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United Healthcare Complaints - Denial of coverage

Review all United Healthcare complaints

United Healthcare

Posted: 2008-06-11 by Mikegrady [send email]
Denial of coverage
Complaint Rating:  100 % with 4 votes
Company information:
United Healthcare
Sammamish, Washington
United States
www.myuhc.com

I have a serious problem with my healthcare coverage. I do not think we are being handled properly. We discussed the matter with the healthcare insurance company’s 1-800 center today but accomplished nothing. My company switched to United Healthcare in April of this year.

My wife, has been experiencing severe pains in her shoulder. In April I paid ~ $ 600 (my out of pocket) for an MRI... as a result of the MRI, our physician says she needs surgery to fix the problem. My wife was scheduled to have surgery on June 17th. Today, my wife’s surgeon called and said that United Healthcare has denied our coverage. United claims the problem is a “pre-existing” condition and they will not authorize surgery for over a year.

Does this mean my wife has to go eleven more months of pain and discomfort ? for a condition that needs correcting... that is absurd?
Comments United States Health & Life Insurance
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Comments

135 days ago by T Borchman [send email]
they cannot deny your wife coverage. you would have to have a break of health ins for 63 days or more since you had coverage prior to your company's change they cannot refuse to pay using pre existing clause, write to your state ins commissioner. tell him your story ceo of uhc will have to answer him in 14 days as to why they are denying you. chances are they will quickly change their tune.
118 days ago by Nicole [send email]
It is not UHC that is stating they will not autorize the surgery, it is your doctor because there is a Pre Exisiting clause on your medical plan. Your doctor can actually fill out a form and send back to UHC to confirm that they have never treated her for this condition before. If that is confirmed, then UHC would pay for the claim. If you had prior coverage, you can send UHC proof of that and if it satisfies the pre exisiting clause outlined in your plan that was CHOSEN by your employer (employers can choose plans that do NOT have a pre existing clause) then your files would be updated stating that there is no pre existing that applies.

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