United HealthCare Services
reviews and complaints

Case concerning member # [protected]-12. Date 12/22/2016. We feel the 20% that aarp was to cover on the nursing home stay has only been partially paid.
Leaving a balance due to the nursing home . Medicare is support to pay 80% and aarp picks up the 20% remaining . We feel there is a billing error on the part of Medicare and aarp, and would like this issue resolved.

All of the dentists in my area, approved UnitedHealthCare have the lowest ratings on Yelp. And they are all accused of fraud, mis-representation, and shoddy work. There are many highly rated, 4.5 to 5 stars on Yelp in my area.

My current dentist tried to sell my a crown on the spot and charged more, after insurance payments than most dentist charge for similar work. I raised this issue with United Health on the phone and through their physical mail system. They DO NOT have any on-line complaint or fraud portal. I am convinced they want to enable and protect their fraudulent dentists.

I was scheduled for surgery for hardware removal. Literally. Minutes before an approved surgery. Hospital called to denied the surgery. Same place the work was done in August of 2016. Now here in December the hardware has to be removed from the right foot. There denying that surgery. How can they deny the removal of the hardware. Why would they want to get attorneys involved for such a practical matter. Specifically at this time of year an after it was approved. The doctor only does this type of surgery in this location. How then can they deny the removal.

Today 12/13/2016 I had an appt for a complete physical with my pcp when the receptionist called to verify my insurance he was told my coverage was ineligible even though im covered until 12/31/2016. I had to call your [protected] number myself and was told the doctor should be able to bill for a physical exam since I only had been seen by my ob gyn instead due to confusion with the provider line I was forced to pay for a $100 sick visit. Im writing to request a full refund.

[protected] I was hit by a car while ridding my bike, the driver never stopped. I was taken to the hospital I had seizures and stopped breathing on the way. I was in a coma for two weeks and had two brain surgeries.
United Heath Care has fought every payment to the hospital and my doctors. I was forced to hire a lawyer to get them to start paying. I was out of work for 6 months, I really didn't have the money for it.
I was talking to my car insurance agent about it (allstate). He got me $50, 000 from my uninsured drivers policy to help pay my bills. United Healthcare slapped a lein on me for the amount of the check.
What a bunch of theives. They have done nothing but give my family, doctors and myself a hard time . I have bills piling up but the greedy a######s don't care.

Medical premiums for United Health Care policy are auto-pay monthly and paid up through December, 2016.

Family member needed immediate medical attention November 28, 2016.

Coverage denied at medical facility.

Re-confirmed with UHC that premium paid up and current through December, 2016.

Coverage denied again.

Reconfirmed with UHC that premium paid up but "system" reflected that policy was cancelled September 22, 2016 because it "did not update properly".

Calls to UHC on November 28 have produced no results. Nothing updated.

Calls to UHC on November 29 have produced no results. Nothing updated.

Calls to UHC on November 30 have produced no results. Nothing updated.

Coverage still not in effect as of December 1.

Coverage still denied by medical provider.

In April 2015, I submitted a claim for services that occurred February 16-March 19, 2015 (within 30 days of service). For a year and a half, I fought with UHC to get reimbursed for the benefits I paid out of pocket (over $18, 000) and to which I was entitled under my plan. I was repeatedly lied to by UHC, given incorrect information throughout the process, but I was finally informed I would be paid back after filing an Appeal.

In September of this year, I was told I would get paid. UHC incorrectly issued two checks in a row--yes, two checks--to the provider instead of to me. Each time, I had to wait 30 days from the issued check before UHC would stop the payment and reissue it. Allegedly, a check was issued to me on October 24th, but I have still not received it. I have multiple times confirmed the correct address with UHC. It's a little strange that this check (now the third check issued for this claim) did not make it to me.

Now, I'm being told I need to wait ANOTHER 30 days before UHC will stop payment and issue another check. UHC's inefficiencies are unbelievable. Each time, I'm told this issue will be escalated and I will get a call from a manager. I get a call back about half the time.

I am at the mercy of UHC and nobody seems to care that I have still not been paid. I should not have to keep waiting because of your inefficient 30-day waiting policies. Obviously, your procedures do not work well if this is continuing to occur, so how am I to believe that waiting another 30 days, for the fourth check to be issued, will be any different.

This needs to be resolved immediately.

United Healthcare is the worst insurance I have ever had to deal with. For the past 3 days I been talking to them about a prescription that the doctor recommended for my husband to quit smoking. His employer changed insurance in the process of program of stop smoking and United Healthcare would not approve the prescription because they want him to try another inferior one, because it is cheaper. The broker of the insurance said that United Healthcare would honor previous insurance. That is the biggest lie, they don't honor nothing. The doctor called in another prescription that it cheaper, but it is nothing what he is taking. He is taking Chantix and is working why change something in the middle of his progress, because United is too cheap. I ask the the pharmacy if it had the same ingredients, they said oh no. It is yitallu different. I said great. They don't care about the consumer all they care about is the bottom line of profit. So let's hope this medication works if not a lawyer will be my next choice. These insurance companies need to stop riping consumers off because of profits. I am so sick of their lies after lies.

I am a medical services provider. A claim of october 2015 had been denied for some reason, since then we have been appealing claim. Uhc denying for some or other reason, once they say need to submit reconsideration form and then they say need an appeal. Everytime calling customer service but very bad bad customer service, each and everytime they keep us on hold and then gets disappeared.
Even now, just now, I have been on hold for more than 2.30 hrs, still no resolution yet. The customer service supervisor is tom, just crap. Only best example is that he kept me on a long hold when I asked him if could find my appeal, he said I thought you are finding an appeal, how can I search for my own document. Ridiculous

I was a gastric sleeve surgery patient at johns hopkins bayview. I was enrolled and completed the nutritional program by november 2015. I switched my coverage from united healthcare with enterprise to united healthcare with nestle through my husband's employer since enterprise didn't elect the bariatric coverage on the policy. I was told by my case worker that if a transfer of care was approved, I wouldn't have to switch to one of the three hospitals listed as a center of excellence. The transfer of care was approved so they submitted the approval for my surgery with all the required documentation. I received 2 approval letters in the mail stating my surgery was going to be covered from united healthcare. I called my care worker, shaunna, and was told it would fall under the same bariatric program at 100% coverage minus my $750 deductible. She recommended that I call claims to verify, which I did and spoke to 2 different reps. They verified that the $750 deductible would apply given the approval of the surgery. I had the surgery april 22nd and about 3 months later, I get 2 bills. One was for almost $300 and the other for almost $2700. I called and spoke to a couple different reps again and was told it wasn't processed correctly and that payment would be processed by one rep and that an appeal would be filed by another rep. No one followed up, my care worker shaunna didn't return my messages, and no one could give me any answers. I finally got shaunna on the phone 11/2 and was told she needed to look into it and call me back. She called back today at 4:30p telling me that it was processed like an in-house claim and not my bariatric resource program, meaning they are covering only 80% and i'm responsible for 20%. I told her that wasn't the information everyone had been giving me and was why the transfer of care was put through, so the surgery would qualify under the bariatric program. She told me she couldn't adjust the claim and would have a supervisor call me back. When I asked their name, I was told there are two and she wasn't sure which one would want to speak with me. When I asked who would have the authority to adjust acclaim, I was told she didn't know and had no more answers for me. I am beyond pissed off and frustrated. No one can give me any answers or help me at all. I feel like I need to contact a local senator and possibly bbb. I have been lied to, deceived, tricked, and now i'm being given the runaround.

On the middle of august 2016 I call uhc for need of transportation for my mom medical appointment only! C. S. Transfer me to sales dept. They offered me a plan with transportation prescription, vision, dental and other services. I explain sales lady that I was looking for transportation only nothing else but she stated that to give transportation there were other services included as a bundle. I told her that I was okay with my prescription plan that I didn't want their drug plan, she said it was all in the bundle of transportation. She told me not to worry that my mom had extra help with medicare. Not to worry, because she didn't need to pay anything. I said okay, as long I get my mom transportation and for her medicare stay the same (straight medicare) it was okay with me I told her please don't touch her medicare for nothing! On thursday 9/1/2016 my mom goes to see her primary dr. And he didn't see her because her insurance plan had been changed to hmo medicare advantage plan. Her doctor does not take this plan. My mom is 88 years and that thursday she payed $14.00 dollars for transportation to go to her primary but her doctor didn't see her. I called uhc and they gave me a hard time transferring me to different dept and given me different phone numbers to call. I was on the phone more than 7 hours trying to resolve this problem and no one helped me. I requested to speak to a supervisor and they kept me on hold so long it was extremely depressing. I want to know who made this mistake. There is a recording of me where I said over and over "don't change my mom's medicare plan."someone has to be responsible for this error. There is more to this story but my head is hurting to much to continue writing. All I ask is to listen to my recording. When I was talking to that sales lady she said that my medicare will stay the same that drug coverage was the only thing that was going to change. My mom does not want to change her primary doctor, but now she will have to wait to see her doctor, til this insurance plan goes back to straight medicare. That will take a month. My mom has lots of health issues. Thursday not seeing the doctor had made her very depressed. Someone from uhc has to be responsible for these acts. It's not fair for my mom to be paying for uhc's error. My mom is a disabled person with needs. I will file a complaint to ada. Hope to hear from someone on this issue. Thank you. (P. S the sales lady didn't ask me what medications my mom takes.)

They could care less about customers. There are four rude customer service reps for one good one. I have ordeals each week that take me hours to work out. Today I was told my husband was not getting his meds because they called the doctors yesterday, which was a Sunday and did not get a response. Hello, it was Sunday. After two reps. they agreed to call the doctor on Tues. but not Monday because they had no answer on Sunday. After two weeks of every day calls I did get the > $5, 000.00 corrected. It is a full time job working with the Ins. I am sure they think they can wear old people down and that they will give up and pay. WRONG

Tried to get approval for a out pt surgery. Received pending
precert. Never heard back from united health care.
Called again, call lasted 1 hour - selance gave a pending
number, however she put the patients young son in as the
patient. Patient was having a hysterectomy. Marilyn deleted
the precert b u t never called dr. Office to say surgery was
deleted.

I called united health care 2 days prior to surgery and was told
surg had been deleted cause united had put young son in for
hysterectomy. This process of talking with employees went into
another 45 min. Which jason was a big help but the supervisor
name and number shondae williams never returned calls.

Called again following day and talked with carmen after 45 min of holding she had the approval.
Sad but this happens very often of long wait times, they require
a 2 week period of time to get their approvals yet this happens.
Something terribly wrong with the above.

On july20th 2016 my daughters prescription of Adderall was stolen which I had just got filled on 7/15. So we did the police report took it to her Dr who along with his papers was sent to united health care to replace the meds. IT WAS DENIED WITHIN MINS. and the out of pocket cost is$245/for month. So everyone knows Adderall is a controlled substances. But now b/c U SHOULD BE TAKING OFF THIS MED ALITTLE BIT AT A TIME my daughter is really sick and her mental status is not good either .CAN U SUE A INSURANCE COMPANY? BC if something happens it would be there fault

I have tried to get a sewer chair for two months I can't stand up after a bad car wreck and had surgery on June 15th, let out of hospital on June 18th asked for home health care to clean and cook help me bath and a home nurse care for my wounds, I have called every day and no help, I have been home eight days no way to wipe my ###, I am cut from my tail bone 14inches up and can't bath I have sores from sweating, I bleed out for three days, having trouble getting some one to come out this fare to help, but thank god bee first the co how does cooking and cleaning had compation to come out and clean my house a help me take a shower, change my bandage even though they don't do wound care. The survice cowardenater is incompetent I have called every day trying to get this fixed, I have been toled the nurse was oked and he gave me a phone number to call, I called it and they never herd any thing from united, the policy set in place for united healthcare is going to kill some one, and now I have an apointment with my primery dr on monday 27th of June a nother on 30th with surgeon I will be driving heavly medicated and in pain all this is pure crap they have droped the ball every time I needed health care no help at all this is abuse of the handy cap I can't take care of my self and need help now not later.

I have been a provider with UHC for 10 years now and have had nothing but headaches. I have claims that are over 18 months outstanding that managers have finally started to address, but are not following through. I had a phone consult with 2 managers on 4/8/16, they were "looking into" some issues and I have not heard back as of 6/21/16. I have been sending them emails on a daily basis and am being completely ignored.
They keep denying claims that should be paid, and are not paying claims saying a patient does not have benefits even though it is stated in their online benefits. UHC's response is that some plans are grandfathered and they do not have to tell us that until after we file a claim.

I started work with a new company that uses UHC. I live outside of their main area in the Northeast and when I used their website to look up providers I found none in the area. When I contacted them about this they told me the same thing. I cancelled the coverage and went on the very expensive COBRA plan available due to my old job. My HR department eventually gets to me and after further research finds that a different third-party website shows that I do have providers in my area. It is unacceptable that their website does not work properly and that their staff is unable to provide the information I need to make my insurance choices. Their misinformation has cost me thousands of dollars, countless hours, and a fair amount of stress all while I've been trying to deal with a serious recent medical issue. If UHC is this terrible at providing simple information I worry about relying on it for anything important.

i signed up for the $400/month bronze plan with prescription savings plan..Once i signed up for that plan, i then found out it doesn't cover mail order prescriptions, or most prescriptions in general.

I called for assistance and basically was told, "sorry we cant do anything..." i basically was lied to or tricked prior to signing up for this plan, and now each time i call its basically "too bad for you" also, while applying it asked for my pcp, so i pur their name in. Have been seeing this specialist for years now. They put some random doctor as my pcp. Never heard of him.

Was told i cannot change it to a specialist, has to be pcp. So now i guess i have to go see some random doctor i dont know to get prior authorization for some of my medications. Which makes no sense, because in the end the health insurance is basically paying for a random doctor when i have my own.

I cant wait til next open enrollment so i can cancel!

i am in the health care field, and i make sure i tell everyone about my problems with united health.

I have medicare health and platinum dental gap insurance with United Health Care. They have denied every claim since July of 2015. I have called 5 times and been on the phone with them for hours and they just send me back and forth from one person to another. Two customer service reps told me I don't have a dental plan and others just say they don't know what's going on. One guy did say "yes, I see you have our gap platinum plan" then he transferred me to someone else and I got the same "I don't know" results. As of now I still have no answers. The conversations were over the last 3 weeks and I wish I had a recording of the conversations.