Out of network claims
I have had the same UHC policy for over 15 years. My policy states that once I pay my OON deductible and co insurance, my claims are paid at 100%. For years this is the way its gone., and I've had the same doctor for 10 years. He's out of network, but he's wonderful. Suddenly, last October, that changed. My claims are now paid at Medicare rates. What? I have private employer sponsored health insurance. They give me a different answer every time I call or email, and point to the verbiage of their paying 100% of "allowed amount", based on Medicare rates. No one can or will tell me what changed or why Medicare has been introduced into my account.
Desired outcome: Pay my claims per my benefits
AARP Medicare Advantage
See my letter about your "Customer Service"
Desired outcome: Service Apology maybe let me move
Lack of attention to repeated requests for help.
My daughter has been with Blue Sky Neurology since August 2020. She has attempted to fill her prescription of Botox for my severe migraines for months now. They write back occasionally after she writes them telling her it is in review with you all. It has been under review for over 2 months. They say we can't do anything to facilitate the process. I am frustrated and he is in pain. They have been totally unavailable throughout our experience - you can't even get a person in person on the phone. I do not recommend them they are not efficient and very unprofessional. Please send a new neurologist name to us for future care. I tried to access my records on their site but of course I can't due to some problem.
Thank you for listening,
Desired outcome: New referral/note problem with provider
my payments by check are not being processed
I make payments usually at least a week before due date.
starting last month, united healthcare is not processing my
payments.
I cannot afford to lose coverage due to payments not being processed. what is the problem with making payments by check?
please look into this!
last month I had to call united healthcare and make my payment on the phone using a credit card. I cancelled my check and the bank charged me $35.00
united healthcare didn't even contact me to inform me
they hadn't received my payments.
Desired outcome: want my payments processed in a timely manner
Help Line
To whom it may concern,
I'm writing this as I sit on hold waiting to take the survey your automatic system asked me to which at his point I have to believe isn't going to happen. Things just changed, a woman named Julie just came on the line and asked if she could help me, when I told her I'd been waiting to take the survey she said this line wasn't meant for surveys and asked was there anything else she could help me with I said no thank you, good bye, and I would include her in my registration form. Anyway the reason I even bothered to write this is because whomever it was I spoke to first had in my opinion kept me from taking the survey as I suspect people have complained about him being hard to understand and rude, God knows that may not be the case but since I'm here I'll tell you what else bothers me!
The reason for my call originally was to find out why my prescription price that averaged around $250 was now $409. You can imagine my surprise when being told you will no longer cover my end of life medication because I've been on it to long. The fact there was no warning, which ended up costing me loads of frustration and time and is being done by United Health Care, a company ranked 7th on the Fortune 500 list and the largest healthcare company in the world with 2019 revenues of $242.2 billion is a dirty shame!
Sincerely,
Desired outcome: That just maybe you'll see what you're doing to your fellow human beings.
It is shameful...if only they pretended to care. Best to you, if we can tell others what they WON'T be getting, maybe it will save the next person some time and money.
Denial of Claim
Service Date - 7/21/20
Client # [protected]
Denial of out of network provider for hysterectomy with complications. They paid for hospital (in network) where procedure was performed, in fact, my doctor has a special operating suite there and brings in many new patients. My doctor requires his payment up front which was $15, 000.
I thought I would receive at least some of that amount back from UnitedHeathcare.
Payment was $1, 798.34 which went to my out of network deductible. I appealed and it looks like doctor used wrong identification numbers. Looks like United Healthcare will get away with not paying any of the original $15, 000.
Desired outcome: Payment of the original $15,000
Stat order called in for nebulizer and not received
I have COVID right now. My Dr. called in a STAT order to both Preferred home care and the insurance company - United that I needed this ASAP. This fiasco has been going on since 1/8/21 and here it is 1/14/21 and I still do not have a nebulizer to help keep me alive with my covid. As I am typing this, I have been on hold with United Health for almost an hour.
Desired outcome: Get my nebulizer to me today
Monthly statements
Over the last 4 months I have had to repeatedly call attempting to get my monthly RX statement which is supposed to be mailed to me. Customer service reps have verified that I am to receive my monthly invoices in the mail and I am promised that this would be corrected. It has not been. Today is January 14th and I have called twice asking for my January statement which they say they will/have mailed. I have no other issues with anyone in terms of receiving my mail on time and I continue to receive other things in the mail from UHC so blaming it on COVID is unacceptable. Furthermore, it takes forever to get through the voice mail "tree" before I am finally connected with someone. Today I asked for a supervisor or manager right away from Selene who then transferred me to Ladarrius who is not a supervisor or manager but promised he would connect me with the right person. I then went through the phone tree again after a long hold and was connected with Velda who is not a supervisor/manager. What does it take ?It is so frustrating and not the level of customer service that I will tolerate any longer. Furthermore, the website for getting invoices on line is ridiculous. It says my password/sign in is invalid. I go through the process of getting a new password, it works the one time, I write the password down and the next time I attempt to log in it tells me my sign in/password is invalid. It is a piece of junk.
Desired outcome: I just want my monthly statements each month in a timely manner
I am having the same issue, It is 1-26-21 and still have not received bill for Dec., Jan., and now Feb.
The last time I received an explanation of benefits was July. Like you I have called and called and each time was told it has been taken care of. Yes and like you other people who live in same house receives their statements and explanation of benefits on time. This started happening before Covid so don't even use that as an excuse . I called Medicare and they are filling a complaint report to United, maybe that may make them do their job, because their customer service leaves alot to be desired.
Medicare.gov
To Whom May Concern, I hope complaint going to the right placed. I was assigned a health plan did not I repeat did not give no authorization at all to the one is responsible for this. I called AT&T company and United Healthcare on Jan. 6 2021 was told going to take care of this with Medicare.gov, in 24hours the way assigned this the way they have to undo, my coverage i had Medicare removed until who did this mess fixed it. This is not a game at this moment I have no medicare coverage I have Parkinson need my medicine have Doctor app. this is a emergency I spoke with Rep from AT&T just have her first name Linda, and first name Laura Unitedhealth care she is the person who said 24hours would take care with Medicare to undo or take me off . I just wanted to follow this up with a complaint. Plan assign UnitedHealthCare Group Medicare advantage(PPO) (H2001-837) and I live for 23 years in Puerto Rico. I hope this get taken care right away. Ann Falcon, 555 Sect La Mula Utuado, P.R. 00641 Birthdate 7/13/1952. Phone# [protected]. My health could have a set back. I hope this will be taken care as soon as possible. Thank-you!
UMR Insurance Plan is a total RIP OFF!
Just want everyone to know this company is almost a scam when it comes to insurance. Doesn't want to pay for anything, make the process long and hard to get anything authorized, gives wrong information. I'm not sure how this company still exists with how they rip people off. My company switched policies last year and ever since getting stuck with this we have lost so much money and had so many things denied that had never been a problem before. Avoid this "insurance" company at all costs! They won't cover anything and will only give you a headache!
Inappropriate denial
Mitzi McMurray, Reference# A112213482, DOB 7/13/63, DOS 12/24 to 12/26
Admitted 12/24/20 through the ER for new onset Atrial Flutter at 133 with history of congential atrial septal defect, received four IV doses of Cardizem. She was also positive for COVID. She stayed for two days for rate control and intiation of two new medications. Called in to UHC 12/28 and clinical faxed on 12/28. Case reviewed by J. Gatica CM [protected], case denied, no explanation for the decision, peer to peer offered.
This case is one of three cases for UHC admitted on 12/24/20 that were denied and a peer to peer offered.
It is inappropriate to ask the attending Dr. to take away from care of the COVID patients to complete peer to peer reviews on all three of these admits.
Desired outcome: Secondary reviewer to review the case
Mask
I received a packet information that listed a change to my policy. Included was a complimentary face mask to be used in re to Coronavirus. I threw it out, as it was "made in China." Didn't know whether to laugh at the irony or be insulted that the country that infected us with the virus came from there. Do you really believe that a "face mask" from there could be trusted to provide any protection whatsoever. Expect if I had it analyzed, might find it defective or polluted in some manner.
Unethical behavior, refusing payment, stalling with paying doctors
We used UHC for 1 year. During that time, I broke my ankle. After receiving treatment with several medical staff, we received numerous statements that it's our responsibility to pay full coverage. They told us we were using Medicare at the time. We informed them it was only plan A! They paid out to the doctors then took it all back. We had to make over 10 calls over several months explaining to them they were the only health care plan we used!
Desired outcome: To quit trying to get us to pay the medical bills after we paid the co pay when they're responsible!! All the doctors are getting real aggravated with them for paying them then pulling the money back several times!
Billing
I received a bill for Part D. I have not received Part B from Social Security.
You can not bill me due to not have Part B from Social Security.
Spread of misinformation
I just started my insurance with UMR back in latte August. I had to make an appointment with an endocrinologist and wanted to make sure I would owe nothing out of pocket once I had an appointment. I called UMR as well as the Dr.'s office and they both assured me there was no out of pocket pay. I then go to the appointment on 9/23 and receive a bill from the office in November stating I owe 140 dollars. I call UMR immediately and am told to ignore the bill and it will be fixed. If there are any issues I was told I'd receive a call back. Never received a call and got another bill in the mail today from the same provider. Had to call UMR myself and was told the claim was denied because they are a tier 2 provider and I had to pay the deductible. Had I known that was the case I would have never gone to this provider, that is why I made sure to verify it with the both of them before I even went to the appointment. Now I am expected to pay that bill after I did repeatedly asked and inquired. I believe UMR needs to pay the 140 dollars and further educate employees to mention that when someone calls specifically asking if I am going to be expected to pay.
Billing/provider services
Member ID [protected]
Member: Mathew Sheridan DOB 7/16/77
Bill: pediatric after hours care for Benjamin Sheridan 11/10/18.
REF: D9551
Prior REF:D1493
prior REF: D197180753
Collections company: Hospital Collections Services [protected]
Both the provider and myself have been trying to get a bill paid correctly for a doctor's visit for my son on 11/10/18. Over 2 years. The provider was originally sent payment that was made out to the wrong providers name. He contacted UHC many time over many months trying to get the error corrected. (He had several claims where UHC did this). I got involved when he finally sent me a bill 1/29/20. I contacted UHC over and over again, was endlessly transferred around, or disconnected. I called both the provider and UHC on a 3 way call and talked with someone at provider services and this was supposed to be all resolved - this was finally in 07/2020. The check was never sent and I got a call from a medical collection agency this week. I called again yesterday. I spent 2 hours being transferred and disconnected. I managed to talk to a supervisor named Melinda. I was going to call the provider again 3 way with her - she took my number in case we got disconnected to call me back - she assured me it was quicker than me trying to call her. We got disconnected and she never called me back. I then spent another hour trying to call and get her again. Every time I actually talked to a person, they wouldn't listen to me and just tried to transfer me. One man made fun of my frustration and called me "Karen," another woman told me she was transferring me to a supervisor and hung up on me. Finally I got someone else who said she is sending the request to pay the bill with the correct provider name, and that she would call the collections company to stop collections. MY REF# IS D9551. I don't have any faith that this will actually happen. This is the worst company I have dealt with in my life. I have not talked to one person at UHC who actually cared about my issue or did what they said they were going to. We paid for UHC insurance for our family. We paid a lot. This was a simple pediatric appointment for my child. I paid the co-pay. Now it's been 2 years trying to get UHC to pay their portion correctly. I have been unfairly sent to a collections company due to UHC's ineptitude. I shouldn't have to pay a bill that was covered by insurance I paid for. If anyone in this terrible company cares at all about doing the right thing please look up the member number/ref number and make the effort to make sure this bill gets paid.
Amy Sheridan
[protected]
Account login issues
We're sorry. We're having an internal problem.
Please try to sign in again.
Been getting this error for weeks when I try to login. Called support and they haven't been any help.
3 horrible conversations I had today with them
I have finally had it with UHC and I'm moving on at the beginning of the week to "anyone else" that can offer help with my scripts.
What really burned me up was their "stay on the line after the call" to take their SURVEY. When they notice a bit of displeasure in your voice - there will be NO SURVEY for you. Before I get into that I also had a very trying time with another "Tier ?" medication. They put you through hell and today was with another one. I am awaiting surgery next month and have severe spinal stenosis and the pain is intolerable so I asked if I could get it filled a few "days" earlier. GOD FORBID. The more I type the madder I get
YEP! while they blame YOU and "caremark" as if it is some other company that they have nothing to do with...you literally have to act INSANE to have them even pretend to do anything .
Customer service / sales medicare advantage plans
I am writing to complain about the rude and unprofessional way I was treated by one your sales agents, Nicholas Sanchez, when I called (11/18 at about 12:30 pm EDT from zip code 29464) about information on signing up for one of your Medicare Advantage Plans. I have had a United Medicare Supplement Plan for nearly 11 years and I could not be more pleased by your coverage and service. Mr. Sanchez did not tell me until I was about ready to sign up for the Advantage Plan that I would lose my Supplement Plan and probably never get it back. As a senior citizen I believe it is critical that this is understood from the beginning. Mr. Sanchez then told me that I was wasting his time and that he had "enough of me." Someone should remind him it is a competitive world out there with little patience for his arrogance. Please note I am reporting this complaint to the insurance professionals at AARP who support United's Supplement Plan Service.
Pool quality member plan service and follow through with member
I already sent a letter to regarding my denial by the medical group to: dirk mcmahon, anne docimo, brian thompson, ed lagerstrom, and alexander perkinson on october 14 on the denial of a doctor who was in my group, but they don't seem any of their members are important. I have been struggling for 4 years with a disease that no western medical doctor in this country knows how to treat properly, so I am just trying to find a doctor who even cares over the usual, take this or that pill! This, by the way, is my "6th" grievance on this insurance company that places profits before people. It is obvious to me that their huge profits ($183.5 billion) are attributable to their "kind" of sick care their members have to either "enjoy" or "endure". It is totally unconscionable that these insurance companies continue on a road of silent abuse, yet their commercials and ads paint a different picture, luring people into their demise.
I am so exhausted over these crooked companies that do not care with their over-paid executives who know nothing about our current health crises today!
Bottomline, I need an immediate resolution to my issue and research into providing members into alternate solutions for real healthcare and finding root causes to the 50-70 million people struggling with these diseases with no current solutions with this insurance company's plans for seniors... Just unconscionable to say the least!