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UnitedHealthCare Reviews

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About UnitedHealthCare

UnitedHealthcare (UHC) offers insurance for individuals and families, employer groups, Medicare beneficiaries and Medicaid members. Its products include medical, dental, vision and supplemental plans, with prescription drug coverage available through select plans. Benefits and availability vary by location and plan type, and members can use its online tools to find care and manage benefits.

Visit www.uhc.com
Pros
  • Multiple coverage types
  • Dental, vision and supplemental options
  • Online provider and benefit tools options
  • Virtual care on select plans
Cons
  • Benefits vary by plan and location
  • Network and referral rules may limit provider choice
  • Costs and prescription coverage vary by plan

UnitedHealthCare Reviews

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    Page 22 Reviews 2930 - 3080
    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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    CoverageStaff

    Reviewed Oct. 11, 2013

    Extremely poorly trained representatives who are not proficient in either the plans or problem resolution: Downright wrong information given out. A different representative on each call; increased confusion, no continuity. Enormous amount of wasted time; progress all but impossible. Computer system doesn't systematically accommodate complaint history. Confusion & errors mount up; untold frustration. Multiple copies of paperwork lost. Reps either unaware of policy provisions, or chose to ignore them.

    If a relatively minor covered item entails all of this, what might it be like for a major operation? I wasn't waiting around to find out. Enter my new healthcare provider, HealthNet. Exact same item sought but not obtained through United Healthcare (though it was specifically covered in its contract) was delivered by HealthNet without any hassle in less than two weeks of policy commencement!

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    Customer ServiceCoverageStaff

    Reviewed Oct. 10, 2013

    I signed up for the AARP endorsed Medicare Part D, prescription coverage, in October 2013. I did this after using online calculations and finding that the policy, through United Health Care, covered all of my prescriptions and had the lowest premium after figuring in the annual deductible. It was only a few dollars less than other companies. The calculator gave me a choice of plans from 7 companies. I signed up for a monthly premium of $15 from United Health Care. I called United Health Care and spoke to representatives about the coverage and paid the first month premium for October 2013. I received my payment book a week later and discovered that in January 2014, my monthly premium goes up to $22.60 which is a 53% increase! I realize that health insurance generally goes up 15-20% per year. However, I have never heard of a 53% increase!

    Had I known of this significant increase in 2014, I would have looked more closely at other policies. I can't imagine every company is going to have a 53% increase in their premium. I am also distributed that when I spoke to two company representatives they did not inform me of the increase, although it is only 3 months away. A word to the wise -- before you sign up for Part D prescription coverage, call or email the company and ask how much they plan to increase the premium the following year.

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    Coverage

    Reviewed Oct. 9, 2013

    United Healthcare informed many Doctors in our community on July 1st that they were no longer providers. They are just contacting the patients at this time. In addition, they have cancelled Gym silver sneakers coverage. Cancelled Eye exams, Cancelled Dental cleanings and check ups and personally, if I stay with the plan, I lose my Cardiologist, GI Dr. and family doctor. United Healthcare is not interested in any dialog. "If you don't like it, find another plan." It is both devastating and outrageous.

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    Contract & TermsCoveragePricePunctuality & SpeedStaff

    Reviewed Oct. 4, 2013

    By the time you made it through the million hurdles to get healthcare, you will probably be dead from lack of tests or not following obscure dumb rules for referrals. This is the worst insurance company ever. For the state, the contract changed from Blue Cross Blue Shield managing it to these morons. They purposely make it difficult to keep up with referrals as they are extremely limited in their time and number of visits. If you happen to go to a specialist once a year and a doctor you have seen previously, what is the point of a referral? Since the doctors coordinate these electronically to save money, you may never see these referrals happening or not happening.

    I agree with others that if the Affordable Healthcare Act is supposed to work for the people, there should be some oversight on this. There are actually insurance companies that do not even need referrals if the 'specialist' is in their network. This is just one more scheme to make their numbers look good for cheap costs on claim processing to the businesses. It is possible their costs to process a claim are lower than the competition, it is because they will find some minute little wording to not have to pay a claim. I am still trying to figure out why there are co-pays for general services. Paying premiums of hundreds of dollars (and for some thousands of dollars) a month for a service, what are we actually getting for these high premiums? Kicked in the teeth by obscure policy and code. I am sure Obama being a government employee is not using this low budget insurance company.

    You can pretty much forget about their appeal a claim process because they will find some little word to turn it against you and blame it on you as the poor little person that did not read twenty plus pages of obscure language in the policy. It has actually become that the insurance companies run how the hospitals and doctors practice medicine. It is not about getting affordable quality care and taking care of the patient. It is more like, can the doctor see four to eight patients an hour and get them through the door. Pass them off to the primary care doctor and give someone pills just to make them happy. And do not run any tests since that will cost money. Isn't the purpose of testing to help prevent a more expensive outcome later?

    United Healthcare is NOT in business to heal people, they are in business to make money. Doctors are in business to heal people. I believe a doctor has gone to school way more years than a business person and would know when specialized care is needed. It is not a prudent use of resources to waste time and money keeping track of referral paperwork. I would be interested in the number of people that are denied claims because of lack of referral paperwork. Referrals just seem like a lot of wasted money having old fax machines, keeping up logging of these items, having someone check if it is within this time frame, has the person exceeded the number of approved visits, and on and on. If the doctor that has contracted with UHC is the primary or a specialist in their network, there should not be a referral system.

    What has UHC done by listing these primary and specialist 'in network' done? If they are in the list, haven't they agreed to certain contracted limits on costs already. It is not necessary to have referrals and have extra overhead costs in maintaining such frivolous information. What is actually on the referral? One doctor stating my patient needs more extensive help than I can provide and I am referring them to the care of a physician who had more schooling in one particular body part more than I did basically. I cannot see how a referral system saves the insurance company money except that they do not have to pay claims fully.

    There should be a ZERO ranking as one is way too high. Power to the people to stand up and fight for corruption in healthcare.

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    Customer ServiceCoverageStaff

    Reviewed Sept. 23, 2013

    I've had numerous problems with UHC military's mental health coverage. I am a military wife and have a panic disorder that can be severe if not controlled by medicine. Once my SSRI had a generic, they no longer covered my name brand, which was fine, until I noticed that I had increasing anxiety after I started on the generic. We eventually paid my name brand out of pocket and appealed the decision, even having a doctor's note to say I needed the name brand. They denied and denied until I gave up and switched medications. I was out about $1500.

    The other issue I had was with counseling. I had called in before I started seeing a counselor and was told it would be no problem even though it was someone specializing in panic disorder and OCD. This provider did not deal with insurance directly, but gave me a detailed receipt to mail to insurance for reimbursement. When I had been going to the counselor weekly for 2 months, I got a denial letter. I appealed and appealed but they claimed it was out of network and they wouldn't cover it at all. I was again out more than $1000 and was not able to complete counseling.

    These people are crooks! I never had this trouble with Tricare West. Their mo is to deny, deny, deny until you get so frustrated and confused you give up. Ridiculous. No matter so many mental health issues in the military go un-noted.

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    Contract & TermsStaff

    Reviewed Sept. 18, 2013

    I worked for Care Improvement Plus as an insurance agent for approximately three years. During this time, I sold and serviced many clients. About a year ago United Healthcare acquisition CIP. As the new owners, they stopped paying earned commissions to me. Yet, they still hold my clients on the books of business. They stated that it was due to a failed background check. I can understand not renewing my contract, but I don't understand not paying me Agreed for clients gained by my hard work and efforts. Just because I didn't pass background this year does not justify not paying me for business written years ago!

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    Contract & TermsCoverageSales & MarketingStaff

    Reviewed Sept. 18, 2013

    I am a healthcare provider for the military, both active duty, dependent and retirees. I provide sleep appliances for people with sleep apnea to control a life threatening condition. My association started when Tricare was managed by TriWest insurance company. During that time we had no problems getting patient their due coverage for claims. United Healthcare filed a claim with the government stating that TriWest was cheating the government. Consequently TriWest was fined $10 million, and subsequently lost their military contract.

    United Healthcare took over, supposedly in May 2013, and since then the military care has been in a shambles. We no longer are approved as a provider and patients that were under my care can no longer receive treatment from me, nor can I refer them to other providers as I am not an approved treater. My staff have been trying since 6 months before the switch to get credentialed by United Healthcare, and all we get is that it will happen next week. Well next week has turned into almost a year and nothing has happened. This should be considered a criminal offense by the government and United Healthcare should be banned from providing care to our military. Why is Obama not stepping in to correct this criminal behavior?

    In addition, I, ironically, carry United Healthcare in my office for myself and my staff's medical insurance. Our experience with them has been abominable as well. I have a claim into them for $12,000 dollars of medical care that they have not paid and refuse to review, even though it is within the statutes of my policy and the laws that govern them. I have filed an appeal which they refuse to acknowledge saying it was filed too late, when in fact it was not. I believe this is a serious situation and the outcome will prove to be another corrupt business, close to if not worse than the scandals of the financial institutions of this country that are yet to be fully punished. What a SCAM!

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    Customer ServiceContract & TermsCoverage

    Reviewed Sept. 17, 2013

    I have been trying for over a month to get a single case agreement for my son to see a certain provider at her new location in our pediatrician's office. She is running into walls from the provider's side trying to be covered by the insurance in her new location. In the meantime, it is getting more and more dire that my son see this provider. So I ask for a single case agreement from United Healthcare. They do not have a form I can fill out and send in. I have to give as much information about my son's "case" to a call center employee who then takes it up the ladder to have someone who doesn't know me or my son make a decision about coverage.

    The call center called me back at 6 am my time leaving a message without any contact information whatsoever telling me my request for single case agreement was denied. She proceeded in the message to tell me the reason it was denied was that she could find me an in-network appointment over an hour away from my house with another provider. In calling back the call center to explain how far away that was and asking to re-negotiate their stand, they sent me from person to person with the exact same story about the fact that my provider could not be considered because there was an appointment available an hour away.

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    Customer ServiceStaff

    Reviewed Sept. 14, 2013

    These people are unbelievable. The agents I have wasted over 4 hours on the phone with the last week have ranged from utterly incompetent to hostile and rude. They blame my doctor for not filling out referral notices correctly... Ummm, she never had an issue ever with TriWest. Every referral she filled out with them was fine. But now, all of a sudden, my chronically ill children have no referrals for care and it looks like I'm going to be paying huge bills due to the incompetence of United Healthcare Military and Veterans. I wish there were a "0" star rating because I passed "Angry" about 4 weeks ago.

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    Customer ServiceStaff

    Reviewed Sept. 13, 2013

    Yes I was going to get insurance with this company, but the insurance agent was very rude and stated he would not go over any type of insurance quotes with me because I wasn't serious about purchasing. I considered that to be very rude and that kind of attitude has led me to believe that this is not the company that I should be spending my hard-earned money with. Thank you.

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    Customer ServiceSales & MarketingStaff

    Reviewed Sept. 11, 2013

    I know many people who have this coverage. There are bills left unpaid for years. Should these people write the state Attorney General in Trenton or better to get a high-powered lawyer for class action. These people are having their credit ruined while they continue to pay for their "health care (???)" benefit. I have seen these people reduced to tears. They place maybe 25 calls over the course of a year and never get one response. Someone must put an end to this horrible service which borders on scam. Please help.

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    Coverage

    Reviewed Aug. 30, 2013

    I am a provider who works with lots of military families. When they took over Tricare in April, I expected a few bumps, but I never expected this. Since April I have submitted hundreds of claims over and over, and to date I have been paid for THREE claims. I have not billed my military families as I know they cannot pay me, AND they shouldn't have to. They have coverage. If you are military, don't take any crap from them. Contact your congressman immediately! Ask your providers to do the same. State Insurance Commissions have NO oversight of these monsters only congress.

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    Customer ServiceStaff

    Reviewed Aug. 7, 2013

    My 13-year-old son fell at a gym one evening before Christmas, and landed on his mouth losing his top 4 front teeth. I went with him to emergency care at a dentist the next day after looking to find a dentist open before Christmas that could provide relief for him. When we arrived at the dentist, we called United Health Care and they gave a preapproval for the dentist to do the work. The procedure required to repair the injury was 4 root canals, 4 caps, and 4 crowns. Some of the root canal work had to be done by a specialist. It took 5 months to complete all of the work on his teeth. After 1 year 9 months and $16000 worth of medical expenses, United Health Care has paid nothing. They have denied responsibility for the claim and said we did not claim within the window of time that was required. I have filed numerous appeals, but all without success. I believe his patient rights have been violated and I believe that United Health Care is bound by law not to deny emergency health care insurance claims from an accident.

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    Reviewed Aug. 5, 2013

    After being on Tamoxifen for 4 years my doc switched me to Aromisin. I went to get my script filled for usual 3 month supply and was told cost was 360+, for 1 month. I almost had a heart attack right then and there! No help at all from United Healthcare to pay for these necessary pills. I know others on this that pay zero out of pocket. I have since gone on line and now am forced to purchase my prescription drug for breast cancer treatment from Europe online. Ridiculous!

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    Customer ServiceCoverageStaff

    Reviewed Aug. 2, 2013

    I went for a routine physical and I received a bill in the mail for cholesterol testing. I called UHC to check what that was about, since physicals are covered at 100%. The rep advised me that from this year, cholesterol testing will only be covered if the doctor suspects that there is a health problem. This is a chicken before the egg situation, since a problem can surface only after the test is performed. Anyway, I asked to speak to the supervisor and she said that a sup will call me back within 72 hours. When I did not get any callback, I called back and was told that a vmail was left. Clearly, they were lying since I would have known if my phone had recorded a vmail. The next rep that I spoke to said that cholesterol testing was covered but argued that UHC was not covering since the medical facility coded it incorrectly.

    So, I called the medical facility and I was informed that they had coded it correctly. I then asked them to call UHC to clarify the issue. They called UHC and UHC admitted it as a billing error and accepted the charge. The reason why I am writing in is that this has not happened with UHC for the first time. Last year also, they refused to pay a bill for another routine physical procedure and the hospital sent me the bill. UHC will try to get out of these payments to the extent possible and have patients pay the premium and also the procedure charges. Also, their customer reps are extremely ill-informed and need to improve their knowledge and stop lying.

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    Customer ServiceCoverageStaff

    Reviewed July 30, 2013

    I'm a member of the Navy reserve and get insurance for me and my family through Tricare. The military recently contracted with UHC to administer their Tricare. Ever since UHC took over we have had nothing but problems. They cancelled our insurance stating we never paid our premiums. Turns out that when UHC took over they never continued our electronic funds transfer to cover the insurance. Okay, it was part my bad for not staying on top of my sank account to make sure they were taking the money but it was never an issue before these clowns took over. So then UHC said we could submit an application for reinstatement. I submitted the application and then was told it would take "5-10 business days" for them to process.

    After two weeks I hadn't heard anything so I called UHC. They said, "Oh... we are missing a page of the application". So I had to resend the application and then was told it would be "5-10 business days". Two weeks later they finally told me that the application looks good but they need the back premiums. I had the back premiums because they never took it from me to start with. So I gave the woman my numbers and expected to be reinstated. Keep in mind my wife is pregnant and needed to get in to see her OB doc. She called her doctor and was told we still didn't have coverage. I called UHC AGAIN and was AGAIN told it would take another "5-10 business days" to process the payment. I called UHC every other day and was told to check back "on Friday". They also kept telling me that they were putting comments in the notes to "expedite" my requests.

    So meanwhile it has been two+ weeks since I paid the back premiums. My wife is still pregnant and hasn't been able to see her doctor... she hasn't been able to fill her prescriptions... and now my 4 year old son is sick and I'm going to have to pay out of pocket for his care. I called UHC yesterday and was told by someone else that it takes "Thirty or more days to process a reinstatement". Why didn't they tell me that in the beginning??? And seriously, what takes so long??? I told UHC several times that if they could not or would not insure me then to please let me know and I'll shop around for other insurance (which I'm about to do) but they keep telling me they want our business. The people have always been friendly on the phone but if the military contracted with the lowest bidder they definitely got what they paid for. And I still don't have health insurance.

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    CoverageProcess

    Reviewed July 26, 2013

    I had some blood taken and some basic lab work done back in December of 2012. For the last 7 months I have been sending in the same forms to United Health Care because they keep "asking for more information". They keep asking me if I have had insurance with a previous employer and I say no and mail the form in. Then I get letters from my doctor saying my claim is denied and I owe money because UHC won't process it. I resubmit the claim, get the forms in the mail again and once again denied because they say they never got the forms. The process repeats again.

    Then I submitted them electronically last month hoping to resolve the problem and yesterday I receive the same form again. The entire process is so asinine. I pay hundreds of dollars a month to insure my family on top of what my employer is paying and they can't even pay a bill for $200. They would rather play games and send me the same stupid form over and over so they can deny my claim. I hate to imagine what would happen if I ever got really sick. What is the point of paying for this type of insurance if it won't be there when you need it...

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    Staff

    Reviewed July 23, 2013

    Now, my doctors are taking me off all that kept me free from hospitalization for seven years! My young sons are special needs, their father abusive, and they depend on me. I cannot go through this again. I attempted to follow my doctor's cuts and was in horrible shape. This so-called medical director whom the insurance cannot find also said I was on narcotics!!!!

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    Customer ServicePunctuality & Speed

    Reviewed July 10, 2013

    My mother-in-law had a massive stroke in April. She was in a coma for a couple of weeks because of it. Her horrendous employer decided to drop her insurance and put her on COBRA (without letting us know ahead of time). On the day we needed to move her to a rehab home, we were informed that my mother-in-law had no health insurance. It had been dropped and we needed to file for emergency COBRA so she could not be moved to where she needed to go to fulfill her needs to get physical therapy and trach care. My husband was on the phone for hours with United Healthcare to file for emergency COBRA (we later learned that there is a 60-day grace period and it was illegal for the insurance to stop).

    To top it all off, unfortunately, my mother in law passed away and we have gone through a lot of ** to get a refund for the COBRA that we should have never had to pay to begin with. United makes a lot of excuses as to why we haven't been refunded...It's petty, unbelievable and sad. They took our money so quickly and while we are mourning her death, we have to fight for something that is rightfully ours. There are no words...

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    CoverageStaff

    Reviewed July 8, 2013

    I was treated at the ER of Sound Shore Hospital, New Rochelle NY. I was in extreme pain and my finger was swollen and throbbing. I went to ER seeking medical help and was x-rayed, given a tetanus shot and the physician who was there on duty, ER physician, informed me he was going to open the infection in an effort to relieve the pressure, thus reducing the swelling. This procedure was performed. I was given prescriptions for pain pills and antibiotics. All information pertaining to my health insurance was given at the desk and I was assured all was fully covered.

    I have been receiving bill after bill from the ER physician for the amount of $6,000.00. Health care plan paid NOTHING to this doctor and this physician, who I later learned was out of network, claimed I now owe him his fee of $6,000.00. I have appealed this with the health care plan and am continuously denied!!! I need some help in getting this physician to leave me alone and stop with his ridiculous bills, as well as the threat of being put into a collection agency! This has become a total nightmare for me and I am at the end of my rope. I CANNOT PAY THIS LUDICROUS FEE and think it is totally absurd for a physician who is on staff, was the on duty ER physician to even do this to me. What can I do???

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    Staff

    Reviewed July 3, 2013

    In January 2013, United Healthcare acting through contracts with Medicare and AARP/Complete made a decision not to allow patients to see out of network providers. This decision has had a negative impact on many patients that are being told they cannot see doctors they may have been seeing for many years causing these elderly individuals great distress. It is especially difficult when this involves a specialist like myself, a psychiatrist. It is very difficult for patients to change doctors but is even worse when this is a psychiatrist with whom you have established a therapeutic alliance. This is very unfair and is causing great distress to these members.

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    Customer ServiceCoverage

    Reviewed July 3, 2013

    They cancelled my wife's health coverage for failure to give my bank account information. After the latest IRS scandals, my latest dealings with the VA, the VA asking for details about my bank accounts, rampant spending, rogue government spying and sharing information, I'm not about to give bank account withdrawal authorization to anyone in government at this time. My ability to trust them at this point is very limited after what I have been through. If that is what it takes as a condition to be enrolled, I am willing to look for alternatives for insurance and my wife's future medical treatments if necessary.

    I have made it very clear with UHC that I'm willing to setup an EFT as long as I have control of my funds going out. What TRICARE/UHC is asking me to do is unconstitutional as it violates my 4th amendment rights to privacy and control of my assets. It also violates The Electronic Funds Transfer Act $ 913 so what they are doing is illegal! I have also been burned in the past and had my identity stolen, and I'm being very careful of who controls my finances. The TRICARE/United Healthcare issue is a separate issue that I must fight.

    United Healthcare has been almost impossible on the phone. When I do finally get them on the phone, I have spent hours on hold and relayed to another operator trying to get to the bottom of this issue. Their claim processing seems to be better but their billing department practices are illegal and I feel justified to question them. I currently have this case with the GI Rights hotline, The ALCU, Congress,

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    Customer Service

    Reviewed June 25, 2013

    I have very bad knees and have needed to have both replaced for many years. I have waited until I can no longer stand the pain and am almost unable to walk. UHC wants information and procedure codes and once they get them, the facility doing the MRI is told the doctor, already very busy, has to contact UHC to request the procedure. After the MRI is finished, UHC takes 3 to 4 weeks to give the surgery the go ahead.

    If I was on Medicaid, I could walk in the door of the imaging dept. and answer no questions at all and get premium care. All of my deductibles and out of pocket costs allow ever useless POS NON-PRODUCTIVE PIECE OF HUMAN GARBAGE to have everything, and I get declined or have terrible wait times to get anything done while paying bills the garbage in this world.

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    Coverage

    Reviewed June 22, 2013

    United Healthcare for Veteran is demanding my bank account information so they can make automated Electronic Fund Transfers (EFT's) from my bank account. I told them I'm willing to push funds to them but I will not allow them to pull funds from me. This is a violation of my banking account rights. I reserve the right to manage my payees. My wife is being treated for cancer. She had an appointment scheduled for June 24, 2013. Without my notification, they cancelled my policy interrupting my wife's treatments, but they gladly took my online bank payment on June 20. This is going to be a $$$$$ lawsuit for failure to provide services after payment was made. They are looking at an $800,000 punitive lawsuit because of the interruption of coverage. What right do they have to terminate my wife's coverage without notifying me in time? They will reinstate the policy or the lawsuit will go to $5 million.

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    Coverage

    Reviewed June 19, 2013

    UHC gets your money then doesn't pay on claims. File a complaint against UHC to your State Board of Insurance, Better Business Bureau and Attorney General. If you know an attorney that will write them a letter, do it. UHC keeps changing my insurance to Medicare as my PRIMARY, and I tell them I DON’T HAVE Medicare, and they REFUSE to listen. They change it every 3 months like clockwork. I filed a complaint with the State because they are actually breaking the law. I will get my own insurance next time, and not depend on my job. They want your money and don't give service. It is legalized, you know what! Good luck!

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    Staff

    Reviewed June 19, 2013

    The problem with UHC is that they are literally above the law. They are not governed at the state or federal level. ERISA has no control over them and the Texas (or any other state) Department of Insurance has no control over them. So who do they need to be accountable to? No one. When you put this much power in one person or corporation's hands, it is at risk for being abused, and UHC has abused it to its full potential. Our OB/GYN practice has increased its workload considerably since the state has dumped Blue Cross and taken on UHC (due to their dirt-cheap rates) as their insurance provider. It is taking several months to get claims paid and we are having to fight for every dollar we get... which is less than Medicare reimbursement. UHC has been in several lawsuits and fined large amounts. The problem is, they pay their fine and continue doing what they've always done. It is cheaper for them to pay the fine than to pay legitimate clean claims and offer a "fair" fee schedule.

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    Staff

    Reviewed June 18, 2013

    My wife had a colonoscopy performed on 1/08/2013. United Healthcare just handles our company's claims. Our guidelines pay 100 percent for one colonoscopy per year no matter what kind it is. Yet they have no competent people that understand this. They've been contacted numerous times about this and can't get it straight. Now I have received a letter from a collection agency over this matter. If there are any lawyers out there that want to help me sue, I welcome you.

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    Staff

    Reviewed June 14, 2013

    My daughter had to go to a specialist. The specialist told me they take United Health Care. I called my daughter's primary Care Physician where I talked to the lady who does referrals. She said she had gotten the approval and my husband picked up. I took my daughter to the specialist and paid my co-pay. Now 1 month later, I get a claim saying that I owe over $248 to the specialist because United Health Care denied my claim saying that my referral was no good and the doctor was out of network. I haven't dealt with them yet but Monday, I will call the pediatrician and talk to the referral lady and see if she can get down to the bottom of things. I'm not looking forward to dealing with United Health Care because I've heard horrible things.

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    CoveragePrice

    Reviewed June 11, 2013

    Our second appeal to United Healthcare was upheld and UHC will not cover GH after they reach their limit of $10,000. Our appeal to United Healthcare was for our 10-year-old daughter. She was diagnosed with Turner Syndrome. Turner Syndrome affects about 1 in every 2500 females and is a genetic disorder that affects a girl's development. Girls who have this are at risk for health difficulties such as high blood pressure, kidney problems, diabetes, cataracts, hormone deficiency, infertility, osteoporosis and thyroid problems. She was diagnosed with a growth hormone deficiency due to Turner syndrome.

    Growth Hormone is a crucial hormone for her to continue to have a healthy life. Growth hormones affect much more than just a child's height. The entire body is affected by a growth hormone deficiency. Serious health issues can arise relating to: heart strength, lung capacity, bone density, liver, kidney and immune system function and much more can all be impacted by growth hormone deficiency. Growth hormone is an essential component for every child.

    Growth hormone treatment for girls with Turner Syndrome is a standard of care and, based on this information, we have asked that United Healthcare reconsider the $10,000 maximum plan benefit limit for Growth hormone. We feel this is an insufficient benefit amount to properly care for our daughter's health care treatments. The fact that United Healthcare has set an annual limit on a coverage benefits knowing that there is a possibility that the limit on this benefit could lead to further health issues is just unacceptable.

    We have tried to get answers and help from the drug company but they advised we are not eligible for assistance in the access to care program because we don't meet the annual income of below $100,000. But even with an annual income of $110, 000, we can't afford to purchase this medication at a cost $52,000+ a year. Yes, 20 mg is $1,750.00 - that's 2mg shots 6 days a week. This is an extreme amount for our family or any other family to handle. This cost would be more than half our annual income. United Healthcare hasn't denied our daughter coverage for her pre-existing condition but they are restricting and denying her treatment for her pre-existing condition. We just want the best care for our daughter. We are trying to give her what we and her doctors feel is the proper treatment for her condition.

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    Customer ServiceStaff

    Reviewed June 6, 2013

    UHC is all about the money/claims... We were only allowed 450 seconds to get the member off the phone. How can you properly help someone in that amount of time? You can't and it's made clear if your talk time isn't at goal, you will be terminated... I worked for them as a customer service rep. We, as agents, have no more info than you, the patient. I highly advise you try another company. I would never allow my loved one to have insurance with this company due to the lack of competency of the agents as well as supervisors. Also, be sure to read ALL fine print. And grievances generally stay within the center you call in to. Good luck, UHC members.

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    Customer ServiceCoverageStaff

    Reviewed May 15, 2013

    I am a billing manager for a private group practice with 8 providers. We provide OB/GYN care. I can honestly say that half the issues I deal with on a daily basis have to do with United Healthcare! The newest issue is that they are denying payment on basic lab work for yearly exams. United Healthcare is the only insurance company that we work with that does not even cover a CMP or CBC. When the patients call the UHC reps about this, they are being told to call the doctor's office and have them change the code, which is not legal! I have been told for over the past 3 years by a UHC bigwig that they are bringing their customer service back to the USA but that has never happened either. Trying to resolve an issue with someone who can barely speak English is impossible!

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    Price

    Reviewed May 14, 2013

    I had BCBS before and company my husband works for sold and we have UHC insurance. More expensive, more co-pays, more headaches. I'm trying to get my daughter's birth control prescription filled. They needed pre-authorized orders. Doctor sent them and they denied them. Yes, they denied a certain kind of birth control. We were going to have to pay $125 for them and they pay $100 for three-month supply. I have a prescription I get in 90-day fills. Well, they approved 34 pills. What the crap. I am so angry. Where do I go to complain about this company!?

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    Staff

    Reviewed May 10, 2013

    I do medical billing for several MDs, and the sheer amount of fraud United and its subdivisions commit is incredible. I have thousands of claims processed incorrectly. United and its reps ignore complaints. They use unqualified people to review claims. Even the supervisors of the review dept told me he had no clinical experience and knew nothing about coding. I even have identical claims for identical twins with identical notes processed differently. This company was fined by NY $350 million, but continues to commit fraud (there is no other word for it). This company is too big and needs to be broken up and Optum Insight (aka Ingenix) needs to be put out of business. $350 million wasn’t enough - they needed $350 billion. There needs to be a massive class action against them from the AGs and the consumers. United needs to disappear. There can be no healthcare reform if United continues to flaunt the law.

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    Customer Service

    Reviewed May 6, 2013

    I am a mental health provider and have dealt with many health insurance companies. Though there are many frustrations dealing with most health insurance companies, in the end, nearly all finally pay legitimate claims. Not UHC. I have submitted claims for the same services for one member over and over again. I have written to UCH regarding these claims on three separate occasions over the space of nearly 1 year. They have never addressed, acknowledged nor responded to any of these letters. When they request additional information on the claim, I provide the additional information but the claim still gets denied as "already having been processed" (yes, you denied it and requested I resubmit more information. Of course, you've processed it already. You all are the ones who required it be reprocessed).

    Then I receive a notice that the additional information was received, the claim approved and that it has "already been paid," except they never actually pay the claim. I hate to say this, but I honestly believe they are doing this on purpose and counting on providers keeping poor records and believing claims have already been paid, when they never cut a check for them to the provider. They need another class action suit filed against them.

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    Customer Service

    Reviewed May 3, 2013

    This has to be the dumbest and worst insurance company out there. How the hell do they stay in business? I made a call regarding a claim that was processed incorrectly, and called the phone # on the remit. After being transferred 4 times, and giving provider id info as well as the patient’s id # straight off the remit, I was still sent to the wrong department. Why is it always this way with UHC? Then I get routed to a call center in India and cannot even understand the ** that picked up the call. Ridiculous! UHC sucks!

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    Customer ServiceStaff

    Reviewed April 29, 2013

    On 4/10/2013, I went to a regular OB/Gyn for my first doctor's appointment for pregnancy. Due some complications with my first and second child, my doctor suggested I go see a specialist. On the 10th, my OB faxed over a referral to the specialist of my choice that was in my network. On the 11th, I called UHC to speak to a rep to make sure the doctor had done their end of the paperwork. I was told by the UHC rep that nothing had been faxed over and to call the doctor's office.

    Upon speaking with the lady who only does referrals, she explained to me that UHC has two fax numbers, one for routine and one for urgent. She stated that she had indeed faxed it over on the 10th. So I again called UHC and spoke to a woman who had to transfer me because she could not access any of that information. Upon waiting almost 10 minutes, I was finally connected to another woman. This lady said that she did see the fax but that it was not sent over urgent and urgent faxes take 24 hours to process and routine take up to 5 days. I simply stated to her that well, since I was on the phone with her and I was the patient she could rectify the situation and approve the referral. She could give me the referral number so I could make the appointment.

    This lady had some nerve to tell me that the patient "doesn't matter" and that I needed to get back on the phone with the doctor's office and have them re-fax everything or call and speak to a UHC rep. After calling the doctor's office again, I found out that it was re-faxed on the 11th to the Urgent line when the office opened at 8 am. On the 17th of April, my regular OB office called me and explained that she had called UHC once again and was told that the referral was approved on the 11th of April.

    So here we are today, the 29th of April and I have yet to get the actual faxed approved referral to the specialist office. Why have an Urgent Referral fax that is sold as only taking 24 hours to approve? This situation still has yet to be resolved.

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    Reviewed April 21, 2013

    From February 2012 - February 2013, I was a full-time employee at United Behavioral Health, which is a part of United Health Care and which is all owned by the parent company Optum. During that time, I paid for dental and medical insurance for me, my husband and two daughters through my employer (at the time) United Healthcare. My husband also had (at the time and still does) Delta Dental through his employer (with my dental and medical being the primary).

    On Friday, April 20, 2013, I received a letter of denial for the dates of service of 11/13/12 and 11/19/12 for dental services for my two daughters performed by Dr. William **'s office in San Pablo, California. When I phoned United Healthcare Dental to inquire about the denial letter, I was told that if I were to write a letter stating that my insurance is primary, then they will pay their portion of the claim (since there is coordination of benefits and my husband's insurance has already paid their portion). I don't think I should have to write a letter since they should have paid this claim months ago.

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    Customer Service

    Reviewed April 19, 2013

    In March, I spoke with a rep and they said that they saw my son's claim but that because it was old (2008), they needed help researching it so it could be processed. I called back to check on how it was going and when we would get reimbursed and they said they had no record of a claim. What happened between March and April? How did they lose my claim and why won't they help me resolve this? My husband and I have been jointly trying to get our claim processed since 2008!

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    Staff

    Reviewed April 10, 2013

    I called to find an urgent care center I could go to. I got the name, etc., good. I had looked at the website and was totally confused about extra charges. So I asked him what if they take an x-ray or something. And he said, "Your $75.00 copay covers whatever they do at the urgent care visit." So I went. I paid my $75.00 and now have a bill for an additional $112. Not a lot of money for some, but the fact is I was lied to, again. This has happened before. I was told my cost for an MRI would be $300 and got a bill for $1,200. They said it was because I didn't go to an 'approved' place, but I did go to the place I was told to go to by the rep. Maybe they get a kickback?

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    Customer ServiceCoverageStaff

    Reviewed March 28, 2013

    I have had numerous problems with United Health. They fall into these categories: uninformed clerks and supervisors responding to my questions; an inadequate website, lacking basic information on providers and how to file claims and presenting wrong information (showing that I had not chosen a PCP, though a United Health clerk told me the PCP showed in her computer); inadequate ways of reaching United Health for information, including no email form online and limited hours when a phone call is answered (8am-8pm in the place the call originates); and clerks failing to follow through on promised material (provider list).

    Here is a narrative of my brief, totally unsatisfactory experience with United Health Advantage since I took this plan in January 2013: Beginning soon after my plan became effective in January 2013, United Health sent reimbursement checks to my physical therapy provider instead of to me. I called about 10 times, asking always for a supervisor, and got different information each time I called about how the checks could be redirected to me since I paid weekly for all services rendered. Clerks told me the forms were filled out wrong by the provider (a box indicating that the provider accepted assignment was left unchecked, which the provider said indicated the checks were to come to me). One man even insisted that providers never filed claims, leaving that job always to patients. One woman told me that I should have written a letter to the company before service started, specifying that I paid for all services as rendered and asking that the reimbursement checks be sent to me.

    In the long run, after I terminated therapy at that clinic, I demonstrated to the provider that my payments, plus reimbursements from United Health that went to the provider, exceeded charges. I demanded and got a refund. This all could have been avoided if United Health had acted appropriately on my first phone call, asking how to get the checks sent to me. My new problem started occurring as I tried to find out how to find a dentist. I called and was transferred to numerous extensions, including the medical line, before getting a man with a Middle Eastern name who assured me he would email a list of in-network dentists to me. He told me during the conversation that he had already sent it. Later, when I checked email to get the list and choose a dentist, I discovered that no email had come to me.

    I called back but the office had closed. I despair at trying to deal with this company. Several of the people who answered the phones speak English so badly that I barely understand anything they say and have to ask for constant repetitions. Many seemed unfamiliar with standard health insurance terminology or practices, indicating that their training is inadequate. I want to change companies as quickly as possible. Dealing with United Health is a nightmare. I am an active AARP member and volunteer, and I will do everything that I can to get AARP to re-examine its decision to recommend United Health. We can surely find a more competent partner. My experience with Mutual of Omaha's company, United of Omaha, was totally free of the problems I have with United Health.

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    Reviewed March 18, 2013

    On January 17, I had a mammogram. From there, one of my implants ended in rupture. I have talked to my Insurance the last 2 months about this matter and they haven't resolved anything.

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    Customer ServiceCoveragePunctuality & SpeedStaff

    Reviewed March 13, 2013

    I agree with all of you. United is the worst health insurance company I have ever had to deal with. I had Blue Cross Blue Shield, which I was very happy with. In January of this year, my company switched to United Health Care. They have made me livid in the short time I've been stuck with them. Let me save you a lot of time, money and frustration. Do not get involved with United even if they seem the cheapest. They run you around in circles, lie and do everything possible to not pay valid claims (I guess that's how they save money). They are inept and unethical. Warning, thus is a long post!

    I have very bad veins in my legs. I have varicose veins that are extremely bulged. They cause severe pain in my legs and I have problems with day to day activities. One of the veins in my left leg ruptured leaving a very large, deep ulceration. It became infected several times causing me to go to my primary physician. It was not healing properly and my legs are getting worse. My regular doctor sent me to a vein specialist. On January 2, 2013, I had an ultrasound on both legs at the Vein Center. The ultrasound showed I have venous reflux. The valves are broken in both my legs.

    On 1-23-13, I had a consultation with the specialist and he said that I needed surgery on both my legs to correct the problem or it will get worse. I was scheduled to have the left leg done on March 14th and the second leg completed on March 28th. The doctor's office began the process of preapproval. That was when it started going downhill really fast.

    On 2-7-13, my doctor's office spoke to a representative from UHC and sent my information to UHC, including the ultrasound report. On 2-12-13, a UHC RN called stating that there wasn't enough information to approve the procedures. On 2-13-13, the information was re-faxed and my doctor was told by the RN that it would have to go to the review board. On 2-20-13, a peer to peer was performed between my doctor and UHC doctor. My doctor was told that everything seemed in order; it was just that they hadn't received a copy of the ultrasound report. This had already been sent to them two times, on 2-17-13 and 2-13-13.

    My doctor was given an approval number. I have a record of that number, but I am not going to post it on this open forum. My doctor was told to send the information to the UHC doctor again on a secure email and to include the venous duplex ultrasound again. This was done and after this, my doctor's office couldn't even get anyone to speak to them. They sent a notice to my doctor's office denying the procedure as medically unnecessary (seriously?).

    I already took the time off work to have surgery tomorrow. They are still screwing around. My doctor reported them to the Better Business Bureau. I reported them to my employer who I am insured through. I am getting documentation and filing complaint with the state, the AMA, etc. I suggest anyone who has problems with them to do the same.

    The fact that they can't seem to hang on to anyone's information proves one of two things. One, they purposely lose information to avoid paying claims - total fraud. Second, they are extremely negligent with people's private information which is in violation of federal law. In my opinion, their business practices are illegal. This is positively the absolute medical insurance I have ever had to deal with.

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    Customer Service

    Reviewed Feb. 23, 2013

    After months of fighting, I was pre-approved by UHC for a medical device that was not fitted by a doctor. I explained to UHC that my provider was experienced in the procedure and wanted to make 100% sure that this would be covered under the approval. They said it didn't matter who fulfilled and that I could file the claim myself. I paid the bill in full at the time of service but cannot get the claim filed. Every time I send it in, they reject it (three times now). I had faxed the confirmation twice that it was sent but they cannot find it. I finally lost patience and asked to speak to a supervisor. I was told that "everyone is busy" and they would try to call me back within 24 hours. I am now filing a complaint with the broker and with HR. No one there wants to take responsibility. I can't imagine how much worse Obamacare is going to make this. We're all screwed.

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    Customer ServiceStaffProcess

    Reviewed Feb. 19, 2013

    This is the worst insurance company ever. I am being treated for cervical cancer and have undergone harsh chemo and lost all of my hair. This insurance company is making the process unbearable. They are unorganized; they are not returning calls and their supervisor provides the explanation that the reason they haven't called back in over a week is they are busy with other priorities. In the mean time, my doctor's office is refusing to treat me due to non-payment from UHC. UHC cannot verify what additional information is needed. They simply repeat that they will check into it and call back, but they never do. This is putting my health and life in danger and causing a great deal of unnecessary stress. They are very unprofessional, unsympathetic and the worst insurance company I have ever had the pleasure of dealing with.

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    Reviewed Feb. 14, 2013

    Doctor prescribed contacts. They did not work out so he refunded and gave a prescription for eyeglasses. United Healthcare will now not pay for glasses, even though contacts were refunded.

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    Customer ServiceStaff

    Reviewed Feb. 5, 2013

    We signed up for United Healthcare for the first time this year. I called Member Services to select a primary care physician for her while she is away at school in a different state as well as set-up a primary physician for her when she is home on break. They said they would have to get their supervisor to select the doctor out of state and call me back. I did not get a call back but received a new card for her with a doctor we never heard of in our state. I called them back, explained the situation again and was told we could not have a primary in her school state and her home state.

    When I asked to speak with the supervisor, I was told that there was no one available and they did not know when there would be someone available to call me back. So far, I am very unimpressed with the knowledge and customer service at Member Services of United Healthcare. I contacted the main office in Chicago and they were extremely knowledgeable and helpful. Just a tip for anyone else who tries to call Member Services with a question.

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    Customer ServiceCoverageStaff

    Reviewed Feb. 5, 2013

    Ok, to start, I went to see one of their doctors. Before I even saw the doctor, I had to come into their office three times and I still didn’t see a doctor. The second doctor would not refer me to see a specialist who was not a Welmed associate and cancelled my appointment to the specialist, because he wasn’t a part of Welmed. He didn’t even tell me he cancelled it. The third doctor said he was not through Welmed but tried to refer another doctor that was not through welmed; he denied it.

    I called United Health Care a lot and would not let me talk to a supervisor and I told them several times I wanted a doctor who didn’t go through Welmed, but they wouldn’t help me and all they did was go around the whole subject. I was better off going through the Christian free clinic and prescription program than to have Medicare and this insurance. Now, I have no doctors or prescription help or anything because I will not use this insurance or Medicare.

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    Customer ServiceStaff

    Reviewed Feb. 1, 2013

    The State of Oregon gave a lot of us this type of care in 1997 and I have been on it from the beginning. Over the years, most of my bills are sent to collection department and my credit went from 840 to 500 now. My problem is they won't pay for any meds I need or anything other than my CO2 tank. I was like pulling teeth for them to pay for that. I'm disabled not by choice and due to my need, my body mass is getting larger and larger. Diets don't work. I don't go to fastfood or binge eating. I got hurt and worker comp never paid for my care because of me not being the main colors here in Oregon. I haven't used this much. I went to a free clinic and I find the care there is better. I had a doctor for 8 years cancel all people who were not able to pay, so once again I have a new doctor.

    I called Medicare complaint department and the State of Oregon yet again. If I were rich, I would pay for my care. I'm not rich; I'm poor. I had cancer. They never paid for any meds or doctor visits. When will the government help us poor people? I was told on the phone if I was to gain 120 more pounds and was in bed rest, they would pay. What the heck? I have kids and don't want to be in bed resting. When I call, I get put on hold for 145 minutes. What? And they disconnect me when I tell them I want a manger. It is not fair. The meds I need for 30 days is worth $1,271 and that's one of three I need. The other is $489 and the other is $200. I bet if anyone in the government gets treated like I did, they would fix it. So do your job. No wonder people lie and rob to get the help they need. People in jail get all 100% care paid for.

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    Customer ServiceStaff

    Reviewed Jan. 29, 2013

    I moved from California to New Mexico and I have had United Health Care (UHC) for six years. To establish new primary care physician, I went to a local doctor and she ordered lab work. UHC denied the claim since "I did not go to emergency room or to an Urgent Care provider." We must pay the full amount rather than the negotiated rate paid by UHC. The office visit was $85 instead of $25 and the lab was $150 instead of $75. I was on the phone for over three hours, was transferred seven times, and finally talked to a rep who told me I was "just bring rude." When I asked to speak to a supervisor, I was placed on hold for 10 minutes.

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    Reviewed Jan. 24, 2013

    My employer and I paid UHC $10,168.20 in premiums for 2012. My medical expenses charges were $6,822.25, which United Healthcare allowed $3,499.54. For the year, they paid only $374.74 and I am responsible for $3049.80 since they added a large yearly deductible of $3,000. They made a profit of $9,793.46 off of me alone for 2012. This is criminal in my book and they should be sued. But because our government is paid off by UHC by means of lobbyists and paying senators, they get away with it.

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    Customer ServiceStaff

    Reviewed Jan. 24, 2013

    My employer recently switched from Blue Cross to UHC because UHC's plan had lower premiums. On paper, the Blue Cross and the UHC plans look identical. The problems developed when filing claims with UHC. Things as simple as a prescription medication that I have been using for 5 years now require pre-approval. I have gone a week without my prescription. My calls to the UHC customer service representatives yield nothing but double-talk. They look for ways to micromanage your healthcare (without having met) and then they do everything they legally can to not pay a valid claim in a timely manner. This company should not be in business.

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    Customer ServiceStaff

    Reviewed Jan. 18, 2013

    United Healthcare raised my daughter's chemotherapy copay from $30 to $660, a 2200% increase, starting January 2013 without warning. They say they sent a formulary book, but she never got it. She is in the middle of chemotherapy treatment for a brain tumor, and they have all but priced her out of the market to survive. We now must raise money to purchase her medicine, even though she pays her monthly premium to United Healthcare, without fail. It is hard to believe that anyone with a conscience would do this. I have spent hours on the phone with one representative after another, and I am given a different story every time. They are a heartless company, and I can't say enough bad about them. Terrible!

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    Customer ServiceCoverage

    Reviewed Jan. 3, 2013

    I went to the emergency room on November 6, 2012 with sudden onset bleeding, which resolved. I have had rectal bleeding once in the past with diverticulosis and was told by my physician I had to go to the hospital if it happened again. I was not sure on November 6 about the cause of the bleeding, but I went to the ER. The outcome was I was stable and was released with orders to follow up with my regular physician to determine the cause of blood found in both urine and stool. At the end of December, I received a notice from United Health that I would receive a bill for $1,600 plus from the hospital but that if I had COBRA, etc., the bill might be covered by my policy.

    I do have COBRA and my policy was supposed to cover ER visits. However, United said only "trauma" was covered in the ER and heart attack, stroke or other problems, like bleeding, were not trauma. They insisted my policy did not cover going to the ER for bleeding. They read me a dictionary definition of trauma and said my case did not qualify. The customer service adjuster said, "This claim will not be paid."

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    Reviewed Dec. 21, 2012

    United Healthcare with Medco, their pharmaceutical partner, have denied my doctor's orders for a prescription that has no generic. They refuse to give medical data behind the reason for the denial. This company is simply greedy.

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    Customer ServiceStaff

    Reviewed Dec. 13, 2012

    UHC refuses to pay claims until they receive information that my son's health care professional refuses to give, claiming he's forbidden to divulge it under state law. Although we faxed and mailed an appeal to the proper number and address, and although the frontline rep said something indicating the receipt of the document, he could not depart from his script to explain. Supervisor has yet to return my call. The company gives every impression of cynically pursuing a strategy of delay until the claimant gives up and goes away. I've devoted many hours over several months in this claim and appeal process and expect to waste many more before this is done.

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    Customer ServicePrice

    Reviewed Dec. 6, 2012

    I cancelled my 2013 enrollment to ARRP MedicareRx and received a letter of confirmation on 11-9-2012 from the ARRP MedicareRX - United Health Care of my dis-enrollment. Yesterday, they took the January payment of $41.90 from my checking account. I tried calling their customer service and was on hold for over 5-1/2 hours. My sister tried calling them and was on hold for two hours and unable to reach anyone! I signed up for Humana's plan which is much less expensive but I'm now having to pay for two plans which is not legal. I was told signing up for the Humana plan will automatically cancel the ARRP plan. I have tried calling customer service more than once. I filed a complaint with my state's insurance commissioner this morning and also called the Medicare fraud line to complain. You should not endorse a plan with such lousy service!

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    Coverage

    Reviewed Dec. 6, 2012

    I am a healthcare provider. I've had numerous terrible experiences trying to get paid by United. Their business model is to develop new and diabolical ways to cheat providers and consumers out of their rightful benefits. For instance, most of the year, I was not "in-network". A patient I saw paid an $800 deductible. I was subsequently admitted to their in-network panel, which I joined even though I am paid at a much reduced rate, in order to make it more affordable for my patients who have United. They then refused to pay claims on this insured because he had not met his "in-network" deductible of $400! So instead of his benefiting from my enrollment, he was on the hook for another $400, which of course I could not charge in good conscience. Unfortunately, United has no conscience so I am stuck with no payment for services.

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    Reviewed Nov. 28, 2012

    Misled on approval - They said I was approved for the hospital outpatient surgery. I was not. They even gave me a reference number for approval. I had to cancel the surgery. Please someone, take this company down. Get rid of them.

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    Staff

    Reviewed Nov. 15, 2012

    I have been with UHC through my company while I was working and am now under my wife's policy with the same company since I retired. I recently received a letter from UHC stating they were working with my provider Bay Health Care System on a contract, but there may be a chance that an agreement will not be reached. This statement is not true; they have not been negotiating with them and have not since October 24, 2012. I decided to look this up and found out UHC is not paying their bills and owe $11,000,000.00 and refused to pay reasonable and customary charges. This not only affects myself but about 400,000 people in the Tampa Bay area.

    I have been going to my doctor for 9 years and now they want me to go to who they say. My wife and I are paying for a PPO, not an HMO. Why can we not go to the doctor of our choice? What is worse is the health providers that they now are telling us to go to have the worst reputation in the Bay area. They obviously will work for the peanuts this insurance company wants to pay. If UHC is forcing me to go to an inferior provider, then they take the responsibility of my health care and can and will be held liable for any malpractice that I receive through their preferred providers. Now I must start out with a new doctor that has no history with me and he will not be able to provide me with the standard of care that I am used to and am paying for.

    It's obvious that UHC cares only about the dollar and not their customer. If you are an employer and thinking of signing up with UHC, run the other way. Your employees' health will not be their focus. Pretty obvious by the position they have taken with Bay Health Care Systems.

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    Staff

    Reviewed Nov. 1, 2012

    I cannot find a urologist in Madison, Wisconsin (the second largest city in the state with population of about 250,000) that is in the United Health Care plan! I called customer service and spoke with Dawn. She was polite and also very surprised her search also came up empty! Closest in plan urologist is 20 miles away in a city with a population under 2000! How can this be with over 50 urologists in Madison?!

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    Customer ServiceStaffProcess

    Reviewed Oct. 16, 2012

    As a result of the misinformation, my insurance premiums will be going up more than expected. I was told by a UHC employee on the phone named Debra or Deborah that I and my husband had 100 points and we had turned in all the information for the wellness program. Now, during open enrollment, I am finding out that they say we did not have all the necessary information turned in and I do not qualify for the HMO wellness program. I called in July and no one can find a record of where I called. I called 800-886-1639 to make sure I had everything turned. Because of some incompetent person, I will be paying more for insurance premiums. I am paying for someone else’s wrong information!

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    Reviewed Oct. 16, 2012

    I was approved for a dental procedure twice by United Healthcare. My doctor's business manager and I reviewed the coverage requirements, which was 50% by UHC and 50% by me. The business manager contacted them to verify that the coverage would cover the implant and replace a missing tooth. They confirmed the procedure was covered. After I had the procedure, they rejected the Claim and refused to pay stating "Not needed". The doctor said this was the first she ever got that from an insurance company for a procedure that was covered by their insurance.

    When I wrote them to appeal their decision, they wrote back stating I had "cheaper options" and the procedure was "not needed." The coverage does not state the bill will be paid if UHC agrees with my decision! I am so tired and frustrated that insurance companies are running our healthcare in this country! We pay our premiums, yet they decide which medications we can take (basically generics that don't always work as well as the branded) and which procedures they will pay for even though the procedure is covered. They don't seem to answer to anybody and can do whatever they please. The insurance commissioners certainly do not seem to care. I'm pretty teed at this.

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    Reviewed Oct. 14, 2012

    I am on a fixed, small monthly pension. United Health Care notified me that they are increasing my monthly premium by almost $100 beginning January 2013, putting my premium to around $490 a month. This is $100 less that I will have to buy clothing and food, but they don't care about that; they just want to make sure they get their money. Can't anything be done to control these ridiculously large increases by insurance companies? They should have to take into account the individuals' monthly income.

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    Customer ServiceCoverageStaff

    Reviewed Oct. 13, 2012

    My policy has a $1,000.00 deductible on tests performed in a hospital. Stupid enough by itself, but on top of that, I called the company to ask where I could get a blood test and chest X-ray done without incurring the deductible. They directed me to the local hospital. When I explained that I had gone there for blood work a couple weeks earlier and it was subject to the deductible, they searched again and found that there is no facility where I could get both done. So, they directed me to a lab 20 minutes away for the blood work, then to a building across the street from the local hospital for the chest X-ray. I had the tests done, and was promptly charged for them because I had not met the deductible. What kind of crap is that when even they can't keep it straight? I appealed and was denied. It's just not right when they direct you to the wrong facility and you have to pay for it! I'm paying nearly a thousand dollars a month for the world's worst health insurance. Avoid United Health Care at all costs!

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    CoverageStaff

    Reviewed Oct. 11, 2012

    United Healthcare is the worst healthcare insurance I have ever had. You have to jump through hoops to speak to a representative. They have so many restrictions on the medications that cover you; you can't get the amount or dosage that your doctor has prescribed. I take medication for pain and another for migraine. I don't think they should be able to dictate how much prescription a patient is allowed to take. The company that I work for changed to United on 7/1/12 and it took them 3 months to get the deductible transferred from my Anthem account, so I had to pay out of pocket for everything until they figured it out. They eventually refunded some of it, but I still don't think the amount is correct. Try arguing with them, that's a dead-end street.

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    Staff

    Reviewed Oct. 11, 2012

    I am a patient that had a fusion of the spine. My doctor ordered the Fentanyl patch and I went to my pharmacy on October 5 to fill it. The insurance declined saying they recommend another type of treatment first and needed authorization. My doctor sent over request on October 8 for 200ml of morphine sulfate. I spoke to 2 different people who claimed there is no authorization found. A request for a supervisor to help with the situation was denied. It's amazing how unorganized and unhelpful the people employed to help are. So careless. I will also be filing a complaint with the state medical board and the governor's office. This is nothing less than vicious. Maybe someone should oversee these individuals that are causing more grief in one's life than help.

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    Customer ServiceContract & TermsCoveragePriceStaff

    Reviewed Sept. 10, 2012

    The agent and broker misrepresented my policy. I was told my policy was 80/20. I paid 20% of cost for care. I have had a lump in my breast, and the fee will be $5,000 deductible. And the Rx coverage was capped. This is not what the agent told me. I now have a hernia, and I can't get help and fear I could end up with a perforated bowel which is life-threatening. The agent is no longer with the broker, and the broker is no longer there either. They are missing in action. No one will do the right thing and fix the policy, so I can't have any care.

    I was a Nursing student and worked 16 years at the same company. I am unemployed and can't start class. I am just stuck waiting for help, but no one can help me and I can't get in with a preexisting medical condition. So I have insurance that is stealing from me. That's is exactly how I feel about what they are doing. Their answer is agents and brokers always do that and you have to read the terms and conditions in the book that is 150 pages of rules that contradicts everything the agent said verbally. It's a racket, and they need to be stopped. Golden Rule United Health Care have the worst of criminals.

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    Reviewed Sept. 9, 2012

    Several months ago, my doctor informed me that Singular would be coming out with a generic brand. As a result, I should be able to save some money. Around the first of August, when I went to my pharmacy to refill my Singular/generic prescription, my copay was $20.00 - a tier 1 medication via United Healthcare. I was able to save $30.00. Normally, without the generic, my copay would have been $50.00. My dilemma, this month (September) I once again went to refill my Singular/generic prescription and was informed by my pharmacy that the copay would be $50.00. I was certain a mistake had been made because last month my copay was only $20.00 via United Healthcare.

    Upon calling United Healthcare, I was told there was no mistake. United Healthcare informed me that they had made a decision to raise the copay of the generic Singular to $50.00/tier 2 and the non-generic Singular to a $90 copay/tier 3. I am mad. It seems to me that this company is only concerned about making money. I am paying the same copay that I have been paying all the time although this is a generic drug. They do care about a consumer like me who has about 6 prescriptions I must refill once a month. I cannot wait until open enrollment.

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    Customer Service

    Reviewed Aug. 29, 2012

    I work in the billing office of a behavioral health agency and UHC is constantly paying for services and then taking the payments back. When you call to get clarification, you get switched around to several personnel and sometimes their system will disconnect. It is very frustrating. They technically give you 45 days (in writing) to appeal, but they always send our agency collection letters way before the appeal process is completed. They have, in error, withheld disputed amounts from other payments that they owe for services provided to other clients. We have urged our patients who have UHC to file a complaint with the insurance commissioner of Ohio.

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    Customer ServiceCoverage

    Reviewed Aug. 15, 2012

    I had an Emergency Room visit with WakeMed Hospital one night in January of 2012. I had serious vomiting and was dizzy (couldn't stand and walk) and the doctor requested a CT exam. According to my insurance plan, the insurance should cover 80% (($3,647 on UMR_Med_policy, page 4), But UMR sent me an EOB Notice on 3/29/2012 which stated UMR covering 70% of the cost. That is, UMR covered 10% ($456) less. I called UMR 6 times in April and May 2012, but UMR kept lying and did not change to the 80% coverage.

    I talked with Charles of UMR on April 30, 2012. Charles said WakeMed is not in the network and so the plan covered 70%. I told him that it is not true; the website does show that WakeMed is in the network. I talked to Shannon and others with UMR on 5/16/2012. They were lying with a new excuse that was different from Charles'. They told me that UMR covered 70% due to it being non-True Emergency. That was totally lying. The Emergency visit was truly an emergency and I have the medical records.

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    Reviewed July 19, 2012

    I applied for United Health Care plan for my kids. I went through too much paperwork till I finally was able to get them approved. United Health Care sent me an invoice for three months in advance. I did not have that much money to pay in advance. United Health Care went a head and terminated me for non-payment. They refused to reactivate me without going through the same pain in the neck process.

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    Customer ServiceContract & TermsCoveragePriceStaff

    Reviewed July 4, 2012

    We refilled a routine medication prescription through United Healthcare's mail order service (Medco) last week. The mail order filling process fills the prescription for 90 days. We noticed after filling that our co-pay was $50 higher than when we filled the same prescription in February. At first, we thought it was just one of those maddening hikes in costs. In checking on their website on pricing of the medication, the results indicated the same cost that we paid in Feb. However, when we contacted UHC/Medco customer service, they at first could not explain the higher co-pay.

    Finally, after doing some research, the CS rep indicated that her supervisor told her that we paid a higher co-pay because we did not comply with a UHC policy called the "Adherence Incentive policy". Apparently, because we did not fill the prescription at the end of the 90-days, we get charged the additional $50 for a tier 3 medication. We asked where that policy was published on the website, in the plan documents (SPD's) or on any of the prescription paperwork. The UHC CS rep then informed us that the policy was not written or any notice was published informing us of the terms. We asked then how we are supposed to know how to comply and what the deadline is to refill a prescription so that the higher co-pay would not be triggered? The CS rep said we would not know until the higher co-pay was charged after the fact.

    We were dumbfounded that UHC would implement such an unwritten policy to charge a higher co-pay without notifying members of the terms of such a policy so that we could comply. We have filed appeals and complaints with the NM PRC and will not let this action go uninvestigated. People complain about a so-called government interference with business. This is the very example why we need oversight of health insurance companies to protect the rights of consumers and regulate absolute idiotic and patently unfair actions by insurance companies.

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    Staff

    Reviewed June 27, 2012

    I requested and received prescription for ** from my personal physician on or around May 1, 2012. I went to pick it up at my local CVS pharmacy and was told the price was around $300. I didn't realize my physician had written the prescription for the 20mg dose. I can't afford to pay $300 for a prescription. I declined the prescription and asked for a free sample from my physician and in addition to it, I received a coupon for a 30-day free trial of the 2.5mg or 5mg. I asked for the 5mg. I believe it is considered a normal daily dose and my thinking was that United Healthcare wouldn't have a problem with the dosage. On June 26, 2012, I got a prescription for 30 5mg **. I went to my local CVS pharmacy to pick it up and was informed that United Healthcare had rejected the prescription.

    I called the number for United Healthcare on the back of my insurance ID card. I was told that United Healthcare would approve me for (3) 5mg ** per month and the cost was $12. I told the representative this was unacceptable. I asked who gave United Healthcare permission or the authority to do this. I was told to file an appeal in writing to United Healthcare, N-Appeals, P.O. Box 30573, Salt Lake City, UT asking for concessions regarding my 30 5mg ** prescription. Can anyone explain to me how or why United Healthcare can dictate how many ** I get in a month? I am insured through my wife's employer. Her employer can fire her without cause. Our monthly premium is over $900 a month. I believe something has to be done to hold health insurance companies accountable to their customers rather than just their shareholders.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed June 22, 2012

    The layers of people I can speak with and the declination, I think, is underhanded that whomever is writing these declines for necessary correction of loss of the visual field does not call me directly. The insurance company does not notify me promptly. I got the runaround in the phone tree at 1-800-624-8822. I ended up with the advice nurse and she was not electronically connected to the insurance company she was employed by. I feel these are tactics to not give me a live person to speak to, the standard brush off, and just call back tomorrow. Please call me at **. Thank you for your attention to this matter.

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    Customer ServiceStaffProcess

    Reviewed June 7, 2012

    I am not certain if this is the proper entity that I am supposed to be expressing my concerns and complaints to; but I will appreciate if this email can be forwarded to the proper place it needs to be. I am an active client of UHC AmeriChoice program. I signed on for your program through Medicaid as a manage care plan. I was told I had to choose a plan in order to qualify for Medicaid. I chose your plan on May 18, 2012. I was later informed that the coverage would not be active until June 1, 2012. I found out my insurance was deactivated because I needed my blood pressure prescription (Diovan) refilled. I proceeded to the doctor on June 4, 2012.

    It is June 7, 2012 and I still do not have my medication and here is why. You guys have set up a prior authorization form that needs to be filled out in order to receive certain expensive medications. There are no generic brands for this medication as of today's date. So your company has opted to change my prescription to something that is similar. I find this practice to be reckless, the reason being even though you do have nurses working there to find out which medication can be a "possible" substitute, you have no statistical data (i.e. blood work, weight, medical history) along with the information. How can you make an assumption on what may or may not work. The doctor's office as well as the pharmacy have taken your twenty-four to seventy-two hour rule as their own, meaning it's hard for me to even get them to start the process because they flaunt your rule in my face.

    I thought that was an error on their part and by rights it is, but then I have come to realize the reason why it takes them so long to place a call. It is aggravating to deal with your company. You have them calling all the time for nothingness and quite frankly people have better things to do. You have them calling for a prior authorization for this and that and every time they call you, it is a battle to get the medication that the doctor prescribed. The doctor even has to get on the phone at the time to explain his/her diagnoses. You do this with no MD, bravo and kudos to you! You are so concerned about saving a few dollars that your insurance company has shown that you have no regard for your customers or their well-being. You are a "health" insurance company! So why don't you start putting your clients' health first? There's a thought for you; run with that.

    Oh, and by the way, I know this is a "Medicaid" plan but I'm still your customer. I do not feel that your other customers get treated any better, and if your company graphics keep showing a loss in capital, I assure you, this is why. I'm sorry but please do not respond with the standard corporate letter of "I'm sorry for the trouble, I assure you, value our customer, you are important to us," you do not mean it and I do not want to hear it. I just would like an acknowledgement that the letter was read and forwarded on to the right place if need be. After this letter was forwarded, I received an email that basically said contact someone else.

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    Staff

    Reviewed May 25, 2012

    They don't pay anyone; they just take your money. I pay $300 a month to them for nothing. I don't even think they have paid the hospital bills, and I keep having to make co-pays. It is just a problem, and I am only one person that they are taking money from and not fulfilling their part. I want to file a class action lawsuit!

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    Customer Service

    Reviewed May 15, 2012

    AARP UHC sent me to prescriptionsolutuions.com to get my meds. They never had any medicine for me and tied me up for hours on the phone, never answering my questions or getting me my RX filled. They don’t have any, but they never told me ever until after I mailed them the RX. Then they wouldn’t send it to another pharmacy. They tied me up for a month. I ran out of medicine. I am cancelling my Medicare through AARP UHC as soon as I can. UHC told me too bad that they can’t do anything to help me now.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed May 8, 2012

    My wife is 7 months pregnant. She found out last week that she has gestational diabetes. The doctors prescribed her a meter and test strips and sent her to a class to show her how to eat to help control her diabetes. The doctors want her to test herself 4 times a day, once when she wakes up and then 2 hours after every major meal. The prescription was for 120 test strips with 4 refills.

    The insurance company said that since she's not on insulin, she doesn't need to test her self that much and only okay-ed 50 test strips. Now that's not even enough for 2 weeks, not counting your control strip or any errors she may get. We have gone through all the hoops and whistles getting the doctor to call the insurance company. United Health told the doctor her phone call wasn't good enough and that she needed to send in a written explanation, which she did. Then they told her she had to fill out a form, which they faxed to her. The doctor did this and faxed it back.

    United Health Care, now a week later and my wife is running low on test strips, is still saying that it's processing. I asked the manager on the phone if she was a doctor, and she replied no. Then I asked her what gave her the right to override a doctor, who had gone to medical school and had more experience in the field than she did. She then changed the subject saying she was going to check on the status of my wife's paperwork. The next thing I knew, the phone disconnected. Wow really, you get put in your place and then you hang up on a paying customer.

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    Customer ServiceCoverageStaff

    Reviewed May 3, 2012

    We have had excellent insurance coverage with United through my husband's company for many years, including the past 2 years of cancer surgeries and treatments. We paid our co-pays and that was that. In Oct 2011, he collapsed and for the first time ever, we called 911. EMS came and tried to revive him, took him to the ER where they worked on him for many hours, but was eventually proclaimed dead later that evening. It is 6 months later and I have just received a bill from the EMS service asking me to pay a balance of $1,400 of a $2,800 bill. United paid half and when I called United to question their payment, they said it was because the EMS was out of network.

    How can an EMS service even be in business if they are not in network with the major insurance companies? With a dying husband in my arms, I'm not about to ask if they are in network, I have never heard of such a thing. I have refused to pay the bill and United said that I can appeal it. I shouldn't have to appeal something like this! Two agents at United that I spoke to said they felt the claim was processed incorrectly and out of network doesn't apply to 911 calls, but when a supervisor intervened, she said it was processed correctly and I can write a letter to appeal. They have paid every surgical procedure, every medication, the ER when he was rushed there on his last night on this earth, but they won't pay for his ambulance? Someone please explain this to me because it's causing me such distress.

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    Staff

    Reviewed April 17, 2012

    I work in UHC Operations. Many of the difficulties members have with insurance companies on a whole, is they do not know how their policies work. Deductibles and out-of-pocket expenses are not unique to United Health Care. These amounts must be met before any payments will be issued to providers. These amounts can vary between a few hundred dollars to several thousands. They are determined by how much you pay each month in premiums. If a lower ded and oop are desired, then one must pay a higher premium. Your auto insurance works the same way. Education is key when it comes to managing your health care. Take the time to review your policies and if you have any questions, call the telephone # on the back of your card to get in touch with one of our member services representatives.

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    CoveragePrice

    Reviewed April 10, 2012

    Two years ago, I sustained a concussion. I went to an emergency room, because I felt dizzy. I went through routine tests. I paid a $50 co-pay. I thought that was it. Less than a month later, I got a bill for $1000. They stated I had a $600 deductible, and they would not pay the full bill until the deductible was met. I refused to pay all of this bill. We pay several hundred dollars a month in payments and co-pays, and still, they will not cover only a few medical visits a year.

    In February, I went to the doctor for a sick visit. I paid a $30 co-pay. Again, I got a bill for $77 in addition to the co-pay and the monthly payments. And this was for a sick visit! Now they tell me I have no more co-pays once I meet my $400 deductible. My husband's is $400, then we each have to pay 20% of cost and they will pay 80%. Who comes up with this stuff? They do not cover us. We are paying them for nothing. There is no coverage. The only thing we are getting is runaround and hassles! People need to get together and file a lawsuit against this company!

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    Price

    Reviewed April 5, 2012

    If one visits the Price a Medication section of the UHC site, one purportedly learns the the members' cost and the total cost of the medication. I have one very expensive medication (priced at the site is $890 for two month supply) and I had one refill. I re-ordered the prescription and now the cost is $969.39 with the explanation that prices fluctuates. Why even have a Price a Medication section if it is not accurate? I expected to pay one price but I am charged another. Even then, UHC must call to authorize the order because it is over the limit of $500. All this does is further delay the order. I am checking with the manufacturer to determine what the true cost is to UHC and will escalate this matter then.

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    Customer ServiceStaff

    Reviewed March 20, 2012

    W-9 written requests from UHC with address to mail and fax W-9 to. When we use both, they are returned. It becomes a vicious circle of making half of dozen phone calls to different parts of the country to get the W-9 to the correct location so we can get a claim paid. It should have been paid in 30 days but it will end up being 3-4 months before we can track down where to mail the W-9 since the information in their correspondence is incorrect. On multiple occasions this occurs.

    Paper claims are being denied stating our billing software is off a line per UHC templates. No other insurance company is returning our claims telling us we are offline. It is only UHC that is denying these claims and will not pay them until we realign them. We have no way to do this as our software is set and again the hundreds of other insurance companies we are sending to are having no problems.

    We are constantly fighting UHC with their understanding of the A0426 and A0428 procedure/HCPCS code denials. Patients call and complaining even have had UHC representatives calling us telling us we need to change our billing to get the claim paid. Every single claim with one of these codes has to be appealed to get them paid. We are told they are following the CMS rules and regulations. If this is the case, why is Medicare paying the claims and UHC is not? We are a billing company and represent over 250 providers. UHC plays more games to delay their payments going out the door within 30 days.

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    Reviewed March 14, 2012

    I rely on my insurance company to better understand my insurance than myself. So when a bill is paid, I don't expect them to "take it back". I had several medical bills that they paid, then after reviewing them, decided that they had paid them incorrectly. While the bills are now "right" according to my insurance, that doesn't matter, it should be done correctly the first time. Now I am left with many bills that I did not expect because they had initially (six months ago) been paid. Such horrible ethics for a company. If they made a mistake, they should not expect me to pay for it.

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    Customer ServiceCoverageStaff

    Reviewed March 12, 2012

    I have AARP which works with United Health Care. I have never written an online complaint before until today and I am doing it because I don’t want other people to have to go through the same experience that I did with United Healthcare. I was on the phone for 2-1/2 hours trying to get some help. The first 2 people I spoke with said that I do not have coverage with them. Actually, the first man said that I did, and then a minute later said that I didn’t. When I asked which it was, he just kept mumbling. I told him a few times I couldn’t hear or understand him and to please speak up, but he wouldn’t. I called back and after going through a lot of prompts, I spoke with another customer service representative and explained that I called AARP and they said that I have coverage with United Healthcare and they are affiliated with each other. However, that representative I spoke with the second time at United Healthcare also told me that I do not have coverage with United Healthcare.

    I called back again and couldn’t get an answer so I asked to speak with a supervisor. One called me back and after spending another hour on the phone with them asking why my card from them says insured by United Healthcare on it and they claim I am not insured with them, finally, the supervisor from United Healthcare called me back. She sounded nice in the beginning, but never explained why 2 of their representatives said I am not insured with them, just a lot of empty "I’m sorry". I spent another half hour on the phone with her trying to find out where to send my bill to them. I never got an answer after asking that 7 times, only told that I can’t send it in until I receive a form from them to fill out; that has the address on it. Then, she tried to find out if they would even pay for the service my bill is for (by law they have to), but she was very unsure.

    I finally insisted after using up all my cell phone minutes that they send me the form and still had to wait a long time for her to. I had already told her that by law, their insurance company has to pay for this service, but she just blew that off also. There are so many communication problems there and they don't even care. I asked if I could get reimbursed for all the cell minutes I had to use, Kelly said they would send me a reimbursement form, but I’m sure that I won’t get reimbursed because of all of the confusion.

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    Customer ServiceCoveragePriceStaff

    Reviewed March 10, 2012

    I am being forced to either join a mail order Rx program or the prices are being jacked up at my regular pharmacy. I am a single mother that barely survives paycheck to paycheck. I don't have money in my account to be able to have an Rx program automatically withdraw money from my account. Sometimes, I have to go without my Rx for a week because I have no money in my account. I see how it may be cheaper in the long run, but I just don't have the funds. My one Rx I picked up yesterday went from $10 to $33 and I'm being told that my daughter’s medication that she takes daily will go from $25 to $160 something. That is utterly ridiculous. I pay a lot of money every week out of my paycheck for insurance.

    I should have the right to continue to go to my pharmacy without being punished for not joining a mail order program. You are not taking into consideration what each individual goes through. I make too much money to qualify for any assistance, but I am barely surviving being a single mother. I am the only person that supports me and my daughter. We get no child support, no state assistance and no breaks for daycare or anything else. I am highly upset and disappointed with this insurance. I feel like I am being raped, and I do know what that feels like. You are giving me no choice.

    I want a call back from a senior manager at United Healthcare and I want my pharmacy prices to remain the same as to what I was always paying and I want to continue to go to my pharmacy. I do not wish to be a part of a mail order program. I want my medications when I want them and at my convenience. This is not good medical practice for an insurance company. I look forward to hearing from someone that can solve my problem; otherwise, I will look into other options, such as, contacting the local TV station about what you are doing.

    I'm sure I'm not the only one in this situation. I will also start a website about these unfair practices and possibly start a public protest. I am a hard working single mother with a lot on her plate and dealing with a bully of an insurance company is not something that I want to be doing. But I will! I will stand up to you. And if that means not taking any medications so that we will have more hospital trips and more doctors visits and possibly death, then so be it! Because then there will be a lawsuit right behind it. The nerve of you at United Healthcare forcing people to join something they don't want to and the only other choice they have is sky-rocketing prices at the pharmacy. You should be ashamed of yourselves! Please, I look forward to my call back from a senior manager in regards to a solution that is keeping my pharmacy prices the same as I have been paying in the past.

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    Customer ServiceCoverageStaff

    Reviewed March 5, 2012

    I started working for a small, non-profit college in June of 2011. When they told me that I would have coverage through United Health Care, I was elated. I had gone through United Health Care before and never had any issues with them. I am a type- 1 diabetic who had no health insurance coverage for almost 6 months before I started working full-time. Prior to this, I had been working 2 part-time jobs, none of which had benefits and even with that, I could not afford to pay $265.00 for the NovoLog flex pens and $250.00 for the Levemir flex pens. For a very long time, I had been going to my doctors' office to get samples of NovoLog and Levemir. I figured since I had health insurance now, I could begin going back to the pharmacist to get my medicine and I wouldn't have to worry about any issues pertaining to paying for them. I waited 30 days for my benefits to kick in and could not wait to fill my prescription for Levemir and NovoLog insulin. However, I was going to have to jump through plenty of hoops for a very long time to get help.

    When I got to the window, I was told that "The insurance company will not cover this because it is from a retail pharmacy. In order to have your prescriptions covered, you will need to go through a mail-order pharmacy". At this point, I wasn't worried about running out of my medications because I had enough samples of both Levemir and NovoLog to get me through the waiting period while the paperwork for the mail order pharmacy went through. Though I was a little irritated with it, I left the pharmacist in good spirits and didn't worry about it. Just to confirm this, I called United Health Care that Monday and sure enough; the lady on the phone told me exactly that. I had the mail order pharmacy, Medco, in mind so I wanted to make sure they were an approved pharmacy where I could get my prescriptions filled. I live in an apartment building and though I did not like the idea of having my necessary medications mailed and put in a hot and stuffy office, I was willing to comply because I had to have my medicine. I called Medco and got the necessary prescriptions and paperwork from my doctor's office and faxed all of the forms to Medco.

    It wasn't until 3 weeks later that I received a phone call from Medco stating that the insurance would not be covering this and I would have to come up with $689.50 in order to pay for the prescriptions. When I told them that I had health insurance through United and they told me that I needed to go through a mail order pharmacy in order for them to cover the cost of the medicine, they said that the health insurance would not cover a dime of it.

    I was absolutely beside myself when I called United and told them what was going on. It was at that point where I was told that I would need to reach a $2,500 deductible in order for them to pay for my medications. When I asked them why no one had told me this when I called to discuss what pharmacy I could use to cover the cost of my medicine or any of the other times when I called them to discuss the policy, the representative was speechless and could not give me an answer. At that point, I told the representative that they were going to end up screwing me over and putting me in a position which I can't get out of. I did not have $250 to pay for the medicine at the pharmacy, let alone $690 to pay for the medication through Medco.

    I ended up having to borrow the money from my boss and going to the doctor nearly once every 2 weeks just to reach my deductible (in addition to getting more samples from him). In the end, I still fell short and didn't reach what I needed to hit in order for the insurance company to cover my medication. I would have been better off not signing up for benefits at all! The one thing that was covered was doctors’ visits, not including the lab fees, tests or anything else that was needed. All of the hoops and anger could have been saved if someone at United would have just been honest with me and said that I need to hit a deductible before the cost of my medicine would be covered. It is a shame that I had to pay for a policy that didn't cover anything! It was just as bad as not having health insurance at all.

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    Customer ServiceStaff

    Reviewed Feb. 5, 2012

    I have a concern about the right of consumer. Every consumer has right to give their feedback about the company. How will you feel, when you come to know that your doctors are not happy with your customer service that was delivered by representative in India? Doctors take survey to give their feedback about the service provided by agent and the company but they are not able to connect to survey because survey calls are deactivated when the floor manager realize that customer is not happy and their team is going to get low scores or below 80%. If you don't trust my words, just go for survey. Call for any old claim which has multiple processing or if the amount is withdrawn.or not paid at all, your call will be put on hold for sometime and you will not be able to give feedback at end of the call. Please take very strict action about this. If you really want United Healthcare's goodwill to be improved in America, first do an investigation about my complain then contact me. I will let you know how these malpractices works if you want to retain your customers for long time.

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    Price

    Reviewed Jan. 31, 2012

    I filed an incorrectly signed form on 10/24/11, so the $437.50 payment would have gone to my provider instead of to me. I refiled immediately on 10/25/11, with a note indicating the error. My provider had received and returned to United Health Care the $437.50 payment by my follow up visit on 11/7/11. Please note that United Health Care had by then, received the claim, processed it, and put this check in my provider's hands, who returned it to them in less than 11 business days. United Health Care issued a second check incorrectly to the provider on 12/2/11. That is to say, having received my correct forms shortly after 10/25/11, and my provider's returned check shortly after 11/7/11, they made the same error, requiring 26 business days to do so. The provider returned this check as well.

    I spoke to Christine at United Health Care on 1/19/12 at 8:55 AM, to find out the current status of this October 2011 claim. She said that the correct payment of $437.50 had been issued on 1/17/12 to the insured (myself), and was being sent. She said an additional $125 payment, which had been incorrectly issued to the same provider, was being stopped and correctly paid to the insured. I spoke to Kay at United Health Care on 1/31/12 at 11:23 AM to find out the current status of this October 2011 claim. The particular concern was that I had received payment disbursed on 1/24/12, on a more recent and smaller ($65.33) claim, but not on these larger and earlier claims.

    Kay reiterated that the correct payment of $437.50 was issued on 1/17/12 to the insured, and said it had been sent on 1/18/12. She could not explain why a check issued a full business week ago, would have already arrived, except to say repeatedly that her office does not control the postal service. She could not explain the office's mailing procedures, or any other variation in in-house processes that might cause the larger check to be "held". She said the additional $125 payment had been issued on 1/25/12, and mailed 1/26/12. This payment has also not been received. She said the office could not issue a check trace, until the check had been out for 30 or more days.

    United Health Care uses mail presort processing, which is evident from the labeling of items received. One possible explanation is that the larger checks to individual subscribers, are allowed to "drop" to the portion of the mailing, which is not expedited through zip code presorting. This will be evident when the check finally arrives. It appears to me that United Health Care has a policy of holding its money from individual policy holders, as long as possible, to maximize its own interest earned. Had I not been following my claims, I probably would never see this money.

    I find it remarkable that small sums travel rapidly through the postal service, and large sums take forever, that small sums are quickly processed, and large sums take months, that providers receive reimbursements within 10 calendar days, while I am still waiting for reimbursement after three calendar months. United Health Care is not a proper target of an individual legal action. Unless my experience is unique, their actions would justify investigation by insurance commissioners in multiple states, or a class action suit.

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    Customer Service

    Reviewed Jan. 31, 2012

    I am looking for retirement insurance and when I called, they asked me for an ID#. I told them I don't have one. I was looking for information and then she asked for my Social Security #. My SS #? Forget it. I don't give this number just to receive information about the insurance for retirement people. The customer service is bad so I changed my mind already after I have read all the bad comments and my welcome to them. Good luck because there is a lot companies with better service.

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    Price

    Reviewed Jan. 27, 2012

    The insurance company is charging co-payment for generic Lipitor, same as brand name. When I complained about it, I was given a lame excuse of their being the only one generic supplier, and as such, they have to charge more.

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    Customer ServiceStaff

    Reviewed Jan. 27, 2012

    I wanted to add another family member (my wife) on to my dental plan. I called and was told that she'd need to fill out an application. OK, fine by me, no problem. Here's the kicker: it will take 7 to 10 days for them to send me the application! What? No email? No, privacy issues. What's the privacy issue related to sending someone a blank sheet of paper? It's just an application!

    How 'bout faxing it to me? Yes, we can do that, they said... but that, also, will take 7 to 10 days. What? A fax only takes about 3 minutes! No, no, no, no, they said, it has to go through "processing." Welcome to the technology of the 1960's! My insurance company makes me wait 7 to 10 days before they'll let me add on another family member!

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    Coverage

    Reviewed Jan. 25, 2012

    UHC mentions 100% on preventive maintenance but when I went for my annual physical, which the doctor draw blood to check for trigl and cholesterol, they decided that the lab work for cholesterol (lipid) wasn't covered under the 100% preventive maintenance. Only the doctor hearing my heart, touching in my private parts and body but lab work is not covered as preventive, which makes no sense. You have to draw blood and check for possible diseases. According to them, that was changed due to the Health Care Reform law. What a bunch of crap!

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    Customer Service

    Reviewed Jan. 24, 2012

    UHC failed to provide an EOB in a timely manner. Their performance on the claim is abysmal. They applied tricks to the system to make the claim seem in play when they had no idea what was going on with the international claim. It is still an issue in progress. I actually had a business manager hang the phone up on me. I was irate and unprofessional but I would have thought they would have had better on their side of the line.

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    Customer ServiceContract & TermsCoveragePunctuality & Speed

    Reviewed Jan. 19, 2012

    The main problem is getting them to pay legitimate claims, and fill mail-order prescriptions properly. As of this writing, they have omitted 6 claims from the December claim summary, that were out-of-pocket claims throughout the year, that were submitted by me and applied to the deductible, totaling $732.14. This changed the total amount of the end-of-year deductible, to be less than it should be. Therefore, I was charged extra for prescriptions that should have been covered 100%.

    I was denied full payment of diabetes test strips on September 27, 2011, for an out-of-pocket expense of $540. UHC only applied $289.95 towards the deductible. Two other claims prior to this one, were eventually applied towards the deductible, but not until they made me submit the claims numerous times. After the first denial claim, I followed up with two appeal letters, and they now are requesting me to start all over again. The name of the person who sent me a letter on January 6, 2012, requesting this, is Betsy **, director of customer service. There was no address, and no contact information.

    UHC denied payment to Naples Physical Therapy for services rendered, beginning November 1, 2011, because the provider's authorization was not filed on time. I asked UHC if it was an oversight, and if the provider filed right away, would they please allow payment, and they said, yes. Also, payment to Dr. ** on December 21, 2011 was applied to deductible, although the deductible should have been fulfilled, and payment made to the physician. The doctor is owed this money by UHC.

    As a result of UHC removing the entries of the claim summary (I have a computer copy of the month before where they were entered properly), it changed how they paid the claims. The month of December was a disaster, when Medco had 3 major problems out of 4 prescriptions. It took me about 20 hours on the phone to get it right. All I want is for UHC to follow their contract, and not deny claims because they hire untrained representatives. They required way too much of my time, to process claims that should have been automatic!

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    Customer ServiceContract & Terms

    Reviewed Jan. 18, 2012

    I work for a non-profit organization. We have a contract for speech therapy (92507) through Optum Health for United Healthcare; however, we also provide audiology services. We bill audio claims for out-of-network benefits to UHC. UHC processes those claims as speech therapy claims paying the allowed amount for speech therapy. When I called UHC and spoke to a claims rep, I was told that the claim processed per our fee schedule.

    I told them that we're only contracted for speech therapy. They put me on hold to do research and then they came back on the line and agree, the claim was sent back for reprocessing, and then I got a letter back letting me know the claim processed per our contract and no further payment is due. I appeal and get the same response. Somebody tell me, what do I need to do to get them to pay us out-of-network benefits for our audio services?

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    Customer ServicePriceStaff

    Reviewed Jan. 11, 2012

    They without warning stopped paying for a life saving medication that I have been on for 6 years to control my excessive blood clotting disorder. After spending over 5 hours on the phone with them trying to get my prescription filled temporarily while I wait to get it for their "approved vendor", I was told that they would not give the temporary override so that I could get the medication that I need to live and someone will call me later to see if it would be approved. They gave me the run around for over 5 hours to still leave me without the medication instead of just giving the override even though I explained to them that it could cost me my life.

    For starters this ordeal has inflicted me unnecessarily. On top of everything else going on in my life I have to worry that I could get a blood clot that kills me because they denied me access to my life saving medication. This has caused me mental anguish and has tremendously increased the stress on my body. They are disgusting. If I die, I am going to make sure that the proper channels know that it was this bureaucratic nonsense that killed me. How do people who have no experience in medicine be able to have absolute control over gravely sick peoples lives?

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    Contract & TermsStaff

    Reviewed Jan. 11, 2012

    In summer of 2010 I took a temporary job which provided me with access to United Health care benefits from August 2010 through December 2010 through COBRA (the temp company contracted with another company thereafter for insurance, which I still have). Fall of 2010 through present, I have been disabled with Chronic Regional Pain Syndrome, CRPS. I have been essentially bedridden in pain requiring neurological block procedures and high doses of narcotics. I have relied on family to help care for me and my young daughter. My family and I had not been able to make heads or tails of the plentiful medical reports that have poured in, until now.

    Apparently, in the transition from active employee to COBRA status, United Health Care inappropriately denied dozens of my claims, resulting in thousands of dollars in unpaid bills to health care providers. Two bills in particular have been in collections so long that they are now on my credit report. This is a problem, especially as I am in underwriting to refinance my home based on disability income which will terminate next month.

    One bill on my credit I did actively try to clear at the time; I had asked the provider to re-bill insurance for one of the bills, but no resolution ensued. The other I was unaware of, United Health Care admits these were insurable bills that they should have paid. UHC has informed me that the fund provided from my prior employer closed 6-11 and the only way they can pay the claims is if I convince my prior employer to re-open and fund the account. Upon my contact with prior employer, they are unwilling to do so.

    All my premium payments were timely. In a (recorded with their knowledge) call with UHC, they admit the usual course of business is for UHC to inform prior employer when they 'reinstate' and employee with COBRA and pay open bills. Upon review, many bills were, in fact, readdressed and paid in the fall of 2010.

    I have exceeded my out of pocket max. Yet there are many more bills than the two that have shown on my credit report; Dozens of bills worth Thousands of dollars are lurking in cue that should have been paid by UHC. Since they were not, they are are all headed my way through collections. What can I do to get this resolved?! My belief is that my contract is with UCH; and it is their responsibility to ensure funding to support their required benefits. Which party is correct and how can I enforce payment by UHC?

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    Customer ServiceStaff

    Reviewed Jan. 6, 2012

    I have called UHC customer service multiple times over the past 1.5 years to get a copy of my bill (that I mailed in to UHC) with no luck. When asked for a reason on why I can't get a copy of my bill, they have answers ranging from security issues, policy issues, no bill available and everything else the agent can think of on that day. I feel cheated because the company will have to pay me if I get a copy of my own bill back. The agent will not transfer me to a manager or promises me that their manager is out and will call back and I never got a call back in the last 1.5 yrs. UHC suck! They are cheats!

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    Coverage

    Reviewed Jan. 4, 2012

    I’m not sure why this is relating to a storm or property damage. I didn't select anything regarding that. I am having problems with United Healthcare, Benefit Services, PO Box 221709, Louisville, KY 40252, 866-747-0048. My premium was due on 01/01/12. They printed the billing on 12/22/11 and mailed it out on 12/27/11. I received the billing on 12/30/11. Now they have suspended my benefits. I mailed the payment immediately but of course the post office was closed until yesterday. I do not think it is legal to suspend a customer's benefits until they receive payment when it was their fault. I have always been faithful in remitting my premiums so I think their action is unacceptable. I am concerned about what would happen in case of a medical emergency. Most insurance allows a grace period, but for some reason they do not.

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    CoverageStaff

    Reviewed Dec. 31, 2011

    My mother will be 99 at the end of January and suffers from dementia. After two weeks at a rehabilitation recovery facility, they said she was not making progress and they were discontinuing her benefits in three days. I had those three days to file an appeal. I talked with over a dozen people and keep getting different responses. They would not deal with me because there was no power of attorney on file, and though I send in an expedited power of attorney (three times), they still have no record of it.

    Her coverage has expired at the rehabilitation unit when in fact patients with dementia take at least two weeks to settle in. I am being told that if she had not gotten supplemental insurance, there would not be an issue. I am contacting an attorney, but I truly feel Secure Horizons is betting my mother will pass away before they have to do anything.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Dec. 19, 2011

    I take pain medication (Lyrica) for severe neurological pain related to a very rare neurological disease. I tried to refill my prescription at my local pharmacy and was denied by United and told I have to use their mail-order pharmacy to get this drug. This was news to me. I need the drug today since I'm out, so they said they could do a one-time override. After waiting on the phone for 15 minutes the Medco rep said they couldn't get Prescription Solutions to answer the phone and wanted to give me the phone number so I could call them. What made them think I could get them to answer the phone if they couldn't?!

    And I wanted a Medco/United rep on the phone when I spoke with them. He declined. So, I'm paying out of pocket today for this drug. I don't like using Medco. I switched because they are so slow and difficult when I did use them. My husband called his office and they said they'd never heard of such a requirement. They're checking but I think they'll get the same answer. How can they require me to use them when the service is so poor! I get so upset when somebody screws with my pain meds. They don't understand how bad the pain is and how much I depend on them.

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    Customer ServicePrice

    Reviewed Dec. 14, 2011

    I am writing regarding United's absurd decision to use Prescription Solutions as their primary (and forced) mail order drug pharmacy. My wife's cancer medication has been deemed a "specialty medication" and, therefore, can only be filled by Prescription Solutions. First of all, I find arbitrarily labeling one drug "specialty" versus any other to be both arbitrary as well as discriminatory. United would be more honest to say the drug is too expensive but instead opts for deceptive insurance lingo. Secondly, my residence routinely experiences issues with proper delivery by all package carriers. I have had things delivered to neighbors, left in the bushes, etc.

    This is troubling for a pair of mail-order shoes. For a drug that is vital to my wife's health, it is both maddening and horrifying. Never mind that we had a wonderful relationship with our local pharmacist; now any issues have to go through a call center with non-pharmacists. We were not even given a proper option to begin with as to whether or not we would like to use this service. I was told by a United employee that a group of United pharmacists decided it would be better and more trackable to do it this way. This is one of the worst decisions this company has made regarding the treatment of its paying members.

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    Reviewed Dec. 13, 2011

    I had failed oral surgery in March 2011, leaving me with my chin on right side of face and 3 branches of trigeminal nerve gone. I cannot move my mouth to left. Too much bone was removed to put me back without making concessions. I had corrective surgery on July 6th, 2011. It was considered an emergency as I could not speak properly, eat, and had no saliva. United Healthcare is denying the claim saying that appeals were not filed properly. However, my oral surgeon sent in the required photos and molds along with paperwork to Debra ** of United Healthcare, which were reason for the appeal.

    But she coincidentally claims non-receipt of the molds and photos but received the paperwork. My oral surgeon filed claim with shipping company and received $100 and was told they can't find the package. The entire case is a mess as I will require future surgeries to move my lips, fix atrophied face because of nerve damage, fix septum that should not have been touched. So, I am starting to feel that United is looking at the situation from a legal perspective and is denying the claim, as a result.

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    Installation & SetupCoverage

    Reviewed Dec. 11, 2011

    After years of debilitating migraines that defied any intervention except for frequent trips to the emergency ward for every kind of shot including morphine multiple times a week, my husband heard of a Dr. *** in Dallas who had controlled many patients with equal or worse situations with electrical implants. His success rate was extremely high and we asked UHC to be allowed to see him. They allowed the trial phase and it was a big success, no headaches even when exposed to known triggers.

    We already had the appointment for implanting the permanent materials when UHC just suddenly decided to deny the implants. We had the plane reservations, place to stay, everything and they decided to say it was experimental and would not cover it. Our suspicion was they knew my husband's company was switching carriers after the first of the year so they sandbagged.

    We had reached maximum out of pocket earlier in the year due to all of his hospital visits and if the new carrier (Blue Cross/Shield) allows the proceedure in 2012, we likely have to go through the trial again. We had already paid for plane tickets and when we canceled the surgery, it was too late for refund. So nearly $1,000 for the actual flights and the cancelled ones is gone. If Blue Cross allows this, we will have a huge chunk for out of pocket and my husband has a debilitating migraine sometimes up to three times a week. Isn't this what you have insurance for? UHC has all the cards and does not care about the fallout with the patients one damn bit. This is a travesty and there is nothing that will be done to rectify the problem.

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    Coverage

    Reviewed Nov. 17, 2011

    We pay insurance premiums to UHC through my wife's employer. UHC says, they are not the primary insurer, and since we are both over 65, Medicare is the primary, and UHC is secondary. For the past 4 years, UHC has told us they were primary, even after we were 65. This is a new review. I think they are trying to avoid fiduciary responsibility. We are paying full insurance for secondary coverage, through the employer. If we change to another insurance company, or take on a supplemental policy at this point, they probably won't cover pre-existing conditions.

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    Reviewed Nov. 13, 2011

    I underwent an hernia surgery on September 2, 2011 as my GYN made the determination on August 2, 2011 that I had an hernia and surgery was recommended. My United Healthcare insurance has a pre-existing clause through my company. This policy went into effect May 1, 2011. United Healthcare is refusing to pay any and all of my medical bills as documentation has clearly established this is not a pre-existing condition.

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    Customer ServiceContract & TermsCoverage

    Reviewed Nov. 9, 2011

    When my daughter was born, my husband contacted UHC from the hospital. They quoted us one amount, but when the money was deducted from our account, it was $100 higher. When we called them, they simply said "oh, we raised your rates." We never even got a letter in the mail. So we asked them how that could happen between the time we sent the signed Rider agreement and the time the money came out and they said "we sent you a letter," which we never received. So we asked them for a copy of the letter. When the letter came in the mail, it was dated for the day of our phone call with them, so clearly, a letter was never previously sent. Still to this day, we pay the higher amount, while we look for new insurance.

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    Coverage

    Reviewed Nov. 8, 2011

    My primary care physician, and my surgeon, are both trying to get me into bariatric surgery, to reverse my co-morbidities, which is aggravated by my severe morbid obesity. These conditions are, hypertension, hypothyroidism, sleep apnea, insulin resistance, DVT in the past, to name a few. These conditions are supposed to be covered by UHC, however, there is an exclusion in my policy, which reads that obesity treatment, including obesity surgery are excluded.

    The RNY surgery that is recommended, although it is listed as a obesity surgery, is also a treatment for the morbidities I am experiencing, and is deemed medically necessary. Because of the exclusion in my UHC policy, UHC will not cover this surgery. The co-morbidities that I am experiencing can worsen, at the least, and can be fatal.

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    Reviewed Nov. 8, 2011

    This company does everything within their power to deny necessary authorizations including arguing with doctors about their patients' care! These retired consultants from United Healthcare aren't even up to date on most medical findings. Their mission statement is a joke! I'm sure someone is getting a bonus for their denials because I've heard it happening to many people including myself! It's time the insurance commissioners take a look at this company.

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    Reviewed Nov. 7, 2011

    This company lies about claims, transfers you over and over again, and doesn't keep track of their gap coverage, which is a joke. I have spent over three hours on hold so far and have not been able to get any clear answers about why I am not having my claims processed in a timely fashion or done properly.

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    Reviewed Nov. 3, 2011

    I have been experiencing denials of Claims for missing NPI number, that is clearly shown in the appropriate box. This has been going on every month for over 3 years. Each time I contact the company, I am told it is a computer glitch, and the number does not show up when the form is transferred to them. This allows them to withhold payment for an additional 30 days. Frankly, I am exploring the possibility of suing the company for acting in bad faith. Has this happened to you?

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    CoverageStaff

    Reviewed Oct. 8, 2011

    My husband and I tried acquiring health insurance through our agent and I considered United Health Care a great company, so we put in an application. We rarely, if ever, get sick. We received a letter in the mail from UHC and I was declined because of my height and weight ratio; not because of my health history.

    I consider this discrimination against people of size. It is no wonder that so many people in this country don't have health insurance.

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    Customer Service

    Reviewed Oct. 7, 2011

    UHC/NHP are denying to reimburse me for the cancer surgery because I was in the process of going into COBRA and I was not on their system whenever the doctor/health center called them. Authorization was impossible to get when they had no record of me, but I was in the process of being COBRA'ed and I am in it still now.

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    Customer ServiceStaff

    Reviewed Oct. 5, 2011

    I have been receiving a bill from a medical provider since January 2011 for services received on December 2010. I have called and spoke with the service provider who states UHC has not paid the bill; however, every time I call UHC, I have to speak to a different person and describe the whole situation all over again. UHC has given me many excuses such as, "We paid it," "We asked for a refund but we have still paid it," and "We don't know why they are billing you."

    I have been told that the service provider has been sent a letter to stop billing me, that it will be taken care of, and that I am not responsible for any of the charges by every person I spoke to on the phone at UHC. Now, I get a letter saying my bill has been sent to collections for lack of payment. Again, I call UHC and talk to yet another customer service representative who knows nothing about the situation. She kept me on hold over an hour to call the service provider in order to find out what happened with the payment. Then she tells me, "I have to call them back tomorrow morning to get more information." She says, "I will call you at 10 am Central Time tomorrow to tell you what is going to be done about this situation."

    At 10 am the next morning, there was no phone call at all. I call the service provider at 4 pm and she remembers talking to UHC about the situation and says, "They were supposed to call me this morning to get a file number, but they never called me back." Again, I called UHC and talked to a new customer service representative who says, "Systems are down. Will you call back in 30 minutes?"

    I have never been treated so poorly by a company, and now, my 800+ credit rating is about to be ruined because UHC did not pay a $300 bill that they were responsible for, and they admitted to me every time I spoke to them that they were responsible for it. What's worse is that after 9 months of calling and asking for it to get taken care of, nobody there seems to know why I am still getting billed and why it hasn't been paid. Nobody can give me any answers.

    What else can I do?

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    Coverage

    Reviewed Sept. 27, 2011

    UHC has declined to cover medical care for PKU. By declining to cover medical care for PKU, United Health Care is in violation of Minnesota Statute 62a.26. I have health care coverage from United Health Care (UHC) for my son. My son has phenylketonuria (PKU), which is a genetic metabolic disorder. The healthcare policy clearly states that the PKU care is covered by the plan. I've provided them with all the information they've requested, including a Statement of Medical Need from Cruz's doctor at the University of Minnesota Clinic for Metabolic Disorders.

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    Customer Service

    Reviewed Sept. 23, 2011

    I have submitted a claim for a covered expense reimbursement (hearing aids). The claim was dated May 25, 2011 and the reimbursement was submitted June 8, 2011. I have called them at least 10 different times and each time they either claim they didn't received it or it's under review. They denied the claim on August 4, 2001 and I appealed it on September 2, 2011. It's been more than 4 months. They are contractually obligated to reimburse $600 of the $2,750 in costs. I think they are stalling or postponing payment of the claim to benefit their cash flow. I would like the DOI to intervene and contact them or me.

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    UnitedHealthCare Company Information

    Company Name:
    UnitedHealthCare
    Address:
    9700 Health Care Ln
    City:
    Minnetonka
    State/Province:
    MN
    Postal Code:
    55343
    Website:
    www.uhc.com