UnitedHealthCare Reviews
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About UnitedHealthCare
- Helpful customer service
- Quick claims processing
- Comprehensive coverage options
- Affordable premiums
- High out-of-pocket costs
- Frequent claim denials
UnitedHealthCare Reviews
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Reviewed May 7, 2015
I went colonoscopy and the insurance company refused to pay because they say it was out of network... Even if it was out of network they were still suppose to pay a certain percentage.
Reviewed May 6, 2015
I have stage 3 rectal cancer and United Healthcare is requiring preauthorization for pain medication. On the surface this seems reasonable, but it's now taking over a week to get resolved. This is not a new diagnosis, so why they need to review and consider this claim is beyond me.
Reviewed May 5, 2015
I signed up with UHC through the Healthcare Marketplace, only to find out they don't cover any of my key prescriptions. My other prescription that they claim to cover still has not been filled due to their constant red-tape, stalling. If you call them, you'll be on hold forever only to get the most worthless customer service reps that keep rattling off their scripted responses about so wanting to help, etc., but end saying they need to turn it over to another department. Meanwhile, they further calls reveal nothing was ever turned over to the handling department. It's like a 3rd world joke where they know they have your money and, so don't even have to address customer concerns.
I was on hold for over 50 minutes one night. When I questioned the hold time, the rep said he was sorry to hear I felt that way and threw me back into phone queue for a few seconds and then had me disconnected. THIS COMPANY SHOULD "NOT" BE PERMITTED TO EVEN BE PART OF THE HEALTHCARE MARKETPLACE!
Reviewed May 5, 2015
I called customer service to get more information about "in network" facilities. The reps REPEATEDLY gave me wrong information, leaving me with several bills and denied claims. The reps don't have a clue about what's accepted and not and take it upon themselves to provide the members with false information. Even when the facility was covered, I would get a Physician's fee bill, because they wouldn't be covered. How do they expect patients to determine if the Doctor is in network or out of network when in some cases the patient doesn't even see the Doctor or know who he/she is until the day of the appointment or visit?
When I brought it up with the supervisor, she justifies their behavior by saying it's a new plan and not all of them are aware of the information. Wow, and how does that help me? It cost me hundreds of dollars in bills. Way to go UHC, you are really looking out for your members. This plan is nothing but a burden!!! I will be filing a claim with the PA Insurance Department.
Reviewed May 3, 2015
This is what happened: I called the customer care telephone number on the back of the card and told them I needed a new card because my PCP was the wrong doctor and the group for the doctor was also wrong on the card they sent me. I was on the phone for 1 1/2 hours and got nowhere. They kept shifting me to someone else, and finally sent me to AARP. I am NOT covered through AARP. I know that when I told them my birth date (I just turned 86) they did not want to talk to me. I am 86, but I am not suffering from dementia or anything else!
Reviewed May 1, 2015
United Health Care has the most incompetent employees in the world. They will tell you they did not receive referrals to try to get out of paying. This what you do- have your PCP resend the referrals then they have to pay. When you send in your payments call back the next day to confirm they posted it. They will say it takes 48 hours, just keep at them to make them post your payment. This company sucks.
Updated on 07/13/2015: I pay my bill on time every month and still get letters stating it was not paid. Contacted them repeatedly and got the same BS answer they will take care of it but they never do. I am contacting an attorney and filing a suit, if you would like to make this a class action suit contact me.
Reviewed April 30, 2015
I would not recommend United Health Care when using a PCP plan. Having to go to a PCP for any and all specialist care is not only time consuming and added cost it's a fight to get United Health Care to accept the referral from your PCP. It has to be entered into United Health Cares online system and then approved which in my case it's been two weeks and it's still not approved. If you have a major issue that needs immediate attention it's not going to happen. If you want a second opinion you need a referral. Stay away from this plan.
Reviewed April 29, 2015
I found out that the medical claims are now being processed in India, since 2014. In the United States we take care to protect our social security # and identity. They are sending our personal information over there. I canceled the insurance at once. All my claims are being paid wrong, they say since I still had coinsurance and deductible it should be applied. Some things are covered 100% by the company, they apply it just the same, no matter what my insurance policy said.
Reviewed April 28, 2015
In Feb of this year UHC is now forcing us to receive our medications through OptumRx and they refused to accept patient assistance program from my husband’s enbrel which would save us 200 dollars a month. We cannot pay this amount, so without it he would be unable to take this medicine. It took me 8 weeks and I finally was able to get the medication through CVS. But then after 3 months, I was denied again through UHC. Optum finally agreed to take the patient assistance program. I was on the phone for hours with all of this and have it all documented. They tripled our cost of insurance premium this year and even though we have their best insurance our deductibles remain sky high.
This company Optum they are in bed which does not save us money, it saves them money and I'm the one getting screwed. My poor husband has psoriatic arthritis and was in excruciating pain for 8 weeks without his medication. They also send controlled substances in the mail to you which was also lost by the postal service and now I am doing without my medication and could potentially have seizures from lack of the medication. I would give UHC a zero if I could. Thanks Obama for all the wonderful things you did to our healthcare!
Reviewed April 27, 2015
I am new to this insurance plan and can't even get past the selecting of a PCP. The first doctor I selected, ** MD based on listings in THEIR provider directory, did not accept their insurance, even though they sent me a card with her name on it as my PCP, I guess they don't know who their providers actually are.
I called to find out why they list and issue cards for providers who are not in their plan and they wanted to send me to some guy 3 counties and over an hour away (I live in Phila, suburbs, not the middle of nowhere and there are TONS of doctors around - NO reason whatsoever to send me so far). I put in my 2nd doctor choice for **, MD online and when I went back in a few days after to get a temp card, they had randomly assigned me again to someone else, close by, but a male and a DO. I put in a 3rd change for **, MD and again when I went to print a temp card saw that they had assigned me to yet another doc 30 mins. away who was again, male and a DO.
I called and gave them ** name and they told me she WAS in network, were all through putting it through and then mentioned she was only in their plan until 4/30 (it was 4/27). Got disconnected, called back and gave them ** again and again all was great, she's in the plan, oh, but oooops only for 3 more days. At this point I let them pick out a random doc for me, specifically tell them I want an MD and a woman, they give me a DO which is what they kept giving me every time they ignored all my other choices and randomly assigned me to someone. But I was assured she was one of the best doctors in their network - except that their contract with her doesn't start until May 1.
So basically I don't think there are any MDs who actually accept this plan even though they list them in their directory. It is all bait and switch and false advertising. I finally agreed to the DO under the assumption that by the next time I need a doc she'll be out of plan anyway or more likely I will have switched plans or possibly died from the lack of coverage they provide. What a scam. Should be interesting to try and actually get an appointment and get UHC to cover it.
Reviewed April 27, 2015
I injured my back over a year ago, needless to say I started seeing a pain mgmt. doctor and was put on **. United Healthcare had no problem approving them. I want to come off them so I decided to go on the ** to come clean and to taper off of them. The insurance company will not approve them!! But they will approve the pain killers. When you want help they won’t pay for it but they will pay for you to get hooked on drugs!! Hey United Healthcare, why don't you make it hard to get the painkillers like you make it hard to get clean.
Reviewed April 27, 2015
I was told that my medication was too soon to be covered by my insurance. So I was told to transfer the medication and pay out of pocket and I'll be reimbursed. I transferred it and still ran into the same problem. The United Health Care pharmacy tech told me that she wasn't going to keep repeating herself so she's hanging up on me which she did. Some reps are completely rude and need not be in customer service. They are the worst I've felt with.
Reviewed April 25, 2015
I have had Premara Blue Cross and Tricare Prime in the past. And now that I am 26 I had to get my own insurance. I ended up hospitalized so a rep from the hospital signed me up for medicaid... and United Health Care. It was fantastic at first, until it came down to certain prescriptions. I can only get 9 imitrex pills a month for my migraines which are triggered when my blood sugar is too high and nothing else can provide relief. Sometimes 9 pills are not enough. I used to be able to get 90 day supplies of metformin and other pills that help aid with my diabetes. I can only get 30 day supply. They also recently denied my glucose strips. I used to get 100 a month and now they will only give me 50 a month.
Now I can live with all that... but what really boils my blood is that I am a young type 2 diabetic with very high A1C levels. So I was put on insulin on a sliding scale. Because my Dr didn't write a "definite" number for units that need to be administered they refuse to refill my insulin. I take Lantus... which is long lasting insulin. After opening the vial I have 28 days to use it before the insulin goes bad... United Healthcare refuses to refill it until the vial is empty... so I am pumping myself full of bad insulin. Awesome right?
And the Novolog pens I need before meals...well I have been in a 2 week battle with United Healthcare, my Dr and MA have called numerous times and they still won't budge. She has changed the script and everything. I am down to my last pen. And I am not giving myself the insulin all the time like I need to, which now my blood sugars have been very high. I fear I may wind up admitted into the hospital again but what can I do when my insurance won't help me with preventive care?
Reviewed April 24, 2015
I have an HRA account with United Healthcare. I submitted a claim for reimbursement on April 9. I called on April 10th & was informed my dad was not received. I called back on April 11 & was informed that it was received however my claim was denied due to it being a duplicate (I only sent it once.) I spoke with a supervisor named **.... He said he was putting it thru because I in fact sent it once... I spoke with several other people and another supervisor named **... I finally spoke with ** who informed what DUPLICATE met on April 21... My actual dentist appointment was 2/18/2015. I paid for 2 services 1 with my FSA card & the other with my personal MasterCard at $160.. It appeared to U.H. that I was trying to double dip... My dentist even sent over BOTH receipts... I'm still waiting on a resolution.
Reviewed April 22, 2015
United Healthcare (my new insurance provider) told me today that I must pay the co-pay for NuvaRing because it is not birth control (my Ob/Gyne would beg to differ) but is a "maintenance drug" so they do not cover it. I'm a lawyer and even I couldn't understand those mental gymnastics. Also, it took them 30 minutes to find a primary today (our given PCP that was assigned by UH said she doesn't accept UH!!) that actually would accept our insurance so that my husband could go to this PCP, just to get him to sign a letter to refer my husband to a urologist to get his vasectomy. Ridiculous. Worst insurance EVER!! Can't wait for October to get the hell away from this insurance nightmare. It's worth paying more!!!
Reviewed April 22, 2015
United Health Care refuses to pay for prescriptions that are smoking cessation aids. Even when all other avenues have been exhausted! I hope they are overwhelmed with insurance payouts for cancer for being so stupid in the preventive measure aspect!
Reviewed April 21, 2015
I signed up for Gold Compass Plan through the Marketplace website in December last year, I have YET to find a doctor who takes this plan. I signed up seeing my last doctor's name on their website. As soon as they cashed my check, they told me my old doctor cancelled their contract. So then I went to make an appointment with the Dr. that they listed on my card. Suddenly HE cancelled his contract with them. I checked on 4 other doctors today, from the "current" list of providers that they emailed me. ALL HAVE CANCELLED THEIR CONTRACTS!!! I am paying for a plan that I cannot even get a doctor for!!! Their customer service is all outsourced to India so they have no clue what I am going through and they cannot do anything. You cannot cancel marketplace insurance without penalty so I am basically stuck without a Dr. until November.
I feel completely scammed since I would have never signed up for this plan if I had known that my original Dr. hadn't renewed their contract, which they still list her as a Dr. on their website, as they do all of the Doctors who cancelled their contracts. I should not have to keep calling to check on every single doctor on their list. There has to be some sort of fraud clause to allow me to cancel this plan and sign up with an insurance company that my Dr. actually takes.
Reviewed April 17, 2015
Unfortunately my employer uses UHC and it almost justifies looking for a new job since UHC covers nothing. I went to my usual practitioner's office for routine blood work 3 weeks ago and got stuck with the entire bill including the office visit and lab work. The same visit and lab work at the same practice was less than $300.00 when I was a self-pay but with UHC the cost is just under $500.00.
The EOB says that those are not covered. So what's the point of having insurance if office visits and routine blood work are not covered? I have Hereditary Hemochromatosis and have to have at least my ferritin checked every 6 months. Plus, I'm a middle aged female so I need to keep track of my hormones and thyroid (my mom has thyroid issues and I'm borderline already, and high cholesterol). But if UHC doesn't cover basic lab work, I'm basically paying out the nose for insurance that does nothing. I find it funny that annual visits to the doctor for advice on lower back protection and wearing safety belts while in a vehicle are under the "covered" items though. What the heck is that about? Now I have to forgo my appointment for a physical since I have to pay this bill and fear that I'll get stuck with a new one for that.
Reviewed April 17, 2015
My husband recently lost his job and his new job does not have insurance yet. I have a chronic illness that requires expensive medications, procedures, and doctor's visits, so I got a plan through the market place. I paid the premium on February 23rd, 2015. Six weeks later I still do not have health care. I have talked to numerous people in numerous departments who have all basically told me I did not pay the premium. I sent proof of the paid premium, yet somehow I am still a liar. I cannot afford my prescriptions without insurance. I was told I could leave my information to talk to a supervisor. I have done this three times with no return call. I was told I could leave my information and that they would look for my payment. I have done this three times with no return call. Today I was told I never did any of these things, because there was no record of it.
The people at United Health Care do not care that without my medications I could become very ill or even die, and that due to the nature of my medications, I have suffered emotional and physical stress. They do not care about their customers well being at all. Although I expect callous soulless people to work in insurance, I did not expect thieves. United Health Care stole my money, did not provide a service, and called me a liar despite the proof that I provided which shows otherwise. United Health Care may have the best rates, but what does that matter when you never receive the service you paid for? Pay a little extra to get insurance through someone else.
Reviewed April 16, 2015
I have been calling United healthcare for 1 week now trying to figure out why a drug claim is being denied. They keep saying that the case will be corrected, and that the card will be turned back on. They have agreed that the customer has indeed paid their premium, and that the problem is between them and OptumRX. Each day, the poor client goes back to their drug store yet to be denied again. Each day we call and are told that it will be fixed in 3 hrs, but it never is. I really get the impression that nobody with UHC cares, and that there is no way to communicate with anyone who has authority to correct the problem. My reputation as a Broker is at stake for recommending UHC, but I feel totally helpless in representing my client. There should be a way to solve problems at UHC, but there is no system in place to act upon them.
Now, our government tells us that we cannot cancel and try another carrier until the beginning of next year. Our rights have been taken away from us due to a broken system. In my 30 years in the insurance business, I have never felt more aggravated.
Reviewed April 16, 2015
My doctor wanted me to rent a traction device for my neck. I called UHC to see if it was covered and was told that 80% would be covered. Then I get a notice from device company saying the UHC doesn't allow claims - ever. When I called UHC, they told me I had to go through an appeals process and when I asked for the recording of the phone call in which I was told the item was covered, they said they'd only release it under court order. This is just the latest in a series of hassles working with UHC. Terrible company.
Reviewed April 16, 2015
My husband has been on a medication for two+ years under Cigna. Recently, I had the "bright idea" that we should be on the same plan to save financially with only one deductible, one OOP, etc. So, I switched him to my plan on UHC. My employer pays a portion of my premium, and even with their contribution, I still pay almost $800/month for our plan.
We went to get my husband's medicine refilled at our pharmacy (remember - he's been on this medicine for over two years) and UHC says "NO!" They told us the medicine was a PLAN EXCLUSION and we would have to start with another medicine and work our way up to the medicine that he'd already been on for over two years.
So our doctor called in the "starting" medicine that my husband had to try first. UHC/Optum came back with a PRIOR AUTHORIZATION REQUIREMENT and wouldn't fill the medicine without a prior authorization. So our doctor called UHC/Optum and completed the prior authorization. THEN UHC/OPTUM DENIED THAT MEDICINE??? They said my husband didn't need it because his levels were normal on his last blood test. But, his levels were normal because he'd been on his medication for over two years... what did they expect?
We are now at three appeals and four prior authorizations and IT'S STILL BEING DENIED????? I am going to contact an attorney and see if there's anything we can do to get help. The prescription is $500+ out-of-pocket and we cannot afford that. My husband's health is now declining and he's been without his medication for over a month while we've been fighting this battle.
I am the Director of Human Resources for my company and I am taking this to my Execs to let them know that if I'm having this kind of trouble with UHC, how must our employees be struggling?? This is ridiculous and I cannot imagine this is even acceptable to do to a human being. How can you just stop someone's medicine after two years of being on it and think this is okay? I am so disturbed and I cannot get UHC or Optum RX to help. They refuse to give me explanations, they refuse to help, they won't accept my urgent appeal requests, they've denied this medication and I just found out they denied three other medications that I have to be on for a health reason. This is insane and SOMEONE must STOP THEM????
Customer service is HORRIBLE, level of compassion is HORRIBLE, willingness to help is HORRIBLE and coverage is HORRIBLE. RUN, RUN, RUN the other way. DO NOT USE UHC/OPTUM for ANY of your healthcare needs.
Reviewed April 16, 2015
United Health Care "without permission" changed the supplement plan to HMO. Then the representative from United Health Care told me I didn't know what I was talking about; that it had been this way all the time. I don't think so, as Medicare had been the primary and United Health Care had been the secondary for several years prior to this one.
Reviewed April 15, 2015
I injured my knee on an extended vacation on Saturday. The Urgent Care doctor ordered an MRI. The MRI facility checks with the UHC online system and it requires a pre-authorization. The Urgent Care facility tries to submit the info for the pre-authorization on the UHC provider phone line and it does not allow it because pre-authorization is not required. It is now Tuesday evening and I have spent about 7 hours on the phone with 6 different UHC employees, specialists and supervisors and I STILL don't have the MRI scheduled. I was even advised that it is better to go to the ER so that you can get treatment. I sincerely believe that UHC is intentionally making things difficult so that I will just give up. I pay $2,600/month for the UHC health plan that has a high deductible. How can they be so inept?
Reviewed April 14, 2015
I needed an appointment with the cardiologist. I checked their website (myuhc.com) to confirm that the doctor was in their network. He was. I got a referral from my primary physician. I had my appointment. And then I got billed by the cardiologist for the full amount. The claim was denied because they said the doctor was using the wrong tax id number. When I spoke with the doctor's billing office, they said they have NEVER been in the United Healthcare Network. So their website is wrong and now I have to pay the bill. This same thing happened with two CT Scans. The website said the facility was in network, I got bills for over $5000 because now they are claiming they are not in their network. Whoever is for a class action suit - sign me up.
Reviewed April 11, 2015
I went to my PCP, who said that I should go to a specialist for my ear problem. I asked the PCP office for a referral and they said "sure we will send in a referral to UHC." I went to the specialist and when I received my bill from the specialist ($300.00) UHC had not paid anything. I called UHC to find out why and they said that there was no referral. I said I had been told by my PCP office that they HAD SENT a referral and so the UHC and I made a conference call to the PCP office to see if they had actually done that. We spoke to the office person who said she had sent a referral and the UHC rep, said that they did not receive it (what?) so they were not going to pay for it. Talked to several supervisors there who did not care. UHC supervisor and Manager said file an appeal. That's all they had to offer.
Reviewed April 9, 2015
My doctor requested a Tier Exception for Omeprazole 20 mg which had always prior to 2015 been the generic substitute for NEXIUM which is a brand drug and hence a Tier 3. However, this year Omeprazole was changed to Tier 3 also. The Request for Tier Exception was denied. Previously I paid $5 for a 90 day supply of Omeprazole 20 mg as Tier 2 and now I must pay $39.90 (40) for the same drug as it is now a Tier 3 drug in the formulary. That is an astronomic increase in price and on a fixed income unaffordable.
Does it not seem unreasonable that all other insurance has Omeprazole as a Tier 1 or Tier 2 drug and that UnitedHeatlhCare now has it in the same Tier 3 as NEXIUM which is a brand drug? Meaning you pay the same co-pay for the generic as for the brand. I have run out of patience phoning Medicare, AARP and not finding anyone who can give me a reasonable answer to my inquiry into why the change. Nor can I find anyone who is directly responsible for developing the formulary to ask if there might be an error. Next step will be Oregon U.S. Congressman Peter DeFazio's office for assistance.
Reviewed April 9, 2015
My daughter was diagnosed with Crohn's disease last year and then prescribed medication which put her in remission. We had BCBS insurance at that time. This year my husband's work switched from BCBS to United Healthcare, and the latter refuses to cover this medication. After three weeks on alternative medication, one of which insurance agrees to cover, my daughter had all her symptoms back and had to be admitted to the hospital with a severe flare-up of Crohn's disease. Despite this incident and several subsequent appeals submitted directly to UHC by my daughter's gastroenterologist, UHC still refuses to provide coverage for this FDA approved medicine. We currently have to buy it for cash, paying up to a thousand a month out of pocket for it, all the while paying insurance premiums.
I believe it is better not to have any insurance than to have United Healthcare, since if my daughter was uninsured, the case manager of the hospital could have worked something out, but as soon as she learned that we have insurance, she couldn't do anything. And talking to UHC representatives is terrible. They have been constantly misinforming me, and one of them was even very rude to me. UHC is absolutely the worst of the worst!
Reviewed April 8, 2015
I was referred by my doctor to this UHC insurance company and so I filled out my application and paid for it with my debit card. Everything seemed fine. I did my app March 23, 2015... They took my money March 24, 2015 off my debit card and told me my coverage would begin April 1st 2015... and to call back that following Thursday and they would give me my numbers for the doctor and the pharmacy. So the following I called them and ever since then I've been on the phone with them for at least 4-6 hrs a day arguing because first they couldn't find my payment. Then they couldn't find my policy. Next they got my husband’s birthday wrong.
So then April 6th my husband had a doctors apt because he had a knee replacement done. So now he has to go monthly to a doctor and when the doctor tried to run his insurance with the numbers they gave him it said the policy wasn’t nowhere to be found and so he rescheduled it for the next day hoping he could get it fixed so he could get in soon to see his dr. So again the next day came around and again same thing - no insurance, not in the system, no payment found.
Then April 9th they called me finally saying I had a premium due again even though I just paid it March 24 2015 and haven't had insurance at all nor got to yet see my doctor. They wanted me to pay again after they tried to take it out without my knowledge but yet I had already cancelled my debit card because when they took my payment they took more than they were supposed to and I told them that day do not ever take anything else out of my account. I would pay my payment by check by mail.
So then here they are asking me for another payment after I’ve been on the phone for 7 days straight getting transferred from person to person, getting hung up on, and even at one time I was actually on the phone with 4 people - imagine that. This is the worst experience I’ve even in my life had so when they ask for another payment I just blew my top and told them they are nuts. They can either get my insurance active and then in 30 days I’ll pay another payment or I’d just get my money back and go somewhere else. So then after all that, today April 9th 2015, I finally got to speak with a supervisor who then gave me the same numbers I’ve been given several times, that my doctor has ran several times and they are again not active or in the system.
So supposedly they fixed it. So my husband made an appt. He went to his doctor appt and when he got there guess what, his insurance was not active. He had to pay cash for the visit and his medicine. They are now telling him they will reimburse him for all his cost and his doctor is now ordering an MRI and X-rays for his next visit which after reading all these I doubt we will be doing anything else with this company because I've never heard such crap... I've never had the run around in my life after giving someone almost $500 just for 1 month insurance. That’s highway robbery and I believe in fairness and I think your insurance is a huge scam because I'll never go to a doctor and get prescriptions and then have to turn around and have to get a diagnosis to have to send to the insurance company just so I can get my medicine filled.
If you say you're from the Philippines then you need to serve the Philippines because that’s not the way things work in the real world!!! I’m more than aggravated with y'all. I'd never recommend you to anyone and as a matter of fact I'd report you to the Better Business Bureau because this is complete fraud in every way. You charge someone’s account and 16 days later want another payment but yet you haven't even been covering them from the start because you don't have them in your system at all. But sure enough I have my payment number you gave me when you took my money out of my checking account which also has UHC listed as the receiver of it so really what’s going on? You're defrauding people and it’s not fair.
Someone needs to report this because its abuse in several ways. Then again my bank calls today and you tried to take another payment without my knowledge after I made it very clear to YOU not to do that because you took more than you was supposed to at first. So please just refund my money and I'll go back to my Blue Cross Blue Shield I've had for 27 years - much better, no fraudulent quirks in any kind of way!!! Thanks and look out to everyone.
They will rip you off any way they can and do not pay your money to **, whoever he is because that’s the one who not only lost my money, but also took more than he was supposed to and tried again today, and they sure kept me off the phone until today when they couldn't get their $488.62. This insurance is a fraud!!! Have a nice day and please read people’s comments before you purchase insurance anywhere else than where you're comfortable at because people will get you if you let them no matter how honest or good it sounds!!! Have a nice day. WHAT AN EXPERIENCE!!!
Reviewed April 8, 2015
My husband's employer uses UHC. I'd recently left my job so we decided instead of buying coverage through the state marketplace to put me and our children on my husband's policy. First sign of trouble: I kept my maiden name (been married for 16 years) which UHC found suspicious. They needed proof we were actually married. So we navigated that hoop. Both my daughter and I take medication for ADHD--UHC one day refused to cover the safest, non-stimulant, non-addictive medication that was working very well for my daughter. We fought with the insurance company for a month. Our local rep told us it should have never been covered in the first place, and suggested complaining about the sudden denial would alert them to the mistake, "they may back charge you." So we fought some more.
I complained to the insurance commissioner...UHC won. We had to switch my daughter's medication. Then UHC refused to cover my medication, which I've been taking for 20 years with zero side effects--has worked great. First they wanted prior authorization. That took 6 weeks. My doctor had to call them repeatedly, fill out forms. I finally got a letter "good news, your prior authorization was approved and will be effective through 12/31/15." I was confused when I went to pick my prescription up, and they told me “UHC needed prior authorization”. I spent 2 hours on the phone. They told me I was issued a new insurance ID because someone entered my social security number wrong when they joined me to my husband's policy.
The prior authorization should have carried over, "it will take 5 to 10 business days to fix the mistake." Sometime in that small window of time UHC reclassified my medication to a tier 3 (zero coverage). It was listed on the website as a tier 1 drug. It was listed in their annual drug list as a tier 1, but no matter, the insurance company can reclassify drugs whenever they choose. That was the last straw for me. I was able to get private insurance for me and my children, because my husband's employer wasn't subsidizing our coverage.
My husband is stuck with them, though. He severed his Achilles' tendon--UHC denied various radiology procedures, because who cares where the tendon was severed. The surgical center is threatening to sue us while we battle with UHC to cover their portion of the medical expenses-- I've never been treated so badly in all my life. It makes me very sad to see how many others are being treated the same. An insurance company should not be allowed to operate this way.
Reviewed April 8, 2015
A review for an in Network Primary care physician claim review was declined so that I owe the full amount. Two separate but related specialist claims that are related due to faxed instead of electronic referrals are also currently up for review and I expect they will also be declined shortly.
Reviewed April 3, 2015
I had a call in which I was given wrong information. I was told the wrong out of pocket max, and also told after I reached my out of pocket max that we would not have to pay deductibles. This was not true. I have tried time and time again to get the call recording and they ignore me. I even sent in a form with my signature. You get transferred and transferred - long hold times and no answers.
Reviewed April 2, 2015
So I decided to go with United Healthcare because it was $60 dollars cheaper than any other insurance… and I got what I paid for - well, almost. 3 month later and I'm still waiting for my refund!!! I can't even begin to describe how HORRIBLE their service is. I got billed from the doctor for what was suppose to be covered by insurance. Talking to customer service is useless and honestly, a waste of time and nerves. ;(( I switched to another provider after 2 month... and it's been 3 month, United Healthcare still hasn't gave me a refund they promised multiple times.
Reviewed April 1, 2015
UHC has selective memory. A medicine that's been paid for about 10 years, this medicine is seriously needed. I get Charley horses, acute spasms cramps from the devil for sure!!! This medicine is the only way to fight back, what little help I do receive. They are being exactly like my grandchildren, PLAYING NAME games, like my doctor's report is missing the word acute cramps, OR including chronic pain. YEAH LIKE KIDS!!! Since the middle of Nov, they play! Well this is costing me $200.00 extra a month plus the $240.00 a month!!! THEY need to stop playing, I'm on a fixed budget. I blame that OptumRX for playing with people's lives.
Reviewed March 28, 2015
I have been on Testim 1% gel for 2 years and no matter what every time I need to complete the Prior Authorization it takes months. They have denied the claim and then send it to appeals group who you can't speak with no matter what. They have lied on multiple occasions and are rude and unhelpful. I am wanting to start a class action suit and have the government regulate them.
Reviewed March 26, 2015
I shopped for insurance last month, United Health Care had the best plan. I asked if my cardiologist was covered since I knew I had a very risky heart surgery coming up and wanted to keep her as my provider. THREE different reps told me I could see her wherever she practices. My heart surgery is 2 weeks away and they denied it three times. They flat out LIED to me to get my money.
Reviewed March 26, 2015
United Healthcare is by far the worst insurance company on the market. I have a medically complex 2 year old and they deny everything we ask for or make us jump through hours of hoops to get it. We pay over $1,000 a month for this plan and it covers NOTHING. I want to get a class action lawsuit together against them. My husband is an attorney. If anyone is interested, please feel free to contact me.
Reviewed March 25, 2015
I was given pre-approval for a surgery. I got the surgery. Now they won't pay. I have appealed a dozen times. I have called them 200 times. I have gotten every middle-man possible involved. No luck. No justice. Just $150,000 of unpaid hospital bills.
Reviewed March 24, 2015
I am never sure what things are covered. It is always a guess when taking my daughter to the doctor if any of her procedures will be covered at all...and this is just for normal check ups. She needed a neutralizer. Insurance doesn't cover which is amazing to me. Apparently breathing isn't that important. Good luck calling them too. The automated prompt will ALWAYS direct you to a place that your representative that can't handle your questions.
Every time I call I am told "I dialed the wrong number" when all I did was dial the number on my card and the automated prompt sent me to the wrong customer service branch. How is that my fault!?!? Why don't you get an automated system that actually routes people to the correct place? I waste 30 mins every time I have to call them, EVERY TIME. I can't say enough how bad this insurance company is. ABSOLUTE WORST.
Reviewed March 24, 2015
Up until my experience today, I have been very pleased with United Healthcare, or at least the Tricare Military Retiree Insurance program it's been handling since beginning of 2014. My last happiness was its approval of my request to see a specialist at UCLA for persistent (not cured by surgery) hypercalcemia. I called Tricare to see if the approval will also cover the tests the specialist is ordering for me, 8 blood tests I had at the UCLA lab, and one urine test that will be done at an outside lab. The first person at Tricare was able to find an authorization for a different procedure, done within my usual medical group, ordered by my primary care doctor at the same time. (Riverside Medical Clinic). But she said she needed my authorization number to find the other one. But when I called back with the authorization number, they still couldn't find it!
I was livid with them, so my husband went back to my doctor's office, and apparently we need to call United Healthcare instead of Tricare in hopes someone there can straighten it out. But right now, they are claiming Riverside Medical Clinic made up the authorization number. I see the post before me was about denying a CT scan to a 41-year-old with a large growth in her neck. Yikes! I am 53 and have at least two small growths in my thyroid or parathyroids. And my UCLA specialist is going to need a CT scan to figure out which and decide then how to treat it.
Reviewed March 23, 2015
United Health Care insurance plan covered ER medical care bills not paid by UHC over a year, sent to collections suffering harassment and threats, adversely affecting credit, repeated attempts to resolve matter. UHC practices denial/delay tactics - strategies. UHC legal department threatens patients with Subrogation, cancellation of medical insurance. Injured at Mayo Clinic Scottsdale AZ April 2012; injured hit twice by a car walking as a pedestrian pushing shopping cart in grocery parking lot. Taken by ambulance to ER Tempe AZ October 2013. Medical bills not paid to date. UHC state they will pay the medical bills; fail to do so causing me harm and damage. Credit bureaus state, when paid medical bills are paid by UHC, adverse consequences remain on credit report for years.
Reviewed March 22, 2015
I bought this lousy health Insurance because I had to. I cannot find a doctor in this network to even take this Insurance because its HMO. Now I HAVE BEEN TO THE emergency ROOM TWICE. I TRY TO CALL THEM, I GET TRANSFERRED, hung up on, or disconnected. Horrible customer service. Now since I haven't received my bill, of course they are closed on Sunday, very inconvenient for me. Trying to pay online, can't even do that. This site is not very helpful at all. I am so frustrated with this Insurance. Come October It will be gone!!!
Reviewed March 20, 2015
I'm at my wits end. How can you refuse a cat scan to a 41 y.o. with a large growth on neck.
Reviewed March 20, 2015
My mom has had UHC for quite a while and they have always had an issue of applying payments which are paid automatically from her checking account. In January we receive mail notification that she would be cancelled because they had not received her payment. We called and verified that they were receiving payments that they were just slow to post... a known issue they said. They also increased her premium $2, I hoped it was being invested in process improvement!
In February, same thing. I called in and was once again told not to worry about it, payments were posting just slowly. I actually changed the payment date at the bank to get them there 2 weeks sooner. The address and account information was correct, so no problem there. I took my mom to the dentist yesterday, and she's 81.
I dropped her off to run some errands and I get a call 10 minutes later saying that she had no insurance. I was livid! I called and spoke to a rep who said that they had cancelled the service at the end of February for nonpayment. They could reactivate it for April 1. After several minutes talking on line, I was getting nowhere. I had all of the payment information, but I got nothing.
I escalated to a supervisor and waited for 20 minutes before they came on again and relinquished reactivating the account and apologizing. Meanwhile, mom's still sitting at the dentist waiting. The rep gave me a number to have them call to verify coverage, but refused to speak with the dentist directly to let them know that everything was fine.
The dentist spent an hour trying to get approval before they finally gave up. So much time and effort wasted! I spent a half day that accomplished nothing. Mom got to sit in the dentist's office for over 3 hours and got nothing done. She had to reschedule for another day. If you have UHC as your carrier, good luck.
Reviewed March 19, 2015
We have had nothing but trouble from the very beginning with this company. The latest problem involves their computer system, I could not get my medication last night because United Healthcare stated that we have Medicare Part B and my husband and I are not even 65, something was put into the system that was incorrect. We got the pharmacy issues straight however, my husband has to cancel his orthopedic appointment because it will take until the first of April to fix this. Serious, he has infection in his knee and he may need surgery to remove the infection to prevent a septic knee. However, he cannot go to the doctor. I paid a premium for coverage I do not have.
Reviewed March 19, 2015
After being switched between four people I asked for a supervisor. Was put on hold and disconnected. Even the foot doctor Dr ** who is on your plan won't accept your plan for payment. Says you people ok the work then bill him back. Please call me. I need answers why. They're for custom orthotics for my bad feet.
Reviewed March 19, 2015
If there was a way to give less than 1 star I would. When my employer made the switch to UHC they immediately denied coverage on a medication I'd been on for 4 years. After following all their hoops to jump through to get back on it they still denied it. I had to try other medications first so I didn't and they did not work still they refused to cover an important medication I had been on for 4 years. The other ones just didn't work so I had to pay out of pocket for the original one that they wouldn't cover. Finally I became so fed up and I work for my families' business so I threatened to move our 2 companies' policies. Finally they said "oh looks like you have tried the alternative medications so yeah we will cover it" after paying $1600 out of pocket over the last 3 months when they "should" of been covering it.
I submitted an reimbursement form since the lady on the phone said it should have been covered those 3 months and what do you know they denied it saying prior authorization was required. NO **! My doctor's office attempted to get prior authorization 5 or 6 times and were ignored and hung up on when they called to see what was going on. They have horrible customer service and communication. When our companies' policy comes up for renewal we will be moving and never be coming back to this joke of an issuance company. My parents had a similar problem. After meeting their deductible they still were forced to pay out of pocket and were denied reimbursement as well even though they had met 100% of their deductible. What a horrible company. I would NEVER recommend them under any circumstance.
Reviewed March 18, 2015
Bought a policy, in part, because of 2 providers shown as in-network and accepting new patients. Neither was available: one was not taking patients with my type of policy and the other did not accept any HMO. Wrote the company asking that the directory be corrected and suggested that including providers that did not accept policies was or at the very least, misleading. Got a reply saying that yes the doctors were in the directory and they were doing nothing about updating the directory. The author of the letter used a first name and initial. Too embarrassed to use her real name? Clearly the company knowingly misleads prospective customers. What happened to responsible behavior?
Reviewed March 18, 2015
(For my husband) 3-13-2015 2pm set up appointment for MRI. MRI facility called MD's office to pre authorization (UHC manual says we DO NOT NEED IT). When we got home I called UHC to see if it was needed. Well the book is WRONG. I do. So I get **, fresh as can be to help start the process. She tells me to call on Sunday night and I will get the pre auth. 3-16-2015 spoke with ** at UHC, if I call on Tuesday around 12NN I should have the pre auth information I will need to have MRI. 3-17-2015 I call UHC and speak with **, explained the situation and she got her supervisor on the phone, **, we are on a conference call. At this time the MRI is DENIED.
I then call the Pfizer dedicated line to speak with a representative about denial. ** states there is no record of a phone call, no information, not to follow the book and I shouldn't be the one trying to get the pre-auth. So until all this time my husband is falling, having pain (on the scale of 1-10 a number 11) meds have been increased. He is house bound. 3-18-2015 we go back to the doctor, we need answers. The doctor will be calling and I am calling my state rep to get some help. This is patient abuse. TY for listening.
Reviewed March 17, 2015
Started with optum rx dipping into my bank account. I complained on this site, received A call from ** to try and straighten things out and she pulled another $10.00 out without my approval. I'm quite sure they have all conversations on tape so that my complaints are verifiable. The last time, (February) I ordered insulin (from Walmart, I no longer dealt with Optum rx), it went from $45.00 per vial to somewhere near $245.00. I with went A much lower dosage until my wife and I were able to transfer to Kaiser Permanante. What A difference in professionalism. We spent best part of A day going through various parts of Kaiser, which included A quick visit for an unending cough. Finally have A health care where the word CARE actually has meaning. Thanks.
Reviewed March 16, 2015
Our company has been using United Healthcare since 2006 and I started using it in 2010. While prices and laws adjust, our health insurance company adjusts with them (as they would be expected to). However, since I am a consumer and not a healthcare professional, I do not know what my health insurance company will plan to do when it comes to how my medication is handled. United Healthcare has my email address, my phone number, my mailing address, my work phone number, my work email, my work address. They know my coworkers because it's a small business of 10 employees and they know our account manager who chose United Healthcare, but they fail to make a single form of contact and have absolutely NO RESPECT for what happens when you stop medicating someone who is on a treatment program. Here's my track record and why United got a 1 star:
Incident # 1: In 2014, United Healthcare stopped allowing me to fill my prescriptions in person at any pharmacy. They told me, they save money by shipping the medication in increments of 3 months. The medication I take is around $90 per bottle for a 30-day supply (with insurance) and about $600 or more without insurance. I found out on my very last pill, at the pharmacy, through several episodes of arguments with CVS and Walgreens that stated "Your insurance rejected your medication" and asked for half of my paycheck to pay for the medication. After that had ended, the insurance granted me a "ONE-TIME-ONLY" emergency fill of the medication, and I had 5 days to get a new prescription for 3 months put in a mailbox, and mailed 3000 miles away, to be filled by a pharmacy United Healthcare partnered with called OPTUMRX (and don't get me started on how ridiculous these people are).
They mailed my 3-month supply to my address in FLORIDA. I live in Texas, they put the wrong zipcode on my delivery. I had to wait 10 days just for them to receive the prescription and process it, and then I had to wait another 5 days for them to overnight the package to me. I really hope someone received that medication in Florida, because these people shouldn't be rewarded for sucking at copying someone's digital address into a computer. This eventually got under control, but it's an emergency if they lose your prescription in the mail, or if they mail it to the wrong place. I know how this prescription refilled on the first use every bottle to ensure I have 2 months to get the items by mail.
Incident # 2: Just yesterday I went to fill my other prescription (it's a controlled substance for ADHD called Vyvanse). Every time I go to CVS I am uneasy thinking "god, I hope my insurance doesn't mess with me again" and no longer than 5 minutes later, I get a phone call from CVS: "Your insurance rejected your medication." Yippee! So I get on the phone with my insurance company (UNITED HEALTHCARE, THE BEST EVER), and they said they need proof of treatment before they can authorize more medication. A doctor (my doctor) who writes prescriptions monthly (I pay $60 to see, because my insurance only helps with $10 for these kinds of doctors) wants the doctor....to provide proof....that I need medication. So this is like you getting the flu, getting Tamiflu prescribed, and now you have to wait for your doctor to mail your health insurance "I need proof he has flu".
They wait until you get to the pharmacy and try to get medication or even AFTER you go to the doctor and pay a co-pay to tell you things are NOT going to happen. I am on my last pill of Vyvanse today. I have a prescription at CVS waiting to refill. But now I have to call and chase my doctor down, coerce them into playing a game with my insurance company just to let them know that a doctor has been signing my prescription slips, and that a doctor prescribed me medication, and that after all, I used my insurance to help me with all of these things because THAT'S WHY I HAVE INSURANCE.
Reviewed March 13, 2015
They are irresponsible with care for their members and their health. My physical therapy was declined despite having surgery, the benefits and a letter from my dr proving it's medically necessary. They lie and falsify records so they don't have to pay the benefits. Do not accept an employer that has this insurance. A nightmare and just stupid!
Reviewed March 12, 2015
I had surgery set for March 11th. As I was heading home, I received a call from the doctor that surgery is now declined. To make a long story short, how can they decline surgery the day before when someone has their whole life surrounding this? The reason was dr. was not in the network. This was the original emergency room surgeon. Help please. Work has scheduled around me, same with family.
Reviewed March 12, 2015
After only 5 of my 20 chiropractic visits for the year, I revived a notice that I had reached maximum benefit from this therapy, and was denied any further visit. All premium search paid in full. The Dr office informed me that United had done this to almost all of their customers. But none of the other insurances had cut off patients from coverage.
Reviewed March 11, 2015
My company switched to united health at the first of the year from Cigna. Now every time I go to the doctor or try to get my Rx filled I have to spend hours filling out paper work, faxing it back and forth in order to get them to pay. 4 hours on the phone last Friday just to get my Rx approved, an Rx I’ve had before I had united health. Cigna health is a much better company. I wished we had never switched!!!!
Reviewed March 10, 2015
I'm feed up with UNITED HEALTH CARE TRANSPORTATION service. NEVER on time, ALWAYS LATE to Dr. Appointment. You need to have a massive job hiring for more drivers. When I finish all my appointment it's time to find a different insurance.
Reviewed March 9, 2015
I was sent a box of medical supplies I did not order. Now they are billing me for the what they sent. The Provider I have provides me with the same product that my insurance covers as needed. This company just sent it to me without my request.
Reviewed March 8, 2015
I am an international student and I had many health care insurance before. United health care is the worst I had so far. They denied to cover for all of the expenses for my ENT treatment. They also cover very little portion of the medicine. When I called their customer service I waited so long to connect with a customer representative. They are not helpful and informative. The last representative I talked was rude. I don't recommend this company to anyone.
Reviewed March 6, 2015
My son was approved by United Healthcare Community Plan to be admitted to a 28 day in-patient substance abuse facility. After 3 days, they decided he was fit to leave. They have denied 3 appeals. Tomorrow is the last appeal with a doctor who is obviously being paid off to deny it. My son is in no condition to leave the facility. This is a very risky decision on their part. If anything happens to my son, here it is in writing that UHCCP is at fault. This is a potential lawsuit waiting to happen.
Reviewed March 5, 2015
I have been on this medication for 7 years. Ever so often the insurance requires a prior auth. My doctor informed me that they e-filed the auth yesterday. A prior auth is when the insurance decides the medication is too expensive so they want to know if a patient really needs it. They require the dr to submit a form, then the insurance companies' doctors decide if I truly need it or not. What! Why would there be a doctor who has never met me be making decisions on medications that my actual doctor prescribed? So now I wait close to 72 hours for the auth to go through and I have to be without my medication for that long as well. This is not right! They want an auth fine, but it should go through that same day! This is a medication that is crucial to my Recovery. A lapse in taking it could result in a hospital visit. That can't be cheap on my insurance.
Reviewed March 5, 2015
A TV AD this morning was telling people who need a Medical Alert device that one could be provided FREE!!! So I called the number and sure as life it was a con. The answering unit asked a few question about other needs and then asked if I needed a Medical Alert Unit. NOW IT'S ABOUT A DOLLAR A DAY. WOW! HOW IS THAT FREE!!! To be fair I am the CEO of ** formally known as ** and we where formed to provide alert systems to people who could least afford it. We just reduced the cost from $15 per month to $10 per month for the first 12 months (as the equipment cost is $60) and after that the cost per month comes down to $5.00 per month to monitor for life.
This is not an attempt to sell our equipment or service and we have asked Consumer Affairs to review us as we have nothing to hide! MY point is I am tired of any company that plays on the people on fixed incomes when companies like mine and others are doing everything in our power to help the ones most in need! UNITED HEALTH CARE STOP THIS BS AND START TELLING THE TRUTH!!! Thank You.
Reviewed March 3, 2015
I have been trying to see a specialist for over a week now. The problem is the insurance company will not give me a referral. This has dragged on too long. The first time we drove 200 miles round trip I was told they would not give a referral because the wrong doctor was on my card. I called and got that changed and then we drove 200 and was told that you had not sent the referral.
We have tried to call you numerous times and we get put on hold then your company hangs up on me. I ask you what kind of customer service is this. I have an appointment for tomorrow at 2:50 but you still have not sent a referral. I am in pain and still can be not see the doctor. I had to get this insurance because of the ACA. I am going to call my congressman to see what can be done. I have the feeling rightly so that your company does not care about its clients. You can reach me at ** if you care. I will wait until tomorrow to call my congressman.
Reviewed March 2, 2015
We converted from Highmark (Western PA) to United Healthcare for 2015. We are so disappointed. First it took weeks to get our cards. Then they had our PCP's names wrong. That also took weeks and mass confusion. Now all our claims are getting denied for very confusion not clear reasons... Very Very Very unhappy... Go elsewhere...
Reviewed March 1, 2015
Apparently in Dec, many folks premiums were lost some place, I call even this week, and they stated they are still investigating. If you call any company, keep a record when you called, who you spoke to, exact time is important, apparently great many payments were lost. I cannot get any report exactly what united healthcare drug dept is doing. And they will claim they have called you back which they have not, the corporate headquarters phone number does not exist, all you get is some number that claims they are. United healthcare changed their billing instead of payment books, not monthly billing. United health does have a consumer affairs dept but refuse to believe their employees do not call folks back. I have remind them that are dealing with folks that might have a hearing problem or medical problems.
I now have to send my payments in certified mail to make sure it gets there, they claim it is the US PO fault which at this point, I do not believe, too many customers have complained about lost premiums. But it is very important to keep a record of the time and who you spoke to, also ask where is that person located, I have had to deal with someone in Minnesota, VA, and other locations on the same call. Ask for united health care consumer affairs, and kept at it, many companies depend on the customers getting discourage. Too many checks for premiums have been lost in the past months since Dec, something is very wrong here.
Reviewed Feb. 28, 2015
UMR sucks, very horrible insurance, provided by my hospital. My wife was losing hair after pregnancy, called her OB and she called in a prescription for TSH and free T3 and reason was put in a hair loss. The insurance has denied saying it as cosmetic procedure, I have appealed and asked documentation to be provided by the physician, and after 2 1/2 months, they want more information, office notes from the physician my test results. The people are low lying, filthy, rotten people, who just want to suck the money out of us and don't want to pay for anything.
Reviewed Feb. 26, 2015
I have two complaints to list starting with no offer of coverage up to and including today's issues which were: I have had the policy eleven months I have no policy. They have not honored my existing policy. They have sent no notice for premium increase, change of deductible, change of copay's multiple formulary changes - all with no notice and no policy. They continue to deny claims saying I don't have a valid policy. Then like today I spoke to over twenty people including four supervisors and they validate coverage, reconsider the claim and then pay it. Six hours today alone with twenty different reasons.
They refer me to the website. I live in a rural area and don't have access to a policy. My policy doesn't require a pre-authorization on MRIs. Guess what took two days and threats to get one with showed a fracture of the spine and two bad discs. I was told the Orthopedist visit was unnecessary. Really? Cause I don't know a home remedy for that. Inexcusable, illegal and no one responds.
Reviewed Feb. 26, 2015
I have had cluster headaches for over 20 years. I have been to several doctors and know exactly what has to happen and the medicine needed. I have been trying for a week to get United Healthcare to approve. We have spoken to numerous representatives. I have tried multiple types of medicine and only one Maxalt works. They will only approve 4 tablets because they want a less expensive generic drug. We were willing to try any of the recommendations. The doctor wrote a prescription and now they won't approve. I've been collectively on the phone for many hours trying to straighten this out. The reps are Indian and we can barely understand them. I've never encountered such a lack of concern for a customer.
Reviewed Feb. 26, 2015
I have been calling United Health Care Dumb ** lol For the last few days about getting a reimbursement on my eye glasses and was told that I would get whatever money that I paid out of pocket, but that was not true, so they came back and said am sorry about this miss so so we don't do that to people, we care about our members and we come first LMAO..... When customer rep said that, I laugh so hard that I wet myself lol so he ask me why was I laughing and I told him he was full of ** and ask me if I would like their legal dept phone number and I ask him was he high? lol and why would you ask that stupid question? He inform me that he did not know why he would ask that. I ask for corp office. He said there were no corp office at all and you can guess what happen after that - he inform that he could not help me and that he did not know what to do lol.
So I told myself I was going to look up some information to see if I could find regional director and I found him and his phone number lol damn I'm good..... So I left a message for him to call me back.... The question is does anyone think he will call me back? HELL NO! LOL. so I plan to call him back tomorrow and I plan to get back with everyone to let you know what happens from here. So if anyone care for his name and number I will be glad to give it to anyone that wants it... And I will be back tomorrow to post it if anyone wants the information. P.S. I plan to put my story on the news as well lol.
Reviewed Feb. 25, 2015
They have an online list of primary care doctors but when I call the number provided for the doctor I find out that either I have the wrong number, the doctor is not practicing there anymore, it's not a medical office anymore, or the doctor does not take my health insurance anymore. I called Customer service and they told me that it's the doctor's responsibility to update them. Some of those doctors I called haven't been taking this insurance for years!! How is it not the responsibility of the health insurance company to tell you which doctors are in their network and which are not.
Reviewed Feb. 23, 2015
United Healthcare is a horrible company. My husband is employed by a national company and they are insured through UHC. Every year for the last three years our premiums have increased and our benefits have decreased. UHC's service is horrible. Their service reps never know what to tell you and you will ask the same question from three different reps and get three different answers. My husband has had Halcon injections in his knee for over three years now about every six months.
When he went in Sept 2014 to get his injections, UHC and Optumrx refused the claim. When he spoke to a rep later that day he was told that they would approve this under our Outpatient benefits and we would have to pay a 500.00 deductible, but the injections would come from our pharmacy (optumrx). I told them they could not charge us a deductible for outpatient benefits and then our service come from our pharmacy. NOT THE SAME BENEFIT SCHEDULE did not make a difference to them. Refused to cover if we did not pay the deductible. We could not afford it.
So he settled for a steroid shot instead. I have been taking the same pain medication for chronic pain for 15 yrs, 3x per day. Now they tell me, they will only prescribe 60 tablets per month. I have fought with them for the last year. Now they are requiring a pre-authorization nearly every three months. Every month it is chore to get my meds covered. I am filing a lawsuit against UHC and OptumRx by the end of the month.
Reviewed Feb. 22, 2015
I cancelled my coverage with United Health care in Dec of 2014. They said that they were going to send me papers to confirm it. Well they didn't. So I just assumed it was taken care of. Well on the eighth of Jan they took out the premium out of my checking acct. Then on the 6th of this month they have taken another one. I have been calling, emailing, and writing letters and cannot get any answers as to why they are still taking my money. The first person that I talk to said that it showed where I called and cancelled. And the another one said the same. I clearly stated that I changed my coverage to another company and it would go into effect 01-01-2015.
Well for two months I've been paying three insurance co which I cannot afford. If that would have been I would have kept my coverage with United Health in the first place. But it just kept going up. By them keeping my money they're taking food off my table. I really would like to know why I can't get some answers. I've been paying them 146.00 a month. Thank you.
Reviewed Feb. 21, 2015
7 years I have been going to same doctor, then had an MRI and CAT scan only to find out my Health Center had been dropped by United Health Care. Now I pay 5-700 a month for Insurance premiums. I now have to pay for anything that I get done at my doctor's office. No such thing as a close PCP unless I travel 4 hrs or 200 miles. What is going on with this Insurance company? What right do they have charging high insurance rates and then not having to pay anything. Seems like good money going down the drain since it will never come out of their pocket. And our government approves of this?
Reviewed Feb. 21, 2015
My health ins company is United Health Care. Every time I need to use it if is not one thing is the other. Today I took my prescription to Walgreens. Metformin ER is a medication to control my blood sugar levels one more time. This is what I got instead of getting my medication. Please call 866-236-1495. It requires prior authorization. Seriously after paying every month for insurance this is the last thing I need to.
Reviewed Feb. 18, 2015
I am quitting my job this week to secure a lower paying job that offers better insurance than UHC. To date, they have denied payment for an emergency CAT scan; denied several prescriptions - some that my wife and I have been on for many years, and have not responded to any of our complaints. Oh.. and our premiums went up and our deductible went from $500 to $4000 (for each of us) this year. UHC dental has also decided to pay for virtually nothing at all this year.
Reviewed Feb. 18, 2015
Tried repeatedly to have them correct my PCP..... since January 1, 2015..... still not correct and I have seen my PCP 4 times. Finally they paid the old claims, but the most recent denied.... why, you ask.... I need a referral from my PCP to have my PCP, WTF.... you are given incorrect information which resulted in me now having to pay a cardiologist over $1500... why do you ask.... claimed not to received the referral, even though I received in the mail their agreement that I needed to see the cardiologist.
When calling about knee injections was told by 2 "representatives" that the shots would. It be covered. Orthopedic office sent in request for appeal and was told that of course it is covered. In the meantime, I have been on crutches for over a month and in absolute agony. Come this fall, I am looking anywhere but UHC. My husband and I pay more in premiums than anyone I have encountered.
Reviewed Feb. 16, 2015
My 14-year old has hypothyroidism. When we were switched to United Healthcare, we were able to find some but few good doctors available through their plan. That was one year ago. Since then, all of the providers have dropped United Healthcare, stating they are too difficult to work with, do not pay claims. My daughter has had to switch pediatricians, and endocrinologists twice this year and is currently without a pediatrician because all of the doctors they list on their site as being part of their group have withdrawn. I only found this out after countless days of leaving messages for these doctors, only to find out they do not take United Healthcare any longer.
I cannot find one decent pediatrician in my city of Orlando, FL, which is ridiculous, considering the amount of physicians available. This should be illegal to take our money and not offer the medical care promised. I am a single parent and will now have to find another form of insurance for her to get her the care she needs. I have contacted Action 9 Investigates in Orlando, FL and they are currently looking into my case and others. Please contact your local media and do the same. If we don't do something, this will continue.
Reviewed Feb. 13, 2015
The agent from United Health Care lied to me about what drugs were covered by them to get me to switch to them. These medications are not medications you can just stop taking. I told him specifically if they don't cover my medication, I will not switch! But he looked me in the face and said all of them were! They HAVEN'T COVERED THEM YET!!! But Medicare covers them!!!
Reviewed Feb. 13, 2015
According to my benefits, all preventative care should be covered 100%, but I received a bill for my last annual. So I called benefits to verify, and they said it should be covered. Then I call billings, and they tell me it's not covered. I asked what changed between my last annual and the previous years? I've never had to pay out of pocket for my annual physical. So after some back and forth calls, I'm finally told that their rules changed last year and the blood work I had done is not considered "preventive" anymore. If they're going to make up new rules, they should at least communicate this to benefits so I wouldn't have to deal with all this circus crap. I did some research online, looks like there are others in the same boat... I'm very upset and disappointed with UHC. I hope someone stands up this corporate bully!
Reviewed Feb. 11, 2015
I have cancer of the blood and changed to United Health Care. There is no cure for this disease, however one drug (only one) helps mitigate the progression and some symptoms. The doctor prescribed it, but they have refused to pay for this drug even though it's Medicare approved. They called my doctor's office on a Monday and he didn't return the call the same day so they denied my request for an "exception." Do not sign up with United Health Care, their focus is not on their members' health, only how to avoid paying for your medical services.
Reviewed Feb. 10, 2015
The sales person that sold me the policy lied. He said they would pay completely for the first three doctor visits and then after that they would pay for 70%. They said they would pay for 70% for diagnostics and paid nothing. I was told they would pay between 40 and 60% for prescriptions and they paid only $1.00 and $2.00 for two very expensive eye drops. When I try to call their number I am on hold forever and then I am asked to live a number they can return my call. They never do. I even tried calling the sales person that sold me the policy and I keep getting "The person you are trying to reach is not taking calls right now". He never is!! I have read numerous complaints regarding this company and I don't understand how they are even able to sell their products.
Reviewed Feb. 10, 2015
I make payments online through our bank for my husband's and my United Health Care medication plan. We always pay our bills on time. My payment for January and February on my account has been lost by United Health Care and they are telling me I will be dropped if I don't make the payments. My bank verifies they sent the checks on time. I have given the numerous phone people at UHC the dates and numbers of those two checks, made by the bank. I am told UHC cannot look for the checks unless they have cleared the bank. Duh, if they had cleared the bank, my account wouldn't be in arrears... they lost them at UHC and won't search for them; just want me to make the payments again with my credit card.
I also paid my husband's two premiums this year, and his have cleared and been posted. No one will do anything; I cannot get a phone number of someone who may be able to help. This is so frustrating. They lost a payment for my husband a few years ago, and it took ME a lot of time to finally get them to find the lost payment. These are the worst people I have ever dealt with on the phone. I cannot even find an email address to contact them. The people who answer the phones there, always someone different, couldn't care less about my problem; they have the same speech, like zombies or robots. Disgusting.
Updated review: March 31, 2015
This is not a new complaint but rather a follow-up to a complaint filed on 2/9/15. It was very suspicious that shortly after filing the complaint about UHC not posting my February 2015 payment that a posted payment appeared on my UHC account.
Original Review: Feb. 10, 2015
On 1/13/15 I mailed a premium payment for the following month. It is now 2/9/15 and UHC has no record of the payment. I have made 2 different calls to billing representatives and get nothing but a fast shuffle. Usually I get someone who speaks with an accent and who seems to not know what is going on in the billing department as related to payment issues.
My bank has made 2 searches of its records and has no record of the check being presented by UHC for payment. The cost of a stop payment is an amount which does not make that an option as related to the amount of the premium payment. I have to assume the payment is in someone's in basket or was put in the shredder. If you are looking at UHC as an insurer I would strongly urge you to look elsewhere.
Reviewed Feb. 8, 2015
This company is the absolute worst. They won't let me get my cancer treatment at the hospital I was always going to and expect to move all of my appointments over to another hospital. I've been seeing this hospital since I was 15 and I only have 9 more months to go...disgusting.
Reviewed Feb. 6, 2015
I have a claim from over a year ago that has not been paid. When calling United Healthcare with the provider they just said if the Doctors tax code is on the claim we code it under that instead of the hospital's tax code. This was an urgent care visit. Customer service was vague about fixing the situation and said they could not do anything, a claims adjuster would need to review it. It's been 15 days and still no answer.
Reviewed Feb. 5, 2015
Apparently Optum RX is part of UnitedHealthcare. My wife signed us up in January because we are both out-of-work but the government requires you have healthcare anyway. One of my prescriptions came up to be refilled. When I called for help, I was told that no mail pharmacy was on my plan. We have the GOLD (next to the top) plan. The support person had no answer. So I asked about pharmacies. I live in a city of nearly a million and there is only ONE approved pharmacy? Their price for the medication was $390 when Walmart was charging $189. No explanation for that other than "We don't set the prices." I thought that is what insurance did. I agree with the vast majority of comments here. This company is just set up to take advantage of the consumer while providing no support and a minimum of actual insurance.
Reviewed Feb. 5, 2015
I did not think they would be great. I was not anticipating robust and open deception. I was thinking Humana was cruddy then my company contracted with uhc. Amazingly they were worse. A ppo "plus" plan that is a glorified hmo. I have been told numerous lies. Multiple representatives told me my benefits in contrast to what the provider was starting. Finally weeks later I discovered that my yearly number of rehab sessions of twenty would only be four. I have progressed to external complaints. I will dump them ASAP. Look good on paper but it's all a ruse.
Reviewed Feb. 5, 2015
I was forced into UHC this year from my employer based Health Insurance. At the first of the year I began trying to get my medications approved and have been getting denial letters stating I needed prior authorizations from my Doctor. The P.A. forms were sent in and once again denied. I had no problems with my previous Insurance Company Blue Cross Blue Shield. UHC is like the mafia! You can't fight this big machine. The consumers are victims. Have you seen UHC's earnings reports. And to think, we pay dearly for monthly premiums.
Reviewed Feb. 4, 2015
Back in November, United Healthcare signed me up with a doctor/ARNP who hasn't taken patients or had a patient practice for 20 years. She told me she has been trying to get her name taken off their list for a year, but they keep sending people to her. So I called them. The rep on the phone was very nice and after about 45 minutes, she found me another healthcare provider, but informed me that I would not have any coverage until January since they would have to start my enrollment over or something of that nature that I did not understand. But I shrugged it off.
A month later, I received my new card with a new PCP. So I called them. They informed me that they don't take my particular health plan and that United Healthcare keeps sending them people with ineligible plans. So I called United Healthcare again and sat on hold for a good 45 minutes. When I finally got through to a representative, again she was very nice and apologized...a LOT. She then put me on hold while she called around to find me a doctor who was both taking patients AND took my insurance plan.
After 30 minutes of that, she came back on the line and said that she could not find ANYONE in my area and that she was going to send my account over to "research" to see if they could find me a provider and "hopefully" I should hear from someone in 2-3 days. Luckily there is nothing significantly wrong with me right now, but what happens if something does occur while they are researching?
Reviewed Feb. 3, 2015
I don't have a crisis but if this is typical of a healthcare provider for retired persons this company is pathetic. First call 2-2-2015 7:20 PM after a telephone tree with far too many choices to push buttons on recording says "Your wait is about 5 minutes." I can handle five minutes but 11 minutes go by. Recorded music stops. [Me] "Hello, hello," [Them] CLICK hang up. Call back advised having technical difficulties. Call back again wait is now more than 10 minutes according to the recorded message. They got that right we are now running up to the cut off time of 8 PM. So far 22 minutes on hold.
I can understand a sleazy business pulling this stunt of hanging up on customers but I don't accept it on a company I pay better than $3100 a year in premiums for their "service". The problem isn't what doctors charge but the worthless but costly service provided by the health insurance company. I don't care who's in office politically. I'll cheer any president that will stick it to them.
Reviewed Feb. 1, 2015
United Healthcare harassed me and stabbed me in the back. Been on disability, and they were my insurance from 2012 through December 2014. Had been as obvious as a slap in the face noticing, that several providers they paid me to go to, would ignore my diagnosed medical conditions, treatments, make disparaging biased remarks, and repeatedly delete medical facts even when re-given or faxed. I have all my MRIs, med records however. These records show I cannot permanently do prolonged standing, walking, lifting or carrying permanently for employment. I have doctors' reports and PhD. reports saying as well. It seemed like United Healthcare was involved in contacting providers and making biased negative comments to try and make my med records appear I have no disability. That is my only opinion.
Been on disability four years. I have diagnosed lumbar-sacral degenerative spine conditions in my lumbo-sacral spine that refers to lower extremities and in my cervical spine that refers to my upper extremities. I made a complaint on a june, july 2012 physical therapy content record to UHC. I had not read it until about Oct.13, 2014. The agenda was changed. I was referred and treated for plantar fascitis. All exercises for including printouts. The physical therapist had a changed agenda to ankle joint pain. I never had ankle joint pain. Apparently, this was changed so I would be made in agenda to appear I was doing heel raises, each foot several times, standing on toes, in PT sessions and at home, to make it look like I did not have a bad back or l5-s1. There also were heel raises done on steps. I never did these, only plantar fascitis exercises, heels down dorsiflexions.
PT wrote I had right ankle joint pain, so switched whole PT agenda. But why do it on left foot change agenda? There was no basis to change agenda regardless. When I went to PT I told basic med Rx. and wrote info in. She put I changed topics so had nothing written in evaluation, blaming it on me, because she wanted nothing there. Making me like I am a flake. You would have to be pretty nutty for her to say that. And if a deaf person came in and PT did not know sign language, common sense, PT would read what you wrote in. Which by the way was torn into pieces, tossed on to one page like a salad, photocopied and put into my file. I wrote info in and when i left last day wrote in PT paperwork, more left in there. Did exercises one time and told PTA that came in after, already done, so he marked what on list PT had.
PTA next time I had did not mark heel up exercises cause not do. Last day only time did heel up exercise and on steps. Had to stop several times in between. l5-s1...fatigued, And low spine back ache from never did again. Anyhow called United Healthcare to make provider complaint Oct.23 and 27, 2014 verbally, over phone and sent faxes about, last fax nov. 2, 2014. Complaint on the PT and contents of her records being changed. Well, service coordinator UHC leaves me two answer machine messages nov.3 and nov.4, 2014, to call her about changed provider complaint I never made. So I see it, I was right, they biased and part of this stuff, and with PT scene. BAD SCENE.
I looked to get off United Healthcare. No more phone calls or anything to do with them. Then I got five fake provider complaints sent to me in mail Nov. 4, Nov. 7, Nov. 17, Nov. 25, and Dec 4, 2014. UHC saying I making duplicate provider complaint appeal requests I never made. I faxed UHC to correct and send me the files. I put case numbers on and they ignored, just got more. These UHC indicated they put into my patient I.D. files!! Making me look like a nut job!
Retaliation: Be passive and let them throw me under a bus or they will slander and escalate their abuse and harassment. Also think making me look wacko cause then all they did does not count. Sure. I also got harassing answer machine message from UHC service coordinator, Dec 5 and Dec 8 2014...phony, very prankish message...telling me to call them about my requesting therapy services! Innuendo -- I did not request and nothing to do with UHC! Switched to different insurance. UHC was horrible!
Reviewed Jan. 30, 2015
I never go to the doctor. I've paid my prem. for years! Went to a doctor was the bill was $177.00. They made me pay upfront. Now I'm still waiting for a reimbursement check, what the heck. So far I've spoke to 3 different people. They put me on hold and someone new picks up and it starts all over again: "sorry now we are waiting on the 4th person... SORRY NOW WAITING ON THE 5TH PERSON." Started off with someone in another country, MI, & now CA & TX. Been on phone 35 mins. Is asking one question so hard for them to answer? After 45mins I got answer. Still, they have a very poor system
Reviewed Jan. 30, 2015
I came out of brain surgery and was told by my Doctor that I need absolutely needed a specific medication immediately. I took the prescription to my pharmacist and was told that United Health Care would not pay for it. The price would have been over $800 per month. I had very little money so I put the cost onto a credit card and appealed United Health Care's decision. After many phone calls fighting their decision they decided to pay for the medication and I was told they would cover the amount I'd already paid. I sent all the necessary forms and receipts and heard nothing from them for several months. I called them again and after several more phone call they told that they weren't going to pay me. I am appealing their decision. This people are simply greedy parasites.
Reviewed Jan. 29, 2015
Doctor prescribed specialty medication which UHC instantly denied. They did however offer an alternative medicine which happens to cost 2 to 3 times as much as the requested medicine, has greater side effects, and I have a WELL DOCUMENTED ALLERGY to. Doctor faxed an urgent appeal and received confirmation, however, I have followed up with UHC now one week later and they claim to not have received the appeal. The first customer service rep I spoke with today was ridiculously unhelpful and suggested I wait 48 business hours to hear back from him.
In addition, the rep had a very difficult time with his English which is unacceptable in resolving healthcare issues. Of course I called back until I was connected with a rep who was remotely helpful and able to tell me the appeal was never entered or possibly sent to File 13. This whole situation has become increasing frustrating and unbelievable. UHC seems to have no problem accepting the thousands of dollars per month we continue to pay for this insurance yet they could care less about our well being when we actually need to use it.
Reviewed Jan. 29, 2015
Do not get United Health Care if you are having any infertility issues, as they provide NO coverage at all for fertility treatment. The ironic part is that they will cover diagnosis, which just seem cruel than not to cover treatment. After getting a devastating diagnosis, they made us feel even worse by saying no coverage at all. They won't even bother to take the time to consider exceptions. After having no medical problems our entire lives, it is hard to accept that your insurance won't help you when you actually have a problem. I am going to opt out of United Health Care coverage.
Reviewed Jan. 28, 2015
I have many, many stories about UHC refusing to pay claims. That's their policy, to reject any and all claims first. You have to call, harass and threaten to sue before they will even "consider" paying a claim. Sometimes, I win and sometimes, I don't. For example, I have mac degeneration eye disease. When I got into see the chief at UCLA Stein Ctr, he told me that if I didn't start eye injections that day, I would be blind in six months. They called my insurance to get the injection drug approved and of course it was denied even with documentation from the chief, etc. I guess an eyesight saving drug isn't on their "approved" list. The injections were four grand a shot and I needed several over the course of the next three years, probably in the upwards of over 130K. OK, I'm thinking, I better prepare to go blind at age 45.
Finally, my Doc said, "Don't worry about a thing, I'm going to get you on a program for the poor, so the shots will be covered 100%." Really? My husband and I are middle class making a good living and pay a lot every month to UHC for what we thought was healthcare coverage and now I'm on a program for the poor? Wow. Shouldn't a program for the poor be for people who can't afford coverage and really need it? I guess, I'm now one of the people that really need it. UHC is crap. Thank god there are Doctors out there who know to manipulate this screwed up healthcare system.
Reviewed Jan. 28, 2015
I am a thirty-year hospital administrator who has also worked for another major health care insurer in years past. I am POA for my mother and managing her health care affairs as of last September. I sent her most recent premium payment December 19. UHC have never cashed it. My follow-up with them required being put on hold for a total of over 3 hours in one day, repeated faxes and phone calls. I had to work two phones at one time to get through. Holding requires listening to the same Bach piece played over and over. Bottom line: I was advised that UHC has lost a large number of December checks and cannot determine what has happened to them.
Last week 1.21.15, I overnighted another check with a signature required. They indicated they have not received that one either. I have sent them a total of almost $350 in premium payments in the last 40 days. Her premiums are $49 a month. Today they asked me to pay by credit card. I explained that a POA does not have the authority to use the credit card for whom they are POA. They said I would be getting a letter stating that her account would be cancelled if I did not pay her account by March 31st, even though the case worker admitted that they had a large number of December checks and still did not know what had happened. I guess everyone else in the same boat will get this same letter. So now I have to pay $35 per check to cancel the two checks and figure out how to pay the premiums. Should I drive it to them?
Reviewed Jan. 27, 2015
If you have or are considering United Health Care, go ahead and get yourself a lawyer. I am a medical assistant at a doctor's office and I deal with all major insurances all day. However, none of them make me want to cry like United Health Care does. I have seen too many patients get upset at this insurance because they just pass you around from department to department. If you add the hold time/music and the representatives with thick accents, you have a personal nightmare. I was on the phone with this company for 4 hours today trying to get one medication approved for one patient. I wish I could say it got approved but really, they just passed me around until they closed. Don't let your employer chose united... Your sanity is with more than that.
Reviewed Jan. 27, 2015
A good percentage of the time, I will be directed to a person that I cant understand, either they on a head set mic, just don't speak plain English, or use slang! The person becomes offensive!
Reviewed Jan. 24, 2015
ATT quit paying for our medicine. We had to find someone else. Our doctor's name is in the policy manual for United Health. When my husband went to the office for his blood work, they said we'd have to find another doctor. It took three yrs. to find this one. Said we can't change until next year.
Reviewed Jan. 22, 2015
My 17-year-old son has serious issues with drugs, ditching school, theft, and a 14-year-old girl. He has been in two intensive outpatient programs that he got kicked out of for repeated drug test failures. He has stolen over $1,000 and caused another $1,000 in damage breaking into locked rooms. His probation officer, psychologist, and we parents all agreed that he needed inpatient treatment.
I called United Healthcare to see what are insurance would cover and was assured twice that they would pay 100% of the cost. We checked him in 4 days ago. I just found out that they will not pay for overnight care and that we will need to come up with the $756 a week that it costs for the next 40 days. In addition they decided to not pay for the first day he was there. Why would they tell me that everything would be covered before we made the decision to place him at this facility, and then deny the claim?? I hate this company.
Reviewed Jan. 21, 2015
It would literally take pages to tell you everything United Healthcare has done to not pay for a new prosthetic for me. It is absolutely a covered expense and they have been giving me the run around and phone tag for 7 months now and still are denying to pay for a new prosthetic. My "In-Network" doctor has called them four times and spent hours on hold, etc. The doctor won't even deal with UHC anymore telling me they are just giving me the run around. I have spoken to over a dozen reps and supervisors to no avail. They never call back or return calls. They hope you just give up so they don't have to pay anything. IF YOU ARE IN SEARCH OF INSURANCE, STAY AWAY FROM UNITED HEALTHCARE. THEY ARE HORRID AND CORRUPT!
Reviewed Jan. 21, 2015
Decided this year to go with United Health Care over Blue Cross Blue Shield. Once decide on www.healthcare.gov I was forward to United's web site to "pay first month's" premium. This $537.61 was on 12/11/2014. As of today, 01/21/2015 I have NOT received any receipt for my payment whatsoever (except from my bank card company), have NOT received any enrollment package with benefits information, and have not received any ID Cards for myself or family. I have however made 6 calls to UHC seeking above information and have also received 2 calls from them including one just now. The UHC rep told me to call their billing department if I wanted a receipt.
Also, I complained to her about having to pay out of pocket for a generic Rx last week. She told me to file a claim manually? Of course no offer was made to assist me with this. It seems UHC wants me to do all of the work as they can not or will not do it? I have spent way too much time on this and feel I should be put on the UHC payroll or at least reimbursed for all of my service. Needless to say I am very disappointed, frustrated and angry with this sorry customer service.
Reviewed Jan. 21, 2015
This is the worse scam of an insurance company out there. I was diagnosed with Type 2 diabetes in August of 2014 and my Doctor and Hospital Diabetes Group stated I needed Metformin and Januvia to get it under control. They refused to pay for Januvia but after 45 days of me keeping records of my non improving Blood Glucose readings as they requested my Doctor supplied them with copies of my chart and they agreed to provide the Januvia approved until 2034.
I then was denied test strips as they said I tested too many times as per their request. Finally got the strips approved. Then January 2015 they again refused to pay for the already approved Januvia saying they no longer will pay for an already approved and as per their website an approved medication which was preapproved again. It gets worse as in December I also had a serious Kidney Stone attack and was hospitalized. I then found that their reputation stinks so bad that NO Urologists will accept their insurance as they stink in paying claims. DO NOT BUY UNITED HEALTHCARE INSURANCE or as I now call them USELESS HEALTHSCARE UNINSURANCE!
Reviewed Jan. 20, 2015
I have tried for 3 days to call because they have not cashed my payment for Jan. 2015. Day 1 - hold time 25 min before I gave up. Day 2 - 47 min before I gave up. Day - 2 said yes I would answer the survey and got answered in 6 min 15 sec. The rep. had the account number and my phone number yet when the call dropped he did not try to call back. Day 2 - 3rd attempt. Gave up after 30 min. Day 3 - as I type this on hold for 1 hour 25 min. I now also have a bill saying I owe two months of premiums. What is going on with this company? What are they doing to fix the issue.
Reviewed Jan. 20, 2015
I have been on the phone with United Health Care for the last two days. I purchased healthcare with them on March 21, 2014 and they debited my account on March 22, 2014. However, they have never sent me any cards or the benefit plan. I now have to show proof of medical insurance to the IRS and have no proof. I have been on the phone for three hours today alone and just tossed around. I need to find a way to report this as I feel that I have been scammed and/or ripped off.
Reviewed Jan. 20, 2015
My family just started with this insurance January 1, 2015. Bad decision. When I went to pick up my prescriptions I was told my birth date was incorrect as per the UMR and I could not use my insurance card to purchase them. Would have to pay full price. (I'm out) called them today and was told my HR would have to submit my correct birthdate in writing before they could change it. I have a doctors appointment in 2 weeks that I have waited for 6 months to get and will have to cancel it. Not to mention my prescriptions will not get filled until this error on their part is corrected. Can't wait for this year to be over... going back to blue cross.
Reviewed Jan. 20, 2015
I find it extremely disturbing that an insurance company can prescribe and change a member's prescription drugs without a doctor's input. I've been taking the same sleeping aid every night for 10 years. As a new member, United Healthcare decided that I shouldn't be taking this drug, and should switch to another medication. I had taken their new suggested drug previously and had serious side effects. I have now been abruptly cut off from my sleeping medication for 3 weeks while they review it. I'm a senior citizen with heart problems. Cutting off a medication like this can cause serious side effects. If I die from complications due to this, here it is in writing that United Healthcare is to blame. Very scary!!
Reviewed Jan. 19, 2015
Since registering with UHC in early December I have been unable to get the correct PCP assigned for my family and me. I am sent member cards almost randomly with the wrong doctor assigned. I have spent hours on the phone over 5 occasions and am now waiting, 7 to 10 days, to see if my last attempt today will resolve the issue. I am underwhelmed with the customer service and the follow through. I have no confidence that UHC will be able to provide health care for my family.
Reviewed Jan. 18, 2015
"Conventional" treatment for Prostate Cancer leaves 50% of men impotent, incontinent, or both. Here in NV, the costs are approx $50,000 and up. There is a new procedure (FLA), FDA approved which has been being used in soft-tumor cancers for years (and paid for by insurance companies INCLUDING UH on SOME PLANS) which is less expensive and with no life-altering side-effects. Will UH even consider paying for it? Of course not.... they consider it "investigational".
They would pay for the $50,000+ procedure (but of course not for the depends or **).... And they would pay for any "complications" (blood loss, nicked bowels, and Sepsis & C dip are fairly common) but not a $30,000 procedure which over 400 men have now had with a 90%+ success rate (higher than conventional treatment by the way). Seems they would rather pay bureaucrats and lawyers than provide a decent outcome (and I guess it must work as they have been making record profits the past few years). And "Appeal board" (in house of course) what a joke....
Reviewed Jan. 18, 2015
My father retired 12/31/2012. He signed up for UHC Medicare plan effective 1/1/2013. He had emergency gallbladder surgery 2/13/2013. UHC paid claims but 11 months later, UHC took back payments from providers. After researching issue, found out employer did not terminate my father from group plan until 2/27/13. Two years, UHC nor BCBS are paying and my dad is getting bills for over $7,000.
Reviewed Jan. 16, 2015
I attempted to call United Health Care customer service and was on hold for over hours and never spoke to a representative. I call back and was on hold again and never spoke to a representative. The on hold music played over and over and there were numerous messages apologizing for the delay and others about automatic deductions. Still after hours of waiting, I never spoke to a representative. This should be in violation of Medicare minimum standards.
Reviewed Jan. 16, 2015
I now too join you kind folks in damnation and burn in HealthCare Hell. I applied through Marketplace with LIMITED plans or should I say plan that wasn't even close to affordable and choice applied to more than one. UHC silver compass HSA 3600 base premium 318.00 per month 3,600 deductible is the only plan they offer with coverage on Hospitalization. Blue Cross Silver offers 3 plans with a jump of 348.00 per month premium and 6,600 out of pocket maximum leaving two plans with a slightly lower premium with an even higher out of pocket max and one with a lower premium of 272.00 and 2,400 to meet, and with it a co-insurance you'll need to do your homework on.
I am in need of hernia surgery that requires abdominal plasty. I will be hospitalized up to two weeks and recovery at home, 3 months mandatory HomeHealth required then 1 month minimum restriction. I am a 47 yr old divorced female living alone. I work 6 hrs a day, 4 days a week and made 6,773 in 2014. I have paid the Dec premium and have the visa statement with it proving so on dec 8, 2014. Marketplace website account I created to apply and enroll for coverage Beginning Jan 1, 2015, was correctly completed. I now can log onto MyUHC and prints cards. No can do! My info and social matches none of their records.
I now call customer service and Kris gives me ID and Member numbers and tells me I can keep the appt on jan 14 with the surgeon referred by the on call Medical Dr given to me on Jan 7 when I came in to the Hospital Emergency Room seeking emergency care. The Numbers Kris gave me, from Customer Service at UHC, were completely useless. Yesterday was my surgery consult appt, remember I was given a thumbs up to keep it. The office manager ask for my cards and I go up with all my hot pink post it notes I grabbed at my computer desk, held hostage, for countless hours totaling into whole days by UHC. Again, wrong numbers.
I'm desperate and so I show her the visa statement which she says she can't look at my information but ask if there's a phone number. Yes! She calls it. It's no longer a working number. I have my consult but will be billed patient responsibility and cannot schedule surgery until I have cards. I started at 9:30 determined to succeed. Made sure I had chargers, iPhone, two cordless land lines both fully charged. I began calling UHC located in Birmingham, Al. With 205 area code for Birmingham.
Constance answers and her accent is a red flag. I ask what country, city, state, or continent are you in. She says, "Our offices are in blah blah blah." I inject, "No, where is your body physically located on Earth." She says, "Manila". I hang up. I call another number also with a 205 area code. Rachel, same accent answers. I ask her where in the world am I geographically calling. She says the same statement on where offices of UHC are in the U.S. I stop her and say "No! What country, state, city is your body sitting, standing on the ground in." She says, "Philippines."
How is it possible that people whose voices sound like 12 yr old girls have access to my social security, full name, residence, phone, and probably my Visa account from a government healthcare act that is coming from the state of Alabama is NOW in the Philippines /Manila? The tactics they manipulate in all aspects of UHC is 100% Too Simple To Fail. Avoid, Avoid, Avoid!
Reviewed Jan. 15, 2015
The patient has been insured with United Health Care for quite some time, and has always been prompt with his premium payments. United Health Care has denied the patient's medication, which his team of medical doctors have prescribed, to prevent acute encephalopathy. The patient is delirious and cannot possibly file an appeal for himself, so I've attempted to help him resolve United's oversight. I cannot possibly imagine that they wish for the patient to die, or at the least, suffer permanent, irreversible brain damage. After spending well over three hours on the phone, being transferred from one person to another, none of whom were very informative (or well-informed, themselves...)
They've suggested that I write them a letter, explaining why I think the treatment is necessary. I'm not a doctor. What difference would my opinion matter. I asked if they wouldn't prefer to have a letter from the patient's primary physician, and one of the supervisors said, "That would be OK, too..." I am appalled that they will try to get an answer and resolve this problem "...within two weeks." I'm completely disgusted with this company and will be reporting them to our state's Insurance Commission. Then I will be reviewing other insurance companies to find a better replacement.
Reviewed Jan. 14, 2015
United healthcare sales woman sold me a policy without informing me of the $350.00 deductible on a policy which only cost $310 per year. I ended up having to pay so far $200.00, earlier this week. The rest will be tomorrow. I'm totally disabled and only receive SSDI. I may not be able to get needed medications due to their "bait and switch" behavior. Phone calls useless, told I'm stuck until next open enrollment.
Reviewed Jan. 14, 2015
MCO unethical placement of my son into out of state RTC. By legal hearing, my son was sent into a TX RTC. He is currently suffering physical and mental abuse 560 miles away. Staff ratio is 1:5. Our plea to keep him 160 miles away was denied only due to, as the MD stated, due to treatment time. Even though my son had a fitting psychological logical evaluation at Santa Villa Maria. They believed they could help him. We all believed the environment there was a good fit for his sensory issues. Their style of treatment is less aggressive.
UHC MD Bob manipulated a NM RTC to except Daniel. We didn't accept this action. We believe similar tactics were used for current TX RTC. This is because only a week prior, we contacted the TX RTC and they stated they had no available beds or future ones. After almost 24 hrs of his arrival at approximately 1 pm, my son's clothing wasn't checked in. He slept in the same clothing, had no shower, or teeth brushed. He complained that the place was very noisy, kids were fighting, and his roommate scared him. Within days, his roommate destroyed my son's family drawings and photos. Inappropriate placement time kept him 3 months at NMSH CHP.
Reviewed Jan. 13, 2015
UHC says they never received my payment for Medicare Plan. The check was sent out by my bank and I have the check number and reference. I have been waiting for 30 minutes so far to speak to a UHC agent and am forced to listen to those idiotic messages. Yesterday, I waited 35 minutes to speak to a CS REP who was very unhelpful and 'misinformed'. When I suggested UHC allow us to request 'call back' as Amazon and Social Security/Medicare do, she told me, 'Medicare won't let us do that'! I am very very dissatisfied with their CS and their responsiveness. Will be switching insurers in October for sure.
Reviewed Jan. 13, 2015
This past Sunday at 4:30PM my wife found herself in an emergency situation when her spinal cord stimulator failed. For a moment we panicked as she fell into intractable pain. We had not dealt with this before with UHC but I called about 5PM to ask them for a referral for a neurosurgeon. They gave me 5 names and suggested I contact one right away to get her the help she needed.
I chose a surgeon, left a message with answering service and he called back in half hour. He immediately knew the consequences. At 8AM his office scheduled an appointment for 2PM and they also coordinated care with Medtronic which is key to the necessary equipment needed. We all met on Monday at 2PM and at 6PM after pre-op testing, she was in surgery to get a new stimulator implanted.
For those not familiar with this device, it is used to reduce pain and give a patient a life beyond pain so they can function as a human being was meant to function.We left the hospital at 10pm and she was the woman I know. No more tears, pain or fright. UHC really came through in an awful emergency that could have had dire consequences if left unfixed. Thank you very much.
Reviewed Jan. 13, 2015
United Healthcare is a complete disgrace. I have been a contracted provider with them for over a year now (Podiatry in FL) AND THEY STILL do not have me listed as a participating provider on their online site or in their book. They ALSO WILL NOT open up the MEDICARE (PPO OR HMO) to anymore providers at all. JUST to even GET ONTO the Commercial Plans was a HUGE hassle & I got the run around for hours on end. HORRIBLE INSURANCE COMPANY.
Reviewed Jan. 12, 2015
This nightmare started last June when my husband's employer switched insurance carriers. The first week we had coverage the denials began. I am a very bad migraine sufferer. I have been on migraine medications for as long as I can remember and it's documented through various doctors and neurologists. My doctor prescribed me a new medication to try Frova which is supposed to be the best meds for migraines. When I went to pick up my script, I had a script for 11 pills however united healthcare will only allow me 4 pills. You can take up to 3 pills in a day for migraines. And the copay was 40.00 for 4 pills. This is absolutely ridiculous. I decided to appeal the decision for my full script.
After about a week I get a response denied. So I did an internal review that my doctor sent the required documents for my migraines and after about 2 weeks I was denied once again. I am so angry. How can they deny me a better quality of life with medications my doctor feels will benefit me. What is the point in having private healthcare if the insurance company denies me the very meds I need to feel better. I need help advise to navigate through this healthcare red tape. This has been the most frustrating year of my life. I can provide my denial letters upon request. I am unable to upload my letters.
Reviewed Jan. 10, 2015
USELESS COMPANY!! Was told someone from UHC would call me upon enrolling. Nobody ever called me and that was a month ago but they didn't waste any time taking my money!! I have yet to get cards or anything else! You can't even log into their website because you need your ID# or your social & the group number but you can't get this info unless you get ID cards or something from them! What a ** joke! The way I see it, they owe me money back for coverage I have paid for but can't use! I want some of my money back and I will be reporting this company. Starting to think this was nothing but a scam!! Seriously, taking my money immediately but then taking their time getting me anything to use the coverage? What a joke!!!! I WILL NEVER RECOMMEND THEM!! As a matter of fact, I will tell everyone I know what a crappy company they really are! If you can avoid it, DO NOT USE THIS COMPANY!!!
Reviewed Jan. 7, 2015
I have been with UHC or United Healthcare for a few years with my Federal Gov plan. I have several complaints. Spent countless hours on the phone and been transferred to multiple customer svc people who are clueless. Took a year for them to pay my Allergist's bill because after a year of 20+ phone calls, someone was able to tell me that for my Allergist, they needed (2) 6 month referrals and the (1) yearly referral was not sufficient. In the meantime I am in contact with my primary care docs office and they say the referral is good and the Allergist's office says the insurance co is denying all claims for the entire year due to lack of referral. Nobody at UHC could explain this for over a year. Had me on hold from 1 to 4 hours, hung up on me and when asked to speak with a Manager or Supervisor they said they were not available. Contacted them by email and complained and requested response but none received.
Next, when looking for a specialist, none within 30 miles of me were taking new patients. When called, they said I should see someone within 60 miles. I am guessing their call center is in Kansas? lol I mean I am a single mom with a 4 hour commute utilizing public transportation here in "big city" Washington DC. Next, I have been keeping tabs on their claim payments. My wonderful specialist who spends an hour with me bills a mere $160 for the visit and UHC paid her $8.63 and oh she also got my $40 copay. How can docs survive. With $48.63 for an hour, she cannot afford her staff or her lease or light bill.
Shame on you UHC!!! I reviewed my LES and every pay period (2 weeks) I used to pay around $75 meaning $150 monthly. Well, last year it went to $95 then for 2015 its going to $120 for single coverage. In other works, I would be paying monthly $240 for premiums and the Fed Gov pays them around 460 so UHC gets $700 all in all and they pay my doctor $8.63 our of $160?? Guess who is making lots of profit especially from the Fed gov.
Now I called to find out about prescribed orthodontics coverage because I have plantar fasciitis. They do not cover it and it will cost me almost $600. I have flat feet and my heels get very painful after a long day but UHC will only cover foot surgery. Does this make sense? Next, I call to find out if they offer any discounts to gyms or for wellness programs. They said no but they offer information on their website. Hate to tell you UHC but the internet has been around and Google gives me all the free information I need.
Final straw was when I went to pickup my routine generic meds with my $7 copay at the pharmacy which I get monthly, the pharmacist asks for $65. Call UHC and immediately, they transfer me to their mail order pharmacy Optimum and the lady was clueless and tells me, "Well things always change at the beginning of the year so maybe it sent up tiers meaning generic is $7 for Tier 1 and the price goes to $35 to Tier 2 and $65 for Tier 3." Decided to wait 2 weeks to get my meds when my new Insurance plan kicks in. I called UHC and asked about this and was told that it was a mistake and it can be reprocessed in 2 days where I only have to pay $7. I said hallelujah, I made the right choice in dumping UHC. My new insurance provider lists all my docs plus they have wellness discounts for gyms and exercise equipment and supplement.
Last but least, I have to let you know why I am really angry at the greedy corporation. I speak with great background knowledge. I have worked in various sectors of the health industry as a professional care provider and as a medical biller. If I cannot understand what they want in their EOB and they cannot explain this to me...hmmm, how can a person who does not have my background understand it or an elderly person? Nobody should have to spend hours on end for one claim. Some of my providers have said they don't bother to re-bill when claims have been denied because 2 hours on the phone with UHC is not worth the $8.63 payment. In other words, UHC gets to pocket all those $8.63 claims they denied first because providers do not have time to resubmit them and take a loss instead. This is fraud!! I wish the Fed gov would get rid of this plan.
Reviewed Jan. 6, 2015
I have never had difficulty with insurance until now, and it couldn't come at a worse time. It's bad enough to lose your hearing, and then United Healthcare has done everything they can to get out of paying any claims related to the services my doctor ordered for me. The doctor ordered a MRI with contrast, calling it medically necessary. Now UH is saying it was not authorized and they don't consider it "medically necessary." I called my doctor and had him send in documentation proving it was medically necessary and UH denied again, so I am out $485 while I appeal the denial of the claim (I had to pay neurologist to avoid being sent to collections). After I got the MRI and the doctor recommended I get a hearing aid, UH only covered a small fraction of the cost, so I'm also out $2,350 for that! As a single mom, it is difficult to budget for "emergencies" and unanticipated expenses, which makes insurance even more important! I have asked the doctor to provide me the documentation directly, so I can appeal, but I have a feeling I'll never see anything come of it. This company is so horrible to deal with, especially if you have to file a claim yourself!
Reviewed Jan. 5, 2015
I have been tossed around on the phone since 9 am today trying to find someone to answer my questions. They just keep transferring me from one dept to another. They have billed me twice but I still have no cards and am unable to log on to print any because they can't find my account. Pretty funny since they have cashed my check and billed me for a second month.
Reviewed Jan. 3, 2015
This is the worst company I have ever had to deal with. They refuse to cover my anti rejection drugs for my kidney transplant. They are looking for every way to not cover drugs that they list as covered when I enrolled in their medication plan. I have spent many hours on the phone trying to get this resolved. I had Humana for five years with very problems. They need to be exposed for what they are.
Reviewed Jan. 3, 2015
I went to my PCP with chest pains. My PCP directed me to go to the emergency room after ruling out asthma, which is what I initially thought it was. The emergency room doctor admitted me to the hospital based on the American Heart Association criteria. The following day I took a heart stress test, which came back positive. The cardiologist said I needed to stay in the hospital for monitoring and do sniggers because of the positive stress test. United Health Care is denying the claim for the cardiologist because prior referral was not obtained. They are claiming that the hospitalization was medically unnecessary. Go figure! This insurance company reminds of the company that was the subject of Grisham's "The Rainmaker".
Reviewed Jan. 2, 2015
UHC is complaining of bills incurred in 2012 that were paid via eft. They want our check numbers? They also said that there was new software installed in their system that could be the problem. Do these people know what they are doing?
Reviewed Jan. 1, 2015
I'm a military vet and have had UHC for 4 years..On Long Island 5 years ago we had the feds and state nacs crashing Dr. offices and 1 guy murdered a full pharmacy looking for pain meds making it impossible for real people who are disabled to get their meds..After 6 months of being sick and in pain I went on suboxone even though I'm not a drug addict..After taking it for 4 years now, it's been over 3 weeks and I have a Pre auth open and have had to pay out of pocket 100s of dollars I don't have..I'm sick with the amount of customer service agents who have no idea how to do their job..Health care should never be a business..words like corporate policy should never be spoken in a medical setting.. This is the worst of the worst insurance..
Reviewed Dec. 23, 2014
April 29, 2014 I visited Dreyer Medical Clinic in Aurora, IL. Prior to that visit, I phoned United Health care to verify if Dreyer was in their network. I was told by a United H.C customer service person that they were. When I got to the clinic (26 mi. from home) I asked the receptionist to verify that they accepted my insurance. She stated she verified this and all was ok. I paid them the $40 co-Pay. Approx. 8 weeks later, I received a "going to collections" note from Dreyer and about the same time, a statement summary of services from United Health care stating the claim was denied. United HC said that Dreyer incorrectly submitted the charge in some way and needed to correctly resubmit it. I call Dreyer, spoke to a woman in collections who told me it was submitted properly and she was not going to resubmit the claim.
Months later and 5-6 CSR's later, United was no help at all. Now they are telling me that Dreyer WAS NOT in their network when I went there but that they are now! Curtis, a supervisor told me to appeal the decision because lo and behold!! He actually found the summary sent to me stating that Dreyer WAS in their network and that I was not responsible for that bill. He said to submit an appeal, he can do nothing!! AARP gets paid fees to attach their name to United Health Care, by the way. AARP said they could do nothing in the matter to assist me and that I should "call them back and ask for a supervisor". WOW. It appears that AARP and big corporations really do consider American Public "STUPID".
Reviewed Dec. 22, 2014
I got a letter from UHC that said my Extended Cobra plan would no longer be recognized by the state of FL. I immediately called the number on the back of my card and said I needed a new plan. I wanted to stay with my same doctors, same plan etc. I got the Golden Rule. My old policy was good until 4/30. Golden Rule immediately started with their plan. I set up auto billing with my brokerage account. I figured UHC was the same company, same name?? I caught the mistake on 5/2 and immediately called and faxed my proof. No one got back to me. I called and 1 day spoke to 17 different people, repeating my story. I finally received a case number, so I'd be directed to the correct Manager. Long story short, neither branches of UHC could refund my $2,600 for the double billing. What can I do now? I'm an individual, they're a giant corporation.
Reviewed Dec. 20, 2014
My domestic partner that was being covered by our UHC plan (very clearly covered by the plan) has now been denied payment because she is of Medicare age. Seems like "breach of contract" to be as well as age discrimination and just a plain "straw man" argument to not pay the bills they contracted to pay.
Reviewed Dec. 19, 2014
I was in the Marines for 10 years and probably could have made several claims for chin splints, knee pain, loss of hearing, and loss of sight that occurred while in active duty, but didn't. I have a condition with my jaw where it clicks and locks into place whenever I open it, and, whenever that happens, closing it straight down without moving my jaw laterally first is impossible without a lot of pain and possibly breaking something. That happens every time I yawn. This is the only condition that I've ever asked to try to fix, but, according to United Healthcare, I don't have a legitimate claim because this condition isn't one that is covered. I don't ask for much, but when I do, it's for a legitimate reason. I see so many people get things covered that don't have much less effect on their ability to operate day to day than with my condition. I have to eat, I yawn and sometimes open my mouth. Something that hinders my ability to do that comfortably is legitimate. They take my family's money, but aren't providing the services I expected.
Reviewed Dec. 18, 2014
I am disgusted with this insurance company. I have suffered from migraines for most of my adult life. Botox injections have been the only thing that has stopped them. I was at the point where I was afraid I would be on disability. This treatment was a lifesaver. Now I have United Health Care and they have not approved the procedure. The headaches are returning and I fear for my career now. I have contacted the insurance company and just get the run around. Disappointed and disgusted.
Reviewed Dec. 17, 2014
I got a bill from United Healthcare for the month of October that I was not expecting because I was under the impression that if I wanted to quit I was to just stop sending in the $19. I called in on Nov 5 and talked to Nichole who said the billing was automatic until I stopped it. I informed her that I wasn't using the gym and wanted to quit. I asked if I could speak to a supervisor and was told none was available because of lunch, but a supervisor would call me in a half hour. I did not receive a call.
On Nov. 6 I called and spoke to Natasha and related the above info to her. She gave me a number to Healthways 888 423 4632. I found this is a billing only contractor and had nothing to do with my problem according to Melanie at their customer service. So I called United Healthcare back and spoke with Dominique and related the same story as before to her and asked to speak to a supervisor to see if I had signed anything saying I needed to pay until I called and cancelled. Dominique advised that she couldn't give me a supervisor’s name and their system was down so she couldn't transfer me. She said I would be put on a 24 to 48 hour call back list and would be contacted early next week. I was not called.
On Dec 16 I called and talked with Latisha and told her my story. After a considerable time on hold I was connected with Erica who said she was a supervisor. Erica listened to my ordeal in trying to resolve the Oct billing for $19 but was sorry to inform me that since I didn't call in before the end of Oct I owed $19 for Nov. I was put on hold while she contacted her billing dept. to see if she could get Dec $19 waived since I called in on Nov 5&6 to cancel and get October's bill taken off. Erica informed me that December's bill would be cancelled. I spent 1 hour and 15 minutes on the phone to hear I owed an extra month to Silver Sneakers. Approximately 1 hour and 5 minutes was spent on hold.
The tactics employed by United Healthcare, in my opinion, are the same as trying to quit a gym membership. They promised call backs they never intended to make, being put on hold for unreasonable amounts of time and a general runaround to pass the buck.
Reviewed Dec. 16, 2014
For about 2 years or more now, I have been getting my new AARP Medicare Complete card with the incorrect primary care physician. Actually, there is no such physician at the clinic I use. I have called, written twice, and tried everything in my power to get them to put the correct doctor on this card and in my account, but to no avail. They don't even answer my letters and impossible to get them on the phone without long, long wait. So, here I sit, yet AGAIN, with a new card for 2015 and with a physician name on it who doesn't exist and who is NOT MY PRIMARY DOCTOR. What steps can I take to get them to acknowledge my request? I should have cancelled while it was still early enough but will think about another insurance company next year.
Reviewed Dec. 16, 2014
Although our insurance supposedly covers the omnipod, United healthcare has repeatedly denied my 10 year old son. He was diagnosed 2 years ago with type 1 diabetes and for an active child, we decided to go with the ONLY tubeless pump. According to UHC this item is a luxury item and we are not able to have it. I have attempted to appeal and was denied all the way to the final decision. I tried two different distributors and again denied. UHC does not want to provide us the coverage we pay for and they are denying omnipod for people because they don't want to pay the bill. Awful insurance, I have never had so many bad experiences. And considering any insulin pump a luxury is egregious.
Reviewed Dec. 15, 2014
My oncologist prescribed a specific drug for my chemo treatment and United Health (doesn't) care. Advised him that they would NOT approve that drug. How can an insurance company tell my oncologist what drug to prescribe for me???
Reviewed Dec. 13, 2014
I work in a billing department for a large practice. UHC is THE worst insurance I have ever dealt with. Their reps are totally oblivious and incompetent in what the are doing. They bounce you around from one rep to another, most of them requesting the same information that you have provided before. So when it comes down to it, you end up having tons of emails, faxes, notes, etc. that you continually have to provide to each one because they conveniently can't see or don't have access to what the other has. We have a local rep that we are supposed to be able to contact when we have problems/questions but the majority of the time she replies "refer to your contract". We have been having ongoing issues with UHC not paying for a patients global (bundling) maternity care. There are times where a patient miscarries, transfers care or switches insurance. When that happens, then there are certain ways you have to bill insurance. UHC will deny claims when you bundle or unbundle. It doesn't matter which way you do it, UHC WILL find a way to deny it. On one patient you may unbundle and they will pay, but do the same for another patient it will be denied. No consistency on their part.
And their supervisors/managers are worse than horrible when trying to get something resolved. In my opinion, those are the people who need to lose their jobs and be put out on the street (literally). I would say more about their supervisors/management, but there aren't any words that are bad enough for them. I'll give you just one example of a claim I am working on now. Just one of several. Patient delivered in Jan 2014, UHC paid for global maternity care. In June 2014, UHC took their money back because the policy was retro-termed back to Dec 2013. No problem, we just went ahead and billed delivery only to the secondary (which is now primary because UHC termed before delivery) and billed UHC for the prenatal visits. Things should be OK. Now it really gets bad. UHC denies the prenatal claim because it was past the 90 day filing limit. They said we have 90 days from the date of service to submit a claim. You see what just happened? We were notified in June 2014 that the policy retro-termed to Dec 2013. How in the hell can we submit a claim within 90 days of the date of service if they are terming the policy about 180 days?
After calling them, they sent the claim back for review. Then they denied the claim because they said you can't bill for the prenatal visits because you already billed for the global maternity (bundled). Remember, we did bill for globally but they took the money back in June 2014. How can we bill for global maternity with a date of service of Jan 2014 when the policy termed Dec 2013? See what they are doing?
Now fast forward to now. After numerous appeals/calls/reconsideration forms/emails/faxes we are still fighting to get paid and now they are saying "there are no funds available because this is a self funded plan. We need to reach out to the employer". Done that. Employer was given the same run around as us. Like I said before, this is just ONE of the claims. Now can you imagine why it cost so much to go see the doctor? We spend so many hours, working late and fighting with UHC just to get paid for what they should be paying for. In my opinion, UHC is corrupt and they spend a lot of money to get employers to offer their insurance to their employees. Hope UHC goes bankrupt and the people who are responsible for the corruption loses everything and serves at least 20 years in prison. Bunch of _______'s (fill in the blank).
Reviewed Dec. 4, 2014
I have so many issues with UHC that it's hard to choose where to start. This is our second year on Tricare. The first year, Tricare was administered by TriWest. We had no problems at all. Part of the way through the year, Tricare became administered by UHC. I had taken my daughter to a psychiatrist. We were reimbursed in a timely fashion by TriWest. I took her to the same doctor six months later, and suddenly she was not covered! UHC's records stated that the doctor was a member of UHC which she is not. We sent documentation of this fact to UHC who still continued to deny the claims. Still fighting this issue two years later.
Reviewed Dec. 3, 2014
Have not been with United for 11 Months now and just got call from OptumRX about someone’s request for Medication and so I called them to let them know they had the wrong person! My wife and I changed Insurance for the sole reason to get OptumRX out of our life. The problems my wife and I experience with this company is beyond belief and they were ongoing and even after we talked to numerous Supervisors with this company that told us they would get the problems taken care of, the problems continued. We talked to United's Customer Svc Dept who also got involved to no avail. United Health Care has an ongoing problem with this company that United Health Care or the Powers that be at OptumRX are unable or unwilling to solve. I have found no rating low enough to describe OptumRX or United Health Care in regard to their ability to solve their ongoing problems in this area. Thank you for this opportunity to express my displeasure with all the very, very numerous problems we had with them, it is beyond my comprehension that this company can continue to exist with apparent full knowledge of United!!!
Reviewed Dec. 2, 2014
If you buy UHC Golden Rule don't get sick and don't expect to speak to anyone. I am moving as soon as I find a new company. At some point I hope that everyone that works at this organization is subject to their health care coverage (if you can call it that).
Reviewed Dec. 2, 2014
includes the patient's 30.00, 40.00 and 50.00 co pays. It is important to note that the reimbursement rate including copay was 50.00 SEVENTEEN years ago. Other Insurances would never think of pulling this stunt. Their decisions are based on greed with no regards to patient's well being. One year, UHC had a year end net profit of 280 million dollars. Patient's annual premiums are increased up to 21.7%. I urge patients with this Insurance to file a complaint with your local Insurance Security Commissioner.
Reviewed Nov. 30, 2014
Every single doctor listed as taking their insurance does not. Every single one. Without exception. I have not been able to see a psychiatrist since getting this insurance. Totally useless and horrible insurance. Really just the worst. I cannot emphasize enough how bad UBH/Optum is.
Reviewed Nov. 24, 2014
On September 24, 2014, I filed a claim for a hospital stay at the Rush University Medical Center from September 17th through September 19th. I have an indemnity insurance policy that is obligated to pay me $60.00 for every day that I am confined in the hospital. The claim still not been paid and I have been getting the runaround. I sent them the information from the hospital, but they acted as if they did not receive it. I sent the information with a detailed explanation and have not responded.
Reviewed Nov. 20, 2014
I signed up for Health Insurance with United Care in August of 2014. My wife and I realized three days before the start of the policy that we would be unable to use the Insurance for our children and immediately canceled the policy. I called United Health 3 to 4 times over the course of two months, and waited and spoke for hours before United Health acknowledged that I should receive a refund. I was told that the accounting department would get in contact with me and two months to the date of my call I have not been contacted nor I have not received a check. I called today and as usual waited on the phone for over 30 minutes. A Manager was unable to speak to me and the poor agent I spoke with could do nothing to remedy my situation. I personally think that this issue borders on being criminal, because United Health Care have the case recorded in their system but are doing nothing to proactively resolve the situation. Stay away from United Health Care.
Reviewed Nov. 19, 2014
Well we have insurance through uhc and it's the worst anyone can have. They won't fill our meds. They want us to appeal it, then it still wouldn't approve. They told us to get a different brand that's more addictive, won't approve the generic. When I had bcbs they had no problem, so I'm paying them for no help. I will never suggest this company for anyone ever. What company would not help people in need especially when they take our money to help us. Worst company ever.
Reviewed Nov. 19, 2014
I have bone spurs, 4 herniated disks just to start with. My neurosurgeon filed a claim on 10-24-14 knowing that it was a 21 day waiting period. By the doctor’s files, United health claimed they didn't receive some of the forms. Doc resent forms. United then ask doctor to fill out different forms, Doctor fills those out and sent them. Again United Health said they didn't receive them. Then at 4:30 pm before the day of surgery United Health denied coverage. Family in from out of state, hotels rented. Mother is here, 90 years old on oxygen. Wife took 2 days off. What a mess. So last thing United Health said was they could not get in touch with my doctor because his phone would not work. My reply was that's funny I talked to them twice today.
Reviewed Nov. 14, 2014
Uses Third Party in determining authorizations for healthcare - My Orthopedic Doctor determined I needed to have physical therapy for an injured Achilles tendon and under my medical plan for the year I am covered for 20 visits. After my first I receive a letter telling me of this third party called Optum Health Care who determines authorizations but in the same breathe they state that the care is determine between your healthcare provider and you. Now after my 11th visit I have now cancelled 2 visits and possibly my 3rd because I can't get Optum Health to authorize any more visits as they are stating I am at or near my Maximum Therapeutic Benefit and this was even before they spoke with my therapist, which she states we have much more work to do. This Eric ** has committed Fraud on the paperwork my rubber stamping he spoke to my therapist and has no idea what he is talking about. I am now having to escalate this to my HR department and to the UHC representative through them.
Reviewed Nov. 12, 2014
It is November 2014. Since April 2014, I have noted that we are not getting credited for prescriptions filled against our deductible or against our out of pocket maximum - both of which we reached by July 2014. Our prescriptions cost on average $700 per month. In addition, our pharmacy has documented for me that on at least 3 of our monthly prescriptions we are charged 30-50% more for the prescription BECAUSE we have United Healthcare than we would be if we had no coverage at all. In one case it is over $200 more for the prescription when she adds our insurance provider!!! Who gets the money? The Healthcare provider. So I am not getting credited. I am paying UHC additionally for my prescriptions, that's ROBBERY. I have gone through our company representative trying to get resolution, she recognizes the problem, but NO ONE has corrected it. Is there legal action that can be taken? I can EASILY document this and have repeatedly both for UHC and for my company representative. WHAT DO I DO NEXT?
Reviewed Nov. 10, 2014
First of all UHC makes it practically impossible to use your FSA. I find that disconcerting since if you don't use all of your money the company gets to keep it. So maybe they split the difference or whatever. Then when you quit they make it so hard to get your Cobra set up that you almost give up and let them have it. It took me over a month to get them to send me the billing so I could continue my FSA then they still had it wrong and sent me 2 different bills - both with the wrong amount. They are totally incompetent. This is how we should reform our health system - get rid of idiots like UHC!
Reviewed Nov. 6, 2014
Canceled Deluxe rider @ 35.00 month on 12-27-13 through phone calls to Uhc, who connected me to their dental department. I told the rep that I did not wish to continue the rider into Jan. 2014. Rep said ok, no need to take further action, and I thought all was done. In Jan. 2014 I received a bill for 35.00 for the Jan. Payment. Promptly picked up phone and called UHC. They tried to say that I had not cancelled the Rider. They asked if I wanted to cancel and I explained that I had in Dec. 2013. They say no I did not, I say Yes I did. And so we go back and forth. I have made numerous phone calls to UHC - each time being transferred to about 5 different people and sometimes they conveniently drop the call. Each call takes 1-1.5 hours. I AM fed up and tired of dealing with their inefficiency, poor customer service, and cheating ways. Looking for a new provider.
UnitedHealthCare Company Information
- Company Name:
- UnitedHealthCare
- Website:
- www.uhc.com