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UnitedHealthCare Reviews

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About UnitedHealthCare

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

UnitedHealthCare Reviews

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    Page 21 Reviews 2777 - 2927
    Customer ServiceStaff

    Reviewed Nov. 3, 2014

    My late wife was taken to the ER in Gettysburg by the police and evaluated by a psychiatrist. Although not her choice, the hospital is, in fact, in our network. But the psychiatrist was not - so UHC denied the claim by the dr's office. I repeatedly filed claims, but only received "robot letters" - it was very evident that no one had read and answered them. After months of this I contacted a case manager who may be able to get this covered, but come on! She was in an ER - against her will! What was she supposed to do? Tell them she would not talk to the psychiatrist because he was not in her plan? I doubt the Dr. would even know. My wife would not know. Are we to quiz all the doctors in the ER to see if they are in our plan? What if we are unconscious? What sense does this make?

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Nov. 3, 2014

    My experience with United Healthcare has been the ultimate disappointment. I went to a Dr thinking I had TMJ after years of pain in my jaw and they confirmed I had some really serious jaw issues. When I went for a second opinion the Dr told me that only surgery would correct it for good and that the pain should go away instantly. Needless to say I was so excited to get started. The headaches have been such a game changer for me in life! Who knew that the only thing standing between me and getting rid of constant pain would be United healthcare. The Dr. proved it was congenital but the clinical services dept still declined it and when I called in they could tell me why they declined it besides that they didn't see it as congenital. When the Dr and I asked why they thought it was not Congenital and how come they were shooting down the Dr provings, they said they didn't have those notes but the regional director of clinical services was the reason it had been declined.

    I asked to speak directly with the regional director since they were the only ones who seemed to know why my claim was considered not congenital and Monica told me she couldn't let me speak to a manager or to the director because they were not allowed. Today I called in and tried to get some more help. They told me the same thing. I feel like they are discriminating against people with jaw issues and are considering them cosmetic because they don't want to pay. But in the mean time I am having constant headaches and need help. I feel helpless I can't wait to drop these people! I have always paid on time and did my copay's etc but when its their turn to step up they will not!

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    Coverage

    Reviewed Nov. 3, 2014

    I paid for this insurance then I need surgery and they pay nothing. I have had this insurance for 12 years, keeps getting worse. I need this surgery to not die in my sleep. My sleep apnea is very bad and cap doesn't work. Get a different reason for denial each time I contact.

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    Customer ServiceCoverage

    Reviewed Oct. 31, 2014

    United Healthcare has been a nightmare. We tried to follow all the rules by contacting them prior to receiving medical services and finding out exactly what our plan covered. The hospital where we received the medical services obtained the required pre-authorizations. The pre-authorizations were issued for so many days/sessions. We were told that we would owe a co-pay for each session and that United Healthcare would cover the rest. It should have been a straightforward process. By way of explanation, the treatment is considered to be an out-patient office visit. For each medical treatment, the hospital submits three claims. One for the doctor's consultation, one by the hospital itself for the actual treatment, and one claim by the anesthesiologist.

    United Healthcare's first blunder was to treat the anesthesiologists as out-of-network, when, in fact, all of the anesthesiologists, but one, were in-network. UHC tried to apply the out-of-network deductible and out-of-network co-insurance. I had to call customer service. They changed the processing to in-network, but tried to charge in-network co-insurance, which they were not supposed to do. Second, they denied a claim, saying that we had other insurance. This was false, and I had to complain. Third, they improperly counted each of the three claims for each session as three different sessions. Thus, they were triple counting. They started denying claims, saying that we had exceeded the authorized limit, when we were nowhere close.

    At this point, I complained to our state's Department of Insurance. Fortunately, the Department of Insurance has been very forceful with UHC, and has been making them correct their errors. If it weren't for the Department of Insurance, I'm not sure what I would do. I've made at least 20 calls to their customer service, bounced around from individual to individual, given bogus excuses, and each time told to wait 10 business days. I was given the run around until the Department of Insurance lowered the hammer on them.

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    CoverageStaff

    Reviewed Oct. 28, 2014

    I have been seeing a medical professional on a weekly basis. I have (or thought I had) insurance through UMR's United Healthcare Choice Plus Network. After talking to my doctor the other day, I have come to find out that none, I repeat, none of the weekly visits were covered under my plan for the duration of my visits. I started visits in July and now going into Nov, I am facing an $1800 medical bill. My doctor informed me that United won't pay any of the claim. They instead encouraged him to write off a large portion of the balance. I feel like I am paying into a Ponzi scheme and the options of Obama care aren't any better.

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    Reviewed Oct. 26, 2014

    In November 2011, I had spinal fusion surgery on my L3-L4 vertebrae. On the day before my scheduled surgery, United declined authorization. My surgeon was forced to change his approach the day of surgery, and United relented.

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    CoverageStaff

    Reviewed Oct. 26, 2014

    I'm looking for anyone who can guide me to any pending class action suits against United Healthcare's recent policy of dropping physicians off their plans without proper or adequate notifications to patients. For example: I just received a notice from United dated 10/14/2014 saying my PCP of the past 7 years is no longer covered. However, even though the letter is dated 10/14/14, which coincidentally was the date of my most recent office visit for a severe throat infection, United has stated this cancellation went into effect on 10/2/2014....2 weeks before they bothered notifying me, the patient, and my doctor's office.

    United refuses to assist in resolving this matter and had told me to just appeal the bill for the office visit. Aside from my disgust at their attitude that it is my problem to resolve and deal with, taking up my time and effort, I'm now left with no PCP while I have serious ongoing medical issues. I'm curious and hoping that other members may be filing a class action suit against United for their failure to appropriately notify patients and give them an opportunity to find new physicians while allowing for some temporary continuity of care. I should note that according to United, Continuity of Care is an option allowed only to people with cancer or HIV/AIDS. I'm just looking for a place to start. I'm in Arizona, however, I'm sure this "attitude" and new policy of United is nationwide.

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    PriceStaff

    Reviewed Oct. 25, 2014

    I was diagnosed with CIDP, my specialist being one of the top in the field of muscle / nerve diseases and on staff at a prestigious Medical Center, UNMC. I was informed this week UHC had denied the recommended treatment of IVIG (for the second and final time) - it is very expensive and no doubt why they denied it. My doctor underwent a "peer review" with their doctor and came away with the firm impression that: 1. The treatment criteria they use is very outdated; 2. The UHC doctor did not understand CIDP (it's rare) well enough to discuss treatment options in any meaningful way. I find it frustrating that at a time when I am in extreme pain and exhausted from CIDP, trying to keep on working 40 hours a week so that my family survives, I am now expected to undertake a major battle against a huge insurance company if I wish to get the treatment I need.

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    Customer ServiceInstallation & SetupCoverageStaff

    Reviewed Oct. 23, 2014

    I have to receive psychiatric care since I was 13. Except for the time I was unemployed and not by choice I was always able to find a psychiatrist. In March of this year even though the Dr I had been seeing for quite some time suddenly announced during what turned out to be my last visit, that his specialist was treating depression and not the other 2 problems I had in the past and because that he was not qualified to treat me. That was it. Two weeks later when I tried to schedule an appointment with my therapist whom I had been seeing for almost the same amount of time told me in a 3 minute phone conversation word for word the exact thing my psychiatrist. Because they did not make any effort to find someone they thought was more so called qualified to treat me I began the process of finding a new doctor. Since I had never had a problem in the past finding a doctor I wasn't that worried about it. There were only 2 doctors that would accept UHC and they were not accepting patients. It was the very same thing with therapists of all kind, not accepting new patients or my insurance.

    This occurred in March and I still have been unable to find a Dr who will see me. I have contacted all the Drs in the 2 cities close to me and the result has been the same thing. I thought I might have found someone because the website said she was taking new patients. Everything was going well until I mentioned UHC. Then she said she couldn't see me because I had UHC and that I needed to check their website for Drs who took UHC to stop wasting the time of doctors who were not a member. I told her that checking their website was how I got the info on her. I did not even know she existed before I saw that info so how could I know to call her, where she was located or anything else about he. She said that there was a reason she was on their website and that reason that she does see patients who have UHC. But the only reason she is still willing to see them is because of the length of time they have been her patients but she is no longer willing to see a new patient who has UHC. I said to her what is the problem with UHC. I always was lead to believe that it was one of the best companies there was.

    Then I said the only reason I can think of that prevents doctors from using it is because they do not reimburse them enough, She said that was the reason.

    Every time she saw a patient with UHC she lost money instead of making money. I have contacted every Dr on their list and some of them are not accepting patients, some of are not even practicing there anymore and some of the Drs I called had not been 3 years but they were still on the list. I even called an office to try and find a Dr only to find out that the Dr who accepted their insurance although I have not tried any more cities if I were able to find a doctor I would have to drive at least one hundred miles one way to see them. I will say that I have has some medical bills that I was pleased with the coverage they provided. However what is the point of paying for a policy when it has become impossible to find a Dr who uses UHC.

    Insurance companies have never provided the same coverage for the treatment of mental illness as they do for legitimate medical conditions but unless they increase the coverage the amount they reimburse the doctors it is not only going to be psychiatrist not accepting people with UHC, the so called real Drs are going to start doing the same thing. That is not going to only hurt the persons who have UHC but have a dramatic impact on the profit that UHC looks forward to every year. I am so depressed can barely eat or even get out of bed but I no longer have anyone to prescribe the medication I need and it doesn't look like that is going to change. We have mental health center but because of the economy it takes at least 4 months to get an appointment. The way I feel now unless there is a miracle I will not even be living in 4 months. It is one thing to have to suffer because you can't afford to see a doctor but having to suffer because your insurance pays Drs so little they won't even see you. I know my complaint is a lot different from the other ones I have read but it's another reason why everything UHC promised is not worth the paper it was written on.

    The owners of the company where my husband works and is the source for me having UHC have a reputation of extremely Christian people. Based on that fact I actually contacted the CEO of the company to inform how difficult it was becoming to find a Dr who would accept UHC. I thought maybe given their Christian reputation that once they became aware of that fact they maybe they could try and find another company, they would not affect them financially but would but one be one that more doctors accepted. Just as my opinion will not cause UHC to make any changes, it will not cause my husband's company to make any changes. It doesn't do anyone any good to complain about a situation that something could be done to change it because no cares anymore regardless of what they actually say. The only thing they care about is money.

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    Contract & TermsCoverage

    Reviewed Oct. 22, 2014

    I bought this insurance through my university. Because my university ended contract with the previous insurance company and contracted with UHC in the middle of my pregnancy, UHC refuses to pay any of my maternity fees. OK, the law says the previous insurance company should be responsible. Now I haven't got any solution whether the previous insurance company would extend my benefit. My university is assisting me with this. But even the previous insurance company would do that, they said the extension will end on the day my baby's born. Therefore my postpartum care won't be covered. And UHC said anything related to my pregnancy is none of their business including the post-partum care. Now who's going to cover my postpartum care fee? Why I bought UHC while it is totally useless? Be careful!! They have lots of tricks to deny covering your medical care. You would be insecure to buy such trash insurance. Do not choose it for your family, your wife, your children.

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    Customer ServiceContract & TermsCoveragePunctuality & SpeedStaff

    Reviewed Oct. 19, 2014

    I have carried insurance from UHC for about 7 years. I have had many very serious health issues including 5 surgeries. Fortunately at this time I am in good health. During the past 7 years I found an excellent Primary Care Physician who participated with UHC. This year I was told his contract was terminated in May 2014. When the doctor tried to renew his contract, the office was given the run around. Apparently there is a new way of conducting business at UHC and it stinks. This was a very reputable company at one time, but no longer is. I filed a complaint with the NY State Department of Insurance.

    I recommend that AARP drop its association with UHC and that the US Government cancel all contracts with the company. Everyone I speak to there is rude, ill informed, unhelpful and really seems to have no interest in signing up providers for the members or providing basic services. I live in NYC and was told by one agent that no hospital in the 5 boroughs accepts this insurance. I find it unbelievable that an insurance that is offered in the State of NY is not accepted by the hospitals in its largest city. This is plain wrong. And if it is just misinformation, well that is wrong too. UHC has the most backward group of employees I have ever spoken with. It is a complete waste of time and money. Shame on UHC. They should be thoroughly investigated and put out of business.

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    CoveragePrice

    Reviewed Oct. 17, 2014

    I am prescribed an medication that is administered by injection. My prescription allows for a refill every 30 days. According to the CDC multi-use vials should be disposed of after 30 days. United Health care will not cover the cost of the medication. Nor will they allow the pharmacy (walgreens) to release it to me even if I pay for it 100% on my own. Since when can an insurance company override the doctor's prescription and the recommendations of the CDC?

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    Customer Service

    Reviewed Oct. 15, 2014

    I have been trying to get a Quest lab bill paid for months. I was told it was coded wrong so it was denied. After months and numerous phone calls bill was resubmitted with the right codes.. Now they want me to get medical record to support it.

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    Customer ServiceContract & TermsStaff

    Reviewed Oct. 14, 2014

    Requested written information and before he would send this I had to say I would sign with Jim. I received the information and called mt kisco medical center who said they are not accepting UnitedHealth because they never signed a contract. I left a message with Mr. **. He called me back angry. I couldn't get a word in. I also told him the medical center also gave me the ones they use. He got more angry and said he didn't want my business and at that time I hung up. What should have happened, he should have said there has been a mistake and he would call the billing department and get back to me. Who would want to deal with such a horrible person. I joined Aarp to participate in this health program.

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    CoveragePriceStaff

    Reviewed Oct. 13, 2014

    I am a Columbia County, Georgia employee who has UHC for health insurance. Several other employees including myself have experienced UHC changing prescription drug's prices without any type of notification. According to UHC, they do not change drug prices according to the market. However, they stated they do raise drug prices when the cost of the drug increases. This seems to be DOUBLE TALK. According to UHC, they can change a generic drug that starts out at a tier 1 (lowest tier) and raise it to the highest tier when it becomes the best health care value for UHC. They do this without prior notice and the insured doesn't find about the change until the prescription is picked up at the pharmacy. This is the worst health insurance company that I have ever dealt with.

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    CoverageStaff

    Reviewed Oct. 12, 2014

    I am a 2 and a half year uncontrolled hypertension heart disease patient. All conditions discovered and treated by Dr. Eric **. Now United Health tells me he is out of the network! They tell me I'm a dependent under his care and then tell me to choose another doctor. What kind of sick joke is that?!? I HATE UNITED HEALTHCARE. They send me bills for everything from blood work to X-rays to water. Yes water. They won't cover a cat scan of my chest ordered by my cardiologist to try and figure out what's the cause of my severe chest pain. My cardiologist persisted with a pupil to pupil review and they persisted with a don't give an F! Ha, he will bite the bullet next I guess if he continues to try and help his patients. This company is a thief. Legalized thieves. I need to stay with my doctor and will search other insurance that will allow it if I can afford it. My life depends on it.

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    Customer ServiceStaff

    Reviewed Oct. 9, 2014

    Every time I have called cust. service & other depts. has been a maddeningly frustrating experience. Despite the recorded message that "this call may be recorded for quality..." I usually get someone that seems as if they have been plucked from the mall or the corner and plopped down at a desk w/ a phone and told "have at it." I am incredulous how time after time after time I have gotten persons on the other end of the line that seem not only incapable of transferring a call successfully and to the correct dept., but also incapable of telling you their name, some kind of identifying number and where are they in the U.S. I know they do have a training period but it's quite obvious to this departing customer that they pay no attn. during their training classes, perhaps on their phones or playing Candy Crush because they certainly have no knowledge about their company or its product. Most calls and experiences have been so bad they could have been used during a training class as to "what not to do while on the phone with a customer" or "what not to say to a customer."

    It is disgusting that UHC cares so little about its customers that they put employees that are completely incompetent, inept, empty headed, inarticulate, and completely ignorant of the product they are selling on the phone with the unsuspecting public. And the people that are supposed to be training these call center folks ARE NOT and should be fired. NO wonder that many corporations are going to offshore call centers. American call centers are inept and completely void of any work ethic at all. I'm done! I've had my time wasted being transferred to only God knew where. I'm going over to the competitor. And eventually UHC will lose more and more customers until one day they will have to lay off some employees and the guys at the top will see their jobs in jeopardy. But by that time it will be too late. I also will see what government agency I can make a complaint with. Simply corporations should not be allowed to do business this way.

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    Customer Service

    Reviewed Oct. 8, 2014

    The first time I need to call a doctor in order to make an appointment...The lists on my uhc are not updated. I began wasting my time by calling some doctors who were not working at the offices I had the number of. After that, I called UHC to tell them their lists were not updated and to ask them to find a doctor for me in my town. They gave a number and I thought I was at the end of the process... I called the number, discussed 15 minutes with the secretary to make sure we were registered under the right names, to get information about vaccines, etc... And I asked for the location, it was totally different town than the town where I live...

    The problem is solved now, but I do not want to waste my time once more because of bad information. They have to update their files and to be more precise and provide the right information.

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    CoverageStaff

    Reviewed Oct. 6, 2014

    10 years, and AARP United Healthcare doesn't give a ratz ** about caring about me or my health. Being not one, or two, but all my doctors are now out of network, so they fire me and my doctors, so I'll fire them as soon as my BC BS cards come in. So thank you, but no thank you as I've been a great customer now for 10 years which means crap to you and your bottom line. Now me and 23 have moved on from AARP United Health Care Medicare network, and I have and will continue to get as many as I can to fire this full of crap insurance uncaring company as I possible can. I'll say more later. Thank you all, and please put this company out of our misery and put them out of our Network. Stop giving them your business.

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    Customer ServiceCoverage

    Reviewed Oct. 5, 2014

    I became a UHC Advantage Medicare (HMO) member in April 2014 in Greensboro, NC. In July 2014 I moved to TN and called to advise UHC of my change of residency, new address and to be enrolled in UNC in TN. I was informed numerous times by UNC I had full coverage in TN. I identified my primary caregiver and they verified my physician was in the provider group. I also told them I had an appointment on August 13 and wanted to make certain I would be covered. After seeing my physician, UHC denied payment stating it was outside my provider group in NC. I received incorrect information on numerous phone calls to customer service. I was NEVER informed my coverage would not begin until 9/01. I was disconnected/hung up on more times than I can count. I am in the process of appealing this decision and hopefully will be successful since the total bill is $$$.

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    Customer ServiceStaff

    Reviewed Sept. 30, 2014

    Getting through to your cms isn't a walk in the park. I tried to contact Danielle ** out of Louisville, KY. She is very rude and unprofessional. She answers the phone saying hello and even hung up on me. Once I was able to speak with her she had an attitude. I heard a dog barking in the background, a kid crying and what sounded like rap music playing. What kind of business is you people running? Needless to say I hung up and will be contacting a supervisor. Not happy at all!!

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    Coverage

    Reviewed Sept. 29, 2014

    On September 1st United Health care dropped our primary care physician from our network. I had a very difficult time finding another primary care doctor who would accept medicare and was assigned a doctor an hour away. I was scheduled to have surgery mid Sept but had to cancel it because the insurance wouldn't honor my primary care physician's referral (in July) to the gastrologist.

    My husband had a massive stroke and needs to go to the urologist every six weeks. Of course United Health Care requires a referral from the primary care physician. We will change our insurance company but our new insurance will not go into effect until January 1st. I feel A.A.R.P. should seriously consider dropping their endorsement of United Health Care insurance. I will not be supporting A.A.R.P. until they do.

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    Customer ServiceStaff

    Reviewed Sept. 26, 2014

    After over a year TriCare has requested a refund of "overpayment" for services. When initially asked, in this seamless transition from Triwest to UH, we were told rates would be same. When asked those rates, we were told we'd know when we got EOB. We are now being told they made a mistake. When contesting this action there was no response from the "refunds" team. When a letter was sent to person overseeing this debacle there was also no response. Apparently they feel no need to justify or defend their incompetence.

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    Online & App

    Reviewed Sept. 26, 2014

    United Health Care was awarded the Military Healthcare contract for Tricare West. Their website for payment for premiums is the most stupid, low tech website I have seen in some time. It is completely secure, but has no access for secure payments for premiums. The links for military beneficiaries go only to snail mail forms that have to be printed from home, filled out by hand and mailed. I finally defaulted to the printed bill for mailing. Does anyone do this anymore? I haven't paid a bill by snail mail in "forever". I wonder how our wounded and injured soldiers, and their families navigate this company and their website. It was a tremendous hassle, with no joy from my end. Can't imagine the suffering of our wounded warriors and their families endure to get healthcare through United.

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    CoveragePrice

    Reviewed Sept. 19, 2014

    I would like to take this opportunity to express extreme dissatisfaction with the United Health Care approach to mail order prescriptions. Through 26 years of employment with carriers such as BCBC, Aetna, and others, I have often utilized the mail order programs for recurring prescriptions. UHC has an interesting (and customer antagonistic) twist on this. Each year they will quit covering your prescriptions at the pharmacy until you contact them and specifically indicate if you want to continue getting your prescription at the pharmacy or utilize their OptumRX program. I have medications for family members that were free and started being charged at the pharmacy at full price simply because they had not specifically been omitted from the online service. While they automatically quit covering your medication, they do not automatically initiate the mail order prescription - guaranteeing they will not have to cover some prescriptions - seems like a fairly underhanded way to generate some additional revenue at the expense of their clients...

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    Customer ServiceStaff

    Reviewed Sept. 18, 2014

    United Healthcare - what can I say. I am covered through my employer for health insurance for the last three years. This year, my doctor advised a vaccination that comprises of three prescription shots. Each shot to be at least 3 months apart from the subsequent one. So that's about 6 months at minimum. Each time, the claim was denied with more than 6 calls I made for each claim's status follow up. Each time, the agent was different. Each agent has a different view of the claim.. some blaming physician for putting wrong codes, some claiming no info received (even though I personally sent a copy of physician's diagnosis & treatment documents by certified mail). Several times after going round and round chasing the agents, I am put back in square one to restart the run. I wonder how does this company run business? How does it get business? Why do other companies sign up for group plans with UHC if it consistently delivers on the poorest service in return for hefty group customers..? I am filing complain with my State's Bureau of Insurance. Anyone wants to lead a Class action, please post the links on this forum.

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    Contract & TermsCoverage

    Reviewed Sept. 16, 2014

    18 years with Tricare and United Health Care shames the Tricare name. I know the government can terminate the contract for cause (lack of performance) or for convenience and I hope everyone out there reads this and knows they can cancel this contract! I have been asking for it and now have proof that United Health Care even refuses to follow Tricare policy.

    I disputed a denial and asked for a peer to peer review in my letter after talking to my PCM and he agreed to the peer to peer review. The director of United Health Care simply ignored my right given through Tricare and properly requested btw, and decided to deny without a proper appeal. Please report all violations that United Health Care is responsible for so we can get them fired. They lack the ability to properly service military and military families and retirees and should have never been awarded the contract. I spoke with a United Health Care rep and mentioned I would report my complaint and she said "go ahead, we are Tricare"! They have no clue.

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    Verified purchase
    Customer ServiceStaff

    Reviewed Sept. 15, 2014

    This is my 3rd time for refilling my scripts via OptumRx... each time has been an ordeal. This prescription that I'm still waiting for was supposed to get here by FedEx on Saturday. I'm still waiting. The powers that be still have in the pharmacy. If you ask for a supervisor they tell you that just because someone tells you that it's going to be sent out doesn't mean it will be sent out. I waited all day Saturday waiting for my meds. If you knew that it wasn't coming you could get an extra few days to fill somewhere in Ft. Collins if your Dr will do it and if UHC approves you going to a different pharmacy. It is a real dog and pony show. I called almost every day about this and other prescriptions to make sure that I had all my ducks in a row. The latest person told that my meds would go out today and get here tomorrow. I've heard this before. I'm calling my doctor to see if they can give me a couple of days while I'm waiting for OptumRx to do their job. What a nightmare.

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    PriceProcess

    Reviewed Sept. 9, 2014

    United Healthcare instituted a program to try to drive customers to fill certain medications by mail order pharmacy vs. local pharmacies. This is an understandable attempt to lower healthcare costs. The problem is the letter they send to customers does not fully describe the customer's options but instead makes threatening claims that the customer is "reaching the maximum number of refills" and "If you do not take action as described above, you may pay 100% of the cost of your medication at a retail pharmacy". It is presented in a hard sell manner and the one line of "if you prefer, you can choose to disenroll from mail service" is obviously purposefully dwarfed by the push to buy mail order. The letter only enrages and does not clearly lay out the options to the customer. Only from getting the information they provide to companies on the program was I able to understand clearly the parameters of the program. Now why wouldn't United Healthcare present the program to customers so fully???

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    Customer ServicePrice

    Reviewed Sept. 7, 2014

    They don't pay squat on medications prescribed by Doctors forcing the patient to go to ER & run up MORE medical bills!! There is NO customer service & NO value!! You pay the premium & are hung out to dry!!!

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    Customer ServiceContract & TermsOnline & AppStaff

    Reviewed Sept. 6, 2014

    Attempted to call because I could not access the web site. I kept getting a message about not being able to find my account. This idiot company is supposed to take care of the medical needs of our retired military members. They are irresponsible, incompetent, and have no idea what is going on. My wife needed a pacemaker. The doctor who examined her stated that it needs to be done now. UHC dragged their feet saying that it would take at least 10 days to get the doctor on the authorized list, which he was already on. When we called and complained they were upset because I raised my voice to them. The health issue was irrelevant.

    For those retired military members, UHC was able to secure the TriCare contract because of politics. TriWest was excellent and served retirees honorably for more than 15 years. These idiots are in it for the dollar. I also have had 3 Dr. appointments cancelled because UHC did not approve them. These were all with my PCM and you don't need any referral or permission. I tried calling them about it but after about 20 minutes I just gave up. UHC should go away.

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    Customer ServiceContract & TermsPunctuality & Speed

    Reviewed Sept. 5, 2014

    I have been fighting for 3 months to re-fill a prescription for something that I need to take for the rest of my life. I have been on the same medication since 2004. After getting enrolled in United Healthcare last year due to a change in jobs, they forced me to change brands of medication. Then this year they required me to get a pre-authorization on the same medication that I was already taking at their insistence. They have denied the authorization, claiming they needed information that was not provided by the physician. I have changed physicians several times (due to moves) and have had the diagnosing physicians records and the subsequent physician records sent to my current physician, who has submitted the information to United Healthcare. They still continue to deny, and the only option they leave me is a much more inconvenient treatment, requiring injections every 2 weeks, and causing a greater level of discomfort and inconvenience. The only logical and apparent real reason for this would be to save them money.

    Attempts to contact and get information regarding this matter from them has proven to be frustrating, infuriating, and incredibly slow. They seem to be proud of the fact that authorizations can take up to 2 weeks, and appeals can take up to 45 days! This company has absolutely no grasp of the terms "Customer Service, Quality Assurance, Patient Care, Compassion, Empathy".

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    Customer ServiceStaff

    Reviewed Aug. 30, 2014

    I am an employee of a Towing Company and have been since 1998. I operate and drive a tow truck. The owner of the company and myself have been on the Health insurance as 2 employees. Over the years employees have come and gone. In 2005 I married the owner but stayed on the health ins. as my own and him as his own. NOT Employee and spouse. It's not like I work somewhere else and he has me on his ins.. I've been an employee for 16 years and want my insurance to be mine not under anyone else. He wants his as it's always been. All those years the company was with Mamsi and then United Health Care took over. No problems, until this years renewal when we no longer qualified. What nothing has changed?

    I called the risk dept. and I was told "we need another employee because husband and wife is consider 1". I'm an employee of the company and I lay down in the ice and snow to hook cars up and flip cars over from police accident calls. I should count as one employee like always. Why should I be discriminated because of marriage? I said to the Risk Management person on the phone, "So you are telling me if I get a divorce then we will be accepted"? She commented back "yes". Like I said before, if I was a house wife or worked somewhere else, I could see being under a spouse's ins.. But I'm an employee and stressing right now because UHC risk dept. is telling me it's the Fed. Government not them! What Now!

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    Customer ServiceCoverageStaff

    Reviewed Aug. 29, 2014

    With little to no notice to policyholders, AARP Medicare Complete (UHC) Advantage has canceled over 700 physicians in Alabama. To me, notice is not really valid since I used their physician list and formulary last year to decide to use them. Then mid-year, they decide to cancel 700 physicians for no cause. First, customer service supervisor finally told me that I could request "disenrollment". After spending several days on this, I learned that it was not feasible as we would lose drug coverage. Then another customer service person advised that I could request "continuity of care" for specific physicians which takes about two weeks to determine. My husband, the insured, had just had a stroke and fx hip in the resulting fall. The "authorization" customer service person was condescending and made no helpful suggestions. Right now, I have no idea what we'll do but UHC's actions have had an adverse effect on my husband's health--all for their bottom line.

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    Customer ServiceStaff

    Reviewed Aug. 28, 2014

    My son has cerebral palsy, has been on Tranxene for 15 years, now it's hard to find the brand and generics we have tried do no work for him. We started with UMR under united choice plus in July 2014 and they approved it with a $50 copay. Now in Aug 2014, we asked the rx be refilled and it came back with a 240 copay... All of a sudden it is a specialty order of some kind. I talked to a Pharm. rep and she said she would investigate and someone would get back to me. I called again the next day and another rep read the notes and was not very helpful, put me on hold for five min then transferred me to a supposed supervisor, but apparently it was a wrong number and I got a recording that said the line was no longer in service.

    I spoke to the pharmacist at Walgreens, who was trying to help me. He said the insurance had approved 75 pills of the 180 written on RX by my son's doctor.. so does that mean the pharmacy has the right to reduce his dose? This is ridiculous! This drug is hard enough to get now and we have to jump through hoops every month just to find it and now with no real explanation and no forewarning they up the copay. He is on disability and cannot afford it! Without this in combination with his other meds, his tantrums get worse and he will lose more weight... He is 33 and weighs 90 lbs, so he cannot afford to lose much more! Insurance co. are running our lives. I don't feel like we will be able to afford healthcare when we get old, or have to sell our home to be able to afford it? Too confusing.

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    Customer Service

    Reviewed Aug. 26, 2014

    United Health Care has denied claims for more than one year on the false assertion that I had another provider. This after 50 calls, including eight calls from Medicare and the Office of Coordination of Benefits, telling United Health Care that it was my only supplemental provider. After I spent more than 100 hours, United Health Care paid recent claims but not claims dating to 2013. United Health Care also refuses to release their records to me documenting my repeated telephone calls.

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    Coverage

    Reviewed Aug. 26, 2014

    While people were looking for new insurance on the health market, I had insurance with United Health at the time and did not feel I needed to switch over. But unfortunately, that was a wrong move on my part as United Health decided that even though the laws had changed on Health care, since my original policy was started back in August of 2013, and I basically renewed it January 12th of this year, that meant I was subject to pre-Universal Health Care rules. United has since tried to come up with every ridiculous reason not to pay on claims. I am fed up and would like to get anyone to help me bring this company to pay on claims as that never stopped them from collecting the premium for my owning the account.

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    Customer ServiceCoveragePriceStaff

    Reviewed Aug. 26, 2014

    First of all, the name they use on their membership card, "AARP Medicare Complete," is a sham, a cleverly designed way to make you THINK you're on Medicare, but you AREN'T. You're insured by United Health Care, which means, you CANNOT use any doctor you wish to use, you must use THEIRS. So, when I asked all my current doctors if they accept "Medicare," they all happily told me that they accept it, and I was good to go. Little did I realize that they DO NOT all accept the "Medicare Complete" plan (United Health Care), that in reality, it has nothing at all to do with Medicare at all!! Get it? I must admit that I was confused at first, but only after talking with a "real Medicare" representative did I learn the truth.

    Here's how United Health Care REALLY rips you off. The month before you turn 65, they HAMMER you with all sorts of official-looking documents and plans that make you feel comfortable, INCLUDING integrating the word "AARP" in their banner to give you even MORE reason to believe that this is "a good deal." Yes, for cheaper procedures like little office visits, okay. But if you ever need something really important (and expensive) like minor or major surgery, if you don't use their physicians, you're ** out of luck. I don't know about you, but I want the freedom to pick who I want, when I want. Their phone rep assured me that I could use my own doctor. He lied. Thankfully, in two months I'll be able to cancel my membership with United ("AARP Medicare Complete") and sign-up with who I should have in the first place... original Medicare.

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    Reviewed Aug. 25, 2014

    If I had my choice, I would drop out of my companies health insurance and find a new plan, but can't afford that! Once again my daughter's meds require a prior authorization even though she has been on them for over a year. What gives an insurance company the right to override what her doctor feels she needs? It is so unfair that insurance companies have you by the "short hairs". Something needs to be done and soon. If I go to a store and don't like a product, I don't have to buy it, but you can't do that with insurance companies. Even my doctor doesn't like insurance companies. We need to start a revolt against the insurance companies.

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    Coverage

    Reviewed Aug. 24, 2014

    I must say I HAVE HAD IT with United Health. I want my money back and if I don't get it ASAP I am going to the attorney general, the Better Business Bureau and what ever other state and Federal Regulators that govern their industry. United Health received our payment of $3500 on Aug 6th and it cleared our bank account on Aug 11th. We HAVE NOT been able to use the coverage until today, and, when I went in to pick up medications that my 2 children and I have not had for over a month, they told me United Health would not cover it unless we received prior authorization. The Pharmacist further explained that the doctor would need to submit paperwork to United Health which could take 7 to 10 days and they might require us to use a different brand from the one we had been using for years.

    To add insult to injury, the ones we did pick up the co pay was $20, BUT he said they had run it under some "Family Care Program" for people WITH NO insurance and the co pay was $7 and $13. HOW NICE! I break my back to pay $1700 for my family plan for which I have a $20 co pay and someone with NO COVERAGE pays less. That is RIDICULOUS! My sons have not had the medication now for over a month, they are both going back to school next week and need that to function in the classrooms.

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    Customer ServiceStaff

    Reviewed Aug. 22, 2014

    I am overwhelmed with emotion in response to the interaction that I had with a United Health Care customer service representative. I am currently inundated with medical bills from a myriad of providers after having a baby which included delivery complications and a week in the NICU. This requires vigilant review of medical claims on my end which is a difficult task on top of caring for baby and returning to work.

    I was made to feel incredibly stupid while trying to understand some bills that came in of which had no matching claims on the UHC website. I actively remained respectful and cooperative while on the phone and attempted to ask my questions, but the representative cut me off and stated that he did not understand what I was asking and began to condescend to me in tone and short response. I am not a dumb person by any means, at least I'd like to think so. I am a doctorate level professional therapist and no stranger to conflict as a result of metacommunication and tone.

    I became quite assertive after at least 15 minutes of patience while the representative rattled off numbers and provider names and stated "I don't know what you are asking, you are not saying something right." I asserted that I was speaking respectfully and that insurance adjustments are not my specialty and that I was having a difficult time wrapping my head around just how the claims were being managed. I even recoiled and apologized for my ignorance which really upsets me that I blamed myself for not understanding. I can appreciate that the man on the other end of the phone may have his patience tested time and again, daily, and that he may have felt frustrated with me, but I am a customer and I needed assistance.

    I am a customer who was following up after a very stressful experience in the hospital and a major life change as well. So why am I emotional about this? My healthcare experience ended with a happy, healthy, bouncing baby, but others may not have a happy ending or may be in the middle of a life-threatening struggle. Medical issues alone are difficult to cope with and then one is forced to reckon with medical bills, the insurance company and possibly made to feel like an idiot for not completely comprehending the details of the business?

    An insurance company is profiting from someone's real life experiences; customers at least deserve to be treated with sensitivity and understanding. A representative must be trained to operate from this awareness. Regarding myself as a healthcare consumer, I know my comprehension level is clouded at this time of life adjustment and I can imagine that I am not alone in this experience of feeling somewhat...distracted.

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    CoverageSales & Marketing

    Reviewed Aug. 22, 2014

    UHC (United Health Care) Insurance is scam. After paying a lot of premium amount for insurance they declined for Omnipod for my son. My son is a Type-1 Diabetic. UHC is taking just money from consumers and not covering anything for type-1 diabetic. They are running business but they don't know what is Type-1 Diabetes. Their customer support is sucks. My company have moved from Cigna to United Health Care. Since then we are having very much trouble all the time.

    My son (who is 13 years old) is running out of POD/Insulin. Type-1 diabetic can live in today's world only after taking insulin. I am writing so someone who is working on healthcare dept in gov. can take any action to United Health Care. If Cigna can accept anything then why not United. I am paying premium more for United than what I was paying to Cigna. What kind of law is this? What kind of Health care system is this? Who is driving this kind of business that they cannot take care of new generations. We don't know what to do... I would appreciate if govt. authority can perform a audit on United Health Care Insurance. There is no cure for Type-1 and these insurance companies are doing the things whatever they want... why?

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    Customer ServiceCoverage

    Reviewed Aug. 19, 2014

    I was on a medicine that I desperately need. First I had to have my Dr write letters and make phone calls to United Health Care to get them to cover it. I get it covered finally for a few months. My Dr needed to raise the dose this past week.. Now they want me to go thru this whole thing again with writing letters etc for them to cover the raised dose. The dose I was on runs out today. I do not have the time to go thru this whole thing again now. I have been on this medicine constantly for months and now when it's gone I am scared of what is going to happen to me. I have never had these issues before in my life. This is the horrible horrible horrible health insurance. It really doesn't help anyone at all.

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    Customer ServiceCoveragePunctuality & SpeedStaff

    Reviewed Aug. 18, 2014

    I had a mastectomy and our company was sold to one that held United Healthcare Insurance before I began the final phase of my breast reconstruction. Since neither my surgeon or my hospital were in their network, I contacted UHC about continuing coverage and submitted a form filled out by my surgeon via fax. After waiting several weeks, I contacted them again to find that they never received the form. So, I resubmitted it via email this time.

    I finally received a letter (so did my surgeon and my hospital) saying that they "were please to tell me that I would be covered by United Healthcare as in network" as gap coverage. I was ecstatic and had my operation schedule for 8/14. Two days prior to surgery, I was contacted by someone at the hospital in the finance department saying that she contacted UHC about coverage. She did so because she said that "they pull stunts like this all the time" claiming that they will cover an operation but don't.

    The bottom line was that they were only going to pay $3,000 to $4,000 of a $106,000 operation leaving me with a bill of over $100,000. They never mentioned anything like this in the letter!!! I met with the hospital rep and we called UHC together. After a phone call lasting 1 hour & 27 minutes and being transferred 8 times, they stuck with their guns. I asked where a doctor was that would do this surgery for $3,000-$4,000 and they were speechless. Hmmmmm.... wonder why! If you ever have a choice, run, don't walk, away from them. They have no morals, have lousy customer service, and are very deceptive. Needless to say, I have to get up every morning and stuff socks into my bra.

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    Coverage

    Reviewed Aug. 16, 2014

    I just started with my new company Xcel Energy in 2012 and they have an HSA plan through United Health Care. Early this year 2014, my wife had pneumonia and had a 5-day hospital visit in BSA of Amarillo. Early on they, "United Health Care", started asking if my wife was covered under another plan, which she was not. They sent us paperwork which I just had to sign and send back that amounted to saying does your wife have other healthcare, Yes or No. I stated NO and sent it back.

    I added her to my insurance because she has no other insurance. They claim they received no such paper work and are denying the claim of $18K of which her deductible is $3500. They are saying that we owe the whole thing. This is very wrong and unethical. At the same time, my mother is dying of cancer in home hospice and passed in April 2014. After her death, my father has been diagnosed with stage 2 bladder cancer. I've been busy, but assumed that my letter had been received so everything would be taken care of. Apparently not.

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    Contract & TermsStaff

    Reviewed Aug. 11, 2014

    In the middle of contract period when I am unable to change health insurance company, I was told UHC would no longer accept my ophthalmologist as a participant in their health care program. I have been treated for a very serious eye infection which for a period left me legally blind. Infection is now cured after much effort by my doctor & now I can finally have cataract surgery. This cannot be scheduled until after UHC cutoff date. This doctor is so familiar & informed about my condition that I am very hesitant to have surgery performed by someone. UHC reason is "to provide me with better health". I don't believe this & have spent hours asking for an explanation for this cancellation. I also have been told that my file could not be retrieved & several times have been unable to hear or understand UHC representative.

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    Reviewed Aug. 11, 2014

    UHC uses OptumRx for their mail-order drug provider. They (OptumRx) are the only option I have through UHC. OptumRx is HORRIBLE at service and fulfillment of prescriptions. If UHC cared about their customers they would provide an alternative to OptumRx for mail-order prescriptions. I contacted UHC and they basically said "tough" that's the choice. Thus my inference is UHC also could care less about customers problems. Based on my experience with both companies I would leave IF I had an alternative.

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    Customer ServiceCoverageStaff

    Reviewed Aug. 7, 2014

    I am a PPO consumer of UHC. I have been having quite a lot of problems with my insurance... am not really sure what I can do. It seems I need to take the next level up... but I just don't have the energy or fight to do this. It took four calls (each telling me to wait 3-5 days in the expedite dept) just to finally request a supervisor as I was not getting anywhere, to get the 60 visits approved (I was at 55 due to my insurance not being able to tell me what was covered, I would get different answers when I asked... only after my dr was not getting paid, is when we discovered what they really covered). The 4 people prior to the supervisor all said the Dr's 4 page progress eval all said the same thing: This paperwork is for the claim date of December 1st. The first line of the 4 page eval started: "initial date seen, December 1st 2013."

    Omg... ridiculous. Well the supervisor did get 90 visits approved in a timely manner through September... but I have not been able to go back, as getting my dr paid, for dates 30-55 has been another horror. Each time I have to call, wait 3-5 days... each person apologizing so much for the errors... it's the same story, different voice. I am so sorry, I will make sure I take care of this, I will call you back, blah blah blah. It's almost like they are reading from a script. Each time, they get a couple visits paid, and often not at the correct amount. I feel like I am trying to get a first grader to do this job. INCOMPETENCE.

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    Price

    Reviewed Aug. 5, 2014

    First, United sent me a letter in 1/2014 saying I couldn't get my usual script because there was a NEW generic alternative. Turns out the new drug is different dosage. My Dr. tried everything to keep me on original drug, no can do. On 6/2014, I got my prescription for the new drug and went to CVS to fill it. My Dr. prescribed 90 tabs/month. CVS tells me that my insurance won't pay for 90 but will cover 60/month. I asked how much out of pocket the other 30 would be. $600. That was double the cost of the original drug.

    So now I'm taking 1/3 less of my medicine and hoping nothing happens. When did a person 1/2 a world away get more power than a MD who sees me monthly? I've never even spoke to United. Somebody is definitely getting rich on the new medicine. Hope the dead bodies are worth the kickbacks. I used to have Anthem BCBS with my last job but my new job makes me use these criminals. Now I get preauthorizations every 6 months and headaches each time I go to pharmacy.

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    Customer ServiceStaff

    Reviewed Aug. 4, 2014

    I'm a little surprised at all the negative reviews. I've had UHC for many years and have not had any trouble or bad experiences with them. They are very upfront about what they will pay for. They have always paid everything for preventive care without any delay or problem. Coinsurance amounts have always been what they say it is. The only small negative I have is that their network providers is limited in the area where I live. I have to travel 30 minutes to my primary care physician but I really do not mind. They do care about their customers unlike some of the comments I have read on here.

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    Customer ServiceContract & TermsCoverageStaff

    Reviewed Aug. 1, 2014

    F- minus on customer service. Do not let your elder parents sign up for this plan. They will NOT get the same benefits as straight medicare from the govt. I have to fight every bill, every benefit for my sick parents. Customer service call center was closed when I called on 7/28/14 even though it was during business hours. My mom who is 90 years old has given a verbal agreement to them to let me, her daughter, ask questions about her bills, but this was not documented, so now I have to fax medical power of attorney plus some form they are sending to my Mother, not me. She lives an hour away. They do NOT care about patients or their families. Two of the people I have talked to were incompetent and could not even speak clearly.

    This plan is very limiting on options. We are being forced to send my ailing father to a skilled nursing facility with a 1 star rating because it is the ONLY one we have to choose from. ONE PLACE! Straight medicare has a long list of places but United will not cover them. United healthcare is supposed to manage medicare for the govt.... not limit resources to the patient. But they are uncooperative and very hard to deal with.

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    Coverage

    Reviewed July 25, 2014

    Pretty sure Lucifer owns a business and that business is United Healthcare. Anytime I see a doctor with this insurance, they hit me with more and more costs. I miss my BCBS insurance!!

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    Customer ServiceCoverage

    Reviewed July 25, 2014

    Imagine my surprise when I called in a prescription refill to CVS and they stated that as of July 1st they no longer accepted United Healthcare insurance in conjunction with my state's Medicaid program. I have used CVS for years.

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    Reviewed July 18, 2014

    United Health Care Insurance took money out of my check for insurance that I canceled while I was on a Company Convenience from work. Left me 43 bucks and have five children to feed. I have also heard complaints similar to this from co-workers.

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    Customer ServiceContract & TermsStaff

    Reviewed July 17, 2014

    As a provider, we have had a contract with United Healthcare for many years. When the two doctors in our group split, we requested a new contract using a new tax ID (since the business name changed). United told us when we submitted all the required paperwork in December 2013 that our effective date of service for the new contract would be December 1, 2013. Instead, we have been told by multiple patients that United is telling them we are out of network. We have documentation to show the paper trail of emails and phone calls proving that United admitted they made a mistake and would get us in the system "right away."

    Now it is July 2014, and we have had patients canceling their office appointments and their surgery because United has not fixed this problem. We are not getting our payments, and patients are being charged for out of network service. We have just reported United to the Insurance Commissioner of Georgia and urge all consumers to do the same. There is a simple form to fill out online that can either be completed electronically or sent by fax. We are going to supply the forms in our office waiting room as well. If enough people complain, maybe United will start abiding by the law.

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    Customer Service

    Reviewed July 17, 2014

    I am no longer able to order my asthma inhaler through my regular pharmacy. United Healthcare has refused to allow me to do this saying that I must order through their online pharmacy. I have been very successful with this medication using it to regulate my asthma for over 5 years. It has been the only medication that works for me. Now the online pharmacy is telling me that one month's supply is $523.06. When I asked her if this was because of a particular deductible, of course she couldn't tell me and I had to talk to United Healthcare again - another convoluted call. I hate, hate, hate United HealthCare.

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    Customer ServiceCoverageStaff

    Reviewed July 17, 2014

    Part 1 – Description of complaint: Summary of telephone call between United Healthcare, Longevity alliance and myself. On May 1, 2014 I received a telephone call from a Tiffany **. Tiffany is a sales support coordinator for Longevity Alliance. She told me she was simply making a courtesy call to see if I have any problems or questions about my United Healthcare policy and to see if she can be of any assistance. After a few minutes we thought it would be best if we had a United Healthcare representative on a three way conference call. One topic seemed to lead to another topic and another and another. After a lengthy phone call with several different people, Tiffany said I will summarize our conversation for you.

    The main topic of our conversation was when I was asked, “If you are living in Nicaragua and cannot use your policy living out of the country why don’t you cancel your policy and get another policy when you return?” I said I tried to do that when I first moved to Nicaragua about 5 or 6 years ago. I was told I can cancel my policy at any time but when I return to the States I will have to answer medical questions before I will be issued a new policy. I told the woman that I was over 70 years of age and probably will not be able to pass a medical questionnaire when I return.

    I said it simple does not make any sense for me to pay your company every month for a long period of time if I can never use the policy since I am out of the country. She said, "Sorry, that’s the law." I told her I cannot risk my health later in life. I must have a supplemental policy. I told her to keep the policy active and I will continue to make payments. At this point there was silence on the line and I could sense there was a problem brewing. Then a woman named Karen said, "You were given incorrect information. You are from New York and that state does not require medical evaluation." I can absolutely be enrolled for a new policy when I return home with no medical concerns.

    I immediately cancelled my policy and received a one month reimbursement within 2 weeks. I asked if I can receive a reimbursement for the 5-6 years I paid a premium unnecessarily. I was told I can write a letter requesting a reimbursement and was given an address. Within a few days I sent them a letter explaining the situation.

    Comment: I want to emphasize that I did not call anyone about a complaint or a problem. I received a courtesy call and during that telephone conversation it was pointed out that I was making payments for nothing. I can stop my policy and obtain another one when I return to the States with no medical inquiries. I immediately cancelled my policy.

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    Profile pic of the author.

    Reviewed July 17, 2014

    AARP United HealthCare Advantage (PPO) which I have been a member for 2 years is now dropping three of my specialists and this is in the middle of the year. It would not have been so bad had they waited until next January when I would have had a choice of health insurance companies. My Pulmonary doctor whom has been monitoring my lungs for cancer, my Urologist for kidney stones, and my Dermatology doctor. All of whom I have been seeing for the past 6 to 8 years or more have been dropped. United HealthCare has not been very clear on alternative doctors, and many doctors do not accept traditional Medicare, and their provider book has not been updated to reflect these changes. From what I have been reading Missouri is not the only state that this is happening to.

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    Reviewed July 14, 2014

    I am an independent provider of care in Ohio and UHC refuses to pay me for services I have already provided. This process started over a month ago. As a provider we were not informed that our billing methods would change and I happened to stumble upon the information on 5/25/2014 and the change would take place 6/1/2014. I rushed to do a 50 page application and had it overnight-ed to their demographics office. It took me 15 days to get entered into their system and even then my "PROVIDER ADVOCATE" would not assist me with the claims submission process. I finally was able to bill after working for free for 30 days but for every reason under the sun I have not been paid. I am now 45 days in with no paycheck and no clear answers as to why... At this point I am at my wits end... UNITED HEALTH CARE IS THE DEVIL.

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    Coverage

    Reviewed July 11, 2014

    I went to my doctor in February for my yearly wellness exam which is covered 100% under my plan per Obama care. My doctor also ordered some "preventative" blood work to make sure my levels were OK. I was stunned when United Health Care did not pay for my preventative blood work. They have given me two different reasons why they did not pay for my preventative blood work. First they said that the doctor submitted the order with the wrong codes. Then that told me that none of the blood work my doctor ordered for me is considered preventative. Not even for anemia or cholesterol. When I called a supervisor she told me that consumers are now supposed to get the codes ahead of time and look them up on the United Health Care website to make sure they can be conducted. Who has time for that and I am not educated in entering test codes. What exactly am I paying for?

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    Coverage

    Reviewed July 11, 2014

    My company switched from Blue Cross to United Healthcare after ever increasing premiums, only to find out that UHC has little to no coverage for very few prescription drugs that are required beyond their mandatory generic requirements. Our daughter suffers from seizures and has been the subject to seizures for the past 10 years. After finding the right formula and meds, she has been in the clear with "Topamax." We never had an issue with BCBS, but now UHC will NOT PAY ANYTHING towards this prescription and recommends a trial on generic drugs that have an 80%-125% swing in "active" ingredients. NO THANK YOU, not after you see your daughter suffer a seizure. We want what works. One company that does not work is UHC. You get what you pay for!

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    Customer ServiceStaff

    Reviewed July 7, 2014

    Every time you call their general number for UHC West ((877)988-9378) you get put with a different representative. I have been contradictory information, numerous times, by people within UHC. For example, I have been told initially that they had not received anything. 5 minutes later I call again and speak to someone else and say they have received the same thing (which had been sent a week ago). Other times I have been told conflicting information about what fax number to send authorizations to (clinical fax vs authorization fax number/urgent or routine). I have also been told different things about who actually needs to send the authorization (whether it be a referring provider or the provider conducting the surgery).

    There is no in-network provider for over 100 miles away from us and filling out the paperwork to get any reimbursal for travel costs includes reviewing 9 different documents to see what applies and what doesn't - too much of a headache to work through. There is no way to speak to the same person twice, unless by accident as they only give their first name and maybe last initial, but you cannot ask to speak to the same person. This bureaucracy is tied for first place in my book for the worst. Over a year and still waiting on approval or denial for one procedure. Absolute disservice.

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    CoveragePrice

    Reviewed July 5, 2014

    I recently signed up for UHC insurance. I have a chronic illness asthma and have 2 inhalers that I have to get monthly to help me with my breathing. I went to pick up one of the inhalers to find out that it was $49, that United Healthcare covers .97 cents of the drug. I can deal with that monthly, but when I went to ask about my Advair inhaler, the inhaler that keeps my asthma from flaring up and has worked for me for well over 20 years, will now cost me $300 a month, I almost hit the ceiling. This is absolutely ridiculous! The UHC pharmacist told me this was the cheapest prescription.

    I do not have an extra $300 floating around a month to cover the cost of an inhaler. I am sickened by this and will see about dropping coverage all together. I can't pay this period. I had to let people know about this atrocity. Why is my deductible $5000, which the pharmacists stated that I had to meet before my costs go down! $5000?? I will never meet that deductible, or it would take years. I am seriously hoping that I have time to drop this insurance because I will never be able to pay that amount monthly with my measly salary.

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    Coverage

    Reviewed July 2, 2014

    I have a rare neurological condition affecting my brainstorm, respiratory center, various parts of the CNS. Auto-antibodies were circulating at levels in excess of 100 times normal, causing damage and destruction of neurons. First line of treatment is immunosuppressant and I was on Prednisone and cell crept for 12 years. When I developed diabetes, Prednisone was withdrawn. A year later, when I contracted shingles with the complication of zoster ophthalmicus (penetration into cornea), all immunosuppressant therapy was halted and I was treated solely with IVIG infusions monthly. Claims were paid without incident until the fall of 2013 when the first denial came.

    My provider continued treatment thru 2013 expecting UHC to pay. I missed three months of treatment, to my detriment, until UHC approved treatment for 3 months after requesting additional info from my dr., accepting that info to support Medical Necessity, and once again, on 7/1/14, has denied coverage, on the basis of lack of medical necessity. There is no other treatment for this degenerative disease but UHC has determined my quality of life, and likely shortened lifespan due to complications that would have been avoided thru treatment, is acceptable.

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    Reviewed June 28, 2014

    My wife suffers from MS. When her doctor recommended IV steroid treatment, United Healthcare sent a visiting nurse to our home to train me to administer the medication. I was told that nurses would be available to monitor the process and then I was on my own. I thought this was the standard operating procedure so, despite my misgivings, I went ahead with the plan. We experienced many complications, the nursing support was erratic and we ultimate switched our insurance to GHI which ended up being much cheaper. When it was time for another steroid treatment, I was thrilled to learn that GHI would pay for the medication to be administered in a medical facility by trained nurses.

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    Reviewed June 27, 2014

    Tried for 3 months to get my prescription meds from UHC… Lost 30 lbs and 4" off my waist and was sicker than a dog. Doctors requests and appeals went on deaf ears. I changed my plan to WellCare and had my meds in one week.

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    Reviewed June 25, 2014

    I work for a small medical office, treating many military families. They reject billings left and right. UHC sticks it to the providers!

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    Reviewed June 24, 2014

    My husband is diabetic and they expect him to drive an hour for fasting blood work! Diabetics cannot fast and drive an hour without passing out or dying. For this reason, they are not only putting my husband's life at risk they are putting EVERYONE'S LIFE ON THE ROAD AT RISK SO THEY CAN SAVE A FEW BUCKS! This actually redefines the word "healthcare," we can now refer to it as "homicide by vehicle."

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    Customer Service

    Reviewed June 23, 2014

    As of June 1, 2014 my new United Health Care insurance was effective so I called OptumRx Monday 6/2/14 who reported to me about my $180 credit from a January 2014 miss pick by them, paid on my personal BOA credit card. I ordered new meds for $210 and we discussed reducing my bill by $180 so I would owe them $20. The next day I saw posting to my checking account debit card a charge of $120 as only my flex card was authorized I was surprise to see these charges on that card. I called and the $120 charges was removed the next day. Two days later the charge appeared again bouncing my account as they still owe me $180 credit. After a few more calls, OptumRx reported to me twice about how they processed a credit transaction for $180 on June 11 to my pay flex card master card ending **. Today June 23, I called pay flex twice to verify looking at last years 2013 - 2014 account and this years 2014 - 2015 card and there is no refund from OptumRx. Where did my $180 go? I called HR who will investigate my issues.

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    Customer Service

    Reviewed June 22, 2014

    I was told it would take 7 days to receive papers for a refund about 6 weeks ago. Scene call was made after 2 weeks with a run around. No papers yet. I feel like I pay most of the bill anyway.

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    Contract & TermsStaff

    Reviewed June 22, 2014

    Anytime an organization has a CEO that makes 1000 times the amount of one of their employees, there is going to be a huge discrepancy between what the business "Leaders" want and what the workforce is willing to do for the pay. I was a past employee for UHG approx 4 years ago and at that time, provider claims were a complete train wreck. Now for a multispecialty practice, we are in process of terminating our contract due to nonpayment of claims.

    When I was a rep, the employees had no clue how claims were actually processed and they were given generic instructions on how to handle the claims. Result, nothing really ever got fixed. When I started 6 months ago, we had 1500 claims on what I can only describe as the UHC merry-go-round of them saying in their best trying-to-be-English voice, "Oh yes, we will take care of that for you and it will take 14 to 21 days." 4 weeks later, we get the same denial which doesn't match the claim we submitted or our contract, to boot our provider rep finally too fed up with this organization resigned for greener pastures due to the nonsense.

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    Customer Service

    Reviewed June 21, 2014

    On Thursday June 12, 2014 a nurse practitioner was sent to my house by united healthcare to interview me about my medications and health concerns. I gave her my medications so she could list them. After the interview was over and she had left my house I was missing one medication and one box of diabetes test strips. I called the house call department of United Health Care and inform them that their nurse might have taken my medication and test strips by mistake. They told me that they would look into the matter. Well after I called them back four times, a supervisor finally told me that my matter was investigated by whom I have no idea. Anyway it was determine that nothing had been taken by their employee. Needless to say I was never contacted to get my side of what I thought had happen since I made the complaint. So I would like to know what type of investigation was this. I even call United Health Care customer service and still I was unable to get a satisfactory answer. So anyone can take this for what it is worth.

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    Punctuality & SpeedStaff

    Reviewed June 16, 2014

    We are a health care provider with an eleven year old contract with UHC and since the beginning of 2014 we have claims that are treated as out of network and some treated correctly as in network. Although our many efforts to identify a person in UHC that can fix the problem, we have not been able to do that because United Health Care would not give us the opportunity to have a meeting in person in UHC's offices to present the problem and to get it fix. At this time UHC owes us over $200,000 in claims handled incorrectly plus all late payment penalties as per Texas Prompt payment Act.

    UHC employees would not identify their supervisors or managers when asked to do that and this makes the case so frustrating because no one seem to be responsible in UHC about a problem that clearly was inexistent in 2013 and all of a sudden we have this problem in 2014. Definitely UHC did something in their claim processing system and is now processing claims in an erratic form. We are now going to report each case to the Texas Department of Insurance to see if we can have a resolution or we will be forced out of business by UHC actions or better inactions to solve a problem created by UHC alone.

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    Reviewed June 12, 2014

    I had asked to cancel my policy because I had found a similar plan through Oscar Health Insurance at a much lower price. I was told over the phone my policy would be canceled at the end of the month. Two months later they were looking for a premium for one month. I told them I had found another company. They asked me to fax them proof of coverage which I did. Two days ago, a collection agency called looking for the one month premium. United Healthcare had turned this over to a collection agency because of their incompetence. I explained everything to the collection agency. They asked me to send them the same information United Healthcare had asked for. I told them I spent enough time on this. I work too much as is.

    Beware of this company, they are greedy and will do whatever they can do to make money. I have always paid all my bills and have a good credit rating but to me, principle is more important. Remember the smaller companies have less overhead, and it would be worth your time looking into them.

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    Customer ServiceContract & TermsCoverageStaff

    Reviewed June 4, 2014

    Changed deductible after sign up on Maryland Healthcare Exchange. I downloaded from Md. site and have terms they mailed me. Different Customer service reps blamed Md. After so many calls, we got to the deductible which was higher than sign up. Fighting them was useless so you give up (that's what they want). Next they raised premium only two months on plan. They did not send 45 day notice like they are supposed to as stated in contract. Customer service reps blamed MD healthcare again!

    Finally, after many upsetting calls, one rep with United says "Raised because of your birthday" signed up for March, birthday in April. She said you are older and you will go to doctor more. WTF, I have not even used it yet and here it is June! Guess who is going to get every test now. They really need me off then. I owed half of May premium and June 2, they told pharmacy we were terminated 5/31. Paid in full for prescription. I called and was told because of non payment by Ashley @ 502-318-0147 with United. And yeah, she was a snot about it. She said if you don't pay us, how do you expect us to pay your bills?

    In our benefits contract, it states we have grace of 31 days and they will continue to pay bills. But since we are tax subsidized, it is required for 3 months. They are to continue to pay our bills under Federal Affordable Act. One rep Michelle said after I read her page 11 article 4 that "Oh that does not mean prescriptions." I beg to differ. She gave me to Jacob in billing. I read same page 11 article 4 and he said I was right. They should not have cancelled. June 1, date was not right for them to stop coverage. He got supervisor like so many have did, and said they will right it. WHY, WHY do I not believe him!!

    I have been down this road with them so many times. I paid the rest of May premium so I am up to date, but what's next? So now I am writing to State of Maryland, Office of The Attorney General Consumer Protection Division. Please, everyone do this! It's the only way to be really heard. If you are a lawyer email me: **. We need this to stop it, we are not the only ones. We are tapped out and not a economy booster anytime soon (thanks Obama). God Bless.

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    Staff

    Reviewed June 3, 2014

    A portion of my annual physical was denied for payment because United Health Care stated I was being treated for a condition and it was not considered preventative so I am subject to the deductible and coinsurance amounts for this portion. I am not being treated for any conditions and it was a purely preventative exam, the same exams they have paid at 100% for the past six years.

    I appealed twice in writing, only to be denied both times in a very sloppy, disorganized manner by their appeals team. I requested the documentation the claims examiner used in each instance to make their decision. In Appeal 1, it clearly shows the coding for exam and tests as all preventative, but still the claim is denied. Appeal 2, also denied was even worse, the documentation used by that examiner wasn't even the correct section of the summary of benefits.

    I requested a third-party review of my claim which UHC granted. The third-party overturned the denial on May 29, 2014. On May 30, 2014, UHC retroactively denied a third-party review so it wiped out the reversal. So even when they lose, they win. I contacted ERISA and was instructed to contact an attorney. ERISA could name United Health Care as the insurance company by my description without me saying their name. In my opinion, United Health Care is nothing short of lying thieves that steal and provide nothing but misery, hoping to bombard their members with paperwork in the hope we give up and just pay their portion. I am contacting an attorney for legal advice on how to proceed against these monsters. I will also be filing complaints against Medica (their front company in Minnesota) with the state department of Insurance.

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    Reviewed June 3, 2014

    A good friend asked me to help with a state external appeal - after denied by UH on serious chronic mental health issues. It was stunning. She was overwhelmed, but wanted to fight the rejected claims. Not only did UHC fail to send all of the documentation required by federal law, but the timing of some of the determinations was in violation. One is supposed to appeal but doesn't have the rejection letter - how? The external review has been tedious and difficult. UHC re medical necessity ignored state and fed laws on parity and mental health chronic diagnoses, accused doctors for having no treatment plan. It is like they rewrite all the rules and hope this works. They find a phrase and hang on it and twist it. Why do they have all the secondary Medicare business? So undeserved.

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    Customer ServiceCoverageStaff

    Reviewed June 1, 2014

    Before joining United Healthcare in May 2014, I gave the representative on the phone the names of my doctors to make sure that they were in their network. I was told that they were. Three days later, I found out that my doctors were not in my plan of United Healthcare, so I canceled my enrollment. May 26, I received notice that United Healthcare would not cover the CT Scan of the abdomen and pelvis with contrast after a diverticulitis attack, nor the monthly rental/maintenance cost for May of my motorized wheelchair. Since United Healthcare misinformed me about my network of doctors, I had every right to cancel when I did and they are responsible for paying for the month of May, even if June 1st, I will be enrolled elsewhere. They and the waiting world need to know that I will not pay one thin dime. Maybe then their phone help will not lie to people in order to make a buck.

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    Customer Service

    Reviewed May 31, 2014

    UHC has very poor customer service. If a claim is incorrect, which they are almost always incorrect, then you have to email them and a month or so later you get an email. If only their website with the claims were accurate they would be great for the claims part. Customer service hours are horrible and are not convenient for many people. Every time I am able to reach someone, I get no answers.

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    CoveragePriceStaff

    Reviewed May 30, 2014

    I was scheduled for a colonoscopy. The Doctor who authorized it sent me somewhere that was Out Of Network. I was told I was out of network, but the doctor's office never could tell me for sure because they got conflicting information from UMR/UHC. They said yes, I was In Network but that UMR/UHC would only cover the procedure if it was done in a Hospital. That cost was about 5 times as much as a surgery center.

    After going back and forth for about 3 months, they finally said that I could have the procedure done by the original doctor at a different surgery center. I did and now they say it was not "pre-approved" and are asking me for more information that I obviously do not have. I see no reason I should have to prove anything. Add to that the UHC CEO made over $16M last year! I see how he did it! Theft!

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    Reviewed May 30, 2014

    Long story short, united healthcare is dictating that I MUST use their mail order pharmacy in order to continue my required maintenance medications. Best part, I found this out from my local pharmacy when attempting to fill a prescription. The end result, I'll purchased my medicine out of pocket and have no choice but either to get another insurance company or use their program. Why can they dictate my freedom of choice and know more than my dr.??? They care only about their profit margin and not my well being. The mail order program claims I will save a few $ year. Whoppie do! But, I am sure the savings are not truly passed on.

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    Customer ServiceOnline & App

    Reviewed May 25, 2014

    I've been trying to call and no one is helpful and I've gone on the website to try to find a physician and I click "Find a Doctor" and then it just takes me to a blank page with just the United Health Care logo and a return to home page button. I also tried to make an account because I thought maybe that's the issue causing this and then every time, it says "ERROR!" I've tried a million different ways with different browsers and nothing is working! I don't even know why I'm paying them when they do absolutely nothing for me!

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    Coverage

    Reviewed May 21, 2014

    No coverage for Silver Sneakers at Curves unlike every other health care provider. Get out of UHC!

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    Staff

    Reviewed May 21, 2014

    She said UHC wouldn't pay for her suboxone for pain. That's funny because UHC pays for suboxone for addicts ALL DAY at my work. Another funny thing is that they get it FREE! Not even a co pay! Even funnier is that the company I work for just switched to UHC and I just had a baby, so my insurance before UHC was 11.89 a month, after UHC and a baby it went up to $568 a month! I not only cancelled before open enrollment was over, but I put in my two weeks at work. I will not work for a company that does not do research and only cares about their bottom line. Even if I love helping people get straight in their lives, it's funny how the hardest working Americans cannot afford to be alive. But people abusing the system get everything free and rich people get all the perks. STAY AWAY FROM UHC!

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    Punctuality & SpeedStaff

    Reviewed May 18, 2014

    United Healthcare is not paying their portion. 5 and 6 months later I am getting higher bills from doctors and hospitals because they have not paid. United Healthcare has did this before many years ago and if this starts again, I am going to the federal government about this. I asked everyone to reach out to the federal government to start an investigation.

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    Customer ServiceStaff

    Reviewed May 16, 2014

    Three weeks ago I was diagnosed with Lung and Lymph Node Cancer. Needless, my family and I have been devastated. I have a very good Cancer Dr. but I would like a 2'nd opinion as to diagnosis and plan of treatment. My choice for that is Moffitt Cancer Center in Tampa Fl. Yesterday I called Medicare Complete to be sure they were in my network and was told they were. I contacted Moffitt to get the appointment set up. I gave them the info they ask for and was told that as soon as my lung biopsy was complete to have my Dr. fax my records and they would call me with an appointment date. I felt good knowing I was getting a second opinion before starting Radiation and Chemo therapy. Not 5 minutes later, I received a call from Moffitt telling me they were not in the network for that company since Dec.1, 2013. I ask the cost out of pocket to see a Cancer Specialist one time and was told it would be $1,522.00. Which I can't afford.

    I was given the wrong information by Medicare Complete, I wasted 2 hours or more of my life by being given the wrong information. I was so upset about their incompetency that I just sat and cried. I realize that things happen. But no one I spoke to at the ins.co could give me a valid reason why their records were not updated since December and here it is the middle of May. All I got was a run around from them. I ask for a supervisor and was left on the line fifteen minutes and then told the supervisor was still busy. I ask for the name and address of the CEO in my area and all I got was double talk and was never given a name and have been unable to find it myself. (Maybe you can help me with that? ) The customer service rep said she would find me another Cancer Dr. in their network. She gave me the name of several Drs. who are in the same office as my current Cancer Dr. Why would I want a second opinion from a Dr. in the same group??? That isn't even sensible to me! She then gave me the name of two others whose names I couldn't even pronounce. So, I can imagine how much I would understand their opinion.

    Why would the largest health insurance company in the state of Florida not be able to keep their records up to date with the technology we have today? Their annual profits are staggering. And here I sit a little nobody, trying to fight this disease the best I can and being given the wrong information from a large uncaring conglomerate while they take a big chunk of my Social security every month and laugh all the way to an extravagant lifestyle and vacations in the Hamptons???

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    Customer ServiceCoverageStaff

    Reviewed May 4, 2014

    I have been taking ** .625 for probably 30 odd years. I have tried not taking it and at my age of 73, I get serious burning, and cracking in my private parts. And I get very anxious and nervous. I am a very nervous person that has to control my nerves with some ** at time. I have serious tinnitus in my ears that ring so loud, it makes me crazy at time. But, I went to order my ** and the druggist told me that United Healthcare was denying or not covering this med. And I have gotten a ninety day supply for years with one free co pay that way. And now like with my ** they only give me a sixty-day supply, so I do not get the free copay for the third month. But, after they denied me, I called my dr's. office and they spoke with United. And they then okayed the pres. but, my first box I picked up they charged me $87.00 for a 28-day supply.

    Then I went back today and they do not have both boxes so I have to go back Monday and pick them up. But, they are really bumming me out. I have been a retiree from Illinois Dept of Corrections for 23 yrs now, and started working for the state in 1964, so for what 49 yrs I have been fully covered and now, they are cutting back and charging more co-pays and just technicalities that are making me crazy. This is hard on a person as they get in their 70s and shame on you United Healthcare. I had Medicare since I turned 62, and then Cigna was my secondary. Now the state made us change to United Healthcare, so hopefully it will all work out, but at this time, I am very annoyed with them. And my ** is going to be $75.00 a month, unreal. I do not know if using like Walmart would make the co-pay less from my United Healthcare or not?

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    Staff

    Reviewed April 28, 2014

    After a trainee conducted an interview and was told by her supervisor she had done it wrong, I was denied a repeat interview. My son who has attended his medical day care center for 10 years is being kicked out. He is ** with a heart and spine condition that must be monitored on a daily basis. I am in the appeal process but have been told it's useless.

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    CoveragePriceStaff

    Reviewed April 27, 2014

    I'm angry. Due to Obamacare our company changed healthcare providers. Obviously it's with UnitedHealth Care. Though physically I may be better off than most people, I do require medication to get me through the day. I've struggled with a bad back. Not getting into all the specifics, not very uncommon for my sciatic nerve to flare up, and struggle with severe pain. Easy chore became tedious, which led to depression. Because I just couldn't live life to its potential. Well, a doctor put me on Hydrocodone which was great for a time. I became an addict and my personality changed. I needed to get off, so I sought help.

    I found a doctor to treat this problem, along with my depression. He put me on Suboxone. My life changed for the better. I'm myself again, full of life. I've lost weight and have been real active. Though this medication is a narcotic, one doesn't get high off it. It's a treatment that allows one to slowly wean themselves off the narcotic. Without all the withdrawals that one may get without using the drug. It also has properties to help with depression. I'm now what the doctor considers "stabilized". And will begin to wean myself off this miraculous drug.

    Today I just received a letter from UnitedHealth. They will no longer cover my medication under the plan. As of July 1st, it's done. No suggestions and no help from them, you're on your own and good luck. Stopping the use of a medication like this straight up will put me through severe withdrawal. It's not recommended, but what do they care. It's supposed to be done slowly with time, they know this. But the cost is high, and they are dropping it. Is it life-threatening? I couldn't tell you, but it's not recommended, like I said. Anyway, I said my piece and I'm not looking forward to this. I wish I had the power to do more. But, for now this posting is all I have. If you're an individual or corporation looking into UnitedHealth as their provider, don't. Look elsewhere. Whatever they have in writing on their plans, they can change midstream in the year Versus giving one fair warning to plan ahead. Two months is not fair warning.

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    Customer ServiceCoveragePunctuality & Speed

    Reviewed April 26, 2014

    The great thing about finding this site is that I now know I am not alone. My son is a Type 1 diabetic. It took me 46 phone calls to get his test strips approved. UHC approves 3 strips a day, which is less than prescribed and less than the American Diabetes Association recommends. I had to get an override from the doctor, which they lost twice. Then they told me I had to get them from Optic TX, which costs $146.00 per month vs. the $15 I pay at Walgreens with BCBS. Today, they declined his insulin (again) because I need another proof of diagnosis - not like his diabetes was cured since last month... unbelievable run around. Same story each month, with every prescription - deny, ask for doctor's note or new prescription, agree to pay a lesser amount, delay in updating the correct information on your plan, refuse to pay for three months so you can't get service or drug. I have lost months of drug coverage because if it takes three months to resolve, they will not fill the months past... So whatever you buy out of pocket, you will never recoup... They know I can't wait so it is in their interest to delay and then refuse to fix retroactively.

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    Customer ServicePunctuality & Speed

    Reviewed April 24, 2014

    What I have gone through with this company is unspeakable. Between my husband and I, we have made at least 50 phone calls this year to employees and "managers", all promising different levels of reimbursements. What we have gotten is spread sheets, smoke and mirrors, hung up on. It is unthinkable a company could behave this way. The one thing we have not gotten is a penny of reimbursement as promised. Not a penny after being promised tens of thousands of dollars. Waste of time, company should be ashamed of themselves.

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    Customer ServiceCoveragePrice

    Reviewed April 18, 2014

    Complain to your HR group, your State Insurance Commissioner and your state's Attorney General's office. You deserve better coverage than these clowns. They hate your out-of-network doctors and will do anything to get out of paying the claim. Try to file an appeal and you send your letter to a fax number that most likely isn't operational and in following up it is impossible to reach anybody in that appeals group on the phone. They make it impossible to reach them so much that you just give up. Google up this outfit and you will understand what the culture is all about. The paid huge settlements after getting caught back dating executive options and again after using procedure cost numbers that were too low so they could rip off customer reimbursements. Absolutely disgraceful company and if your company is so cheap that they use this bunch of chiselers that speaks about what your company thinks of you.

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    PriceStaff

    Reviewed April 17, 2014

    I have bad knees and need knee replacements on both knees. I take Hydrocodone 1 to 2 pills a day. I do not abuse them. It can be verified by the doctor or pharmacy. I walk on concrete all day long. When I finish work my knee is throbbing. The doctor will only write a prescription for 2 months then he says I have to come back to see him every 2 months. My knee problems are not going away until I get replacements. So I make an appointment and takes 2 to 4 weeks but I am out of pain pills. So I have to turn to Aieve which gives me internal problems. To me it seems the doctor just wants me to come so they charge me an office fee and the doctor does not care about me. I used to have the best doctor in the world. He retired now. I have this doctor who does not give a crap.

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    Punctuality & Speed

    Reviewed April 2, 2014

    Could not be happier! Huge claim last year and paid fully and promptly. On the other hand, my experience with the companion dental plan, not so much! I've been trying for at least 6 weeks to get a "pre-authorization" for a procedure. The kindest words I can possibly have for the dental plan are that their system is broken!

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    Customer ServicePunctuality & SpeedStaff

    Reviewed March 28, 2014

    Today, when I called customer care services of UHC, the guy in the line was answering my questions very reluctantly, in a very lazy way as if he doesn't want to work there at all. I had some important questions which may be very trivial for him, but he should not treat me as a foolish guy. This is not the only time. I would like the human resources department there to train their employees, especially the persons in customer care services very well. Train them well to speak politely and charmingly. At least train them to pay some respect to the customers and their questions!

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    Customer ServiceCoverageOnline & AppStaffEase of Use

    Reviewed March 21, 2014

    I had been fully covered by UHC for 3 years when I had a baby. This birth was covered with a $2,500 deductible. 6 months after the birth; after the hospital had been paid by UHC, UHC rescinded their entire payment and the hospital started calling me looking for their $20,000. I contacted our insurance rep who assured me it was a mistake. He got it settled with UHC and I thought the issue had been settled. Two months later, the hospital calls me again saying that UHC never settled it with them and I still owe them $20,000 for a standard child birth. My insurance rep had to refile new paperwork to get this issue settled. I've been told it's taken care of now, but I hardly trust UHC to keep their word.

    Additionally their website is incredibly difficult to use. Even following explicit instructions....and I'm computer savvy too....I cannot figure out how to do simple things like change my correspondence to mail not email. I have since switched to Blue Cross Blue Shield and couldn't be happier. I have to wonder if this whole rescinding of payment to the hospital is some kind of punishment for leaving UHC....

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    Contract & TermsStaff

    Reviewed March 21, 2014

    They called wanting to schedule a 30 min conference with me about some coding and billing issues. They mentioned that new coding was in place and of course this was old news since it has changed 15 months before and I was quite familiar with it. The new service coded basically divide the psychiatrist's work into psychotherapy and medication management. It was intimated that the medical director needed to conference with me to discuss my high usage of psychotherapy codes, and also that I provided psychotherapy without prescribing medication.

    The most convenient time for me for such a conference would be 5 PM EST making it 4PM Central Time with the "medical director". However, he leaves at 3:30PM and that won't work. I asked how early in the day it could be done. They didn't start until 10:30 AM. I declined to schedule a 30 min time slot to discuss my use of the new codes. I offered copies of any charts or data that I personally had. Not good enough I was told. It had to be a 30 min conference. I declined. I was then told that it was a violation of my contract not to agree to the uncompensated meeting.

    In the end, I declined to set a time and invited them to do whatever they needed to. The worse thing that could happen is that they intimidate psychiatrists into not doing psychotherapy with their patients. Already United has run off the seasoned and capable non-medical therapists with lower reimbursement. Do they want to run the psychiatrists away too? Perhaps they would be happier if we just pushed drugs or didn't provide mental health services at all.

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    Coverage

    Reviewed March 8, 2014

    I think your insurance company is lousy. I am a Diabetic on Social Security. You raise your Rates 30% and cover less my medication costs $ 2000.00 a month. You put me in tier 3 and don't cover most of my medicine. I am Changing Insurance companies next year and sending a complaint letter to ARRP. What a waste, we should have socialized medicine and run you out of the insurance market. Greed is what you stand for and wasting money on your stupid wellness programs.

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    Reviewed March 7, 2014

    This company has held us hostage. My daughter is in dire need of IVIG therapy, denied, denied, denied. I now have my state rep and state senator involved. They read from a denial "script" without regard for the person/patient. If you have an option, go some where else for health insurance. They should be ashamed of themselves.

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    Price

    Reviewed March 7, 2014

    This company angers me more than you will ever know. Obama was supposed to make Healthcare more affordable. Not with this shyster of a company! Beware! They will take away you're right to purchase medicine at your local Walgreens and then make you pay higher prices through (they own this company), OptumRX! We are paying $180.00 a month for meds that cost us $60.00 through Walgreens! Outrageous!

    I want my Blue Cross back! Unfortunately, Hubby owns his own business and they won the bid! Beware, they will squeeze you like a turnip to reap a profit. Worst insurance company I have dealt with! Stay away and run, they suck big time! Obama has ruined the insurance business and we are left to pay the price. So sad!

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    Reviewed March 6, 2014

    Absurd excuse for a health Insurance company. Suddenly force you to use Internet for your meds and actually keep them from you until you jump through hoops to get them. I am elated to report that I am actually the owner of my company and I am dumping this ** company for another Healthcare provider. I presently pay 30,000 a month for my employees. I will be pulling this revenue from them small as it is to them, they will never again see a dime of my money again. I will also tell every human I can to never choose this company.

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    Staff

    Reviewed March 4, 2014

    I am so extremely dissatisfied with United Healthcare that I have advised family members not to seek medical attention for me unless life or death. I have since July of 2013 worked with my physician's office (they have been wonderful) to keep re-coding a routine annual mammogram to United Healthcare would pay the bill since my plan states routine exams are no cost to the member. They paid only half and numerous times advise me and the physician it was due to miscoding. It has now been sent to a collection agency who calls me in attempts to collect the remaining balance. I assure you in 2015, I will return to Kaiser where I was a member several years ago and never encountered any issues.

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    Customer Service

    Reviewed March 2, 2014

    United HealthCare fired me after 30 yrs of service because they state I could not meet production standards. Less than a year before being fired I received a $3,000 raise. I was passed around from manager to manager, given different directions as to how to do my job and called on the phone almost everyday. I was a telecommuter. I was 60 yrs old at the time and did take time off due to my illness. I was given the most difficult work and management/supervisor talked to me in a disrespectful way. Having experience in almost all jobs they had and fully knowing how the company operates, I believe they wanted to get rid of me because I was making too much money and costing them too much in medical bills. They fired me over the phone. I was not given any severance for my 30 years of hard work and experience. I know this happens in all private sector jobs, but I deserved better for my dedication. I believe that I was set up to fail. I say this because they would pull me in every direction possible as far as what they expected of me and never give me enough time to understand. I strongly believe that I was fired due to my age.

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    Coverage

    Reviewed Feb. 28, 2014

    I have United Health Care/Oxford insurance without out of network coverage. I was diagnosed for the 2nd time with breast cancer and this time needed a mastectomy. My breast surgeon and oncologist that I previously used are covered by my plan but the doctor from the plastic surgery group that goes to Winthrop University in Mineola does not. The plastic surgeon said that he can apply for an exception from insurance. Oxford did pay for the consult but the day before my scheduled surgery, they denied coverage in a letter via regular mail. Why waste my time and tell me from the beginning that the doctor was not covered to do the surgery and not approve the consult? I had an aggressive cancer. Oxford gave me the name of 2 doctors to use - one is a hand surgeon and the other only goes to a different hospital. This would have meant that I would have to put off the surgery wondering if the tumor would get bigger.

    I would need two surgeries - one for the mastectomy and the other for reconstruction at another date. The plastic surgeon recommended to me said that he would do the surgery and fight later. It turned out that the cancer was caught early enough, that I need no further treatment. Would Oxford rather pay for multiple surgeries and treatments so that I use one of their doctors instead? It does not make sense. Remember, I am not having the plastic surgery because I wanted it - I wish I didn't have cancer at all. Not a way to treat cancer patients.

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    Customer ServiceStaff

    Reviewed Feb. 26, 2014

    Being a member of AARP with whom I trust, I needed a Medicare Advantage Plan. Promoted on AARP's site was United Healthcare. I called them a month ago and spoke with a young lady who said and confirmed, (sharing and both seeing website United health plans) that my 3 doctors were on their approved list as well as my 2 medications. She said she had submitted this plan to Medicare. Two days ago, I received United Healthcare's booklet showing only my primary doctor available and none of the meds I needed. I began calling United Healthcare reps, (4X in 2 days) and all I received was, "oh, sorry" NO HELP AT ALL! I asked to speak with a supervisor and rep said that I'd have to wait 72 hours! I called again, this morning and spoke with a very kind woman - I was calm, but remained irate inside! She did some research and promptly disco'ed my health insurance plan! I thought I could trust AARP and their recommendations - not so sure now! JUST FYI - Buyer Beware!!

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    Staff

    Reviewed Feb. 26, 2014

    United Health Care patient transport in Arizona - Horrible, unsafe, dangerous, arrogant transportation provided by insurer of disabled indigent patients including broken and junk yard axles making wheelchair vans rear ends weave back and forth, perpetual bad, misfit tire substitutes that rub and screech the entire ride against old van bodies. Prescott Transit, Dial-a-Ride refuses to provide patient (upon request) with guaranteed SAFE and NON-DANGEROUS transportation to doctor appointments and treatments. Transporter service for United Health Care in Prescott, Arizona tells patient that they will get the next vehicle up on the list, with no guarantees even for on time pickups.

    Patient with advanced multiple sclerosis and broken back in wheelchair made to wait over 1 or 2 hours for a return van and driver. Transporter considers any patient not living in Prescott or Prescott Valley, but south of that area to live "outside" the area to be shoved off to the last patient picked up for a return ride. Transport company refuses to use other van services that keep well maintained vans; they established their own monopoly by not using these other better van services. There is nobody to complain to at United Health Care, Phoenix, as complaints are not taken well by them, nor Prescott Transit Authority, nor Dial-a-Ride. They are a closed circle unto each other.

    I recently rid of the United Health Care, Prescott Transit Authority gypsy gang and went to another insurance plan with a much better transit for my safety and health. Oddly, I found out three days later that my home PA had dumped United Health Care and went to the same (only other state AHCCCS plan for indigent or disabled) plan as I did.

    Moral of the story, don't inherit multiple sclerosis (and get to the advanced secondary progressive stage) and don't let the worst drug addict in the area broadside you on the driver's side twice breaking you spine! No better neurosurgeons will stoop to doing surgery on you with the cheapness of this Obama plan insurances-United Health Care and their cheaply bid transport services(with very little former real medical transport experience)!

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    Reviewed Feb. 25, 2014

    Claims department decided I needed to pay certain portions of the doctor's bill to satisfy requirements that were not necessary for me to pay for the services I was to receive fully free of charge according to the benefits department.

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    Customer ServiceCoverage

    Reviewed Feb. 25, 2014

    In March of 2013, I found a company still taking an automatic deduction from my deceased mother's checking account. I later determined that United Health Care was billing my mother $33.00 per month for a service that no one knew about. I was informed that my mother's estate would be reimbursed for the several months of billings after my mother's death. The bigger question is how did this payment to United Health Care get initiated? I attempted on my own to get answers and even requested intervention by the Better Business Bureau all of which was stalled by United Health Care refusal to respond.

    I finally requested my parent's estate attorney to forward a letter. I now have a letter in hand dated November 4, 2013 with a post office stamp date of 2/20/14 stating that my mother approved for a deduction as far back 1985 for AARP Group Hospital Plan V4. Of course, my mother never billed UHC and they could or would not produce a signature card signed by my mother authorizing these services. I have been given 90 days from the date of the letter to now collect any documents that might provide a claim to submit to UHC. Of course I have concern with the language in the certificate rider and letter which looks like they can deny any potentially qualified coverage.

    For 28 years UHC collected money from my mother and never provided any service, updates or notification of this service. Oh, forgot to include my mother was diagnosed with Alzheimer's. I believe the connection started with AARP and was never caught by mom or her caretakers. Off I run to get all the documents for any hospital stays that I can find for my mother.... Wish me luck. There are lessons to be learned. But shame on AARP and their continued connection to UHC.

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    Customer ServiceStaff

    Reviewed Feb. 25, 2014

    I chose to enrol with United Healthcare as my insurance carrier (enhanced advantage plan) after the representative went over all of my medications & told me what tier the drug was & what the co-pay for each would be. Based on this, I could save $ each month. This was November 13th, 2013. It was not until January 18th, 2014 had I even heard the word medical used at all, but on that day I was told 2 of my medications had been denied because they were tier 1 but part B medical & under the Medicare guidelines I was going to have a $50 co-pay on one & the other a $43.98 co-pay.

    If you add those 2 amounts together and add my $33 premium it comes to $126.98 & that does not include all the rest of my prescriptions. I have spoke with several UHC employees about this matter & have had some to file appeals on my behalf & have had several to verify what I was told on November 13th, 2013 to be correct. I feel as though UHC should honor the co-pay amount on these two medications without anything being categorized as medical part b. I have asked for transcripts of the conversation between your rep & myself, but all UHC employees steer away from that saying they show nothing about it.

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    Customer ServiceCoverageSales & MarketingPriceStaff

    Reviewed Feb. 21, 2014

    My employer left Blue Cross and Blue Shield as the employee benefit provided health insurer, misled into thinking they would save money by switching to United Healthcare also known as Oxford by United Healthcare. The rates increased gradually over time to the point where United Healthcare is now more costly as an insurance brand. We just got a quote for better healthcare coverage from Blue Cross, because we want our doctors to be motivated into providing us the best healthcare possible. It's a reasonable fact that a doctor paid fairly by a good insurer will do more for their patient.

    Doctors love Blue Cross Blue Shield insurance because the doctors get paid fairly. Many doctors will refuse to accept a patient who is insured by Oxford and United Healthcare because they know there is a high probability United Healthcare will find a reason to not pay the doctor at all, or only pay a small amount of the doctor's fair wage.

    Our employer went into the embracing arms of United Healthcare with the promise of "affordable healthcare for small businesses" and now Blue Cross Blue Shield is less expensive. Blue Cross is "the holy grail" of health insurance to a doctor seeking payment. Oxford and United Healthcare is the insurer that HARDLY pays their bills, if at all.

    After all the dust settles, Oxford by United Healthcare is overpriced, offers terrible customer service after accepting your policy premium payment, will find any possible reason to deny paying claims-no matter how unfair, and is owned by a greedy business group of individuals who care only about profit. In 1999 I needed a hernia operation, doctor knew I had Blue Cross insurance, doctor said he can fix me the next day, and was paid fairly.

    2011, I needed back surgery for a ruptured disc, doctor knew I had Oxford by United Healthcare and said despite my excruciating pain that he had to delay fixing me until he was sure United Healthcare would pay him. Doctor wanted $15,000.00, United Healthcare waited more than 40 days to counter-offer the doctor $7,500.00 and he accepted it under the condition that instead of performing my back surgery at the hospital, the back surgery had to be performed at an outpatient surgical facility not affiliated with the hospital and located about 20 miles from the hospital. Mind you, while United Healthcare waited 40+ days to do anything near reasonable, I laid on my floor awaiting a slow painful death or back surgery, and would have gladly accepted whichever came first.

    My back doctor is a nice guy who wears cowboy boots in Connecticut. He is a professional surgeon as was his father. Oxford by United Healthcare agreed to pay him $7,500.00 to fix my back. They only paid him $680.00 (six hundred eighty dollars)! I owe my dignity to my doctor. I owe my scorn to Oxford by United Heathcare. Do not be lured into doing business with United Healthcare, for their promises to deliver are false. They pick up accounts by claiming to be "affordable health insurance for small businesses", and as time passes execute their "bait and switch" by gradually raising the premium rates to the point where they COST MORE for insurance that sucks than what you would pay for great health insurance. Avoid United Healthcare, they are bad for both your health and your wealth.

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    Coverage

    Reviewed Feb. 19, 2014

    Just read the complaint from the UHC insured where he was forced into purchasing drugs from an online company (Medco). I know of people who are fighting an issue concerning Medco and United forcing them too to purchase from Medco. United is a very rotten company and this is just the tip of the iceberg. United depends on business groups. What needs to be done is contacts any chamber of commerce and let them know they should inform companies of United's bad business practices. If you don't feel your complaint is prohibited disclosure, send a copy to your local news media as a News Release! We must draw attention to this very bad company. United give a very name to the Free Enterprise System.

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    CoveragePrice

    Reviewed Feb. 17, 2014

    Most of the complaints that I have head about UHC are spot-on. My employer switched from BCBS to UHC a little over a year ago to save money. I have had doctor and prescription claims repeatedly denied. My doctor and I have to navigate through an unending maze to get things approved which should never have been denied in the first place. UHC's policy appears to be to make claims processing so difficult that a percentage of its members will give up. Unfortunately, the money that UHC maybe saving themselves with this tactic is going to raise the cost of health insurance for everyone because the costs are being borne by the physicians that have to navigate through it and these costs will be passed on in the form of higher physician fees. If you have a choice in choosing a company for your health insurance needs, then I would steer clear of UHC.

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    Customer Service

    Reviewed Feb. 12, 2014

    Need eye surgery. Medical group mailed photos to United. Refuse to give address to 1 day ship photos. Only a PO box. Then, United tells me and MD that they did not receive photos. Medical group emails photos. United claims they didn't get them. Oh I have spent HOURS on the phone with United. MD was going to do a Peer to Peer, but United still won't approve surgery without color photos. They did admit getting the fax. I finally found a truthful United supervisor who told me it takes "a month" for the piles of mail to be "attached" to the patient files. Meantime, surgery cancelled. What happens if they find the photos later? Absolutely NOTHING. They do NOTHING.

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    Customer ServiceCoverageSales & MarketingStaff

    Reviewed Feb. 11, 2014

    I am absolutely certain the action was taken to cut cost. The fewer "Network Providers" the fewer appointments can be made, the fewer appointments the fewer procedures and services to be rendered and the bottom line the less United Health Care must pay for our healthcare! I was treating with a dermatologist for about a year for Basal Cell Cancer on my nose, I had surgery (Mohs) and was really trying to get over then knowing I had another spot to address and scheduled my appointment for after Christmas. This time the biopsy came back Melanoma, I had been treating with this doctor for almost a year. I was comfortable with him and really needed to be with someone I was comfortable with but he had been cut from UHC provider Network by UHC January 1, 2014.

    UHC canceled my surgery (4 days before) and said I had to find another doctor from the "Provider Network". I downloaded the list from UHC web site and thought, "Oh not so bad, there are 51 doctors listed. it will not be too bad just much more terrifying without having someone I know and trust," but that was not the case. One group with each doctor listed over and over (some listed as many as 6 times). They run commercials about every 15 minutes on local TV stations fishing for unsuspecting patients (if a physician must resort to television advertising that is huge red flag). I called and was told no I would not be given an appointment with a doctor. I would be seen by a nurse and she would decide when and if I needed to be seen by a doctor and it would be a month before I could even see the nurse!

    I already had a biopsy done and provided it and I could not see a doctor! The next doctor available was 54 minutes each way from my home! That is NOT a reasonable distance. I filed an appeal and of course the response was "You do not have out of network coverage (well I already knew that). Duh that was the issue, I could no longer see the doctor I had established a relationship with during a very difficult diagnosis and treatment plan!

    I have called UHC numerous times with absolutely no assistance other than see our web site! Or, if you are not comfortable waiting for more than a month to see someone you can always pay out of pocket for services... Well why would I have insurance? Where am I supposed to get this money from, my copay went from $25 to $45 (though UHC repeatedly processes my Primary as a specialist) and charging me $45 copay (one was more than a year ago and they still have not paid my doctor properly).

    Then there was the "fasting blood work". I was sent to 4 different labs by UHC each one when I arrived at the address the Lab was closed and had been for months, I would call UHC and be sent to another closed location. The fourth location "bingo" there was actually a functioning lab, I signed in and sat to wait my turn, I see a sign on the wall, "Please have your insurance cards and credit card ready for the receptionist." Lab Corp required that I leave them a copy of my credit card for them to automatically take any amount due! NOT! NO WAY do I leave my credit card in someone's database or file folder to be used at their pleasure. I ended up going to the local hospital though not in Network. It was now 12:30, I am fasting and still no blood work has been done. Again I contacted and filed a grievance to no avail as it was simply an error with no "malice".

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    Customer ServiceCoverageStaff

    Reviewed Feb. 9, 2014

    I initially signed up for both Medicare Supplement and Prescription Drug program with United, since we're endorsed by AARP. I signed up early in December 2013 asking for the program to start on January 2014 since I was retiring from my job. When I signed up I told the agent from UHC that both me and my wife were moving from Virginia to Florida, which the agent replied "no problem" and we signed up for the program. On January 10 I received a call and several letters telling me that our coverage was being terminated and I had to apply again which I did, all of these took over 40 minutes of cell time to reapply. Two weeks later they called again and another 40 minutes of my cell time was used to reapply again.

    Just 2 days ago they once again called which I blew a fuse and told them off. I am sorry that I chose UHC and will assure you that our membership in AARP will be reviewed by me as well as coverage with UHC when enrollment time comes in 2014. How's it that an association like AARP gets involved with the MORONS of UHC??? I have used most of my minutes speaking with these folks and I am not even sure that all is resolved with them. Please get involved and settle this issue. Thank you.

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    Customer ServiceContract & TermsCoverageProcess

    Reviewed Feb. 8, 2014

    I had to leave the City of Los Angeles health insurance under my husband's policy after he got injured on duty as a law enforcement officer. When he had to go on state rate, he lost his city coverage and we could not afford the $1861.00 a month under the cobra plan. We were originally excited about Tri-West before United Health Care attempted to take the military reserve coverage. They are incapable of handling this contract on a professional business level.

    We signed up for insurance in December 2013 ... for Jan 2014. We were approved and received our cards. Then our banks sent us new Visa cards with new numbers due to the Target security breach. When UHC West tried to withdraw the money... it was declined... That was the beginning of UHC West's inability to handle a situation. I was told since we were originally approved for enrollment, we only needed to submit a reinstatement form. Weeks later I was informed that was inaccurate and we needed to re-enroll. It has been two months since the beginning of this process. After I re-enrolled I was told to call back next week. I have submitted our bank routing number and account number so it can be directly withdrawn from our account. This is unacceptable. Where do the reserve members go to change this? We are without insurance that we qualify for and we can't call customer service that can help. We are told to call back next week because United Health Care has no direct customer service for military reserve members.

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    Staff

    Reviewed Feb. 1, 2014

    United Health Care provided my sister with a member ID number that reveals her name misspelled, middle initial is incorrect, and the locality is incorrect. She had been dealing with similar problems since 2013. They will not correct it or send her corrected card. They say it is Medicare's problem. This problem has caused serious issues with my sister receiving treatment with stage 3 or 4 of colon cancer. The problem was suspected in February 2013. After being sent your incorrect or out of network doctors, she started to hemorrhage in December 2013 and was rushed to the hospital. The doctors are trying to treat her but UHC is giving her and the doctors the runaround. UHC had no problems cashing her payment checks for service. The rating for this company is equal to the service that they provide... 000.

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    Customer ServicePricePunctuality & SpeedStaff

    Reviewed Jan. 29, 2014

    I take ** 250/50 for Asthma and ** 120 mg/day for Fibromyalgia. Both my Primary Care Physician and my Rheumatologist sent numerous forms to United Health and were both told repeatedly that United Health had not received the necessary forms from them. I finally received "permission" for my **, but wasn't certain it would arrive in time. United Health's only suggestion was to get enough to last (a few) days, in case I didn't receive it in time. ** is not pill form. It is a 30 day/60 dose inhaler that manages my Asthma. They then told me they would authorize a refill which I would pay for, but would get no reimbursement. I did not have over $300 to pay out for this medication.

    Fortunately, my medication arrived the day I ran out. With the **, they refused to approve the dose my Rheumatologist prescribed for me, which was 120 mg. once a day. They said the "medication book" indicated that only 60 mg was needed for depression. My doctor and I went back and forth repeatedly with them explaining that the ** was for Fibromyalgia, not Depression. Yes, ** was originally prescribed for Depression, but was then changed for use for Fibromyalgia. I finally got the necessary prescribed amount, but my doctor had to send forms four times and there were also phone calls.

    Anyone who has tried to call United Health knows that it is a nightmare to speak with their representatives, if you get that far. You can't get the same answer twice from any representative. I told my doctor she should have sent them a bill for her time, since she had billable hours and I didn't. I have a letter allowing one of my medications (maybe both) with an end date in April. I will be starting the approval process in February, so as to allow me time to get "permission" before I run out. Another issue I have had with United Health was that I was "forced" to use Mail Order Prescription Service for three of my expensive medications. I never used this opportunity with my previous insurer, because my mother had problems with missing or stolen medication. I preferred to pay one month extra out of my pocket, rather than trust Mail Order.

    If I didn't use United Health's Mail Order, I would have been required to pay the full cost every month at my local trusted Pharmacy. I had to order three prescriptions over a three-month period and Express Scripts (their Mail Order provider at the time) managed to screw up every one of them. Try talking to two companies that were clueless about dealing with other. Bet Mental Health had a serious increase in cases until they got rid of Express Scripts. OptumRX, their own company service , continued the mess by making me go through approval for medications, because absolutely nothing was transferred correctly. My final opinion, so far, is that United Health, could screw up a two car funeral. I would willingly pay more to go back to Blue Cross Blue Shield. I had them for several decades and never went through such stupidity and garbage. Let's hope that my service with United Health doesn't get worse now that I have voiced my opinion of them.

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    CoverageStaff

    Reviewed Jan. 28, 2014

    UHC consistently reneges on the very small amounts it says it will pay resulting in more out of pocket expense for me months after the fact. My dental insurance only covers $1,000 a year, but they refuse to pay even that. So subsequently six months after I thought I'd paid everything I owe I get a bill for over $400 from the dentist, who explained that insurance companies do not have to adhere to their promise to pay what they said they would pay at the time of treatment. In other words, they routinely lie. This appears to be the norm with UHC, and after years of the same thing happening repeatedly I'm finally catching on. Although I detest the intrusiveness of Obamacare, I certainly see the reasoning behind it. These people are nothing but thieves and liars.

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    CoverageStaff

    Reviewed Jan. 25, 2014

    UnitedHealthCare should be renamed "UnitedHealthDestroyer". This evil empire denies benefits and coverage arbitrarily. It's number one excuse (and UnitedHealthCare has all employees well trained to repeat the same story) is to blame my employer for the benefits that it elected and didn't elect for my employer's emloyees. The second and most common excuse is to declare that they never received my claim. I send it again. And again. And again, and they claim the same. Icing-on-the-cake: you cannot send them a letter through United States Postal Service with a return-receipt because their address is conveniently a PO Box. My doctors and my hospital hate UnitedHealthCare. But this evil empire has complete and total control over Washington D.C. There is nothing we can do... or is there?

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    Customer ServiceStaff

    Reviewed Jan. 25, 2014

    Joined before the deadline. To date I have not received an i.d. card and information related to my "account". I was given a series of numbers to give my providers in lieu of an i.d. The numbers were wrong and one series was missing according to my pharmacist after he contact United. I had to pay retail for my meds. Called United and was presented with "ghetto attitude" and lectured, spoke to 3 different people, was given no help at all... After reading many, many complaints, I have come to the conclusion that they are WORTHLESS and I want to unsubscribe....

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    Customer ServiceStaff

    Reviewed Jan. 21, 2014

    I live in Denver. My son is in college in Dallas, TX. Because United Healthcare (UHC) tries their best to make everything as difficult as possible for its subscribers (in hopes that they will get frustrated and give up, thereby boosting UHC's profits exponentially), they REQUIRE that my son's primary care physician (PCP) be located here in Denver, instead of allowing him to use one of the MANY PCPs that are in UHC's network that are within a couple of miles of my son, in Dallas.

    SO, whenever my son needs to see a specialist (which, unfortunately is quite often, due to some medical conditions he suffers from), I have to actually FLY him from Dallas to Denver to meet with his PCP, who can then refer him to a specialist in Dallas. And so, of course, I have to fly him back home to see the specialist. The round trip airfare for this is in the range of $500.

    This is ABSURD, but UHC refuses to be flexible on this. They won't even let my son "meet" with his PCP over the phone to get a referral - they INSIST that he sees him in person. This is what I mean by them making things so difficult that people simply give up. I know they want me to say, "To heck with it, I'll just pay the entire bill from the specialist, to prevent paying for the round trip airfare". This is SO VERY WRONG - it should be against the law. UHC SUX!!!!!

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    Customer ServiceCoverageStaff

    Reviewed Jan. 20, 2014

    I have called United Health Care's customer service line on 5 separate occasions trying to get information on how much my prescription drug coverage and cost. Multiple agents continued to send me on to other agencies who then reported me back to United. When my prescription was finally submitted, I was told I would have to pay $1,496 for my medication because my account had not yet been set up, had my insurance set up my account my cost would be $50. My account has been valid for a week now, so I am paying for this coverage, but someone hasn't set it up?? Their customer service line is only only 8:00am - 8:00pm, and not open on Holidays so I have been unable to fill my prescription for three days now. Thank God this isn't for a vital heart medication or I would really be in trouble! How can such a large company not have better customer service???

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    Customer ServicePrice

    Reviewed Jan. 17, 2014

    I recently had some odd bills from a provider. I went through the explanation of benefits and realized I had been double billed on two occasions. It appears so far they are billing under the physician and the group where the physician works. I thought the provider had double billed, well...it turned out to be United Healthcare. It was corrected, but I was held responsible for the billing that cost me the most and insurance the least. I found another bill handled the same way and UHC is currently investigating because both of those were paid. I'm sure it was meant to find out which one cost them the least, but it actually was paid in error.

    What I thought is the provider was double billing. They weren't. It was United Healthcare doing the double billing. Why would an insurer do that to themselves? The only answer I come up with is to find the cheapest amount they have to pay. Also, they have wordy policies that are contradictory regarding the same diagnosis. I really wish we had a better option, but in general healthcare is becoming more and more of a nightmare. I'm still in the beginning of investigating why an insurance company would double bill themselves. I will keep you updated on what I find.

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    CoveragePrice

    Reviewed Jan. 16, 2014

    Co-pays for medications allow this company to actually profit from prescription drugs. On one medication for a common medication that can be bought for $10 a pill, they charged a $60 co-pay and only allowed three pills per month. Also refused to cover medications, they could not negotiate a profit with on the medication cost. When my employer chose this insurer, I had to change almost all of my medications and some they would not allow at all. Even though the cost of one script would have been only $108 per month and they could have charged $60 co-pay that wasn't good enough for them. And there was no alternative for this drug that would stop the seizures it was treating. Amazing company. Google them with the word lawsuit.

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    PricePunctuality & Speed

    Reviewed Jan. 13, 2014

    I am a kidney transplant patient. I have had 3 kidney transplants over the last 36 years. My issue is with the Pharmacy UHC makes me use now. Until last year, I was able to get all my medications from my local pharmacy. Since the company I work for switched to UHC, I am no longer able to. Only two out of the many I take, have to be filled from OptumRx, contracted by UHC for "Specialty" Medications. This, to me makes no sense, since my Doctor is here and not in California. I have numerous issue with trying to get just these two medications. Both are anti-rejection medications. All I get is "I'm Sorry." That does me no good if I do not have my medications.

    UHC gives only two "Emergency fills" at your local pharmacy. Last year alone, I had to have 6. Half the year worth of screw ups, by UHC's pharmacy of choice. I am left with the cost of two prescriptions. Right now I am waiting for a Saturday delivery. It never showed up. Again all I got was I am sorry. That doesn't cut it. I work. I don't expect people who work to pay my way, but I will never be repaid for time lost from work to run to the pharmacy and wait. That is if the local pharmacy has any of the medicines on hand. UHC has been nothing but a headache since I started with them.

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    Customer ServiceCoverage

    Reviewed Jan. 13, 2014

    I am on medicare and have a med Advantage plan with UHC. For the last year, since my doctor joined a larger health group, things seem to be messed up. I originally blamed the "new" office help but have recently found the problem. My original Primary Care Physician took 6 months off and another doctor took over for him. When I started receiving bills from the doctor's office for things that should be covered, I called the office and was told the bill wasn't paid because I didn't use my primary care physician (PCP). I had my explanation of benefits in my hand at the time and it said the doctor was out of network. It seems UHC doesn't use the same explanation of non benefits for the doctor as for the patient.

    I called UHC and they told me the doctor was out of network. I said, "I have your BRAND new booklet here in my hand that says he is in network." I was put on hold for about 15 minutes. They came back and said my doctor has 2 numbers and the number he used for my claim was the out of network number??? I talked to the doctor's office and was told ALL claims are submitted with his current number and he retired several years ago from an office in a different city and UHC must still have that number on file and are using it for his claims. Now I am 3 months behind with unpaid bills and still can't get UHC to admit their screw up. Evidently it isn't a screw up, just a SCAM to get out of paying out what is owed.

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    PricePunctuality & SpeedStaff

    Reviewed Jan. 7, 2014

    My Medicare insurance is AARP's United Healthcare plan. Several months ago I had surgery at a major Boston hospital, under general anesthesia, with the understanding that my hospital stay would be either one or two overnights. My surgery was very early in the morning and by evening I was feeling very good and only wanted a good night's sleep. Well, hospitals are noisy and busy. I asked if I could possibly go home that same evening and was examined by docs and discharged. Got a good night's sleep and on to recuperation. All good, right? Not exactly.

    When I got the bills for my part of the medical costs, instead of being a few hundred dollars as I expected, they were about $4,000, representing 20% of the cost of the operating room, hospital, surgeon, anesthesiologist, etc. I learned that because I headed home late that night, the insurance company was treating my entire surgery as an "outpatient procedure", charging me 20% of all bills. Because I chose to minimize my stay and the cost of my medical care, they are characterizing this surgery as an outpatient procedure. Crazy. I appealed of course, asking them to treat the surgery as inpatient, since I had been admitted and my doc was planning on my staying at least one night. They denied the appeal in a circular argument that was based on the logic that they made the decision they made because they made that decision. Bottom line, people, stay away from United Healthcare. They are scoundrels and they don't give a care about people, circumstances, reality, or YOU.

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    Reviewed Dec. 30, 2013

    We started with them in November - two months before the end of the fiscal year. I had an MRI and they slapped me with the ENTIRE bill, telling me it was to satisfy my deductible which will start over again NEXT WEEK!!!!!!!! I explained that I thought it was unfair and they should let it stand as my deductible until next November. Then they said no and that is just the way they operate!!!!!!! I am going to dump them as quickly as possible!! Also, it is CHEAPER for me to get my thyroid medicine in 3 month increments not using the insurance than to get it through them!!!!!! SCAM.

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    Sales & MarketingStaff

    Reviewed Dec. 26, 2013

    My wife can't get the help she needs because she is restricted to 1) a plan, 2) a county 3) an incompetent personal physician. The advertising of united healthcare repeatedly states no networks. I cancelled my enrollment at end of October. Have yet to get notification of said act.

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    Customer ServiceStaff

    Reviewed Dec. 20, 2013

    My husband passed away July 27, 2013 and I called AARP United Healthcare to cancel my part D. As a survivor, I would be covered. I called on 10/4/13 and told them. At that time my payments were being automatically deducted and were up to date. I received a bill for $70.20. I called them and the very curt and scripted representative said it was in the system as terminated, but they never received a dis-enrollment letter from me so they took it upon themselves to re-enroll me. I told her I never received such a letter. If I had, I surely would have sent it back. She said, "Well, we sent it," and was very emphatic about it. I refused to send the money and am sending letters regarding the bill and her attitude in dealing with the public. I have dealt with many people since my husband's death regarding his and my affairs, but I thank God she is a rarity in the harsh and unfeeling way she handled my problem. I have great sympathy for her.

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    Staff

    Reviewed Dec. 19, 2013

    A family member has United HealthCare through her employer and has had them for several years. She has gone through serious cancer treatment and is now cancer free. The doctors treatment included CT scans periodically for 5 years to make sure she stays cancer-free. United HealthCare has decided she has had enough CT scans since they have not shown any cancer so far. She has only been cancer free for 2 years (a far cry from the doctor recommended 5 year checkups). Will they put the denial in writing? Not so far.

    The doctor in charge has tried to reason with United HealthCare but obviously all their employees have medical degrees and they deemed it an unnecessary procedure. I believe United HealthCare is making medical treatment decisions based on $$ and they will continue to do this to others. If you have a choice in insurance plans PLEASE do not give your hard earned money to United HealthCare Insurance. They don't care about anything but their bottom line (like most).

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    CoveragePunctuality & Speed

    Reviewed Dec. 18, 2013

    United Health Care announced in Oct. at the beginning of open enrollment that it would no longer have unlimited dental benefits or the Silver Sneaker program for its patients who are under its Dual Complete plan. The change was announced late enough that patients had no time to do the extensive research that is needed to decide on and enroll in a different insurance plan. The information was announced late enough that patients could not get dental work they presently needed done before the end of the year. I pay more for my prescriptions with United because I wanted the dental benefits and the Silver Sneaker program. I think that what United did is very unfair. Patients needed a year to make responses to these changes in coverage.

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    Customer ServiceCoveragePunctuality & Speed

    Reviewed Dec. 7, 2013

    I got a bill for $359.78 for three office visits with my primary care doctor, two in May, one June 16th. Apparently my doctor wasn't covered under my plan until June 20th even though when I searched on the UHC website her name came up as in network. I appealed this with UHC thinking they would cover it but they said because I had no proof and it clearly states on my benefits I am responsible for out of network doctors, I am responsible for the bill and that the website isn't always up to date with who is in network so I should always call to speak to a representative to find out if a doctor is in network even though every time I call, they tell me I can look online and find the doctors that are in network. I find this company dishonest. There was nothing online stating that doctor wasn't in network. Otherwise I wouldn't have chosen her. Not to mention I didn't find any of this out until 6 months after the appointments had happened!!

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    Staff

    Reviewed Dec. 5, 2013

    I'm building a case against them and they are going to pay punitive damages for what I have been through trying to get treatment for my wife's cancer and their arbitrary and capricious enrollment issues that take away my privacy and 4th amendment constitutional right. There is never any continuity on claims or my continuous issues. They are like the Borg and have offices everywhere with flunkee agents that don't help. I'm looking for legal representation to take the case.

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    CoverageProcess

    Reviewed Dec. 2, 2013

    I turned 65 in October 2013 and selected the United Sharp Medicare Advantage plan. I have had COPD Chronic Bronchitis for many years with no coverage and last year had a heart attack and stent. I have been working on my blood pressure and of course doing everything possible to support a healthier & longer life for myself. 6 months ago, I was diagnosed with advanced Sleep Apnea OSA. Logic dictated that I get the cPAP Machine though Medicare so I waited several months and suffered greatly!

    Now finally, after living in hell all that time, I had a new sleep study done. The sleep study report revealed that I stop breathing a minimum of 10 seconds at intervals of an average of 80 times a minute in REM sleep. Think about this for a moment! So the United Healthcare Sharp doctor who requested the sleep study then NOT URGENT?!!! I should have just purchased the cPAP Machine from Canada a long time ago. This program is terrible! Goes on vacation for a week without leaving any notes on my condition thereby lengthening the suffering time waiting for "her signature" on the prescription to generate my badly needed machine.

    After yet one more week of waiting for her to return, I was told she had signed off on the script and now I must wait for the insurance approval. I called in today to see how long this would take and was told that the "review" takes from 3 to 5 days and they would let me know. When I asked why this "review" was even necessary or if they could speed it up, I was told that my United Healthcare/Sharp primary doctor "did not mark it as urgent!" So when my blood pressure spikes roughly 38,400 times in each 8 hour sleep period, this is "NOT URGENT?!! This program is terrible!

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    Customer ServiceCoverageStaff

    Reviewed Nov. 26, 2013

    I turned 65 in September and became eligible for Medicare. I looked at many plans and chose United Health Care Medicare Solution, which I thought was the best policy. Before my coverage kicked in, I had one problem after another. I received notice that I had a "free" membership at silversneakers.com various participating facilities. I went to the local YMCA who is a participating venue, and when the girl checked my membership, told me I didn't qualify BECAUSE I was on "welfare". Yes, I do get "extra help" due to I have a small amount of SS benefit each month. This young woman announced to all the people around me of the coverage I receive. Totally embarrassing me.

    I was a day later at a doctor's office and a receptionist there told me what should I expect since I was on "welfare". Apparently, the medical card which I was issued says "community plan" which tells participating vendors that this person is a welfare patient. I have contact UHC V-P, Gail Boudreaux concerning this practice only to find that it is given to the "Consumer Affairs office". After not hearing anything for a few weeks, I called today to find out that some man had posted in UHC records that he contacted me and that I was uncooperative. What a blatant lie! My present financial conditions affords me the ability to find another company with a medicare plan, which I am going forward to explore and change from this "yuppies" who think they can treat people however they want.

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    Staff

    Reviewed Nov. 21, 2013

    I had an issue where my hair was falling out, my brain was very foggy, and I had gained a great deal of weight over a short period of time. I had gone almost a year without health insurance, so they were allowed to ask questions. Here is the question to doctors/new doctors you are seeing for this situation. "Are you aware if the patient was ever treated in the last 18 months for this disease?" All the doctors were new, and did not have enough history with me, so they said, "No". And as a result, United Health used this as a way to treat this as a "pre-existing condition" and denied to pay them. I was told this by the person who processed the claims!!!!!! I had to go back and have the claims re-processed for a year, but they all finally got paid! PRETTY SLIMY policies. Sounds like their lawyers are telling how to word the claims in an effort to pay doctors!

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    CoverageStaff

    Reviewed Nov. 19, 2013

    As a subscriber of United Healthcare Medicare Advantage insurance, I have had very poor and disinterested service. When I have sought resolution to a problem with United Healthcare services, we get conflicting information and they will not put anything in writing so that you can appeal a decision. The only thing that United Healthcare will give you is a runaround.

    United Healthcare does not regard its customers as people but rather a source of income. Their current behavior of terminating many health care providers and services from their plans has been a major blow to the patients and their families. In many cases, they have not even provided the common courtesy to inform the customer of their actions but have left it to the caregivers to inform the customer that their care providers are no longer acceptable to United Healthcare. They have ripped trusted caregivers out from under the customers, many of which have been long time and great caregivers.

    United Healthcare states that its action is because of the CMS (sequester) reductions and the Affordable Care Act. They say that it is to improve customer health care services. This is hard to believe when they have cut the number of caregivers significantly and are trying to impose ever increasing numbers of patients on fewer caregivers while reducing the compensation to the caregivers. It is also interesting that the Wall Street Journal indicated that United Healthcare made approximately 1.5 Billion Dollars in one month of operation. These poor corporations do not have the money to provide for the customers' healthcare needs but the billions of dollars that they make is not enough for their greedy pockets. Obviously, the customer is an object to be used and abused for the greater profit of the shareholders and corporation. I wonder if they treat their own families the way the treat their customers.

    To be blunt, I cannot recommend United Healthcare for health insurance. They may be the largest healthcare insurer in the nation but they also have become the 800 pound gorilla whose only concern is for greater profits no matter the means or methods of obtaining that goal.

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    Customer ServiceStaff

    Reviewed Nov. 19, 2013

    UHC did everything possible to avoid paying for my son's visits to a psychiatrist. They have come up with all possible reasons (sometimes different) for over 18 months why they could not reimburse me. The last reason (after they got everything they asked for 18 months later and dozens of 1 hour long calls) they sent me a letter saying that they still would not reimburse me because the information they requested from the doctor arrived more than 180 days after the visit. They did receive it multiple times before (according to the doctor) but would not admit it. Their business model is: let's try to do everything in our power to avoid paying the consumer; let's concentrate on getting the premiums, the rest is not important. What a shameless bunch of people. They don't deserve to be in business. Avoid them at all costs.

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    Customer ServicePrice

    Reviewed Nov. 10, 2013

    Had a severe sinus infection & sore throat, was prescribed Antibiotics. It looks like it's very hard to get UHC Oxford Optum Rx to pay for an Rx if you need it on a weekend. UHC Oxford told the pharmacy they wouldn't pay without Prior Authorization, that the prescribing physician had to call the PA line first. He called the PA line and it said they were closed on the weekend. Called Oxford and got the runaround being tossed from one department to another over several hours. "You should have called the PA department first, they're open, oh wait, I guess they're not open anymore, let me transfer you to a supervisor."

    Supervisor: "We're just a third party to read you your plan policy, we can't help more because we don't work for Oxford, we are only under contract. We need your physician to talk to the PA department to confirm this medication is necessary." Isn't that the reason a physician writes an Rx in the first place? I ended up paying my insurance premium, and for my Rx ($167) out of pocket. Instead of my insurance paying for my Rx, my insurance premium is a cost on top of my medical expenses and adds no value, just a waste of my time.

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    Customer ServiceStaff

    Reviewed Nov. 9, 2013

    I just read the following posted in Tampa Bay, FL newspaper and can tell you how United Healthcare is operating to keep large profit margins: United Healthcare, the nation's largest health insurer, is hardly hurting. It earned a $2 billion profit in the third quarter of 2013, company reports say. But that was down $200 million from the same quarter last year, largely due to changes in Medicare advantage.

    68 year old man with a fractured leg bone is denied a diagnostic test so that the degree of injury can be determined and treated. During nine days, bedridden and in pain, the "review board" was given numerous documents by the treating physician and used one word or phrase in the doctor's notes to find the loophole to deny the test. The most recent communication with a representative was to go to the emergency room and get some pain medication (that's a $100 co-pay plus the cost of the medicine) and the painful experience of getting transported to the emergency room.

    United Healthcare's review physicians have long forgotten to "first do no harm". This is outrageous...if this was one of their loved ones, you can bet they would not be allowed to be in pain hoping for treatment! I hope they all choke on their profit margin!!

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    Customer ServiceOnline & AppStaff

    Reviewed Nov. 8, 2013

    Unfortunately I am in a PSA reduction area. I live on the island of Maui and as of October 1st, they got rid of Tricare Prime for all outer island retirees. We all knew a year in advance and made preparations for October 1st. Starting in July, I called UMHC and read literature that as long as you live within a hundred miles of a valid Tricare Prime Primary Care Manager, you could keep your Tricare Prime (Sound Familiar, Obamacare). Also, you would have to resubmit a new application with the PCMs. You would also have to sign in the application a travel time waiver stating that your travel time may exceed 30 minutes. No problem.

    I used their website to find 2 PCMs within a 100 miles and sent off the application. I called every week to verify if everything was complete. Every representative reassured me everything was good. I never received any paperwork from UMHC saying that my application was accepted or denied. I even called a week before October 1st and was reassured everything was in order. Unfortunately I had a medical issue the first week and had to get medical care. I looked online on UHMC and I had been knocked down to Standard.

    So I called UHMC to find out what is wrong. They keep on telling me that I do not live close enough for a Prime PCM. All of you vets know that Oahu has the largest Navy, Army, Air Force and Marine Corp bases. This representative had no idea and I always got a different answer from each representative. Also the doctor's list on their website is incorrect. Most of those doctors' info is out of date or incorrect. They don't even use that list to find your PCM. The zip code for the doctor I requested is 96753 which is not in a PSA reduction zone. They had it listed as 96086, which is Siskiyou County, California. So no wonder they keep denying my application.

    I have talked to numerous managers who have used the standard tool for distance (Go figure, Google Maps) and measure the PCMs at 96.3 Miles and 95.1 miles. I also had a representative tell me I had to be 100 miles from a Military Treatment Facility. Kaneohe Marine Corp Air Station Medical Clinic is 98 miles from my house. I had to call each PCM, verify they accept Tricare Prime, Accepting Patients and was able to take kids (6 Yr old). So with all this information, Acceptable PCMs (which I had to verify with the Representative because the website is of no use), distance (which was measured by at least 3 managers and in which those managers emailed saying the zip codes were incorrect and on top of that there are acceptable PCMs at 85 miles), then sent to enrollment.

    What do I get. Letter saying I live in a PSA reduction area. No **. Don't try to get to anyone in enrollment. That is not possible because they don't exist in this realm of reality. I am so flustered I am going to write my congressman and then I am getting a lawyer. If any of you are having the same difficulties let me know. If any of you have any suggestions it would be much appreciated.

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    Customer ServiceCoverageStaff

    Reviewed Nov. 8, 2013

    I had United Healthcare through my prior employer. I paid about $260 a month for medical care for my daughter and I. We had behavioral healthcare and medical healthcare and the deductible was $1000 per person. My daughter was having behavioral, mental and substance abuse problems and she needed help. She had a diagnosis from an outside agency and the recommendation was for long term in patient care. United Healthcare only provided two in patient clinics. Neither offered the help needed for her mental health. We found one within 20 miles of our home but it was only for the substance abuse portion. We went through the assessment process for the UH provided per the insurance requirements. The treatment facility found that she was eligible for substance abuse treatment (the only piece they could diagnose). They recommended in patient care. We now had two assessments recommending long term care; however the treatment facility (both that were in our network) only offered 28 - 30 day treatment programs.

    United Healthcare denied payment. I read through my policy and found that she was eligible and had to appeal. After the first appeal, UH only approved three days of treatment even though the treatment program was 28 days. This was only approved after I spent hours on the phone with one of the representatives and contacted my employer. Unfortunately due to HIPPA, my company (who was covering 75% of the costs) couldn't get involved in an effective way. They kept having to defer me to the representative. For the next 21 days my daughter's treatment was reviewed every three days to determine whether or not she would still be eligible for treatment. Their reasoning? They didn't pay for programs, they only paid for what they deemed as necessary care.

    My daughter was using methamphetamine, ecstasy, marijuana, alcohol, ** (no prescription), mushrooms and cigarettes and she was only 15 years old. She was running away from home to live on the streets, she was cutting her arms and her legs, she had dropped out of school, her friends were all addicts, she was attending raves, she had been arrested three times and on and on and on and even with two assessments United Healthcare denied treatment after 21 days. I went through the appeals process until I ran out of appeals. To get my daughter the care she needed, I paid nearly $4000 out of pocket to get her in treatment and when they denied payment for treatment I drained my savings account to continue care.

    I couldn't believe that I was spending $5100 a year for health care and then even more on top of that to actually get the services we needed and when it was time to UH to pay up? They refused. One of the biggest problems we encountered is that UH uses the APA guidelines to determine care and their own internal guidelines to determine care. WA state where we live uses ASAM criteria for substance abuse which is different than the APA. The bigger issue is that the guidelines that UH uses are also internal guidelines which they won't share with you. UH is a company who strives to keep their stockholders happy not their customers. UH wants to take your money but that's really the end of the deal. They take your money and you pay for your medical costs.

    I've learned since that UH denies payment as a regular practice. I'm appalled at the thought that we pay for medical insurance and it's hard to actually get coverage. Over the three years I was with UH, I paid them A LOT of money and I rarely met my deductible. When we actually needed our medical insurance, they did everything they could to deny my child treatment. Over the years, I paid them nearly $10k and for the first two years, they didn't pay a DIME to my doctors because the deductibles were so high it was all out of pocket. The final year I paid $8600 in healthcare costs and they paid about $6k. How in the world does that work? I would rather pay a penalty tax to our government than ever give UH another cent.

    Their representatives are there to look out for the company's bottom line, not your medical needs. You pay in more than they will ever pay. It's not a good or even poor value for the money, the coverage is non-existent.

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    CoverageStaff

    Reviewed Nov. 8, 2013

    Should have been no star rating for UHC Military. I have been waiting for my biopsy authorization since last week, but until now have not received it. UHC Military had given me the runaround. UHC Mil denied the authorization request two times due to their failure to correct the no other health insurance code on their computer application. The representatives even blamed DEERS. I contacted DEERS and I was told that DEERS does not have anything to do with UHCMILITARY other health insurance issues.

    I called UHCMil and spoke with another employee and relayed the information I that I learned from DEERS. The employee told me that indeed DEERS does not have anything to do with the UHCMil computer process. To make the story short, I was told by another employee from claims that their claims and authorization departments now have matching record that I do not have no other insurance.

    After that, I was also told to have my doctor to resubmit the request again. This is the third time. I told the employee that UHCMil should just take care of their erroneous denials and correct it internally. I still do not have the authorization to have my lung disease biopsy. My hospital procedure schedule was cancelled two times already. Is there any class action lawsuit against UHC for endangering patients' lives?

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    Reviewed Nov. 1, 2013

    I have been on the phone every 2 weeks with UHC concerning preexisting. They say they mail letters to my drs but yet never receive them. They pre-authorized the surgery. Looks like the bill is on me.

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    Customer ServiceCoveragePunctuality & SpeedStaff

    Reviewed Oct. 26, 2013

    After Tricare military health insurance switched from Triwest to United Healthcare, my referrals have been repeatedly denied stating I have other health insurance...which I do not and never have. I have other dental insurance which (after at least 20-30 minutes of waiting on the phone to get a representative), they state they can see in the system and my referrals should not be denied for having other healthcare insurance. Well! That is great news! However, despite them stating they added notes to the system and even being transferred to the referral management team at one point (who did fix two referrals while I refused to hang up the phone as this was already my 3rd phone call and promised this issue would be fixed from then on); there is still an issue every time I have a new referral.

    Most recently, I have a referral that I called regarding and they promised me that they saw the note about dental insurance and NOT other health insurance and they would resubmit the referral for processing. They asked me to check the website for updates to the referral and it should have been updated in 24-48 hours. Seven days later, it still wasn't updated...so, I called again. I asked for a supervisor. Denied, he was busy. Asked for the referral management team, they don't take incoming calls. I explained my previous issues and how I HAD spoken to the referral management team before after being transferred there. Sorry. I asked to have a manager call me back. She said she could do that.

    Four weeks later and still no call. I am starting to believe that they deny referrals and make people frustrated JUST to the point they say it isn't worth it. The point is however, my husband earns these benefits for our family... Regardless, of whether they want to approve it or not, they are choosing not to. It sounds like I am not the only frustrated member of the military's new Tricare provider, United Healthcare. I want TriWest back... Who is with me?!?!?! Good customer service all around and accuracy in their computer systems. Is that so much to ask?

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Oct. 22, 2013

    Recurrent Diverticulitis. Third episode. Treated for two weeks with oral antibiotics. Went to surgeon for consult. He direct admitted me to hospital for IV antibiotics. Stayed for days, left with PICC line. Did ten days IV antibiotics at home. Two weeks later, no better. Drove to ER, admitted again for four more days IV antibiotics. Went home with PICC again for home IV before 10 inches colon removed. UHC has denied both hospital stays for IV treatment as unnecessary. Hospital and surgeon have appealed twice, been turned down twice.

    Result: I am stuck with $26,000 in hospital bills. Impossible to get answers from telephone calls to UHC. The reps on telephone have no idea what they are talking about, can't refer you to a supervisor and don't have telephone number for appeals department. Tried to call INC from hospital and they don't take calls on weekends. UHH acts in bad faith. I will have to refer to Virginia Insurance Commission as last option. DO NOT ever select UHC as your insurance company.

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    Customer ServiceContract & TermsCoveragePrice

    Reviewed Oct. 21, 2013

    The new "United Healthcare Military" is HORRIBLE!! I am trying to make a complaint against them with the BBB but honestly, what good will it do? They control the West region for the military and have a contract. First, when they first switched over, I sent in my paperwork like they asked me for automatic payments. In May, I had some paperwork come to and so I called and they said I was fine and my payment was received... THEN in June, I was told that we were dropped! WHAT??! They LIED TO ME...

    THEN, I was without insurance for a month, not my fault, and also had a lady actually laugh at me. I finally got it fixed under the condition of resending another automatic pay and paying three months ahead. Well, this is October. My payment STILL won't go automatically... Every time I call, they say we are paid until November, which isn't true. They are HORRIBLE, HORRIBLE, HORRIBLE! I am about to switch over to my husband's insurance, which is a shame since it is a good price.

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    Reviewed Oct. 18, 2013

    In April, I was told I needed a total hip replacement. My joint was totally worn out and I was in extreme pain. It was sent to United Health Care who just took over for Tricare West. After months of the doctor submitting info, we were given the okay, and an authorization number. That was in July and surgery was July 9th. Now here I am in October, and the claims related to the surgery are being denied, and bills keep coming. Now they're saying that was an incorrect authorization number, the hospital is appealing, and the surgeon is fighting too. Now I am having to pay some bills just to keep myself out of collections. A nightmare, Tricare Insurance now sucks, or is it United???

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    UnitedHealthCare Company Information

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    www.uhc.com