Reviewed June 15, 2015
I signed up for this insurance through the government marketplace. I never read any indication that I could only use a specific hospital which is 22 miles from my home or a doctor that deals with only that hospital which makes any doctor 22 miles from my home. I chose this plan because it appeared to have a reasonable deductible and coverage and my doctor of 16 years was listed in their provided list of doctors. I made my regular appointment with my doctor who said they have been trying for 2 years to get off this list, they do not take this insurance. Called a minimum of 25 doctors in the list provided by United Health Care, within 15 miles of my home, and they would not take me as a patient.
I do not drive a lot, and the location of the doctors are not that close. I just feel frustrated that no local doctor will see me and they limit where I can go. When I called the marketplace and asked to change they told me that I had to wait for open enrollment in November and start a new plan in January. I am a diabetic and feel frustrated. No help when I call them. They just say will check and call you back, which never happens.
Reviewed June 15, 2015
Paid my June 2015 premium payment on 5/27 by online credit card as before. Payment was processed by UHC on 5/28 but never posted to my account as paid. Did not realize my ins. was terminated till 6/5 when a R/X was denied at the pharmacy. Tried calling UHC Billing Dept. 3 different times that day and was on hold each time for 40 min+, never getting to a rep. Spoke with a rep on 6/8 and was told problem should be fixed in 24hrs. Called again on 6/10 - was told my problem will be resolved in 3 to 4 hrs. Called on 6/11, 6/12 and now again and 6/15. Unbelievable that this is still unresolved!!! This company should be put out of business ASAP!!!
Reviewed June 14, 2015
I have been trying, frantically, to get this PA/Exception completed before my 90 day grace period from previous insurance (BCBS) and previous approved meds expired on 3-31-15. I have called, e-mailed, tried to enlist my Dr's office to intervene (which head nurse ignored for so long that UHC denied the PA's twice). I finally got to see my Dr. on 6-8-15 and he vowed he would write the best possible appeal for my condition that he could. I have been trying to find out the status of the appeal since then, because the insurance stated, in writing to me, that two previous PA attempts were denied due to the Dr's office not responding within 48 hours (deadline). I cannot find out anything except it seems to be still in review status.
I have been without my pain patches for some time now and I don't sleep. I pace the floor most of the night and morning. I worked hard for the State of Georgia all those years and paid for my health insurance and retirement. I was promised to have the medical health care I needed for the rest of my life provided I continued to pay for it. THAT IS NOT THE CASE!!!! I have appealed to the insurance, pharmacy, Governor, President... You name it and no one has resolved my problem yet. I even offered to pay for a generic brand from Qualitest since I recently found out that last year's generic brand by Watson was useless!
At this point I am asking for prayers from everyone that God will intervene, because our bureaucratic government system has been broken for a long time now, and I believe with all my heart, that it will only get worse from here. The rich people, the insurance companies, the pharmaceutical giants, and the government lobbyists for these companies will continue to line the pockets of our crooked government and WE THE PEOPLE will continue to suffer those consequences! May GOD help us all, because these entities are waiting for us to die, so they no longer have to deal with us!!!!
I don't have the means to submit a receipt # or other images, but I can verify that the last Lidoderm 5% Pain Patches were filled (by Rite Aid Pharmacy, 2801 Double Churches Road, Columbus, Georgia 31909, and their phone # is: 706-321-1081) on 12-27-2014, RX# **. I received, per Dr's orders two boxes containing 30 patches each for a total of 60 patches and I paid $45 for this RX. I now have UHC Ins. and use CVS Pharmacy also on Double Churches Road, phone #: 706-641-8100. What else would you like from me? A blood sample???
Reviewed June 13, 2015
Never in my life have I had a insurance company that truly makes me feel sick. I chose my doctor from the list that they gave me. He was a doctor I had already had with Blue Cross Blue Shield so I thought I was happy. They sent my card with a doctor didn't pick. I had my HR department get involved to help. They have a approved list PCP that changes like the weather. Cleared that problem up then months later I call ahead to make sure there's no problem. Next thing I find out my PCP had been change and I'm assigned again to a office 20 miles away from my home in a area I wouldn't or have ever traveled. So giving UHC 1 star was one too many. I'm willing to pay more receive better service. Oh I forgot they wouldn't cover any of my prescriptions unless I purchase from their mail order. I can't wait until January.
Reviewed June 12, 2015
UNITEDHEALTHCARE IS THE WORST. I hate this insurance company. I have to go down to the courthouse now to sue UnitedHealthcare. I made my payments before the grace periods yet they terminated my account even when they confirmed receiving over $2,000 in payments from me. UnitedHealthcare is scumbag filthy company and I am going to sue them with great pleasure and I will win. Then I am going to go on the internet and teach other people how to sue UnitedHealthcare.
Reviewed June 12, 2015
I have been signed up for auto pay through my checking account since February & not one time did they deduct my premium. I have to call them every month and spend at least an hour on the phone with at least 3-4 people only to be told that yes, there is still a problem with their website and to keep trying.
At the beginning of June, they sent me a statement saying my June payment had not been made (their fault, according to the website I'm still signed up for auto pay) and we mailed a check that. Cleared our bank 3 days later. Meanwhile my PCP changed my blood pressure medicine on 6/9 and I wasn't able to pick it up until 6/11 after another 2 hours on the phone to be told again that my coverage was suspended due to lack of payment. When I challenged the customer service rep's facts with dates he finally admitted I hadn't done anything wrong & he would do his best to get my coverage reactivated.
I am still receiving treatment for breast cancer and UHC has made my insurance life miserable. This morning I found TEN letters in my mailbox, notices to the lab stating I was 2 months in arrears on my premium payments & if I didn't make a payment soon their claim would be denied. They should be ashamed of treating people this way.
Reviewed June 11, 2015
I started with UHC through Obamacare the beginning of this year and it's been a nightmare! I lost my family doctor whom I had been seeing for the past 10 years. They randomly put me up with another primary so I had to set up an appointment for an initial meeting with someone I didn't even like (I ended up having to wait for an hour to see him for 5 minutes). Also I lost my Pharmacy (CVS) and had to find a new pharmacy which is far and inconvenient for me.
A lot of medications UHC don't cover so I had to go back and forth with the prescribers to change to generics or alternatives. I almost lost my OBGY too but they ended up taking it but the hospital that my OBGY is in does not take it. Any specialist or physician's office I visit, I get told that UHC Compass is the WORST healthcare plan because they don't take it. Now I'm stuck with it till the end of the year. I cannot wait till the end of the year and switch over to another plan!
Reviewed June 11, 2015
I have followed all protocol to get this done but it seems to come down to the same thing - the incompetents of United Health Care keeps on and on and on your entire policy is set up to fail. There is no way to get my prescription filled for leg pressure cuff machine. My machine I have had and used for over eight years. It just got old and wore out, can't be fixed, need new one. This pressure cuff machine has saved my legs because I don't circulate without it and I am in such pain It's impossible to walk. I have to eat ** 30 mg twice a day. Some days this won't even work, the pain I'm in on a scale of 1-10 is about a 15 - this is more pain than I can handle. I can't sleep because of pain getting worse every day.
I get one excuse after another why I can't get this filled. The blame has been passed to me, then my doctor. I talked to my doctor every time I have been turned down and he showed me the information requested by United Health Care and the information he sent - exactly what they asked for and again I was turned down. Not enough information, even my doctor can't fill out the request form with what they ask for. This entire process is set up to fail. For example I was first turned down by a doctor who has never seen me but yet has said I don't need this machine. How can this be healthcare? My doctor put his hands on me and made a good decision eight years ago and I had been out of pain, swelling in legs cured.
My service coordinator is **. If you people would get rid of the bean counters and give out healthcare, you could fix this, but I have been trying for over a year to get this resolved. My legs now fall out from under me at any time. This is inhumane to treat a human being this way. Your doctor took an Hippocratic oath, apparently he has no ethics to leave me in this much pain so you can save money by not paying. I have suffered long enough, I have done all I can to fix this -there is no fix for stupid. This policy has to change or just fire everyone and change your name to 'United Don't Care' and that would fit your services completely. Oh and I know you say you record all when I call in for training, I don't believe a word of this or my problem would have been fixed over a year ago. Stop the lies, fix the problem.
Reviewed June 10, 2015
I have a plan with a $1,500 Out of Pocket maximum. I met this out of pocket maximum in February of this year and UHC is not acknowledging it. They are not paying the 100% that my plan states they should pay and I have numerous Dr. offices trying to get me to pay - saying it's up to me to work it out with UHC. They keep giving me the runaround, and around, and around. It's complete FRAUD.
Reviewed June 9, 2015
We are in charge of managing our schizophrenic son's health insurance. Needless to say, we signed him up with UHC marketplace health insurance at the first of the year to what we thought would be a great insurance selection. Needless to say, it's not the insurance, it's the actual company that we have been having problems with. We have made payments on the online system to which UHC cannot find. Imagine that, UHC cant find payments that were made on "THEIR" website???
When my wife called them today to get the issue resolved and to pay for June's premium, she was told no payment can be made because they cant post it until the missing payments are found. Keep in mind the payments have been missing for over a month. To add insult to injury, my son has no coverage because of their negligence and they do not care. The billing department with UHC has dropped calls on me on 3 different occasions while trying to get this issue resolved. This is how UHC treats disabled individuals?
Reviewed June 8, 2015
Through my Husband's company we have UHC. I am so frustrated with them, I can't write this review right now. But bottom line is that today I got disconnected 4 times and transferred to 9 people and have absolutely no information for my question. I am no longer on any medications prescribed by Doctors or go to Doctors because our deductible is too high. My Husband is a diabetic and they wanted $1200.00 for his insulin. I hope we live until January when we can change our plan.
Reviewed June 6, 2015
United Health Care just cancel my policies without notice! I sent the payment online every month. They cancel my insurance on May 31st. I checked my bank account and the proof of payment are there. They deduct the money $820. I called them. Took 30 minutes to answer the phone and I ask them why? THEY DO NOT KNOW!! They blame market place, so I called market place. The lady from Market place was very nice and told me my premium looks fine, no problems. She gave me a number to complain. I write this because people need to be aware of this bad insurance United Health Care. I am without insurance now and they took my money too!! The number to complain is in Austin 1-800-578-4677. I am sending a writing letter with a proof of my bank statements that I paid. Hopefully they return my money form May.
Reviewed June 5, 2015
Our government is not holding up their end of the deal regarding the new Healthcare Reform Act! In August 2014, our individual Health policy with Aetna Non renewed our plan to satisfy the Healthcare Reform Act. We them went to Healthcare.gov and obtained a policy as we were unable to afford the cost of an Individual plan. We applied and had a new policy through the exchange to expire effective 12/31/2014 per the Healthcare Reform Act. As required in December I re-enrolled, paid a premium, and selected a plan to be effective 01/01/2015 to comply with the new reform. We pay our premium through my husband's business every month and are current in our portion of the premium.
Every month when I get the bill the invoice does not reflect our payment. I then call UnitedHealthcare which is usually about a 2 hour ordeal each time, speak to billing and give them the transaction numbers from my bank. They advise me they see the payment and will apply it. The problem is that they do not update the system immediately so its always a wait and see in order to schedule an appointment which is also time consuming. So due to health issues I have to have testing done and I have had several healthcare appointments denied/cancelled because they tell me they cannot get verification. This is been going on since January this year, not to mention the appointments I have been able to get verified are now sending me bills saying that coverage is not verifiable, so I call and resubmit the bills and they advise they will be covering their portion.
As I explain I go on the exchange billing site and make my monthly premium as a 1 time payment for the monthly amount each month, on time. This Monday 6/1 while reconciling our account there was a charge pending from 05/31/15 by UnitedHealthcare for $3,152.00. I never authorized such a payment or any payment for that matter. I called UnitedHealthcare Exchange and the recording advised that due to unusually high call volume that the estimated wait time was 5 hours, and to leave a message for a call back, which I did. I also sent 2 emails to the Billing department advising them of the error.
I then called my bank and filed a dispute on the amount. Our portion of the monthly premium is $212.00 x 5 (Jan-May) which I see the debit each month on my bank statement from UnitedHealthcare. Per our bank it is going to take up to 14 days for the bank to redeposit the funds if approved (meaning the claim people must contact UnitedHealthcare to start the claims process) per the bank's procedures due to the high amount of dispute. I finally got through to UnitedHealthcare on Tuesday 6/2. On hold for 51 minutes and explained the issue.
They advised me that they see my 5 payments and that they don't know why the transaction was processed. I am not enrolled in an EFT or Auto Pay so that's the first problem and the amount they took is 3 times my total portion of my premium so I didn't understand the amount withdrawn and they did not have an answer for me but advised me that they have been getting the same kind of calls this week and it is a System Glitch. They advised they were going to look into it and get back with me. Well, I never got a call back regarding my issue. They did call me back on Wednesday that call was prompted by the message I left on on Monday. The service rep advised that she did see a note that they were working on it any that I should expect a check within 14 business days, from what date she could not tell me.
I am a Licensed Insurance agent so I understand the chain of command when there is an issue with respect to a State Licensed Insurance Carrier which these plans ARE NOT. I contacted Department of Financial Services to see if there was any advice they could give me and as I expected they advised that this is a Government plan so the State is not responsible for these issues. In speaking to the rep at FDFS they advised me that they heard that the money being debited by the insurance companies on the Exchange was the premium portion that is to be paid by the government (THE TAX CREDIT) because they apparently are not paying the insurance companies their (THE GOVERNMENT) portion of the premium. I checked the amount and that is the portion to be paid as a tax credit.
This is a huge problem here because as a consumer we have no recourse with these so called Exchange policies through Healthcare.gov because they are not governed by the Department Of Insurance like a regular State Licensed carrier. Am I to contact the White House??? If so who do I call POTUS??? This money was taken out of our business account, and UNAUTHORIZED transaction, not to mention we could not pay payroll and my account is now 1700.00 overdrawn, checks written to vendors are being returned and we have no available cash.
Not to mention we still cannot get Insurance verification to get medical care. I know we are not the only ones that this has happened to based on my conversation with several agencies taking these complaint calls from people like us seeking answers and there is nothing being done. I am sure our bank will eventually credit the money and reverse all the overdraft fees they have assessed us but who is going to pay the bounced check fees incurred to all the checks that have been returned to my vendors and debtors? Why should we be responsible because the government is not paying their bill?
This has literally brought our business to a standstill because although our vendors sympathize with us they want their money and without materials we are unable to perform. I don't know about you but $3100.00 is a huge amount of money for our small business and although we are not starving we cannot pay our mortgage with credit cards, nor should we have to. Please contact me if you have any further questions or want documentation of all that has transpired. The government should stick to what they do and let the private sector handle what they need to. This administration is counting all these jobs created by the Healthcare Reform which has proven only that there are unqualified people in charge of our healthcare.
Reviewed June 4, 2015
In 2012 my company was contracted with United Healthcare to provide Health Insurance plans. Within our policy there was a provision for Eye Care reimbursement up to $200 re-instating every 2 years. In December of 2012 I went for eye care and had an out of pocket expense of $179 which I promptly submitted properly to them. Note they did not allow for Fax or Email claim submittals, mail only.
After several months I made several phone calls to track down a contact at United Healthcare, **. Apparently, my claim was never attended to. In the meantime, our company had dropped United Healthcare (I can certainly understand why). Regardless, claims made insurance policies are to pay claims that occurred during their policy period and submitted within the policy period and typically have a grace period after expiration.
To shorten up the rest of the story, I resubmitted the claim several times to several different people over a long span of time as I got bounced around their system. Finally, over a year later, I got a rejection notice only stating "this policy has been cancelled" with no contact info stated to dispute. I'm sorry but that's not the way insurance policies work. If you have a claim within a policy period it demands payment regardless if the policy is non-renewed. You don't get to delay paying on claims, waiting for the policy to expire, and then not pay a claim. I've had it with chasing them and I'm not going to cut my nose off to spite my face and sue them over a few dollars. Instead I'll spread the words on the facts of how they operate so others might have insight when choosing which carrier to go with.
Reviewed June 2, 2015
No matter when you call them, you WILL wait on the phone for at least an hour. When you finally get a hold someone, they won't have any answers for their glitchy service or any solutions at all. After you pay your first premium, you won't get entered into their system or actually HAVE usable health insurance for the first month and a half. You pay for the insurance that doesn't even have you in their system for over a MONTH.
Reviewed June 2, 2015
United Healthcare cancelled my coverage for no reason in March and then proceeded to steal 1703.00 from my bank in June. They do not answer the phone or call you back if you leave a message. I have been promised several times to have a supervisor call me back and they don't ever do it. I have a page on Facebook to gather interest in a Class Action Lawsuit: **
Reviewed June 2, 2015
I paid United Health Care their monthly payments on time. However they have not credited it to me and say they have not received. After call number 3, I was told to send my bank statement to them proving I made the payment and the date. After I did this, I called back to check on it five days later to be told they received the bank statement and It will take their research department up to 14 days.
Day 15, I sat on hold for two hours only to get the first rep that said they couldn't help me, to put me on hold 45 minutes for the second rep to tell me the same exact thing that I have been told for over two weeks. Now they have managed to stop paying my medical bills, stopped paying for my medicine, and told the pharmacy to tell me I was out of my grace period, a grace period they gave me after finally telling me they found the payment.
When I inquired about paying our medical bills they failed to pay, ** informed me that once the company, which has up to 14 more days, fixes it in the system I could call customer service and she is sure they will "work something out with me." Work something out? You got my money, on time. Gave you proof that you lost it, and they will work something out with me. I have not been on hold 21 minutes and still holding.
I asked for a manager she said, "I can give you the number I have for corporate." Yeah, just in case you are thinking it, it is not corporate. SURPRISE, she lied. So UNITED HEALTH CARE HAS RECEIVED MY MONEY ON TIME EVERY MONTH AND EVEN GAVE ME THE DATES OF WHEN THE MONEY WAS RECEIVED, YET THEY SAY I'M OUT OF MY GRACE PERIOD. Oh and yeah, there is no one to talk to because they pass the buck off to a poor internet computer problem or they are the wrong person but refuse to give you a higher up.
Reviewed June 1, 2015
For six months, I have spent over 40 hours of telephone time to find out why Social Security has been deducting $43.80 from my Social Security check for my part D prescription drug plan. United Health Care RX Prescription D plan was my insurance company in 2014. They dropped the enhanced plan and said that they were going to enroll me in their Preferred Plan for $43.80. I said that I didn't want this plan and I dropped United Health Care. Instead I went with Express Scripts. Nevertheless, Social Security still was deducting the United Health Care premium. After many calls to Social Security, Medicare, and United Health Care, I found out that United Health Care had not notified CMS of Medicare that I had dropped the plan so that they in turn could tell Social Security to stop the deductions. United Health Care was still receiving the money.
Medicare filed a complaint against AARP MedicareRX Plan and a **, an AARP specialist, was assigned my case. After talking to **, I thought that the problem would be resolved. Even though ** told Medicare that the problem was solved, the deductions continued. The CIM, AARP's Complaint Department said that only ** could resolve the problem. Unfortunately, she was out of the office. However, they assured me that ** would call. She never did. In despair, I called Medicare for help. Three different Medicare Supervisors plus myself made calls to ** but her extension number was no longer operational and the messages left in the Complaint Department's general voice mailbox were never answered.
After 6 months, the Advanced Resolution Department of Medicare is still working on my problem. However the real problem rests with United Health Care's MedicareRX plan. When I terminated in November, they should have notified Social Security that I had terminated. Instead they have deducted $43.80 from my Social Security check even though I am inactive on their books. I have 10 pages of notes on the many calls I have made to resolve the problem. Even though I am an educated Senior with years of business experience, I have been reduced to tears and I can't stop the deductions. What does the average Senior do? Is there anybody that can help stop this nightmare.
Reviewed June 1, 2015
Is there anything UHC does cover? I am trying to figure out just why I pay thousands of dollars a year for no coverage and a lot of extra stress. Routine physical? Not covered under UHC. Routine chiropractic visits? Not covered under UHC. One BIG scam! Stay away! Consider yourself warned. I am still being billed one year later for routine blood work as part of my yearly physical. Almost $700 for a supposedly covered service. United Health Care is the most dishonest and horrific company I have ever come across.
UnitedHealthCare Company Information
- Company Name:
- UnitedHealthCare
- Address:
- 9700 Health Care Ln
- City:
- Minnetonka
- State/Province:
- MN
- Postal Code:
- 55343
- Website:
- www.uhc.com