Overnight United Healthcare claims to no longer be in network. Run away from this insurance company!
Do not consider United Healthcare! There are bad reviews for a reason! I am usually cautious consumer.
In a world where there are so many checks and balances put in place to verify a patient is the correct patient. It baffles me how erroneous and incoherent United Healthcare is regarding their record keeping of their members. For 5 years my son has always had his middle name on his insurance card. He and his Grandfather share the same first and last name. However, that is where the similarities end. They have different birthdays, different middle names, and obviously different social security numbers. Despite all these differences UHC since March 2020 has been denying my son's claims stating that he has another insurance. (Coincidentally its another UHC plan) If SOMEONE would of fact checked more than "First Name Last Name", ANYONE I wouldn't be receiving bill after bill because the claims are being denying. NOBODY would though, I keep calling, filing grievances, getting transferred to the escalation team. Where they all "understand" BUT no one could FIX IT. If a hospital did this and preformed the wrong procedure on a person because they only verified "first name last name" They would be sued. United Healthcare should be held to the same accountability. Short of taking a trip to corporate I have jumped through every hoop and filed every complaint and yet they still have NOT FIXED THEIR ERROR. Now I filed with NYS. HORRIBLE WHAT YOU DO TO YOUR MEMBERS!
This letter will be copied and placed on the webpages of all companies. My story begins almost a year ago. My husband ( a Duke Internal Medicine pt) was scheduled for a follow up colonoscopy after having multiple polyps found the year before. In the course of the year, my insurance changed and we secured Market place insurance with United Health Care. This was premium insurance, very expensive monthly premiums and a 250.00 deductible. The providers office did a referral, and here is where the water goes murky. Duke, at the time did not take the type of UHC insurance (compass platinum), so an appointment was mad via the providers office with UNC healthcare. My husband called UHC prior to the visit to make sure the paperwork was in order and was told" the procedure was a covered 100%"). He had the procedure, and received a bill. Part of the bill was covered but 2900. 00 was not. Upon investigation per UNC, the "referral was for a screening, not diagnostic and needed a new number. The provider office said the referral did not need a number and would look into it. UHC said the referral was not correct as well. After multiple phone calls with all three groups and a lot of finger pointing between companies, the bill was turned over to collections, and UNC will not return phone calls. A customer service rep from Duke has also looked into the situation and told us today, everyone is blaming someone else. Here is the sad thing, all these companies advertise "patients first, patient centered care" etc. The patient should not be responsible for making sure referrals have a correct number, should not be responsible for making sure codes are correct. He did due diligence to make sure prior to the procedure that it was covered.
The final disservice and disrespect to the patient is making them jump through hoops to find out no one is accountable but him. $2900. 00 may not be a lot to some, but it is a lot to us. Add the monthly expense of the insurance premiums, for what should be covered and this is shameful.
I had a plan that was supposed to allow me three fully covered primary/specialist visits, as well as two free urgent care visits. However, they did not inform the doctors offices about these 100% covered allowances, so every time I went to an office the receptionists had to call the insurance company and verify my free visits. It really sucked when I went to the urgent care on a weekend and UHC was closed. Luckily the woman let me pull up my coverage information on my phone as proof. Disorganization? Or a giant company hoping customers will just pay the fees and forget to go through the tedious reimbursement process? Hmm... I wonder.
Anyway, I was then told my virtual visits were free but I went to do one and they required credit card information. So I verified with a live chat rep, and he told me to rest assured he would resolve the issue and I would not be charged. But here I am a couple weeks later and I was definitely charged $49! What a joke.
In addition, I was seeing a psychiatrist on the same plan the prior year and all of a sudden the doctors office told me they were no longer working with UHC and that I needed to pay them an absurd amount of money even though the psychiatrist and UHC both confirmed my visits were supposed to be FREE. So I had to get a new psychiatrist.
Then, this year they decided to keep the plan exactly the same but raise the deductible $500 and also increase the price of my Vyvanse medication from $65 to $100, thus rendering the "free" psychiatrist visits pointless. I mean, the monthly medication price jump is the price of a psych office on another plan that was offered Vyvanse for $65.
Hope you're enjoying your $20 MILLION salary David Whichmann. I don't know how you sleep at night.
Customer service is very bad. They keep cutting calls inspite of multiple attempts. This needs to be addressed
Pharmaceutical & Preauthorization's
Takes your Premiums & Kick you right in the Berries.
I have never had so much frustration from an insurance company trying to get my medications, the preauthorization process which has already taken 4 weeks because they continually request one more thing from the doctors over & over. Then after you have the preauthorization's & go to fill your medications they deny the preauthorization number that they just issued you & tell you that they need to reevaluate the previous authorizations as a whole & your doctor now needs to make a direct call & provide the same information in order for United to issue a new preauthorization for the already preauthorized medications; have I lost you yet? Ya me too, as well as my Doctor being frustrated with United (they are now evaluating whether to accept new patents covered through United due to this garbage), my Pharmacy has had it with them, all have said they have never had so much problem with an insurance company. We are now going on two months in this review process for medications that I have been on for 10 years, something is wrong with their system. I don't have enemies but you know how they say "I would not wish them on my worst enemy" I would have to wish them on themselves. I was once on Medicaid & in my humble option these guys are 10 times worse, I WOULD NOT RECOMMEND THEM & would advise you to RUN THE OTHER WAY! JR Giles
Answer: They are a scam. They deny claims and cancel policies while still collecting premium installments or payments frauding customers out of millions of dollars. Read BBB complaints.
Answer: Because it's the standard of how the respond to EVERYONE! They don't care!
Answer: Read your materials if it's offered with your plan it will be in there don't call UHC trust me we don't want to talk to you we hate the phone calls! Read read read read ohhhh and READ your materials! Learn how to use a computer log on to your website and READ YOUR MATERIALS ONCE AGAIN DONT CALL CUSTOMER SERVICE DONT CALL UHC DONT DONT DONT!
Answer: Yup, doesn't matter the "service" through these scammers, they deny EVERYTHING! It's their SOP
UnitedHealthcare has a rating of 1.4 stars from 249 reviews, indicating that most customers are generally dissatisfied with their purchases. Reviewers dissatisfied with UnitedHealthcare most frequently mention customer service, united healthcare and insurance company. UnitedHealthcare ranks 128th among Health Insurance sites.