Menu

The good, the bad, and the ugly - discover what customers are saying about POMCO Group

Welcome to our customer reviews and complaints page for POMCO Group. We understand that making informed decisions about where to invest your time and money can be challenging, which is why we've created this platform for our community to share their honest feedback about their experiences with POMCO Group.

On this page, you'll find a comprehensive collection of reviews and complaints from real customers who have used POMCO Group's products or services. Our reviews are authentic and unbiased, providing you with a complete picture of the company, its products or services, and their customer service.

Whether you're considering doing business with POMCO Group, or you've already had an experience with them, our community's reviews and complaints will give you a valuable perspective on what to expect. Our goal is to help you make informed decisions about where to invest your time and money, and we hope that our platform will be a valuable resource for you.

Please feel free to browse our reviews and complaints and share your own experience with POMCO Group. Your feedback is an important part of our community and will help others make informed decisions.

ComplaintsBoard
F
2:27 am EST
Verified customer This complaint was posted by a verified customer. Learn more
Featured review
This review was chosen algorithmically as the most valued customer feedback.

This is a terrible company to work for, they are the BIGGEST Phoney's!!! They put you threw many weeks of training, by people who hardly know- what is going on themselves. They start you at $12.o0 an hours, which is a pittence compared to the responsibility they put on you/ accountability!!! then after training they put you on the floor, and you have to...

Read full review of POMCO Group and 1 comment
ComplaintsBoard
F
2:56 pm EDT
Verified customer This complaint was posted by a verified customer. Learn more

POMCO Group So Called Self-Insurance Experts

This is a terrible self insurance company- they have incompetent manager's running this place! I am an employee of utica national group, we have been waiting for our prescription's to be paid back for going on 4+ months now, we call all the time, and are told they are in processing awaiting review. We then are given the manager, Sandra Valerio's extension and she NEVER HAS returned our calls to this date. What a mess, nobody to go to help us out! Stay clear of this company, you are better off getting your own insurance coverage from another insurance company! Our medical claims have been held up for weeks/ months and they lie to you every time you call!
********TERRIBLE TERRIBLE COMPANY************************

Read full review of POMCO Group and 1 comment
Update by FOR ALL LOOKING FOR JOBS
Dec 12, 2010 5:56 am EST

I WORKED FOR THIS PLACE! THEY ARE SOO IMCOMPETENT AT THIS COMPANY IT IS TERRIBLE! THEY HAVE MANAGER'S WHO HAVE NO CLAIM PROCESSING EXPERIENCE/ AND OR NO EXPERIENCE IN THE DEPARTMENT THEY ARE RUNNING. THEY'RE AUDITING DEPARTMENT IS SOOOOOO SMALL AND THEY CANT KEEP UP WITH THE WORK LOAD, THEY HOLD CLAIMS UP FOR WEEKS AND WEEKS AND WEEKS/ AND TAKE ON NEW CLIENTS- WHEN THEY KNOW THEY CANT KEEP ANY OF THE PROMISE THEY PUSH OUT TO PROSPECTIVE NEW CLIENTS! THE OWNER IS CHEAP, AND HE PAYS THE EMPLOYEES A SMALL PITTENCE FOR WAGES- WAY BELOW THE MARKET FOR THE POSITIONS! THEY GIVE YOU A LOWSEY 2% RAISE AFTER BEING THERE A YEAR, AND YOU PRACTICALLY HAVE TO WORK YOUR ### OFF TO GET IT! PEOPLE STAY AWAY FROM THIS COMPANY- THEY ARE BAD NEWS! I FEEL BAD FOR THE POOR UTICA NATIONAL EMPLOYEES AND RETIREES! THEY GOT A SHAME OF A DEAL FROM THIS HORRRIBLE COMPANY!

Hide full review
1 comment
Add a comment
F
F
Frustatin
Harrison, US
Nov 29, 2010 2:40 am EST

I have had the same problem with Pomco. No claims paid on out-of network doctor since September 2010. No mention of pre-certification until two months into our treatment plan.
I have filed a complaint with the State of NY Dept. of Insurance. It appears claims have to be paid by NYS law within 45 days.

ComplaintsBoard
F
2:44 pm EDT
Verified customer This complaint was posted by a verified customer. Learn more

POMCO Group BIG PHONEY&S/ COMPANY MISMANAGED

PEOPLE AND SELF INSURER'S OUT THERE- THIS company is a big PHONEY COMPANY! The Owner doesnt even give a damn about his employees- he works in another separate building from the employees/ and his building and the employees he works with all have top of the line luxeries- including hot water/ top of line bathrooms!
THIS COMPANY Is run by incompetent manager's who can't even process a claim/ and or answer provider or member questions themselves. BOB POMFREY PAYS THESE MANAGER'S good money, and pay his Claims Representatives/ Processor's $12 hr and gives them a terrible 2% a year pay raise that's if you are liked by the manager/ they claim to use this STUPID SYSTEM to evaluate you- it's a waste of time! THE PEOPLE IN HUMAN RESOURCES ARE TERRIBLY INCOMPETENT AND THEY ARE ALL CLICKY AND STICK TOGETHER! I FEEL SOOOO SORRY FOR THE MEMBER"S OF ONEIDA INDIAN NATION, and UTICA MUTUAL GROUP, AND OSWEGO HEALTH AND CITY OF SYRACUSE SCHOOLS, the processors most of them are seasoned but a good majority of them dont' even know what THEY ARE DOING- THERE AUDITING DEPARTMENT IS SOOOOOO SMALL- cause POMFREY IS TOO CHEAP TO HIRE AND EXPAND THE DEPARTMENT SOO AS A RESULT CLAIMS ARE HELD UP FOR WEEKS AND WEEKS AND THEY LIE TO YOU THE MEMBER'S GIVING YOU ALL KINDS OF SORRY EXCUSES! STAY CLEAR OF THIS HORRIBLE COMPANY! I can attest to the incompetency of this place! THEY ALLOW EMPLOYEES TO BE BULLIED AND MISUSED BY INCOMPETENT MANAGER'S IN THE COMPANY, AND THE OWNER NEVER NEVER EVER COMES ON THE FLOOR OF THE PROCESSING AREA TO SEE WHAT IS TRULY GOING ON!YOU POOR PEOPLE NEED TO WAKE UP- THEY BUILD YOU UP TO GET YOU BUSINESS- THERE TELEPHONE SYSTEMS AND COMPUTER SOFTWARE ETC ARE OLDER THAN YOU GRANDCHILDREN! THE OWNER HAS ALL KINDS OF TOYS AND DRIVES TO WORK WITH THEM, BUT HE GIVES HIS EMPLOYEES TERRIBLE WAGES, TERRIBLE PAY INCREASES, AND GOES ON STAGES TELLING EVERYONE HE WANTS TO MIRROR WEGMAN'S! HOW DARE HE! MAURICE PROMFREY WAS AN HONORABLE MAN, HIS SON IS NOT! I HOPE THESE PEOPLE'S CLIENTS SEE WHAT THIS COMPANY REALLY STAND'S FOR! THERE A BIG JOKE!STAY CLEAR OF THEM!

Read full review of POMCO Group
Hide full review
ComplaintsBoard
F
8:33 pm EDT
Resolved
The complaint has been investigated and resolved to the customer’s satisfaction.

POMCO Group Inconsistent information - Wrongly declining claims

Last year, my new doctor's staff called to verify my benefits with POMCO. They were told nothing else besides my co-pay amount. Now, after 13 months - and after having received no explanations of benefits - POMCO has paid nothing on any of the claims that have been submitted. I've called repeatedly to find out what the problem is. I finally left a message stating that I was seeking a civil rights attorney and invoking my rights under the Patients Bill of Rights. I got a phone call...

The POMCO rep said that they told my doctor's office they needed to pre-authorize my visits because this provider is out-of-network. There are no qualified in-network providers who are familiar with my conditions; my doctor was highly-recommended and specializes in my problems, so in-network doctors were just not an option here. The thing is, my doctor's office still has a record of the call they made to POMCO detailing that nothing was said about pre-authorizing my visits/care - and that all they were told was my co-pay amount. The POMCO reps are so snide and condescending! The rep told me I "need to choose a network physician" - which is none of their business! They are interfering with my plan of care, and that is a violation of the Patient Bill of Rights!

I also had surgery last summer - and the hospital & doctor WERE in the POMCO provider network. They pre-certified. Everything should have been fine. However, POMCO has not paid the bill - and has failed to give any explanation for the lapse. I am also getting calls galore from places I've been sent for labwork and MRIs... and yes, those were in-network and calls were made to pre-authorize/verify coverage. But POMCO has not paid these claims!

They never sent me any plan booklet explaining the coverage. I had to beg to get a provider directory. Even though I didn't have those, these unpaid claims are not related to any lapse on my end - because the communication was between POMCO and the providers. I know all these providers aren't wrong. The common denominator here - is POMCO! It doesn't matter evidently if a provider is in their network... they'll still reject the claim!

My doctor's office informed me last week that my balance is so high that they're going to have to stop providing treatment. The problem is, I have several chronic problems and a permanent injury that is deteriorating - and if I miss one month of treatment from this doctor, I am confined to bed and very sick. I am permanently disabled.

POMCO is essentially causing my medical treatment to be interrupted because of their poor communication, disorganization and cold, uncaring representatives who are not helpful - but rather, hateful. Only one POMCO representative has been nice - when I can get her on the phone. I was told that this particular plan was not rolled out well at all, it was a real mess and it is very disorganized. That was a shock to hear, but as time went by, I understood what the representative meant by that!

I am being hounded by these providers who want me to pay what POMCO was supposed to pay. POMCO does not want me to contest these unpaid claims, but I'm not backing down. They've gotten nasty with me and just want me to go away. I've never had service THIS BAD!

For those who may be experiencing a similar situation, here is the Patients Bill of Rights:

1. Information Disclosure. Consumers have the right to receive accurate, easily understood information and some require assistance in making informed health care decisions about their health plans, professionals, and facilities.
2. Choice of Providers and Plans. Consumers have the right to a choice of health care providers that is sufficient to ensure access to appropriate high-quality health care.
3. Access to Emergency Services. Consumers have the right to access emergency health care services when and where the need arises. Health plans should provide payment when a consumer presents to an emergency department with acute symptoms of sufficient severity -- including severe pain -- such that a "prudent layperson" could reasonably expect the absence of medical attention to result in placing that consumer's health in serious jeopardy, serious impairment to bodily functions, or serious dysfunction of any bodily organ or part.
4. Participation in Treatment Decisions. Consumers have the right and responsibility to fully participate in all decisions related to their health care. Consumers who are unable to fully participate in treatment decisions have the right to be represented by parents, guardians, family members, or other conservators.
5. Respect and Nondiscrimination. Consumers have the right to considerate, respectful care from all members of the health care system at all times and under all circumstances. An environment of mutual respect is essential to maintain a quality health care system.
6. Confidentiality of Health Information. Consumers have the right to communicate with health care providers in confidence and to have the confidentiality of their individually identifiable health care information protected. Consumers also have the right to review and copy their own medical records and request amendments to their records.
7. Complaints and Appeals. All consumers have the right to a fair and efficient process for resolving differences with their health plans, health care providers, and the institutions that serve them, including a rigorous system of internal review and an independent system of external review.
8. Consumer Responsibilities. In a health care system that protects consumers' rights, it is reasonable to expect and encourage consumers to assume reasonable responsibilities. Greater individual involvement by consumers in their care increases the likelihood of achieving the best outcomes and helps support a quality improvement, cost-conscious environment.

Wish me luck! This is very stressful and is making my health problems worse! If I lose this doctor, I may as well die.

Read full review of POMCO Group and 5 comments
Resolved

The complaint has been investigated and resolved to the customer’s satisfaction.

Hide full review
5 comments
Add a comment
S
S
Saab Driver
Baldwinsville, US
Jan 22, 2015 5:16 pm EST

These people who posted on this thread are complete idiots. Do your research you ignorant pathetic human beings.

POMCO is a Third Party Administrator for Health Care benefits. Their plans are custom designed by their clients and POMCO has nothing to do with how benefits are paid. They simply administrate the plan that they are asked to.

Anyone complaining about how entry level positions don't pay much is obviously a lazy dope who doesn't apply themselves. Work hard and get paid well. Don't be a lazy whiner.

Bob Pomfrey is a down to earth guy who cares about his employees. Don't hate someone because they are rich

T
T
tinydancer1321
, US
Jun 27, 2012 11:03 am EDT
Verified customer This comment was posted by a verified customer. Learn more

This is an awful company and have no idea what customer service means. I called with a simple question about a claim that was never covered for myself and the woman on the phone was short and actually raised her voice to me! I am so glad they are no longer my provider but the hoops they are making me go through to get a single bill covered for an annual check up is ridiculous! Stay clear of this company if you can they are awful!

F
F
FOR ALL LOOKING FOR JOBS
, US
Jul 12, 2010 8:20 am EDT
Verified customer This comment was posted by a verified customer. Learn more

I WORKED FOR THIS COMPANY AND GLAD I AM OUT OF THERE! THE PLACE IS TERRIBLY MANAGED- by INCOMPETENT people! The owner does nothing- he claims he wants the company mirrored on wegmans- WHAT A BIG JOKE- he pays us employees HORRIBLE LOW WAGES AND GIVES THE MANAGER'S BIG SALARY's FOR sitting in there cubicles all day long doing nothing but reading emails, and doing little or nothing. They may attend daily meeting's! most of there manager's dont have any claim processing experience, they cant process claims, or answer telephone calls. WHAT A BIG JOKE! I sympthize with you people about your claims- they are rediculous!
THIS COMPANY PAYS THERE CLAIMS PROCESSOR"S $12 a hr to start and they give you a meager 2% raise after being there 1 yr. they push soo much responsibility on you for SOO Little pay. Most of the co-worker's are nice people- but there is SOOOO much favoritism played in this company it is totally pathetic. The Owner drives around in brand new cars, motorcycles, and has all kinds of toys- he goes on stage and says how much he give back to the employees every year- HE IS A BIG JOKE! STAY CLEAR OF THIS HORRIBLE- MISMANAGED COMPANY! they are liars and pathetic to work for!

C
C
cooldoc78
Albany, US
May 12, 2010 3:59 pm EDT

Hi,
I am an MD and now doing Phd here in NY.
I also encountered the same problem with POMCO.
They refused to Pay the emergency care bill, eventhough I had insurance through my university.
They are claiming that the patient needs to prove its a real emergency.
I had vommiting fever and delirious.
Was admitted in emergency and was treated for 1 week for atypical pnemonia.
Planning to take legal action against POMCO group .
Because they are frauds.

Ashish

J
J
Jerry L
, US
Feb 24, 2010 10:37 am EST

I feel the same way as you do about POMCO. There are few doctors on their plan, they pay little, and are terrible to deal with. Mr Chiropractor says they are the worst insurer out there, and he wants to quit them as well. He claims they give him the ost paperwork, sometimes for $5. There's got to be a better way

Elevating the Voice of the Consumer

Empowering Real Complaints

At ComplaintsBoard, we understand the impact of genuine consumer grievances. Our platform is a dedicated space for authentic voices, where complaints, both positive and negative, are shared with honesty and transparency.

Dedicated to Validating Complaints

We are committed to ensuring the authenticity of every complaint. Our team uses rigorous verification methods to confirm that each complaint stems from a real customer experience, maintaining the integrity of our platform.

Encouraging Detailed Complaint Narratives

We value complaints accompanied by concrete evidence. Be it a photo, a detailed narrative, or additional documentation, such substantiation lends credibility to your complaint, aiding others in making informed decisions.

Balanced and Constructive Dialogue

ComplaintsBoard is more than a platform for airing grievances; it's a community where balanced dialogue is encouraged. We welcome complaints that not only point out issues but also recognize any positive interactions, promoting a fair and comprehensive perspective.

A Free and Impartial Platform for Complaints

Our unwavering commitment is to provide a free and unbiased platform for all complaints. Every complaint is given equal importance, ensuring your concerns are heard and respected, irrespective of their nature.