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Lori's complaint:
November 02, 2013

Insurance Company: UnitedHealth Group
Coverage Type: Health Insurance

  • PolicyHolder Service - Inadequate Service
  • PolicyHolder Service - Incompetent Employees
  • PolicyHolder Service - Delays/No Response
  • PolicyHolder Service - Denied Access to Services
  • Claim Handling - Delays upon Delays
  • Claim Handling - Fraud
  • Marketing & Sales - Misleading Advertising
  • Marketing & Sales - Misrepresentation
  • General - I feel abused by this company

They claim that preventive care is covered. My doctor wanted to me to get counseling for how to live with diabetes. When they called for authorization, it was denied. They said they will only cover children.

I needed to find a rheumatologist. Every office I called that listed united as one of there insurance providers, would not take new patients. They said it is too hard to deal with them and get paid.

Here is the one that is really setting me off. I had a partial knee replacement last year, I now need one on my other knee. My company went from BCBC to united since than. I scheduled it two weeks ago yesterday. I let my company know I would be out starting Nov. 1st.

On Thurs I got a call from the surgeons office, about the payment for the doctor. No problem, I will call you Fri. When I am home and pay you. I called and made the payment.

I received a call several min. Later back from the surgeons office asking me to help intervene, because my authorization is still in pending status, and she can not speak with whoever is reviewing it.

I tried calling the number she gave me. The phone hung up without a tax ID to enter.
I called my company hotline to help me. They spoke with them and said it is still pending. They told her they just received the clinical s yesterday. I said that s not true. The drs. Office has been speaking with them for 2 weeks.

I called the drs. Office back. She said that it usually helps when the holder speaks to them,and she would try again.
the drs. Office called me back and said they will expedite it. I felt a little relieved.

Just for reassurance I called my insurance hotline on sat. Morning to get the auth. Code. It is still in review.

I am suppose to check in the hospital Sunday for per op. I live 2 hours away. Needless to say I am now trying to reschedule my surgery, on the weekend, to no avail.

After a lot of emotional trauma and stress. I still do not have any answers.

There are more phone calls and attempts in the last couple of days, but my explanation was getting too long.

Good luck anyone out there trying to deal with this company.

Can I delay my payment to them for awhile, I am paying them to NOT work for me apparently.

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