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Name Witheld due to Health Care Privacy from Scottsdale, AZ says:
January 22, 2014

Insurance Complaint against: Aetna
Coverage Type: Health Insurance

  • Claim Handling - Denial of Claim
Aetna Insurance denied my claim for an MRI to map and detect the remaining prostate tissue after prostate surgery. This procedure was requested because of a significant rise in PSA values after my initial procedure indicating that I had biochemical recurrence of prostate cancer. Aetna said the procedure was not medically necessary since they didn't believe that my PSA levels were high enough even though my doctor said I was biochemically positive for recurrence of prostate cancer. I paid for the procedure out of my pocket. Long story short...my biopsy revealed that I had a recurrence of prostate cancer that required more treatment. I submitted an appeal with Aetna and they again denied my claim. This time ignoring my request to pay the claim even though i provided them with a copy of my biopsy. They wrote me a letter saying that since the claim was denied I was responsible for only paying my deductible and coinsurance and that the medical provider would not be paid even though I paid for it. So the initial denial was because my procedure was not medically necessary and the second response from Aetna was I don't have to pay and they didn't address my appeal. I called the appeal claim team supervisor and she wouldn't di... Read More

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Catherine from Plantation, FL says:
January 14, 2014

Insurance Complaint against:
Coverage Type: Commercial General Liability

  • Claim Handling - Rude/Abusive Adjuster
  • Claim Handling - Delays upon Delays
  • Claim Handling - Unsatisfactory Settlement/Offer
  • Claim Handling - Fraud
  • Claim Handling - Denial of Claim
  • Claim Handling - Unjustified Accusations
Amerisure Insurance This is a 3rd party construction defect claim. William Goodman had the claim for a year and never had anyone inspect the property. Kyle Summer took over the claim, never informed me of the transition, while I continued to email Goodman, who never answered. Summer never once contacted me for the year he had the file. When I learned he had the file and telephoned him and emailed him, he never once responded. Then Rachel Morelli took over the claim file. She sent out Pietro Scudieri of Toturo & Company who took a statement that was incomplete and did not cover all elements of his inspection prior to the statement. Scudieri lied regarding the inspection and statement. Scudieri and Morelli colluded and conspired to fraudulently deny my construction defect claim and make a Bad Faith, low ball settlement offer. This is one of those times I believe in Sha'ria Law.... Read More

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della from warren, MI says:
January 14, 2014

Insurance Complaint against: State Farm Insurance
Coverage Type: Homeowners Insurance

  • General - I feel abused by this company
my mom has dementia for four years and the insurance company called state farm has crossed the line by saying they got permission from her to escrow the ins,we paid with automatic payment all year which came to 867.00 dollars now the mortgage company sent state fram a check for 900.00 dollars that means we paid double for a year we have a refund check for 76.58 dollars i think that the vev tripp ins of eastpoint michigan state farm is doing croked things to our senoirs and some one has to stop them we need that escrow check that we usually get, so how can we make sure they dont do this anymore beacuse we never said they could but they lid and said they talked to my mom and theirs no way i have power of attorney and a joint bank account with my mom.... Read More

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Name Witheld due to Health Care Privacy from antigo, WI says:
January 13, 2014

Insurance Complaint against: Standard Insurance Company
Coverage Type: Health Insurance

  • Marketing & Sales - Misrepresentation
Contacted a Standard Health Ins. representative regarding a quotation.After asking alot of questions regarding co pays, deductables and varius coverages I was given a quote and was assured the policy would be exactly as stated.A copy of the policy would be sent once the premium was received.Sent in the premium and when we received the policy it was totally differant than what was discussed.Cancelled it immediately.The agreement was if not satisfied the total premium would be returned.After 45 days and alot of excuses I still have not received the premium due me. What a scam.... Read More

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Dianna from san jose, CA says:
January 13, 2014

Insurance Complaint against: State Farm Insurance
Coverage Type: Auto/Boat/Motorcycle

  • Claim Handling - Delays upon Delays
  • Claim Handling - Unjustified Accusations
  • General - I feel abused by this company
My 2005 Jaguar was stolen & recovered burned. I just bought this car not more than 6 months ago. The claim is being handled by SIU unit. I understand that this is a process but it has been over 30 days and still no resolution. I have cooperated as much as I am going to do, they will no longer give me a rental car but can't come up with an answer on the claim. This is my very first claim with state farm after being with them for 4 years, I also have my homeowners insurance, life insurance and car loan all with State Farm. I feel that they are treating me very unfairly, all they keep saying is this is not an easy car to steal.... Read More

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samuel from cleveland, OH says:
January 13, 2014

Insurance Complaint against: American Family Insurance
Coverage Type: Auto/Boat/Motorcycle

  • 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 - Unsatisfactory Settlement/Offer
  • Marketing & Sales - Misrepresentation
My name is Samuel.I am insured with Personal Service Insurance through American Auto Insurance Company.I am the owner of a 2011 Ford F150 LXT pick-up truck that is fully customized in chrome.On 04-20-2013 while sitting at a traffic light,the wind lifted the fiberglass cover on the bed of the truck and slammed it down on the back right-side half of the truck.Starting at the top right hand side of the back of the truck, striking the top of the back door frame including the top of the back door. It also struck the back right hand side panel and the chrome wheel well cover on the right hand side of the truck as it knocked it off and damaging it.It like-wise hit the right side chrome center cap on the mag and damaged it. It also hit and cracked the chrome cover on the right side back break light. The only body damage that was include in the appraisal on 04-23-2013 at my house was the right back fender but not the chrome wheel well cover.I have called the insurance company more times than I can remember to send the appraiser back out to include the damage that even a dummy can tell the damage was done by the incident.The insurance company contacted me once early on in May of 2013 and asked me for the name of the body shop but made no ar... Read More

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Angel m. from Hollywood, FL says:
January 11, 2014

Insurance Complaint against: State Farm Insurance
Coverage Type: Auto/Boat/Motorcycle

  • PolicyHolder Service - Inadequate Service
  • PolicyHolder Service - Incompetent Employees
  • PolicyHolder Service - Denied Access to Services
  • PolicyHolder Service - Abusive Service
On Friday after noon I called state farm office and they were closed. my call was transfer, I spoke to one of the employee, than I was transfer again to another employee. I gave her my account number my address. my name. this was not good enough, she started to ask very personal questions, what was my birthday how tall I was also she wanted my bank account number all this time she kept on saying I'm trying to verify who you are?.The reason I called State Farm was to fine out when my next payment was do. I feel that this Incompetent employee is still working for State Farm she Denied me access to my account.... Read More

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Jose from Bridgeport, CT says:
January 10, 2014

Insurance Complaint against: Nationwide Mutual Insurance Company
Coverage Type: Homeowners Insurance

  • PolicyHolder Service - Inadequate Service
  • PolicyHolder Service - Abusive Service
I call and asked about coverage for my computers and I was fooled into putting in a claim to get an answer. Nothing was paid or received from em but now my insurance coverage went up on my home by over $250.00 Very unfair.... Read More

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Monica from Chicago, IL says:
January 09, 2014

Insurance Complaint against:
Coverage Type: Auto/Boat/Motorcycle

  • Underwriting - Forced Placement
  • PolicyHolder Service - Inadequate Service
  • PolicyHolder Service - Incompetent Employees
  • PolicyHolder Service - Delays/No Response
  • PolicyHolder Service - Denied Access to Services
  • PolicyHolder Service - Abusive Service
  • PolicyHolder Service - Unfair Negotiation
  • Claim Handling - Rude/Abusive Adjuster
  • Claim Handl
my first mistake was going through an insurance broker. I have absolutely no problem with the brokerage firm other than the fact that they tell you one thing yet the actual insurance company itself being Unique Insurance,loc: 4245 N.Knox, Chgo-60641&(773)299-7500 is their telephone number however you'll never get anybody on the phone much less a call back from your voicemail msgs left. My car accident occurred on Dec.3rd,2013 and they are my insurance company- & the party that had hit my car, hot& ran. Therefore I am left to deal with my own insurance company. believe it or not I purchased my vehicle on Nov.19th,2013 & then obtained insurance on my vehicle on Nov.29,2013. On a vehicle of this age of 10 years I usually go with liability insurance,however once hearing the Kelley Blue Book value from my sales rep. I opted to go with full coverage & enticed my fiance to do the same because he was due for car insurance as well. As luck had it,my accident occurred on Dec.3,2013 & the person who struck me left me there hurt for dead and who knows. I was also traveling with my lol dog who weighs 14 pds.. who by the grace of God was not hurt. I was in shock do I didn't feel a thing.Now looking back in retrospect it was very stupi... Read More

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Name Witheld due to Health Care Privacy from Staten Island, NY says:
January 09, 2014

Insurance Complaint against: EmblemHealth
Coverage Type: Health Insurance

  • General - I feel abused by this company
Their referral process is in place just so the patient doesn't go to specialists!!!! I had surgery, the first referral expired in December, 2013. The scar did not heal well and the specialist needs to evaluate me again. IT IS IMPOSSIBLE TO GET the second referral. IT IS IMPOSSIBLE to get somebody alive to call back the primary care doctor, who is the one trying to get the referral. When the PCP calls for help to the EMBLEM HEALTH provider line he is put on eternal hold. There is no way to get in touch with the so call EXECUTIVES of the Board of Directors of EMBLEM HEALTH. This insurance company is a total disgrace!... Read More

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