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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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12:39 am EST
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United HealthCare Services reimburstment claims go into black hole

It is useless to call the 1-800 number because all they do is resubmit your claim and don't know why it got kicked back. It is hit or miss. It seems they ignore submissions or deny them until you submit them several times and call them but they can't answer simple questions like why it got kicked back or not processed. I choose this Insurance because of the reviews i read but i am switching to CIGNA because of these horrible experiences.

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Kelly Draper
Fort Worth, US
Jan 08, 2012 4:49 am EST
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I have been trying to be reimbursed for out of pocket exspense for a doctor who would not file the claims, and told me that I would have to file the claims myself. Now is 800.00 dollars is due for the total appointments with is doctor. I have submitted claims to a Medicare complete insurance 5 times, and every time I would call, they would want the same information five times now. If I had known that the insurance company would treat members with some appreciation, I would have run far far away.

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1:27 pm EST

United HealthCare Services misleading sales tactics

AARP, a division of United Health Care(UHC), advised that I could reduce my monthly health care payments to zero dollars, and still keep my current doctors.This proved to be untrue.It was a fraudulent attempt to have me change from my existing UHC plan at $200/month to a no fee AARP Complete Solutions plan, also endorsed by UHC.I registered, rec'd my membership card with my doctors name on it.However, my doctor was not part of this plan.My wife was distraught that we could not use our current doctors.We had to opt out of the AARP plan and purchase a more costly plan at $517/month.All my conversations were recorded, however UHC said that the tapes recording my conversations with the unscrupulos sales agent could not be retrieved?Can someone recomean a qualified attorney to help me ?

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5:15 pm EST
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United HealthCare Services signed us up for plan without our approval

I was laid off my job oct 2009. I had rx plan that covered myself and husband. We called about getting a rx plan when my plan expired. We told the person we talked with that we did not want rx plan until my rx plan expired. He took our information. Then we started getting bills for the plan. I called several times to the 800 number to tell them that we didnot want plan until my plan expired. I send letters, the 800 agents were rude and didnot handle the problem propertly. My plan expired in june 2010. Since i had so much problems with them i did not want rx plan thru them. . My husband did sign up and was told everything was fine. His plan would start in july 2010. Send them $160. 00 to start and then it would be taken out of his social security check. Then we received a letter saying to send them $322. 80, this was for plan since oct 2009. They had applied the $160. 00 to the plan from 2009. (That we did not use or sign up for) now we are afraid they will take it out of his check. I spoke with a kevin? At the 800 number last night, he was rude and said he would cancel my husbands plan and turn the $322. 80 to collection bureau. . . We did not sign up in oct2009, we did not use plan and they want us to pay something we never used or signed up for. The problem is with the incompelent person who took our call in oct 2009 and signed us, when we made it very clear we had a rx plan and didnt need one until my plan expired. Why would we sign up when we had coverage ? Crazy isnt the word for it.

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2:16 pm EDT

United HealthCare Services benefit and coverage docs very misleading

My wife had to go to a specialist because her hearing is getting very bad.Well I go on uhc website to see if the specialist that her primary doctor refer her to is in the network, and he was.I then go to the benefit/coverage page and am under the assumption that all we have to do is pay the $40 copay. So a couple of weeks later we get a bill for $170.On the benefit page it says $40 copay not subject to deductible.I called them and they gave me some bulls%^t! It seems to me they pick and choose what they want to pay. If I would have known that we were going to have to pay out of pocket, we would have waited till the first of the year, since she has to have catscan and surgery also.We pay over $5, 000 a year for coverage and it is thru her employer, so we are stuck with them.We have been with them for quite a few years and have never use it for anything but preventive care ie blood work(lab).I have said it before and I will say it again Insurance Companies are nothing but legalized crooks!

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12:48 pm EDT

United HealthCare Services underwriters are heartless

1)Pre-existing riders right from the start - fine, there were a few claims but not any life-long problems... 2)Premium increased $200 each year for two years - dealt with that, I figured that was maybe normal... 3)Now I have gone over 24 months with no problems, but underwriting will not remove pre-existing riders - NOT FINE! POLICY CANCELLED! How do they think I can keep paying for something that they are basically not really allowing me to use. I will be switching to Blue Cross Blue Shield before my next premium becomes due again! UHC won;t see another penny from ME!

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9:50 pm EDT
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United HealthCare Services denial of claim

UHC's customer Service is non-existent. I received a bill from my former physician for services performed July 2007 through November 2007-yes THREE years ago. I spent 3+ hrs on the phone. I am sure UHC's main customer service site is in India. I was transferred back and forth at least 10 times. I was transferred to an automated survey twice, and once when I asked to speak with a manager, the customer service rep hung up on me. I finally spoke with somebody who seemed to be able to help me but they mentioned by records had been 'PURGED". I somehow doubt that. 'Archived' perhaps, but surely they are 'somewhere' in their system. My former physician has re-submitted the claims twice and each time UHC denies coverage: "Insurance Terminated". Well, DUH! No kidding I am not covered by UHC now, but for the entire year of 2007 I was covered. I have copies of the second submittal by the physician's billing department. Even the form states, "Per the website, this patient was covered 1/1/07 - 12/31/07. Please reprocess for additional payment." I wrote UHC a letter with supporting documentation. I did hear back but they state they have "No record of this claim." Then the form letter tells me to visit www.myuhc.com to view my claims and EOB's. Well I cannot access anything because I am now with Aetna .The stupid letter even tells me to "call customer care on the back of my member ID card..." and to mail a bunch of required info to, "The address on your member ID card."

They infuriate me so much. I am not paying another dime...other than postage to keep sending documentation that I was covered. How can they get away with this crap?!
I'm not to happy with the physician either. Why wait THREE damn years to refile a claim? I do have one of the EOB's with a claim number stating that the physician was paid. At the very least I hope to be off the hook for $140 of the $345 they are demanding.

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Update by fedupindfw
Mar 15, 2012 6:22 pm EDT

Follow-up: After HOURS and HOURS of trying to talk to ANYBODY at UHC I finally got to talk to someone is the U.S.. They were extremely helpful. They said all my info had been archived. All of my previous calls to their Customer Support Center in India had somehow been diverted (every single time) to their PROVIDER line. Even when the CS reps would transfer me, my call would go to the Provider Line. When I would ask to speak with a supervisor, they would simply hang up on me. Anyways, the U.S. person I spoke with mail me copies of ALL of my EOB's. UHC had in fact paid the doctor for all of the claims they were trying to say they had not been reimbursed. I simply faxed these copies to the doctor's billing company and everything was dropped. I left a nasty review of the doctor on Healthgrades.com I wonder how many other patients ended up simply paying these bills to get them off their back/not have their credit history affected? Unfortunately, my company's insurance plan is back with UHC this year.

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Kathy Rollins
, US
Jul 27, 2015 1:48 pm EDT

I have varicose vein problems verified by Jefferson Radioolgy 6/30/15.
Once submitted to United Health Care for treatment they denied the claim. This is not for cosmetic reasons it is for health reasons. Leg pain and swelling is a real, not just ugly. Can anyone help with this? I’m so upset by their ignorance and greed this should not be allowed. If this is denied what other problems can this cause that they should be held accountable for? Are they 100% confident this isn’t a necessary surgery?

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Cooee
Wyomissing, US
Mar 12, 2012 10:00 pm EDT

UHC should pay up - contact your state's Insurance Commissioner. If the doctor did submit the claim in a timely manner the first time UHC should be obligated to pay. I agree, your doctor's office bears a share of the blame here and you should resist paying him more than your would have owed under the terms of your insurance coverage at the time if they (UHC) end up refusing to pay at all. I handle my father's insurance paperwork and one of his specialists failed to file a claim for more than a year after the office visit. The insurance refused to pay anything on it at that point. It must have been one of the terms of being a provider in their 'family' that claims are submitted within a year of the service because we did get a notice that the company had refused to pay but the office never billed us.

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8:19 pm EDT
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United HealthCare Services emergency room visit

I had to use their doctors, and the only drs they had, I would not take my dog to. I wound up paying cash and seeing my own Dr. The only problem is, I work for Motion Industries, a part of GPC and that is who I have to get my insurance from. Sucks huh? Might as well who drop them and throw myself on the mercy of the government...only problem with that is they run it too! Really sucks to know that when I do get to quit working at the age of 68 I will have to depend on United Health Care to make sure I die before I become a burden, haha...they sure get their share of government spending though, don't they? Wonder who their CEO knows...don't you?

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1:39 pm EDT
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United HealthCare Services not covering amount of prescribed medications

My doctor prescribes 9 Imitrex (the generic) every month. I work as a Firefighter/ Paramedic in the Arizona heat and they sometimes trigger migraines. When our department switched to United Health Care I went to get my prescription refilled. Instead of the normal 9 pills (which come in a nice packet) I only received 4. They said it was a 30 day supply when I called. When I looked on-line at their website it said it was a 10 day supply. So, I am suppose to pay a $15 co-pay every 10 days for my meds. If I don't get treated for the migraines right away as the Imitrex does I end up in the ER. Not a good thing when I am on shift and need to be ready to save lives and help those in need. I have had to go to the ER before on shift before Imitrex was on the market. It was not a fun experience. Not to mention costly. I don't understand how an Insurance company trying to save money can justify this. If I end up in the ER it is extremely costly to them as well as me. So, if I am only allowed 4 in a month during the wicked heat we endure here in central Arizona I can guarantee I will have more them 4 migraines. I catch them quickly and take my meds. it doesn't effect my job performance. If I don't my whole crew is effected and can't go out on a call that could save someone's life. This just makes no sense to me.

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CarolynMac
Niceville, US
Aug 12, 2011 3:12 pm EDT

My employer recently changed from Aetna to United Healthcare and I've run into the same problem. Yesterday I received my first Rx for Imitrex from UHC's Medco Pharmacy and it consisted of just 12 tablets for a 3-month supply. For comparison, Aetna provided 27 tablets every 3 months! It's hard to understand how some bureaucrat who knows nothing about me or my health issues can overrule my doctor's treatment recommendation. I guess I'll have no choice but to visit the ER once my alloted meds are used up. If we start costing them a bundle of $$$, maybe they'll reconsider this ridiculous policy. Sadly, I'm afraid we're going to see this happening more often as the cost of health care continues to rise. The insurance companies will deny treatment for the sake of their bottom line.

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2:08 pm EDT
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United HealthCare Services denial of benefits

In short it has been a nigtmare. Customer service is horrible. I have extended coverage through Cobra now since I was laid off on June 1 and my benefits technically ended June 15th, 2010. I am waiting to have a gastrectomy and pre approval was submitted 6-9-2010 prior to benefits ending. United Healthcare via Sedgwick CMS is now denying it based on coverage termination, however they received the submission from my doctor prior to benefits endidng and the letter clearly states this, the letter dated June 24, 2010 from them which denies the surgery based on criteria, is also wrong. This is their response...
"Rationale: Based on the information provided, the member does not meet all the extensive and rigourous Plan documentation criteria for coverage of obesity surgery(BMI.35 with significant comorbid obesity-related health condition, for at least 2 years; documented ongoing active participation in comprehensive weight loss program for 6 months within the past 2 years), and the proposed bariartric surgery is not covered."

The administrator for United Healthcare and my employer Sedgwick CMS sent me an e mail with the coverage information and criteria, this is not what it states. With my doctor we made sure all the criteria was met.
Aetna Insurance has approved the surgery and has the same criteria, I had had the same situation with Aetna attached is a copy of their intital denial and also the approval after documents were sent. What is difference with Aetna they were polite answered all my questions and expedited it immediaitely. United Health care continues to give it's people the run around.
They reviewed it and sent a denial within the coverage period. I have extended benefits via Cobra and they continue to say that they will not reconsider the surgery or an appeal because I am not covered and until the monies show up in their account they will not consider reviewing it. BAD FAITH if you ask me.
I have spent 2.5 hours o the phone today going from division to division, they place me a hold AND THEN DO BLIND TRANSFERS! Please help. This again wa s reviewed within the policy period and the appeals should be considered as such other than that United would be acting in bad faith. I have attached copies of everything

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Compassion
Seattle, US
Jan 07, 2011 6:01 am EST

That was a rude and unecessary judgmental comment. You better hope and pray that you never face a medical obstacle---eventually everyone gets a taste of their own medicine---you might want to sweeten yours up a bit sweetie

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sherri713
Harrisburg, US
Jul 13, 2010 2:47 pm EDT
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I'm so sorry you are having so much trouble with you insurance company. I have been fighting with my insurance caompany for several months. It seems there is little we can do. Its like we are at their mercy. But just wanted you know I sympathize and hope the best for you.

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3:19 pm EDT
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United HealthCare Services customer service nightmare

My complaint is against United Healthcare and how they deal with subscribers. I have logged over 5 hrs of telephone communication with United Healthcare in a 2.5 week period (from 4/20-5/6). I have been misinformed about information in my account and am enraged with UHC's Care Coordination Department, Appeals Department, and Benefits and Eligibility department.

United Healthcare needs to improve both its voice networking system, making it easier to navigate from one department to the next without having to repeat all of the same initial subscriber information, and it needs to improve the quality of their customer service agents, both in terms of their communication skills and knowledge of UHC's system.

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fedupindfw
dallas, US
Sep 01, 2010 9:42 pm EDT
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I absolutely agree. UHC's customer Service is non-existent. I received a bill from my former physician for services performed July 2007 through November 2007-yes THREE years ago. I spent 3 hrs on the phone. I am sure UHC's main customer service site is in India. I was transferred back and forth at least 6 times. I was transferred to an automated survey twice, and once when I asked to speak with a manager, the customer service rep hung up on me. My former physician has re-submitted the claims twice and each time UHC denies coverage: "Insurance Terminated". Well, DUH! No kidding I am not covered by UHC now, but for the entire year of 2007 I was covered. I wrote UHC a letter. I did hear back but they state they have "No record of this claim."Then the form letter tells me to visit www.myuhc.com to view my claims and EOB's. Well I cannot access anything because I am now with Aetna .The stupid letter even tells me to "call customer care on the back of my member ID card..." and to mail a bunch of required info to, "The address on your member ID card."

They infuriate me so much. I am not paying another dime...other than postage to keep sending documentation that I was covered.
I'm not to happy with the physician either. Why wait THREE damn years to refile a claim? I do have one of the EOB's with a claim number stating that the physician was paid. At the very least I hope to be off the hook for $140 of the $345 they are demanding.

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2:06 pm EDT
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United HealthCare Services over charges

With the high cost of proscriptions we are asked to us mail order to save money and help with the cost. I have just had my first mail order done. and it has cost me over 2 -1/2 the cost of getting filled at walgreens or any place with a 30 days. It would have cost me 35 dollars a month for my sons medication that would cost me 105.00 dollars to buy at walgreens for 3 months. Having the mail order filled it cost me 240.00 dollars and when I call to find out why they tell me they just fill the order and take money. never to ask if they can use anything to help save money I give them my phone number which they could have called to ask any questions. I think that this is a very big mistake and they should be held responable for the over charges. Without first contacting at least for the first orders. That way there would not be any bad surprise when the proscriptions come in with a bigger bill. I would like to see something done to protect everone from this. All first time mail order should be informed what it is going to cost before the proscriptions are filled. the same way walgreen or any other company would fill proscriptions.

thank you
Edward Snelling Jr
Phone [protected]

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United HealthCare Services - incompetence

Constant clerical errors not forthcoming about important medical coverage information dishonest about receiving and sending important medical documents and appeals constant evasive tactics to avoid paying rightful claims

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10:26 am EST
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United HealthCare Services lying and denying

Our child was admitted to an inpatient intensive care unit. United Healthcare has weekly "doc-2-doc" calls with the treating physician. We were just told by UH told that our doctor recommended immediate release and that further coverage would be denied. Amazingly, this is at best a misrepresentation of the conversation. At worst, an outright fabrication of the truth. Almost needless to say, we are fighting to ensure our childs healthy recovery, but are woefully inexperienced in the insurance process and understand that we are up against this country's most notorious health care provider, who has a national reputation for mistreating its customers. Since we were not a party to the conversation we can't say for certain what was said by our child's doctor, but are trying to insert ourselves into the process to make certain this does not happen again. I have owned my own company for many years, but fortunately have not ever placed my group coverage with UH. Thank ###ing god for that sliver of good luck. Too bad Congress - Democrats and Republicans - can't muster the intestinal fortitude to correct this problem. We're on our own out here.

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10:14 am EST
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United HealthCare Services non payment to service provider

Generates TONS of red tape to collect payment for services rendered, COVERED by patients plan. One excuse after the other, the patient doesn't have benefits, once you spend an hour on the phone. Miracle, they have benefits, the claim should have been paid, then they send it back for reconsideration. Which then responds with a request for more paperwork. (They had paid the claims in prior years, after several phone calls years, only delaying payment for MONTHS.) Now they're two and have years without payment. We've had to TERMINATE patient. And now the PATIENT is responsible for the bill. So when you get angry with health care providers, now you know where the problem lies.

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3:19 pm EST
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United HealthCare Services termination of coverage

I just started getting long term disability and no one told me that I had to pay for my insurance out of pocket, the month of november I only recieved 400.00 dollars toward my long term disability. I am submitting a request a review Barbara Mackey 2419 school st Rockford Il [protected]

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Reviewer17369
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Aug 26, 2015 5:29 pm EDT

Refused to cover my health related, not cosmetic, vericose veins, and ultrasound for breast cancer prevention

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johnnyb44
Hammond, US
Mar 19, 2010 12:17 am EDT

well they are good for nothing anyhow, in fact I'm getting ready to call Obama. I had a brain anneurysm burst and it cost $880, 000. They paid nothing. so, drop them. you are better of filing for indingent funds and hoping for charity, in which I did and they saved my life regardless of insurance. Drop them, I am just beginning my crusade against them.

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3:59 pm EST
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United HealthCare Services will not pay claim in alloted time

I called the office of the Georgia Insurance Commissioner to find out why United Health Care was sued for $750, 000 by the state of Georgia. The investigator told me it was because they would not pay for claims in the time period specified by law. He also told me this is the second time Georgia has had to sue the company. United Health Care was sued for the same thing about a year ago for $2.8 million. This is the company AARP is advertising on TV as the company senior citizens should get for their supplementary to Medicare. I am glad I called my office of Insurance Commissioner, maybe you should also before you buy insurance.

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United HealthCare Services medco denial of service

Since becoming a member of United Healthcare about 31/2 months, I have been denied, at least 5 times, medication that my previous Insurer has paid for, without question. They farm out prescription services to Medco. I have followed their procedures, and still they make me change to a cheaper medication, even though my doctor thinks he is prescribing what is best for me. Their job is to "be the judge" of what you get. If your plan does not cover what your doctor thinks is best for you, you and your doctor have to follow an appeal process. They will spend hours and hours on the phone, just to keep a patient from getting something they don't want to pay for. They will send you an authorization, or an appeal form, but by this time, you have already left your doctor's office, and are waiting at your pharmacy, then gone home. Sometimes you can get your meds, and sometimes you just have to deal with it. If they are so worried about their bottom line, they should be cutting better deals with the pharmaceuticals, but they already do that, don’t' they? Or maybe raise their rates. Oh, yes, they have done that too. They even want me use a pill cutter to cut my one med in half, just so they don't have to buy both dosages. Since most of the competing healthcare insurance companies have been gobbled up by Aetna, United and others, their simply is not as much choice for employers to shop around for quality, affordable plans for their employees. Period. If members of the U.S. Congress had to deal with a fraction of this hassle, they would be changing the law in a New York minute! Keeping people out of the hospitals by the use of drugs already is a proven approach for everyone. Why keep that medication from us, so that we get sicker, and risk an even bigger claim? The answer is that they know we have no one in our corner, as they do in Washington. I urge people with issues of abuse of power, and denial of service to let their thoughts be known, or it will never change. I also urge anyone who is trying to buy health care insurance, to find out all the details you can before you sign up, because after that, it's too late...

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petromad
Eloy, US
Dec 05, 2009 12:22 am EST

United Health Care tried to get me fired today. I called a UHC rep to dispute a claim and shortly after the phone conversation they called my company's HR and complained about the way I behaved over the phone. The HR head and my supervisor had a meetin and I was told that UHC only wanted me to correspond with them electronically. Is UHC some sort of health care mafia? I hope the world sees this.

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United HealthCare Services health insurance

As a provider of vision care, this is the worst customer service I have had to deal with, upon calling multiple times and being transfered to multiple locations, incl. India, where they can hardley speak english, I had to finally tell the patient I can not get through to claims and he is just going to have to pay my company direct. Lost in the healthcare mayham. I feel so sad for these siniors who get taken advantage of.

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Marcia Hughes
Rialto, US
May 30, 2012 9:34 am EDT

My husband has had 3 Strokes, 1 on the Left and 2 on the right. His balance has been greatly affected and falls multiple times per week. We asked for a simple powered scooter to improve his SAFETY and quality of life, not an Escalde or Hoveround, wouldn't you think this would be cost effective? Last fall cost $11, 000.00 plus 1400.00 for 911. He tore a vessle below left kidney and had to remian in ER until bleeding stablized, 11hours. He has had to have multiple x-rays as a result of the falls. I hate to think of a fractured hip or worse as that would mean surgery and rehab, a lengthy recovery. His Doctor agrees he should have this simple scooter and has done all that he can.
Secure Horizons could be so much better without their gate keeper Primecare. Primecare specializes in denial of everything, their goal is to save money for Secure Horizons this is why the insurance companies hire gate keepers. If you write an appeal letter to Prime care and your Dr. calls them then they will send someone to your home to evaluate the situation, this person brings no equipment, supplies or knowledge of what he is requried to do. I had to read the Drs order to the Physical Therapist. Prime Care case manager "MG" Will not call you, you must call her so that she can state due to all the testing (really?) that was done we are denying your request. Ha Ha I have wriiten a letter of appeal to Secure Horizons and directly to Medicare, hopefully this can be resolved soon.

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Calif Thomas
Silverado, US
Nov 01, 2009 1:58 pm EST

Secure Horizons (AARP), who is impossible to get "to" as in past the phone answering person, must scrub this site -- there had to have been more complaints. They canceled my insurance claiming I moved (which I did not and could not convince them of such.) I spend literaly hours that I logged and finally gave up! Meanwhile, no Medicare part D, had to pay 20% of a first-time ever since having babies hospitalization (is this really why they cancelled me?) and so on and so forth. They are an evil organization who are patently dishonest -- and unreachable. DON'T SIGN UP WITH THEM NO MATTER HOW CHEAP THEY ARE OR WHAT THEY PROMISE!

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United HealthCare Services non-payment of medical claims

United Healthcare fails to approve payment of medical claims. Same claim has been submitted with all necessary paperwork and forms numerous times. These claim involves a second insurance plan that is considered primary. EOB's from primary have been submitted, but everytime they conveniently misplace one of the documents needed to complete the claim. They will not accept a fax while I am on the line with them so that it can be associated correctly. I am requested to resubmit the claim with all documents again, only to have United Health misplace some other document. It's a never ending thing.

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United HealthCare Services medical claims

I have a son who receives "covered" Occupational Therapy and Speech Therapy weekly, and for the last entire year, United Healthcare has HABITUALLY processed the claims incorrectly and/or unbelievably slowly.

The 1-800 agents are rude, incompetent, and the "claims appeal" process is a joke. I literally call them on a weekly basis and get no clear direction on how they want the bills to come/how I should file. For my company, we only have a year to appeal claims and United just runs the clock out on you.

Additionally, the pharmacy coverage is laughable. Btw, I work for a mid-size company (approx 26k employees).

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Garylmccann
, US
Mar 16, 2016 1:22 pm EDT
Verified customer This comment was posted by a verified customer. Learn more

Medical plan # [protected]
Group # 902732
Medical ID# [protected]
There data base is so inaccurate that it is gross negligence on United Healthcare part. MY primary care physician has been trying for several days to get me an appointment but she has not found a single doctor listed in there data bast that is #1 open and actually in business. #3 someone will answer the phone. #3 will take my insurance. I am left in pain because United Health care is taking my money and not providing the services I am paying for.

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denver101
jackson, US
Nov 30, 2010 2:22 pm EST

I thought my old Oxford coverage was bad because they kept upping the cost of pharmacy copays but I paid out of pocket for an emergency surgery which is covered by UHC for out of network doctors and I have had to send the claims form in twice and the claim is still "in process" three month from the operation. I lucked out with getting native English speakers but they basically had no idea what they were talking about. One operator told me that UHC would notify my doctor via snail mail to resubmit a claim form with x-ray. Point 1, UHC never notified my doctor and thank god I called them to make sure or the resubmission would never have occurred. Point 2, why would anyone send a letter instead of email unless they wanted to hold on to their cash flow as long as possible. Insurance companies suck and if my company did not automatically enroll us, I would rather risk paying for the sum total of my medical bills than give a single penny to these vultures of society.

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hookem
, US
Sep 12, 2010 12:17 am EDT

wrye1226:

What an idiot. Where did you take the discussion to make a tirade of an Indian call center? Jealous of your smarter Indian physician counterparts?

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agardner
Lees Summit, US
Sep 03, 2010 7:07 pm EDT
Verified customer This comment was posted by a verified customer. Learn more

I totally agree.. the claims and appeals process is a complete joke. I have been denied three times for emergency surgery that already took place when we were out of town and "out of network." I have gotten so much conflicting information from UHC, wasting hours and hours on the phone. And yet, they denied the claim again today.

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wrye1226
Dallas, US
Feb 17, 2010 1:29 pm EST

I have the same problem...We are an anesthesia group in Texas that is NOT in network with UHC. When an insurance company pays out of network we will call them and most every other insurance companywill reprocess our claims in-network (RAPS) if the facility and/or surgeon is in their network because the patient has no choice as to sho to use for anesthesia. With UHC, I always get a foreign person that I can hardly understand and they cannot understand what I am saying to them. Sometimes they will tell me the claim will be reprocessed and they give me a reference number and say to allow 15 busniess days...I'll call back in about a month and I am told it was not processed right and they will send it back through to be reprocessed and tell me to use the same reference number when I call back to check status. I have to keep doing this over and over on the same patients. Every once in a while I wil get an American and when I do...I am so thankful. WHY DOES UNITED HEALTHCARE PUT THEIR COSTOMERS THROUGH THIS? I have asked an American rep before why does a foreign person always answer and I was told they were trying to change things to where they are getting rid of the people in India. I just want to hang up when those people answer the phone and then they tell me their name...it's always an American name like...John, Sue, Jack...etc... we know that's not their real name...I am just so thankful I don't have United Healthcare as my Insurance and feel sorry for all those who do. They waste so much of my time!

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Anita89
, US
Jul 26, 2017 5:36 pm EDT
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Replying to comment of wrye1226

I have the same issue with UHC!
I briefly explain what services we render and we are out of network, and it like I'm talking to little kids because they don't understand what RAPS is! But I would like to ask you, who and how are out of network pricing based when the RAPS clause apply to the claim?

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gaylee0124
hohokus, US
Jan 15, 2010 2:13 pm EST

WE ARE A 7 DOCTOR PRACTICE WITH MANY UHC PATIENTS. THE REPS ON THE 1-800 LINE ARE ALL FOREIGNERS WHO BARELY SPEAK ENGLISH. THEY DO NOT UNDERSTAND YOUR PROBLEM AND I AM CALLING EVERY 2 WEEKS TO GET MY CLAIM REPROCESSED. THEY ARE RUDE AND EITHER HANG UP ON YOU OR LEAVE YOU ON HOLD INDEFINITELY. I JUST FILED A FORMAL COMPLAINT WITH THE NJ DEPT OF BANKING AND INSURANCE. I NEED EVERYONE TO COMPLAIN SO THAT WE CAN GET SOMETHING RESOLVED. OUTSOURCING CLAIMS DOESN'T WORK!

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serene761
, US
Jan 02, 2010 11:30 pm EST

My husbands company just changed the insurance company to united health care. We were told by the UHC representitive that my sons speech therapies will not be covered. We have been paying them out of our pockets. Any advice?

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