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UMR Insurance Plan is a total RIP OFF!
Just want everyone to know this company is almost a scam when it comes to insurance. Doesn't want to pay for anything, make the process long and hard to get anything authorized, gives wrong information. I'm not sure how this company still exists with how they rip people off. My company switched policies last year and ever since getting stuck with this we have lost so much money and had so many things denied that had never been a problem before. Avoid this "insurance" company at all costs! They won't cover anything and will only give you a headache!
Inappropriate denial
Mitzi McMurray, Reference# A112213482, DOB 7/13/63, DOS 12/24 to 12/26
Admitted 12/24/20 through the ER for new onset Atrial Flutter at 133 with history of congential atrial septal defect, received four IV doses of Cardizem. She was also positive for COVID. She stayed for two days for rate control and intiation of two new medications. Called in to UHC 12/28 and clinical faxed on 12/28. Case reviewed by J. Gatica CM [protected], case denied, no explanation for the decision, peer to peer offered.
This case is one of three cases for UHC admitted on 12/24/20 that were denied and a peer to peer offered.
It is inappropriate to ask the attending Dr. to take away from care of the COVID patients to complete peer to peer reviews on all three of these admits.
Desired outcome: Secondary reviewer to review the case
Mask
I received a packet information that listed a change to my policy. Included was a complimentary face mask to be used in re to Coronavirus. I threw it out, as it was "made in China." Didn't know whether to laugh at the irony or be insulted that the country that infected us with the virus came from there. Do you really believe that a "face mask" from there could be trusted to provide any protection whatsoever. Expect if I had it analyzed, might find it defective or polluted in some manner.
Unethical behavior, refusing payment, stalling with paying doctors
We used UHC for 1 year. During that time, I broke my ankle. After receiving treatment with several medical staff, we received numerous statements that it's our responsibility to pay full coverage. They told us we were using Medicare at the time. We informed them it was only plan A! They paid out to the doctors then took it all back. We had to make over 10 calls over several months explaining to them they were the only health care plan we used!
Desired outcome: To quit trying to get us to pay the medical bills after we paid the co pay when they're responsible!! All the doctors are getting real aggravated with them for paying them then pulling the money back several times!
Billing
I received a bill for Part D. I have not received Part B from Social Security.
You can not bill me due to not have Part B from Social Security.
Spread of misinformation
I just started my insurance with UMR back in latte August. I had to make an appointment with an endocrinologist and wanted to make sure I would owe nothing out of pocket once I had an appointment. I called UMR as well as the Dr.'s office and they both assured me there was no out of pocket pay. I then go to the appointment on 9/23 and receive a bill from the office in November stating I owe 140 dollars. I call UMR immediately and am told to ignore the bill and it will be fixed. If there are any issues I was told I'd receive a call back. Never received a call and got another bill in the mail today from the same provider. Had to call UMR myself and was told the claim was denied because they are a tier 2 provider and I had to pay the deductible. Had I known that was the case I would have never gone to this provider, that is why I made sure to verify it with the both of them before I even went to the appointment. Now I am expected to pay that bill after I did repeatedly asked and inquired. I believe UMR needs to pay the 140 dollars and further educate employees to mention that when someone calls specifically asking if I am going to be expected to pay.
Billing/provider services
Member ID [protected]
Member: Mathew Sheridan DOB 7/16/77
Bill: pediatric after hours care for Benjamin Sheridan 11/10/18.
REF: D9551
Prior REF:D1493
prior REF: D197180753
Collections company: Hospital Collections Services [protected]
Both the provider and myself have been trying to get a bill paid correctly for a doctor's visit for my son on 11/10/18. Over 2 years. The provider was originally sent payment that was made out to the wrong providers name. He contacted UHC many time over many months trying to get the error corrected. (He had several claims where UHC did this). I got involved when he finally sent me a bill 1/29/20. I contacted UHC over and over again, was endlessly transferred around, or disconnected. I called both the provider and UHC on a 3 way call and talked with someone at provider services and this was supposed to be all resolved - this was finally in 07/2020. The check was never sent and I got a call from a medical collection agency this week. I called again yesterday. I spent 2 hours being transferred and disconnected. I managed to talk to a supervisor named Melinda. I was going to call the provider again 3 way with her - she took my number in case we got disconnected to call me back - she assured me it was quicker than me trying to call her. We got disconnected and she never called me back. I then spent another hour trying to call and get her again. Every time I actually talked to a person, they wouldn't listen to me and just tried to transfer me. One man made fun of my frustration and called me "Karen," another woman told me she was transferring me to a supervisor and hung up on me. Finally I got someone else who said she is sending the request to pay the bill with the correct provider name, and that she would call the collections company to stop collections. MY REF# IS D9551. I don't have any faith that this will actually happen. This is the worst company I have dealt with in my life. I have not talked to one person at UHC who actually cared about my issue or did what they said they were going to. We paid for UHC insurance for our family. We paid a lot. This was a simple pediatric appointment for my child. I paid the co-pay. Now it's been 2 years trying to get UHC to pay their portion correctly. I have been unfairly sent to a collections company due to UHC's ineptitude. I shouldn't have to pay a bill that was covered by insurance I paid for. If anyone in this terrible company cares at all about doing the right thing please look up the member number/ref number and make the effort to make sure this bill gets paid.
Amy Sheridan
[protected]
Account login issues
We're sorry. We're having an internal problem.
Please try to sign in again.
Been getting this error for weeks when I try to login. Called support and they haven't been any help.
3 horrible conversations I had today with them
I have finally had it with UHC and I'm moving on at the beginning of the week to "anyone else" that can offer help with my scripts.
What really burned me up was their "stay on the line after the call" to take their SURVEY. When they notice a bit of displeasure in your voice - there will be NO SURVEY for you. Before I get into that I also had a very trying time with another "Tier ?" medication. They put you through hell and today was with another one. I am awaiting surgery next month and have severe spinal stenosis and the pain is intolerable so I asked if I could get it filled a few "days" earlier. GOD FORBID. The more I type the madder I get
YEP! while they blame YOU and "caremark" as if it is some other company that they have nothing to do with...you literally have to act INSANE to have them even pretend to do anything .
Customer service / sales medicare advantage plans
I am writing to complain about the rude and unprofessional way I was treated by one your sales agents, Nicholas Sanchez, when I called (11/18 at about 12:30 pm EDT from zip code 29464) about information on signing up for one of your Medicare Advantage Plans. I have had a United Medicare Supplement Plan for nearly 11 years and I could not be more pleased by your coverage and service. Mr. Sanchez did not tell me until I was about ready to sign up for the Advantage Plan that I would lose my Supplement Plan and probably never get it back. As a senior citizen I believe it is critical that this is understood from the beginning. Mr. Sanchez then told me that I was wasting his time and that he had "enough of me." Someone should remind him it is a competitive world out there with little patience for his arrogance. Please note I am reporting this complaint to the insurance professionals at AARP who support United's Supplement Plan Service.
Pool quality member plan service and follow through with member
I already sent a letter to regarding my denial by the medical group to: dirk mcmahon, anne docimo, brian thompson, ed lagerstrom, and alexander perkinson on october 14 on the denial of a doctor who was in my group, but they don't seem any of their members are important. I have been struggling for 4 years with a disease that no western medical doctor in this country knows how to treat properly, so I am just trying to find a doctor who even cares over the usual, take this or that pill! This, by the way, is my "6th" grievance on this insurance company that places profits before people. It is obvious to me that their huge profits ($183.5 billion) are attributable to their "kind" of sick care their members have to either "enjoy" or "endure". It is totally unconscionable that these insurance companies continue on a road of silent abuse, yet their commercials and ads paint a different picture, luring people into their demise.
I am so exhausted over these crooked companies that do not care with their over-paid executives who know nothing about our current health crises today!
Bottomline, I need an immediate resolution to my issue and research into providing members into alternate solutions for real healthcare and finding root causes to the 50-70 million people struggling with these diseases with no current solutions with this insurance company's plans for seniors... Just unconscionable to say the least!
Customer service
My name is Rachel S. Rivera dela Rosa new Bray. I have two main complaints. 1. The attitude and demeaner of the "helpful" customer service workers. They have been rude, condescending, and not very helpful. 2. My name, above, @Dept. SS is as written. Someone @ SS claims my name is dela. is as above on my SS card. I'm 75, I DO NOT have time for this. My United Healthcare offers free gym memberships, I have called them on many occasions, & have waited online for 10 minutes to57 minutes. I am a chronic pain sufferer, I would like a bed to sleep in, which will not have me waking up in pain, through out my entire body, so I have to have help sitting. The health care book sent out is next to useless.
I can say truthfully, most of my pain can be attributed to some of the doctors I have had. The first, Dr. David Henry on staff at St. Francis, was intoxicated and injected cortisone into the right femoral nerve of my right leg. I spent FOUR years on crutches, in so much pain, I was on 120 mg of Oxygen tin, 300 mg of Nuerontin, 60 mg of Soma. The surgeon said (Dr. Kevin Weitzman) said "If I had not ridden my bicycle for those 4 years" he would not have been able to perform surgery. I have metal hips, femur, and my pelvis is lined in metal. Could not get a lawyer to take my case, AND told me the "statute of limitations" was three years. SO, he was allowed to continue practising medicine, @ St. Francis, and God only knows how many others he has crippled for life. The same thing with my last surgery. Dr. Salim Singh, removed a lymph node from my left groin. He performed a very sloppy job, & whatever he did has me in pain, with a hard lip which fills up with fluid. My PcP sent me to a Dr. Martinez, at Aurora, St. Likes. this was 2019, surgery was on June 1, 2019. Dr. Martinez, scheduled me for a biopsy. It was done with a local anesthetic, so I was awake. He used a syringe, that was 3"in diameter & about 5" in length. He held it up & I could see tissue in it, along with fluid, all a pinkish & grey color. BUT, in his report, he wrote that everything was fine, and there was less than a miniscule amount. This was what he told me as well. I just sat there looking at him as if he was crazy. I asked him why did you use such a large syringe? He looked at me & said he hadn't. I told him I guess you didn't because you weren't the person I was looking at with the syringe in his hand. The problem with him & many doctors is they think that they are omnipotent, people believe what they tell them. I DO NOT. My mother was a psychiatric nurse, @Mendota hospital for the Criminally insane. Her job was to recommend patients for permanent incarceration, as sociopaths. I have done work similarly. My job was to make sure no man, ever was hired on law enforcement who had any sociopathic tendencies in the entire country. I was very good at my job, I interviewed thousands of law enforcement rookies. They were allowed to join or not SOLELY on my opinion. I do not like liars or thieves and this country is run by liars, thieves, and murderers. Thank you for your time.
I only wish I could find a person who is capable, and willing to do what I ask &/ or tell them to do. I can show who, what, where, and how to make this country actually great.
You can te
Most doctors will not accept United Healthcare.
Customer service
I have been trying to get a billing situation resolved for months with Tekwani Vision Center in St. Charles Missouri. I have called so many times with no results mainly because the customer service department will say they will investigate and call me back and they dont. I have been fighting since August. Tekwani Vision is asking me to pay a second...
Read full review of United HealthCare Servicesrx plan
I have an Rx plan with United Healthcare called "AARP MEDICARE SAVER PLUS". Medicaid has enrolled me in "Extra Help" at Level 1 100% which pays my premiums starting Sept 1, 2020. I already paid the premiums for September and October. Medicare told me to contact United Healthcare for a refund.
I have called 8 times and spent over 5 hours on hold. The first 2 "advocates" lied to me stating the billing department handles that. The first advocate transferred me to billing but customer service answered. This advocate apologized and tried the transfer again. I was disconnected.
The third advocate stated there is no billing dept and customer service handles billing issues. This advocate stayed on the line while I waited on hold for the "PDP" Dept. But she had to disconnect due to a screaming child in the background. The called then transferred to customer service again. I called the sales department for help. They connected me with someone who said" ok let's look at your account then put me on hold without notification or consent. I waited over 30 mins and she never returned.
Every time I mention refund I am disconnected or placed on hold for an hour only to be disconnected.
Non payment of bills
In August 2020 I was hospitalized twice due to a possible TIA and/or a heart attack. During my second visit, the hospital Cardiologists ordered a P.E.T. scan of my heart. UHC has refused to pay my hospital bill and never sent me a denial letter. I heard about the denial through a third party. The bill is almost $1, 000.
I have many medications that have been denied by this so-called insurance carrier and I do not go through Optum Rx. I have been told that many of my Rx is not in their formulary. A national pharmacy fills my prescriptions not Optum Rx.
United Healthcare is the worst of worst and they make all kinds of excuses as to them denying paying your medical bills. They denied payment to my specialist Aug 2020. My doctor resubmitted via the Appeals Process and today I received a letter from UHC that payment was denied again and the bill is close to $1400. I'm not going to pay this bill and I am planning on going to ABC/NBC world news because I think employer's/union employees from around the world need to be aware of this unethical and rip off behavior demonstrated by UHC. I will also submit an appeals letter to UHC. Majority of union employees at my place of employment are complaining about this along with this insurance not covering certain medications that many people with preexisting conditions need. Another reason we need Administrative via the White House!
dental insurance
Called about a denial letter?
Have been on hold now for 1 hour 22 minutes 41 seconds.
How do you expect customers to tolerant this kind of service?
Hire some people, or something else to improve!
Maybe new mangers
Customer service
I have been a united healthcare for two years there customer service stuck they don't care about there customer!
there a long data on me. They took away my $20.00 on over the counter dept & with no help to me. Unfair/disrespectfully they have a long file on me with no! help to me
they never call or e mail me at all
[protected]
if someone care please look at logs during june 29, 2020 this years really very very bad bad customer service!
they suck
[protected]@yahoo.com
Unbelievably bad customer service (hung up on me 8 times-I gave up) and their deny first policy
I called (this time) about needing a medication filled, and then about needing an explanation as so why united healthcare was denying it. When felt the person helping me, robin, was either incompetent or just plain rude, I asked for a supervisor. After listening to music for an additional 15-20 minutes, the call was again disconnected, without speaking to anyone again.
I've had problems with united healthcare every single time a company I worked for had them. And I signed up for my company's very best plan... Wow.
Failure to allow me to see "in network doctors" delayed cancer diagnosis
January 2020 I experienced an issue that required two visits to an ER. UHC refused to allow me to see a less expensive Urgent Health Care physician that was local to me and demanded I drive 80 miles to the one in their "MEDICAL GROUP". I was allowed to use a local hospital.
Preliminary diagnosis by the ER physician was possible Colon Cancer. UNITED HEALTH CARE forced me to change my PCP to a doctor closer to my home that was in a strip mall and should have retired decades ago.
He confirmed what the ER doctors presumed. UHC tried to FORCE me to see a doctor for a more invasive exam that had a 1 out of 5 rating.
I requested to see a doctor that was IN NETWORK and familiar with my issue (Past colon cancer). UHC refused stating he was not in my assigned "MEDICAL GROUP". I had never been advised by their agent that such a limitation existed, only that I could see "IN NETWORK" doctors.
I had to change my Primary Care Physician BACK to my original doctor they demanded I drop, so I could see the doctor that knew my case history.
The delays caused by UHC were about 2 months. An agonizing amount of time for this type of issue.
Because of the "MEDICAL GROUP" Policy I can no longer see my cardiologist that is familiar with my recent triple by-pass surgery, so now I have to start with a new doctor that has no information about my past 20 years of care.
Prior to signing up with UHC all my doctors were confirmed to be "IN NETWORK" and that is why I signed up for UHC. The authorized agent stated he was unaware of the "MEDICAL GROUP" limits.
Medicare has refused to assist, nor any other agency that was suppose address issues of this nature. UHC refuses to allow me to see "IN NETWORK" doctors unless they are in a prescribed "MEDICAL GROUP" and have poor ratings on the UHC website with the exception of my primary care physician.
I paid for 5 years and never received help promised
If I had known just how unreliable all the benefits that were promised to me wouldn't be available when I truly needed them after paying for 5 years from 65 to 70 yrs old, I would NEVER have signed up with United Healthcare. I am in the process of relaying my recent experience with having so much difficulty getting a house visit for the first time in 5 years to check my vitals that I wanted to be forwarded to my regular doctor. My family is worried about my blood pressure and heart as the only family I have is 3 states away. If someone is dizzy, feels like they may pass out, and has palpitations they should get a housecall easily with no argument or hassle, especially if they've never asked for one before in 5 years. I would expect to give a refund if I had conducted by own business this way. DISGRACEFUL!
Everyone I know, which goes into the thousands from my business, neighbors, friends, family and those they know, plus my social groups, for which I have over 400 members in my own group plus over 1500 in the other 2 groups I belong to. THE MAJORITY OF WHICH OUT OF THESE 1000s ARE OVER 65. I belong to Seniors social societies that interact with each other. ALL THESE PEOPLE AND THE ONES THEY CAN TELL will pass all this on as well as internet news about your complaints from others and it will affect your bottom line. So if you have no shame about the way you do business, you will feel the amount in your bank accounts. Don't screw with old people, we are mostly baby boomers and know how to fight back!
About United HealthCare Services
One of the key strengths of UnitedHealthcare is its extensive network of healthcare providers. The company has partnerships with thousands of hospitals, clinics, and healthcare professionals across the country, giving its members access to a wide range of healthcare services. This network is constantly expanding and evolving, with UnitedHealthcare actively seeking out new partnerships and collaborations to improve the quality and accessibility of healthcare for its members.
In addition to its network of healthcare providers, UnitedHealthcare offers a range of innovative healthcare solutions and services. These include telehealth services, wellness programs, and personalized health coaching, all designed to help members stay healthy and manage their healthcare needs more effectively. UnitedHealthcare also offers a range of tools and resources to help members make informed healthcare decisions, including online health assessments, cost calculators, and provider directories.
Overall, UnitedHealthcare is a trusted and reliable healthcare partner for millions of Americans. With its extensive network of healthcare providers, innovative healthcare solutions, and commitment to improving the health and well-being of its members, UnitedHealthcare is well-positioned to continue leading the way in the healthcare industry for years to come.
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United HealthCare Services emailsnewyork_nm_team@uhc.com100%Confidence score: 100%Supportjohn_elliott@uhc.com99%Confidence score: 99%executivechristopher_mcgoldrick@uhc.com99%Confidence score: 99%Executive
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United HealthCare Services address9900 Bren Rd E Mn008-T-615, Hopkins, Minnesota, 55343-4402, United States
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