United HealthCare Services

On Dec 23, I went to my local pharmacy (Walgreen) to get my Travatan eye drops refilled. I was told that the prescription was not going through but there was no reason showing. After trying several times, the pharmacy technician advised me to get a new prescription from my ophthalmologist since the present prescription was over a year old. It still had a refill on it. On Wednesday, December 28, 2016, I contacted my ophthalmologist's office regarding a new prescription. Later on I received an e-mail from my pharmacy stating there was a problem with my insurance processing my prescription. Having had earlier problems with United Health Care, (seems I was listed as a male), I contacted them. I did not get the agent's spelling of her first name. It was something like Corriana. I explained the problem to her. She told me she would have to speak to a representative in the pharmacy and it would be 4 or 5 minutes. She came back and told me they could only pay for 3 pills not the quantity of 5 that was showing. I then explained that this prescription was not for pills but EYE DROPS. Obviously there was a problem with communication. This makes me wonder how many other mistakes have been made because someone at UHC does not bother to find out about the medication he/she is approving or not approving. The representative put me back on hold so she could talk to the person representing the pharmacy again. This time when the representative came back on the line I was told that I could get my prescription but it would cost me $85 per bottle because the prescription was showing 5. So I asked if I got a new prescription with 3 on it the cost would be $45 a bottle but if I kept the 5 the cost would be $85 a bottle. I was told yes. I told her I had been told that UHC sucked and I had to agree.
Let me explain what the prescription was for. The 5 was the milliliters. This solution does not come in 3 milliliters it comes in 2.5 and 5. Once more whoever was dictating my prescription did not know what they were talking about. If I can only get a 2.5 milliliter instead of my previous 5 milliliter I will need an additional quantity and will end of up paying more yearly.
My next complaint has to do with your mail order pharmacy. I have tried this before and prefer not to use it. I prefer to keep all my medications at one place that has a record of everything and I can pick up when I need a refill. Since becoming a UHC member I can no longer receive a 90 day supply of either of my required medications. I can only get a 30 day supply at a cost of $15 per prescription ($30 every month) This costs me more per prescription than both cost me for 90 days. However, now I am being told I can get a 90 day quantity of both and it will cost me only $7.50 per prescription but only if I use UHC's mail order pharmacy. I can not get an explanation for why I have to use this mail order pharmacy in order to order to get a better price and quantity. I should mention I can not get my eye drops through the mail. Due to the problem I had just getting my eye drops, I really do not trust any pharmacy dictated to by UHC.

I was on Trulicity before going to United Healthcare thru a employer with my spouse and I was told that I had to have PA because of the step program that I have never heard of in my life making me have to go back to Victoza, Trulicity which is a once a week injector vs the daily injector of Victoza, you need to get rid of the step program policy and not make people who are already on a prescription change what they are getting just because you want them to try something different .

Not sure the exact month but mid year of 2016 I received a check from united health care stating that I had a credit on my account. When I called to verify they said that it was correct. I cashed the check and a year later i'm now getting a letter from collections stating I owe the amount that was refunded to me. When I called and spoke with an agent they stated it is my responsibility to pay this even tho it was in error.

I had hand surgery in 2015. Umr paid some of the bills, denied some of bill because they claim I did not answer the "were you in a car accident question" which I did numerous times when I could get through to overseas agents and the rest they did not pay because they say I did not have insurance. Now that I am bringing this up to their grievance board they withdrew payments to mayo leaving be with a bill that went form $3k to $20k.
I attempted to review each of the more than 50 pages of invoices I have and after an hour the agent said I would have to call back because my call was increasing her aht.
Now I have to get a lawyer. This should be illegal.

I am a suboxone patient residing in Florida. Ive had UHC for a year and a half now. In November 2016 we called to make our monthly payment and was told I now had to pay in full for the year, which cost over 300$ . Today Jan 9th 2017 at my doctors appointment I was told my insurance wasn't active or valid. When I called I was transferred to a foreign woman who had a horrible connection and was told My coverage no longer even exists in Florida and that I have t payed since Oct. 2016. I informed her that she was mistaken and O had payed 300$ in November to be covered for the rest of 2017. She then got extremely rude with me and argued with me so i got so angry i hung up after telling her we are getting a lawyer. I then had to pay 150$ out of pocket self pay to be seen so that I wouldnt go into withdrawals from not having my medication. I work minimum wage so Now I am completely broke and without insurance. UHC is evil and we are suing!

Dear United Health Care,

On 12/06/16 I went to an In-network doctor A. Falkoff who requested I have a series of blood tests performed right then and there. While in his office I was walked me a room which was their in house lab and their in network nurses drew the blood. Turns out the doctor sent the blood to an out of network lab, Mercy Diagnostics and now I am saddled with a $1400 bill because United did not cover. Even though the tests were done in network doctor office and I paid all my monthly premiums. I am very disappointed.
I would like of you to cover the lab tests as I as a patient did everything right by going to an in network doctor.

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