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1.4 465 Reviews

United HealthCare Services Complaints Summary

49 Resolved
416 Unresolved
Our verdict: With United HealthCare Services's very poor resolution rate, careful consideration is needed. Research their service comprehensively, and read up on how they handle customer disputes. If you face issues, be prepared for potential challenges in obtaining resolutions and explore other service providers as backups.
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United HealthCare Services reviews & complaints 465

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United HealthCare Services - they will not renew your overseas medical policy if u have claim / if u went to hospital

Hai, First of all strictly strictly dont purchase the travel insurance from this company(My suggestion) . When i started from new delhi india i took the travel insurance from icici lombard for 500000 (Five lakh dollars) with 100 $ deductable and one day i was ill and went to hospital and there the doctors performed my tests and suggested the treatment for...

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United HealthCare Services rip off agents

I contracted with UHC to sell their Medicare Advantage products (Secure Horizons and Evercare). These plans are under the jurisdiction of Medicare, or CMS for short

UHC had not paid me over $8, 000 in commissions dating back to Nov/Dec 2008. Their managers lied, stating that CMS did not allow such payments until CMS released an "approved" list of Medicare-eligibles. Medicare ha been very late in providing such a list, but, according to CMS, this is absolutely not true! CMS regulations state that they MAY, but are NOT REQUIRED to, withhold, that they MAY pay, and later reverse or charge back commissions if plan enrollees later turn out not to be approved by CMS.

To add insult to injury, UHC has FAILED TO RESPOND to my complaint letters, even though I sent the last one by certified mail, and I received confirmation of their receipt and acceptance of my letter - what kind of a flakey business is that ?!

In addition, no one would believe how much trouble agents had with UHC's computer system called "onDemand", which agents were supposed to use in tracking enrollees. Likewise, their agent support system was ATROCIOUS - I have copies of over 40 unanswered e-mails to their PHD )Producers Help Desk), and when I sent copies to the local managers (Tucson, AZ) I got no replies from those "wannabe's" either.

I recently filed a $10, 000 lawsuit (the maximum in Justice court in Arizona). It is standard practice in the insurance industry for agents to get paid first year commissions immediately when a case is approved, and then charge an agent back any "un-earned" commissions, if and when a policy is cancelled or lapses during the first year. I am convinced that UHC rips off agents like this nationwide; they must make tons of money off the interest on agents' monies that they decide to keep in their own bank accounts so long. The Arizona Insurance Department fined them $364, 500 for, among other things, "violating state laws governing ... timely payments to providers"; evidently UHC tried to rip off doctors and hospitals, etc. and now they seem to be trying to rip off agents nationwide in the same way. Based on my experience, in my opinion, this is a very bad company for agents to deal with.

If you have been an agent with UHC and had similar experiences, it sure would be good to hear from you.

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United HealthCare Services non-payment of claims

United Health Care is by far the worst health insurance company in the United States. It is by far the WORST Company I have ever tried to deal with. Just recently I had to have an MRI. My plan states that I have a 90% coinsurance. So when I received the bill I thought that it was a mistake that they only covered the procedure at 80%. You may think that’s not so important, but for an MRI that was over $200.oo dollars extra out of my pocket. I called them and found out that they would have covered the procedure at 90% if I had obtained the procedure at another felicity. But since my doctors office had the machine on site and there deal with United Health Care was different. That was all the coverage I was going to get. My problem here is that my deal with United Health Care was for 90% coverage and that is what I pay for each month out of my pay check. Now I have to be an expert not only at my own deal with these people but the deals of every medical felicity I have anything done at. How could a person possibly win at this game?

My plan states that Preventive care is covered at 100%. So naive person that I am, I went to my Gynecologist and had my yearly pap and mamo. This being the first preventive care I have done this year, I assumed it would be cover at 100%. Well guess what. They paid $91.00 dollars and billed me for $571.00 dollars. There explanation is that I have exceeded by plan yearly maximum for preventive care. These people just all should burn in hell. They are definitely scam artists and I am stuck with them for the remainder of the year. Is there anything I can do about it? Please help.

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Update by timandsusanj
Aug 16, 2009 9:05 am EDT

Quite honestly, your an idiot. I have had no preventive care at all this year and they are attempting to get out of paying my claim because I have max my benefits for the year? I think you are the one that doesn't understand. If you do some searching you will find the United Healthcare is currently paying off a law suite for this very behavior. Denying claims and lying to there members to keep from paying. Quite honestly, you are the one that doesn't understand, when I have it in writing that my co-insurance is 90% and they pay only 80%. This is hard to misinterpret.

I look very much forward to Obama’s reform because this country does need it. I think that your problem is that you work for one of these companies and are having trouble sleeping at night for the way they train you to treat your fellow human beings and you want to justify your behavior.

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Ron J1
Fort Worth, US
Jun 17, 2011 4:28 pm EDT
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BTW If you see someone who disagrees with a negative comment about the company, and especially if they have detailed knowledge about the subject, be immediately suspect. United Health Care probably uses standard social media monitoring practices. They probably have a call center. These people instead of taking calls would be getting alerts. They would be alerted anytime someone types United Health Care into a blog or new page etc. So then they go out and use counter tactics to improve how the "Internet" feels about the company. They will most times come in as anonymous and counter the claim. Sometimes not very professionally in my opinion. They will actually run reports on what the over all tone of the "Internet" is about their company. They use dictionaries of negative words and positive words. So "United Health care is a great company" would be one favorable comment counted towards them because of the word great. Alternately if you said 'United Health Care Sucks" it would count against them because of the word sucks. I purposely put the alternate in this comment so as not to give them credit or negative just by posting this comment. They are now even in the reports. I think most people realize there are company employees that argue on these blogs. I thought it was important to note however, on what a wide scale this is. These call centers may have 100's of people that do just this all day. Ron iChores iPad Jon.

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Ron J1
Fort Worth, US
Jun 17, 2011 4:17 pm EDT
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I have United health care. One two medications they now all of a sudden won't cover. What do they do? Talk about what a great RX benefit they have then just not cover most of what you need? Or only cover the cheap RXs?

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mgg
Pittsburgh, US
Mar 23, 2011 9:08 pm EDT

United Healthcare is not a reputable company in the way they sell their policies or process their claims. Their customer service (?) reps are rude and uninformed. If persons have a choice, they should not choose United Healthcare.

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cbeleele
Fort Smith, US
Nov 29, 2010 11:32 am EST
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Does anyone out there know why Rose State College is involved with this company? Suddenly we ( retired group of teachers) have found ourselves committed as a group without much advance notice, automatically. This scares me but how do we fight it?

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tnleafer
, US
Oct 22, 2010 4:20 pm EDT
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UHC is the worst.
I have 2500 in Hearing Care, they told me they had no network provider in my area, I saw someone outside the network.

Now they say they do have providers.

My coverage states that I have $2500 in hearing benefits, they sent me a letter highlighting the coverage and said that I have no coverage.

My insurance broker insists I am covered, yet I have no letter and no payment.

I am going to hire a 'Bad Faith' attorney - and go after them.

If everyone did that, they would hear it in their fat pocketbook.

This goes on, last Feb they sent our company a list of our benefits. They started denying all sorts of claims. Now they say they sent the wrong benefits sheet. (7 months later) and want to recalculate benefits received by our group.

I dont think you can find a worse policy.

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Jay6584
Everett, US
Aug 27, 2009 4:24 am EDT

I was a nursing assistant for 20 years, and United Healthcare was notorious among the patients... you might as well be asked to dragged across the street and given a cup with some pencils in it to cover your healthcare bill. In a recent survey of healthcare executives (really smart people that run hospitals and such) United Healthcare had a 91% unfavorable rating, the very worst of all the insurance providers presented. But guess what? In 2006, it received a 'Reader's Choice' award in Business Insurance magazine, an insurance industry rag. I would refuse to be insulted by signing on the bottom line for this company.

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bobtheman
, US
Aug 15, 2009 7:26 pm EDT

Quite honestly, you don't understand your plan. It's not their fault you don't understand the limitations of your policy. They are not scam artists, you just didn't read your plan materials properly.

Why not call Obama? I hear he's all into demonizing insurance companies too.

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United HealthCare Services wont pay for lab fees

Be carefull with this health insurance. I called the cust. service # & went over my benifits. They said I was covered except a 20.00 copay. Okay / I went to the doctor & yes the vist was paid except for the 20.00 copay I paid. The problem was the blood work they said was covered wasnt & I got stuck paying the whole thing. I tried calling the cust service but & even told them the name of the person I spoke with that said it was covered. They didnt care one bit. They said they were not going to pay for the lab work. I makes me mad - I have insurace for what? I need my blood tested every 3 month because I have diab type 2. - There reps are not trained worth anything & if they dont know good luck!

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YoMammasLDS
Mount Airy, US
Jan 03, 2013 4:21 pm EST

My husband and I have had United Health Care (UHC) coverage for almost 20 years. I am a Type 2 diabetic, and I need my blood checked every 3 months, as well. As long as I have my blood drawn by the laboratory named in my coverage, the bills are paid. Even when a doctor has a drawing lab in her office, I do not trust the staff to send my blood to the correct lab for processing. So, I never allow my provider or her staff to draw my blood; instead I get an order for the blood work and go to the lab I KNOW is under contract with UHC and whom I KNOW will get paid for their services. Your doctor's office is not approved as a lab site, and UHC was correct in denying the claim. Where are you supposed to go for lab work? If you do not know, you need to find out. UHC will pay for lab work done by a lab contracted with them to process your lab work. The responsibility is YOURS to make sure the services you are receiving are from a contracted provider. NO, I HAVE NOT EVER AND DO NOT NOW work for them. I trained medical claims processors for Kaiser, and I worked in hospitals and for doctors for 30 years.

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United HealthCare Services claims denial/ non-payment

After dealing with insurance claims for several years now, UHC is definately the WORST in paying for claims. When confirming benefits their representatives NEVER tell you if a pre-determination is required on particular claims, therefore dozens of claims get processed and denied because their lack of explanation. Also they have come to the conclusion that although your benefits state IV Sedation is a covered benefit, they DENY it every single time its submitted. I have thousands of dollars in unpaid claims due to UHC, and the consequence is that the patient gets stuck with UNPAID claims and high bills even though they pay their monthly fees for this ridiculous insurance company that does not even care for covering healthcare expenses. It should be named United HealthSCAM!

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IHateUHC
Dayton, US
Feb 15, 2011 12:40 pm EST

Not only had UHC denied payments in certain cases at my employer, we have seen them actually pay a claim only to then reverse their decision and retract the payment! The federal and state governments need to investigate UHC!

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wailua
Orlando, US
Nov 28, 2009 9:59 am EST

I am having the same problem. I had emergency surgery for my colon had to have a temporary colostomy bag, the supplies UHC would not pay for.. (the bags OMG how was I suppose to use the bathroom), well I fought with them after paying for the first two months of supplies, which over the 2 months of being out of work, broke me. They are now paying half of the supplies but refuse to reimburse me for my expenses. I have to have the reconnection surgery in a week so I will be out of work for another 6-8 weeks and right now I can barely pay my bills.. this company needs to be checked out by the government for fraud.

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timandsusanj
Troy, US
Aug 15, 2009 5:41 pm EDT

No kidding. This is by far the WORST Company I have ever tried to deal with. My plan states that Preventive care is covered at 100%. So naive person that I am, I went to my Gynecologist and had my yearly pap and mamo. This being the first preventive care I have done this year, I assumed it would be cover at 100%. Well guess what. They paid $91.00 dollars and billed me for $571.00 dollars. There explanation is that I have exceeded by plan yearly maximum for preventive care. These people just all should burn in hell. They are definitely scam artist and I am stuck with them for the remainder of the year. Is there anything I can do about it? Please help.

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United HealthCare Services terrible service/no coverage

While being insured with Golden Rule/United Health Care, I have had nothing but problems. I started my insurance coverage on Feb. 23, 2009, and my husband went to the doctors March 9, 2009 and they would not cover it. Then I went to the emergency room on May 31st, 2009 and my copay(which they call deductible) was $100. I was formally told by Golden Rule that was all I would have to pay $100 if I were to go to the emergency room. Well my final bill was $581.00 that Golden Rule would not pay. There answer was "We are sorry that you were not informed of how your coverage works." DO NOT DO BUSINESS WITH THEM! You might us well not have coverage!

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United HealthCare Services claims they have no record of approval letter for surgery

My surgeon and I both received a letter from Medica - United Health Care that stated that I was approved for an open roux-en-y surgery that was good from [protected]-2009. I had said surgery 02-16-2009. The insurance company have paid for the surgeon fees, anestesia fees, CT scans, x-rays, labs, etc. I received a bill from the hospital for $47, 000. The insurance company investigated and their conclusion was that this service (the surgery) required pre-approval and that I did not have approval for this surgery, therefore I am responsible for the bill. Luckily, my surgeon had his copy of the letter. I faxed it to the insurance company and followed up with a phone call. I have not heard back. If someone scams an insurance company, they go to jail. An insurance company tries to scam a paying customer and what?

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FAMILY RIGHTS
Birmingham, US
Jun 17, 2009 4:11 pm EDT

CONTACT YOUR STATE'S INSURANCE REGULATORY OFFICE. IF YOU CANNOT FIND OUT HOW TO GET IN TOUCH WITH THEM, CHECK WITH YOUR DOCTOR'S OFFICE - AND THEY SHOULD KNOW.

CONTACT YOUR LOCAL BETTER BUSINESS BUREAU OFFICE TO FIND OUT HOW TO REACH THEM IF YOU CAN'T FIND THEM ONLINE OR IN THE YELLOW PAGES.

THIS IS A VERY COMMON PRACTICE WITH INSURERS. I HIGHLY RECOMMEND THAT YOU CONTACT THESE PEOPLE TO HELP YOU APPEAL THIS SHIFTY, DISHONEST TACTIC:

http://www.advocacyforpatients.org/health.php

THEY HELP PEOPLE FILE APPEALS TO THINGS LIKE THIS ALL THE TIME, THEY CHARGE NOTHING WHATSOEVER, AND THEY HAVE ABOUT AN 85% TO 95% SUCCESS RATE.

ALSO CONTACT YOUR FEDERAL REPRESENTATIVE (CONGRESSMAN AND/OR SENATOR) BECAUSE THEY ARE WORKING ON LEGISLATION RIGHT NOW THAT ADDRESSES INSURANCE COVERAGE IMPROVEMENTS -- AND THEY WANT TO KNOW ABOUT PEOPLE WHO HAVE BEEN CHEATED BY HEALTH INSURERS THROUGH TACTICS LIKE THIS. IT IS NOT UNCOMMON FOR PEOPLE TO HAVE PROCEDURES PRE-CERTIFIED, ONLY TO HAVE THE INSURER LIE AND SAY IT WAS NEVER APPROVED. IT'S HAPPENED TO ME.

CONTACT THE AMERICAN MEDICAL ASSOCIATION AND LET THEM KNOW ABOUT THIS. THEY'RE ADVOCATING FOR PATIENTS WHO'VE BEEN SCREWED OVER BY INSURERS. ALSO, YOU MIGHT WANT TO CONTACT YOUR LOCAL MEDIA, BECAUSE HEALTH CARE COVERAGE AND DENIALS ARE A VERY, VERY HOT TOPIC RIGHT NOW. IF YOU WANT, THEY CAN KEEP YOUR IDENTITY CONFIDENTIAL.

http://www.ama-assn.org/ama/pub/legislation-advocacy/current-topics-advocacy.shtml

http://www.voicefortheuninsured.org/sharestory.html

GOOD LUCK!

FIGHT THE HELL OUT OF THIS! DON'T LET THEM RUN OVER YOU!

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United HealthCare Services eob - explanation of benifits

Several Explanation of Benifits indicate that the submitted claim was not paid because the physician was out of network. I've been with this Primary Care Physician for several years. I checked their directory of In-Network providers and he does appear on the list. To submitt an appeal you have to print and complete a form, then send it via postal mail. In this day and age of modern information systems you would think that United Healthcare could provide this service online. I would guess that they are trying to delay as long as possible having to address the complaints.

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markincleveland
Pepper Pike, US
May 31, 2009 12:01 pm EDT

So far this year UHC has paid five claims of ours as out of network for providers that are clearly in network. The reason they give is the provider billed for a code he is not authorized, an extended office visit instead of a regular office visit. This shift the entire claim to my out of pocket. If the provider made a mistake why should it be my responsibility? UHC is really disreputable.

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cgs
Leander, US
Apr 30, 2009 11:19 pm EDT
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The doctors, clinics, etc should NOT be sending their patients to places for further treatment, that ARE NOT in the network, They are suppose to be knowledgable of whom THEY work with, so don't blame the patient. I see that as your screw up that you pass on to your patients!

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United HealthCare Services changing of tier one drugs

When it was time to choose an insurance company for my medicare "gap" coverage I called medicare and worked with an associate for over an hour to establish the correct insurance carrier that would best serve my needs. I have been disabled with behcet's disease since 1986. there was a list of medications that I had been on for over five years when I spoke with the medicare representative about the best carrier for my needs; the focus for my medi-gap was then and now strictly my medication coverage. with behcets syndrome the right dose, route & consistency of medications is everything for optimal treatment of the disease and my quality of life! taking these points into consideration the medicare representative moved forward finding united healthcare as the one who not only had each of my then 16 meds “formulary”. all but one drug (lovenox injectable) to be in tier one! I signed up right away; even signing up for the extended health care policy to guarantee my meds would suffer no “donut hole” or “gap”. all of this extra care to insure these medications would stay within my very limited budget
effective january 2009 I received a notification from aarp that two of my medications would stop being offered in tier 1. one medication was taken off the covered list all together! the two medications that were moved to different tiers were lovanox inj (moved to 4) and fentanyl (moved to tier 3…after conversations with my rx and my physician was moved up into tier 2).in approximately one month my tiers 2-4 medications will not be covered at all, no co-pay, nothing!
I joined united healthcare with the guidance of my assigned representative from medicare. our focus when choosing this plan was solely the importance of my medications and the need to have them “tiered” so I could manage to pay for them and by doing so, live.
I have been on these medications for the over five years and took the united health care policy in good faith that they would continue to look out for my best health interests. three of the drugs I have need for have been “adjusted” on united health cares-formulary.
an example of one of these drugs and how the “adjustment” of tiers equates to money coming out of my very fixed and limited income: the fentanyl patches give me the quality of life that I need in order to function. this unfortunately is also an addictive drug so you can understand why I am frightened at this change of tier. with just this one drug I will go from paying $5.00 to $6.00, then $7.00 last year (and the years since I signed with united healthcare). now, starting january of 2009 the same drug is $39.00 per month, come june I will have no co - pay at all! the approximate price of $350.00 per month! that is just one drug out of pocket…one of 14 drugs that I am on. (I just wanted to note here that even tier one drugs have gone up to $14.00 a co-pay.)
I feel so very ill looking over my potential drug costs when the “gap-hole” takes place. if I do without I potentially can die. the tier one drug increase during this “gap” period as well as the tiers 2, 3 & 4 changes is not what I signed up for. this issue was made clear when I signed up for my rx benefits. it is not that I have recently been placed on the medications and I can work with my doctor to find other formulary replacements…no, I signed up understanding that my representative understood my need to have certain drugs covered. you signed me up with the understanding of my rx needs were tier one, once signed I have no way to change my medicare coverage.
now you rethink the tiers with your formulary drugs! this is unfair and not what I needed or expected!

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UnitedHealthCaresucks
Columbus, US
Jan 20, 2014 6:44 pm EST

United Healthcare exists to rip us off. A brand name drug I take has always been tier 3 with a $50 co-pay. It went generic in December of 2013 and I filled a prescription for the generic version at the tier 1 co-pay of $10. Today, one month later, I go to re-fill the generic and the co-pay is back up to $50 and they have made the generic tier 3. I received no notice of this change. Why would a generic drug be tier 3? Money grubbing ###.

I am thinking Class-Action Lawsuit.

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runru45
, US
Aug 08, 2012 11:38 pm EDT

Affinity Healthcare is worse then anyone, A friend on pain medications has had no problems with united healthcare community plan threw medicaid for years now, covering his oxycontin 80mg 8x daily, along with 9 oxy30mg ir for break threw pain. I'am on similar dose's of both meds with Affinity and recently as of JUNE 1st 2012 they sent me a letter saying i was restricted to one pain dr for all Opiate medications. Its a DR iv never seen before, and when i called his office they said all they do is pain injections no pain medicine. So basically affinity picked out a dr that doesn't write oxycodone and restricted me to him ONLY. ! Scam Artists. I changed to United Healthcare, that just went into affect last week, So far they paid for my oxycodone but a prior authorizations needed for the oxycontin, that takes up to 24 hours if the dr says its urgent or 74 hours if its a regular prior approval. So now im stuck at there mercy for a few days waiting for my long acting meds, That i desperately need... The only good thing is affinity healthcare would have my MD call and approve the PA on the phone within 10 minutes. On the down side they made you wait till the 1st of the month to switch new primary care doctors.. So you would have to wait 20-30 days sometimes to see a new dr, and a specialist would require your primary to give a referral to see them... I guess ill soon find out united's policy seeing specialists as i see a endo every other month... If your disabled, older or out of work USA healthcare sucks, exp threw medicaid... Mostly i pay cash for my PM dr, none will take medicaid in my parts. They run the other way... I know most dr's get $35 a patient, and no check/payment comes for 6 months... Thats why they overbook and spend 3-5 mins with each patient.

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United Healthcare Customer
Calabash, US
Sep 16, 2009 4:36 pm EDT

Same here after my pain management doctor sent in their form filled out to request my subutex it was refused by unitedhealthcare so I guess they want me back to taking more expensive pain killers. So I think i will just go back to oxycontin and let the doctor prescribe oxycontin once again. The oxycontin is even more expensive thant the 2mg 3 daily of subutex. Their out of their minds. I guess it will take someone going ballistic on headquarters to get their attention as to how essential this drug is to a patients' well being. In my opinion alot of chaos will develope in the future between the haves and have nots. So theres my two cents. Wake up UNITED HEALTHCARE and quit letting your customers needlessly suffer, jerks! Jim Shook Charlotte, North Carolina PS I have been on this stuff for three near four years and now pay cash which is five dollars per pill. I have to needlessly suffer behind some rich ### GREED>

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simbasmom
Boulder, US
Jun 23, 2009 1:53 pm EDT

I have been taking Subutex for 5-years under BC/BS - recently moved to CO and was only offerd United H.C. - when my RX was picked up I was appalled to find out the medication was 1, 000. $500 more than the cost without insurance in FL and was NOT covered by U.H.C. - This medication saved my life and to find that it is not covered and $1, 000 a month was so heartbreaking. I don;t understand why a "health care provider", would take away medicationjs that 1. Save Lives 2. Eliminate future mnedical costs due to complications from not affording your medications and 3. Threaten the lives of their customers by taking away medication. In the long-run it will cost thgem more in hospital bills because people will become ill by not taking their PRESCRIBED MEDS. APPALLING! They cover nothing and I am opting to go with an insurance company that covers my medications as the savings between paying their member dues and my medications would clearly be a better alternative. THIS PLAN IS THE WORST I HAVE EVER SEEN!

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United HealthCare Services damage paitents health

My wife has been suffering from bone loss for many years, last April fell and broke both legs. As the only drug offered to enhance bone growth her physician prescribed Forteo, which she has been injecting herself daily for almost a year now. With their drug approval service they will not fill a prescription a few days early so these devices have 28 doses per vial. Called last Thursday to get refilled, pharmacy had to call doctor to get a renewed prescription which they did. Her drugs ran out yesterday, now after a year United Health Care needs the doctor to approve this medication, THE DOCTOR WROTE THE PRESCRIPTION! What does that tell you... Now this process will take who knows how long to process and all the advantages that this drug has provided my wife is mute...
What can be done? This stalling process by the insurance company can be dangerous to a patients health...

[protected]@cs.com

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elisheva
Tampa, US
Nov 24, 2009 11:08 pm EST

I also take Forteo and have done so for over a year now. My husband recently lost his job and had to go on COBRA. There was a period where I had the same problem as your wife and was at risk of not getting a new monthly supply of the medication. Fortunately, I had somehow been able to get about 3-5 more days from each vial, which enabled me to bridge the time between when the insurance company would not cover me for additional months and when it finally was re-instated.

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Expert
Cary, US
Jun 12, 2009 5:09 pm EDT

First of all, it is not UHC that approves or denies drugs...that would be your prescription drug plan. A formulary is available upon request. Second, most drugs that are preauthorized by your physician are covered to some degree if it is deemed medically necessary so maybe you need to go back to your physician and ask for a preauth to be sent to the company for approval. Hope that this gives you the avenue that you need to find a resolution to a very common misunderstanding.

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United HealthCare Services dropping all but one orthopaedic surgeon in my city

I fell in Feb. and broke both bones in my lower left leg. Had to have surgery and titanium rod placed in my tibia. I am still under the care of the orthopaedic surgeon and doing physical therapy twice a week.

I recently got a letter that said UHC is dropping the group of orthopaedic doctors my doctor is in, leaving one surgeon in the whole town. Oh, but that's OK - there are at least 24 other doctors within 25-30 miles of where I live. They just don't happen to be the one that did my surgery or the follow-up care. I've called UHC to get an extension so I don't have to change doctors. getting anything out of them is impossible and trying to find out how to file a complaint is even harder. I'm at the end of my rope trying to figure this out.

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United HealthCare Services provider directory

have been requesting provider directory from company since january.just moved to nebraska from wisconsin and need a primary care doctor.after the 1st request i waited 3 weeks and called to see where the book was and they had no record of request.2nd call said it would be out in 7-10 business days.called in mid-february to advise them the book came to the correct nebraska address but was a provider book listing wisconsin doctors.the 3rd request resulted in the same thing-wisconsin doctors listings.have put in 4th request and was told again-will arrive in 7-10 days.it's now past mid-march!the supervisor at the call center can't even provide a number for corporate to file a complaint!they say they have the correct address in one system in nebraska and the old address in wisconsin in another system.when the request gets entered it defaults to the old address for a provider directory.i am still without a primary care physician and have several specialists i should be seeing but due to a lack of a provider directory i don't even know who to see.i'm not rich!i'd like to see an in-network doctor if only i knew who they were!

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United HealthCare Services health care discrimination

This is the 4th demand to change pharmacies for my life & death prescription medication. UPS will leave unattended at my door-step expensive medication once a month because I can have to work the job to keep the health-care benefits. This may sound petty but Suzanne Tschida at United Health Care has made a conscience decision to treat me less than human. How much savings can there be for my pills?

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Mikey_Mouse
, US
Dec 10, 2012 10:03 am EST
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Did you know it takes you complaining just a little over 40, 000 times before UHC starts to care? I was experiencing a problem with them processing my claims timely and accurately. Using firefox, I downloaded the imacro add on. Logged onto myuhc.com as usual. Then hit record on the imacro, click feedback and issued my complaint and submitted it. I then stopped recording the macro. I then used the macro play loop, looping the macro 99, 999 and minimized the window. I found that in about 4 hours 10, 000 complaints would be sent this way...four days later 42K complains later UHC was calling trying to solve the problem. So I encourage you to do the same. They start caring when your feedback starts impacting their stats.

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United HealthCare Services bait and switch - network

United HealthCare, a company infamous for its billion dollar offering to departing ceo william mcguire, has terminated its contract with our local hospital - the hospital asked to negotiate rates that were above medicare rates (in line with all commercial insurers) and United HealthCare declined, removing the hospital and all our local physicians from its network - employers and employees who signed on with unitedhc because of access to our local health care providers are now forced to travel many miles to find doctors who will accept new patients - sounds like a system designed to limit our access to care, and keep costs for the insurer down, allowing them more $$$ for those multi-million dollar salaries (mcguires 2005 compensation was @ 124.8 million according to sec filings - roughly 5% of the company's net income in some estimates - WE WANT OUR DOCTORS AND OUR HOSPITAL AND WE WANT THEM PAID A FAIR RATE!

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suffered to much
Scottsdale, US
Dec 31, 2011 4:11 am EST
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United Health Care, CEO, BOARD MEMBERS, EXECUTIVE STAFF and you loving management personnel. Listen up man !
I won't waste my breath with my true story of what you ### did to me. However, Washington, The FBI and all law enforcement who don't have the balls to come after you need to realize the money you pay for lobbyist, for a Senators or Congressman's election will end as that money your spending is our money your customers. Oh you don't remember us as your too busy denying our claims each and everyone of us. I challenge Law Enforcement if you have the Balls to bring down this filth as they are tearing apart good families and stealing from us good, hard working people.

Listen up everyone write THE FBI, YOUR CONGRESSMAN, YOUr SENATOR and lets get criminal action going. Write Barbra Walters ABC NEWS and any news organization you can who will listen. Let them see each web sites with complaints logged on line. Lets get these jerks. Who the hell do they think they are messing with. One last thing remember we are the people and we the people control United Healths Destiny. Yes I seen the abusive tactics your corp does each and everyday as I'm a victim. As I ponder how to legally get you back legally with law enforcement, attorneys and the great people of America I 'm sitting her thinking how wonderful it is going to be getting you put in jail. I have one promise to you Mr. CEO I'm coming for your ### you ###. I'm not the least bit surprised about you ways after dealing with your company at many levels to see a fraudulent corporation with cover ups, lies and stealing.

May God Please you souls.
Happy New Year,
Who Loves You Baby?

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United HealthCare Services - denied claims

My health plan with United HealthCare states that it will pay 80% of "eligible" expenses after $400 deductible. I have weekly outpatient therapy sessions, and my doctor is an out-of-network provider. My plan states it will pay for out of network or in network once I have met the deductible of $400. I have met the deductible, but they continue to deny my...

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United HealthCare Services fraud

1) Unfair denials of coverage, and failure to explain coverage limits and exclusions
2) Unclear and accurate information.
3) Choices that leave consumers exposed to financial ruin should not be part of the end sales process.
4) I was told that the policy was' just like Blue Cross and Blue Shield'. It would 'cover everything the SAME'!
5) I was never sent a 'handbook' from any of these insurance Companies.
6) Unable to cancell policy at will
I live in Florida. At the time I was admitted to the Hospital
I was a full time student at Palm Beach Community College, prior to my illness. I had contacted PBCC to see if they had an insurance policy for the students.I had felt confident in PBCC so I bought the Policy described.
I was admitted to hospital on 3-4-07. I will always remember that Sunday.
I was diagnosed with Gullian Bare within 1 day of admission. I spent a lot of time in the cardiac care unit as well as ICU. I really thought I was not going to make it.
I had a health insurance policy with Mega Life and Health. This company has not helped insure my health at all. I am sorry they misled me into buying it. My father thought he was helping me by paying for the policy in full. In fact it has only made the situation worse.
By the 4th day of admission the pain I had felt was so bad I just wanted to die. I do not mean that in the literal sense. I had wished and prayed for death.

I was paralyzed by this disease.It started from the tip of my toes, then it climbed up to my face and eyes. It also paralyzed everything inbetween. It also effected my Vega nerve. There was no movement but incredible pain. The myelin sheath that covered my nerve endings were beginning to unravel. I had begged for a pain management doctor. My Father had tried to contact everyone that he could to help. He even offered to pay cash for a doctor to perform the service.

At this time we were informed about the poor quality of health insurance coverage that I had with Mega life. My father tried to cancel the policy with Mega life, but was told he could not. There is not a cancellation clause, unless you are dead or in the military.It had taken 4 days to get help through the hospitals process for pain management. For 4 days I went through such unbearable pain and suffering. By the way, during the healing process of the myelin sheathing returning to my nerve endings the pain was just as bad if not worse.
The last 3 weeks of my hospital stay I had been at the Cornell Rehab unit at Bethesda. I was told that once I left Cornell Rehab that I would not qualify for any additional medical or rehab benefits. This was due to Mega Life denying coverage. But I had no other choice. I was told that I was well enough to leave, but not well enough to carry on with my life. The Mega Life Insurance Company had again denied all future rehab and pain management.

I have tried to continue with my own rehabilitation program. I cannot afford the out of pocket expense for physical therapy in a traditional sense. I had received Chiropractic care once I left the hospital but Mega Life Denied these claims as well. This was even after I called to confirm that I was covered for such treatment.They said you need to be in the hospital post BACK surgury to have this benifit! I had tried again to discontinue the relationship with Mega health Insurance.I was told only if I died or joined the Armed Services!

I have received in excess of over $310, 000.00 of medical bills from various Doctors and affiliated health care professionals associated with the progress of my healing, as well as The Memorial Hospital.
I am currently still in the healing process. I still have limited mobility in both my feet and legs. I am also still in pain. I have tried to proceed with my education plans. I am trying to go back to school.
The recovery time I need to rest again is overwhelming.

I have requested help with this enormous debt from Memorial Hospital. After filling out the Charity form they supplied to me they agreed to help. They wrote off about $130, 000.00 of my medical debt. This was a relief.

At this time I have tried to contact all of the companies and agencies that send bills to me. I just do not have a way to pay off these bills. Some agencies have offered to discount the entire bill.
I have requested that Mega life and Health review all of the claims that they denied. Today was my second request. They still denied all of the claims.There are six companies involved: Mega Life and Health, Beech Street, United Health Care, Health Markets, ASCA Insurance to Students Plan, Chesapeake Health Insurance. Is there is a way to figure out who is who?

Rgsouthflorida
Boynton Beach, Florida
U.S.A.

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markssssouthflorida
Parkland, US
Aug 29, 2009 10:32 am EDT

Rgsouthflorida, I also had a terrible experience with Mega and would never recommend them to anyone. I can't believe I signed up with them, based on someone's recommendation. The sales rep will tell you anything at all to get you to sign. She told me I had the "Cadillac" of insurance plans. And then when I was hospitalized, they denied almost everything, about $30, 000 in claims. The only reason I got 80 percent of it paid was the original sales rep became an executive of the company (she was so good at convincing people like me to sign up) actually approved the claims. One of the best days was the day I wrote them to cancel, three years ago. What a nightmare this company is. My advice is to avoid them like the plague. Hope you're feeling better Rgsouthflorida.

Avoid: MEGA

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Anonymous Hard Worker
Newnan, US
Jul 25, 2009 9:09 pm EDT

I agree with Rgsouthflorida. All Student Health Insurance Programs are useless and a waste of money. It would be better if uninsured than to have a health insurance program that will not cover you in a time of an emergency and is a hassle to deal with when something goes wrong.

Major health insurance companies (like Blue Cross and Humana One) needs to offer affordable insurance that cost no more than $600 a year with no deductibles. College students cannot afford health insurance because after they pay for tuition, books, student fees and personal expenses such as food and gasoline, students cannot afford a health insurance plan from a major insurance plan and the only option available is from a no name insurance company that no health clinic or medical center takes.

I believe hospitals and clinics need to accept student insurance no matter who it’s from. After all, students cannot afford major company insurance and getting co-pay from their parents can cost over $800 a month. What Rgsouthflorida went through no student should have to go through with their student insurance program because students face enough problems as a student and dealing with medical problems is not an issues students want to face.

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United HealthCare Services website not up-to-date & 1-800 people are unknowledgeable!!!

Their therapeutic list of medications are so out-dated! They are listing medications that are already discontinued for more than a year as being covered, then when you order it from their Medco (mail order pharmacy), they will call your doctor to switch it with something else that they don't cover (without even letting you know). You'll end up paying meds that you might not order in the first place & pay for it full price!

Their 1-800 people sucks! They are unknowledgeable to say the least.

If you have a choice, don't ever consider UnitedHealthcare!

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United HealthCare Services rip off

I had to have an emergency appendectomy on 09 October 2007. Was feeling sick to my stomach for about a week, finally the pain set in. Called my doctor, went in, they promptly sent me across the hall to the Surgeon who sent me down to the emergency room and a few hours later I am in recovery with 3 holes in me and my appendix gone. All well and good. Until today. I get my statement from UHC, which is my PPO coverage through my Union. I have an OWED charge of $2, 814.75 out of $2, 900.00. UHC covered $85.27, saying this was a 'reasonable charge' for the services provided. Seems the Surgeon who saved me from a ruptured appendix by about an hour wasn't IN my network. Ok let me understand: I am in gut wrenching pain, I am told 'we have to operate' at a moments notice and I guess I am supposed to ask 'OH! BTW, are YOU in MY network?' What the heck is THAT?! Are you serious?! And oh tell me where I can get SURGERY done for $85.27! I am sure this is the first of more charges. Like I HAD a choice here. I guess I should have asked then said 'Oh you're not? Well I am sorry, no surgery. I prefer to get a very nasty infection from a ruptured appendix that has the potential to KILL me because UHC won't cover this'. Yes I called the 866 number provided on my card and was told the same thing and that 'You have the right to appeal'. REALLY? Wow, thank you SO much, that makes me feel just super. We won't even go into the 2 times I have had to call to get them to pay my pain management Dr for services they said they would cover and had to get mean before they would. What a total crock of BS! You get offered UHC at work, STAY AWAY! Go with the other plan! Don't end up sorry for your choice like I am right now as I type.

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LI Muffy
Wading River, US
Sep 29, 2010 2:35 am EDT
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I hate this company. I have had so many problems which amount to the fact that they stall, stall, stall. They just don't want to pay. I call every week and one person or another has done nothing to resolve my issues. Honestly, a great many of their representatives are just clueless and give ridiculous answers...idiots. I am not surprised by your situation. What a cheap, fraudulent company! Paying the doctor $85 and suggesting that it is reasonable, is a perfect example of fraud. How do they get away with this?! I think they train their reps to use these tactics.

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agardner
Lees Summit, US
Sep 03, 2010 7:05 pm EDT
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I totally am in the same boat--we were out of town on a camping trip when my daughter came down with acute appendicitis. They have now denied it three times because we were "out of network, " even though the SPD says we are covered if it's an emergency. I have caught UHC in so many lies and deceptive business practices, it boggles my mind. Unfortunately, it looks like I will have to go to court to settle this. You are lucky your bills were under $10K, my daughters were $20K. I really hope you were able to get them to pay, eventually.

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The_Bear
Cincinnati, US
Jul 06, 2009 1:31 pm EDT

Oh yeah! This is typical United Healthcare. The only thing they want to do is collect your premiuyms: They could care less about your HEALTH! I now have bad marks on my credit score because of these people.

They are truly RIP-OFF artists.

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United HealthCare Services - claims appeal

United Healthcare's website is out dated. The list of physicians is not at all updated. The patient ends up calling each phone number listed in the website only to find that "THE NUMBER IS NOT IN SERVICE" And after hours if not days of trying you eventually find a doctor and get the treatment. Then comes the worst part. They reject the cliams and have you...

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United HealthCare Services not exact coverage as stated

i am trying to contact sister may joseph she contact me regarding job openings in the area of where i live is she legit or not. didn't want to leave her contact information either but no way of contact me she only contacts me when she wanted to can you have her contact me directly so we may talk about the healthplan card i purchased for time being to get by until job opens up. my number is [protected]. thank you for you time.

gina grippa

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