Optumrx

I HAVE BEEN DEALING WITH THEM FOR MANY YEARS IT SEEM ABOUT EVERY 5OR 6 MONTH THE $#*! HITS THE FAN THET SCREW UP MY INS /THEN THAT COMPUTER PROGRAM WORHS LIKE A CHARM UN TILL THE WISS KID HAVE TO GET THERE FINGER IN IT AN I AM OUT IN THE COLD FOR WEEKS AND TRY AND GET HELP WOW MAY BE THE TEC SO THEY KNOW WHAT THERE DOING I AND AM NOT A COMPUTER GENES SO THEY ARE NO HELP AND THAT AUTOMATED ANSWERING MACHINE IF I COULD REACH THUR THE PHONE I WOULD STRANGEL HER AND CUSTOMER SERVIE IS A HOLD ON FOR YOU LIFE 1/2 HR OR MORE HANG UP AND FOR GET THEM BECAUSE THEY CAN HELP YOU ANY WAY EVERY TIME THEY START THAT SECURITY $#*! EVER THING GOES HAY WIRE ENOGH SAID GOOD LUCK I AM OUT OF HERE GOING BACK TO MY LOCAL DRUG STORE AT LEAST IT IS IN PERSON AND THING WORK BETTER THAT WAY

My wife and I decided to take a long winter vacation and try out snowbirding like tens of thousands of Americans! So we needed way to get our prescriptions delivered to us where ever we are. Unfortunately our main insurance company is tied to OptumRx we have no choice unless we drive or fly thousands of miles back to our regular pharmacy in our home state Each month. OptumRx presents us with challenges that make taking a vacation impossible to enjoy. They change how they bill, how they approve and just about anything else that will slow down getting medication we need. If they are not intentionally delaying some they are over prescribing others. Then they try to renew these over prescribed meds when we have a Years supply already from 1-2 months ago. This month they are asking $100 for a script thats only supposed to cost a few $!? Now I'm stuck between a rock and a hard place again having to spend hour's on the phone with the off shore call center, contact with the company in the USA is impossible! No way to file a complaint that does anything against them! My wife's one medication keeps her alive it's for her permanent disability, they messed that up this month causing another delay that could send her to the hospital she could die without it. If you need life sustaining medicine this is the worst company to have your insurance company force on you! We only want to see the USA in our older years something all Americans should have the right to without a company like OptumRx putting your life at risk! With inflation today we don't have the money to throw away at this company just to get what we are supposed to with the insurance we are paying for. OptumRx operates like a monopoly they have completed control over your life if you depend on them. Because of the US laws we can't just use local pharmacies they know this. And our home pharmacy is not allowed to mail out medicine. Basically your playing Russian Roulette with your life if you want to travel while needing medicine. Make you wonder if we just have to give up and go to a retirement home and wait? While we still have some life left to travel.

It has come to my attention that as consumers we need to know that Good Rx will discount drugs that are denied by Optum Rx because they need prior authorization you have no idea that the Pharmacy will run it through your insurance get a denial and then it is automatically run through good rx So today I asked why it was denied run it through again thru my plan and tell me what they say about why they have deied the claim sir you need prior authorazation you need this auth to have it payed for so I sujest your provider needs a seack of formd to add

This is a distributor company for a drug plan. They are impossible to talk to and get the orders wrong all the time.

Still, no meds it is crazy that this company can not feel more for its people. My meds are my way of life, and this just is not right.

Terrible terrible delay after delay and no meds do not use unless you don't want your meds, it has been two weeks

Never deliver on time, packages lost, do not care of you get your medication on time, Notify you to refill but dont do it. Horrible

They can't solve my problem, they put me on hold for hours, they don't call me back. Terrible service

On multiple occasions the preauthorization representatives gave both myself (patient) and my doctor false, conflicting information. They refused to let my doctor do a telephone preauthorization request although the literature they sent clearly states that she can do this. They repeatedly transferred both myself and my doctor to the wrong departments. They also said that after a medication appeal is approved or denied they don't have to notify the patient and the doctor has to call Optum Rx to find out if it is approved or denied. However on one occasion prior to this incidence a customer service rep did call me to say that my appeal had been approved and I could go to the pharmacy to pick up the medication. The preauthorization process is unreliable, contradictory and does not comply with their written literature. The worst thing about my Medicare advantage plan is having to use Optum Rx. It could cost many patients their lives! Their needs to be a detailed medical review by CMS of COMPLAINTS ABOUT OPTUM RX and an Open forum for patient to register complaints and those complaints should be individually addressed AND RESPONDED TO.