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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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RONALD from HAGERSTOWN, MD says:
January 08, 2014

Insurance Complaint against: The Travelers Companies
Coverage Type: Business Insurance

  • PolicyHolder Service - Incompetent Employees
  • Claim Handling - Unsatisfactory Settlement/Offer
  • Claim Handling - Fraud
  • Claim Handling - Denial of Claim
  • General - I feel abused by this company
ROAD DEBRIS STRUCK MY VEHICLE AT THE C. WILLIAM HETZER CONSTRUCTION SITE AT RTS 63 AND I 70 OUTSIDE OF WILLIAMSPORT, MARYLAND. IT RUINED MY TIRE AND I HAD TO USE MY INSURANCE CO. ROADSIDE ASSIST. TO PUT ME BACK ON THE ROAD, WHICH TOOK ME APPROX. 2 HOURS TO RETURN TO THE SCENE OF THE CRIME. LOW AND BEHOLD, THE HETZER EMPLOYEES COULD NOT FIND THE DEBRIS ON THE ROADSIDE AND THE ROAD WAS SO CLEAN YOU COULD OF ATE OFF OF IT. TRAVELERS INS. SAID THEY WERE NOT LIABLE FOR MY DAMAGES AFTER THEIR INVESTIGATION, WHICH I ASSUME WAS A PHONE CALL TO THE JOBSITE AND WAS TOLD THAT THE DEBRIS HAD WALKED OFF THE ROADWAY BEFORE THEY COULD RETREIVE IT. HA.HA. STORY TO CONTINUE. NOT DONE YET. LOCATED RESIDENCE OF INS. INVESTIGATOR,INS. COMPANYS AGENT LOCAL AND INS. MAIN OFFICE. WAS TOLD BY LAWYER TO SUE IN COURT. I CONTACTED HIGHWAY ADMIN. TWO LOCAL PAPERS; ONE OF WHICH HAS YET TO PUBLISH MY STORY,A LIBERAL DEMOCRATIC RAG THAT IS PROBABLY AFRAID OF C. W. HETZER. I WILL TRY EVERYTHING IN MY POWER TO ENSURE THIS DOESN'T HAPPEN TO ANYONE ELSE.... Read More

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IRA & DEANNA from LANSDALE, PA says:
January 08, 2014

Insurance Complaint against: Allstate
Coverage Type: Renters

  • Marketing & Sales - Misrepresentation
Clarification of policy number assigned #903 924 194... Read More

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nora from hialeah, FL says:
January 07, 2014

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

  • Underwriting - Unfair Surcharge
I pay in full my insurance premium to tower hill insurance company. This policy run from 10/26/2013 to 10/26/2014. Now they have billed an extra $426.59. I called tower hill insurance and they do not give a good reason they sayed I have to call my agent James P. Cavanaugh state Farm Insurance when I did called them they do not know either that they will call me back. Please help me Iam 74 years old and I do not know what to do. Nora Correa policy #H002355630(TOWER HILL INSURANCE)... Read More

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Name Witheld due to Health Care Privacy from Memphis, TN says:
January 07, 2014

Insurance Complaint against: Blue Cross and Blue Shield Association
Coverage Type: Health Insurance

  • PolicyHolder Service - Delays/No Response
  • PolicyHolder Service - Denied Access to Services
  • General - I feel abused by this company
I have been working to get my health insurance straight since 1/2/14. I called bcbstn this morning and got a hold of someone who said that I am not covered. They show that I filled out a marketplace application and it was for plan P03s and the application number was 151107803. My coverage letter was generated for that plan 12/3 and the premium was $436. I called on 12/23 and told the marketplace I had made a mistake and I needed to change my application and plan. I filled out another application and chose plan P01s. Application I'd was 170374623. I was worried about the two plans and needed to terminate my cobra. I called the marketplace and bcbstn and they confirmed that they saw the new application. I cancelled my cobra and paid my premium for the P01s ahead if time. I have a confirmation number on the payment and call. Call was 133570070 and payment number 106334884 for my new premium of $385.89. I received a package from BCBS with a letter saying my coverage started 1/1/14 on plan p01s dated 12/20/13. I called earlier today and was told that I didn't have coverage because the marketplace termination letter was dated 1/2/14. I called last week and couldn't get anywhere. I called today, got through but was to... Read More

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Name Witheld due to Health Care Privacy from Bethlehem, PA says:
January 07, 2014

Insurance Complaint against: UnitedHealth Group
Coverage Type: Health Insurance

  • Claim Handling - Delays upon Delays
  • Claim Handling - Unsatisfactory Settlement/Offer
  • Claim Handling - Fraud
  • Claim Handling - Denial of Claim
Our agency is contracted to receive a flat reimbursement for each nursing visit authorized. UHC continually refuses to pay the contract rate even when a copy of the contract is presented to them. Further UHC will authorize services under "G" codes yet our contract only provides for payment of "S" code billing. This manufactured confusion has cost our agency tens of thousands each year. Our UHC provider representative has acknowledged this but stated it will not change. As a result each invoice that is sent seemingly pays in a different format with different codes...EVEN THOUGH OUR CONTRACT ONLY CALLS FOR "S" CODE BILLING. To date we have been paid with "G" codes, "S"codes and even PPS episode billing. There is no method to the madness other than delaying and denying the payment to the provider who has already delivered the pre-authorized service. The ultimate goal being to delay the claim long enough to go beyond the timely filing guidelines UHC likes to hide behind when stealing money from its providers. UHC manufactures billing delays and glitches to enable them not to pay their providers and when it is identified they refuse to do anything about it. Perhaps this practice enables UnitedHealth Group Inc. CEO Stephen Hemsley to... Read More

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David from Lynn, MA says:
January 05, 2014

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

  • Claim Handling - Denial of Claim
  • Claim Handling - Unjustified Accusations
  • General - I feel abused by this company
I changed my insurance from just liability to full coverage, not a day after i did that my car got hit while parked. I have 2 witnesses and I called the police and have pictures. They refuse to pay the claim saying they have no proof an accident occurred. Plus questioned why i changed to full coverage. Worse experience of my life, then a guy claiming he was from their fraud department called bullying me and picking on my words talking about i had previous damage, which i did and if you were concerned about it look at the car! They bullyed my witness and me! And ain't paying!... Read More

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David from Lynn, MA says:
January 05, 2014

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

  • Claim Handling - Denial of Claim
  • Claim Handling - Unjustified Accusations
  • General - I feel abused by this company
I changed my insurance from just liability to full coverage, not a day after i did that my car got hit while parked. I have 2 witnesses and I called the police and have pictures. They refuse to pay the claim saying they have no proof an accident occurred. Plus questioned why i changed to full coverage. Worse experience of my life, then a guy claiming he was from their fraud department called bullying me and picking on my words talking about i had previous damage, which i did and if you were concerned about it look at the car! They bullyed my witness and me! And ain't paying!... Read More

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david from springfield, MO says:
January 04, 2014

Insurance Complaint against: GEICO
Coverage Type: Disability Insurance

  • 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
was rear endede by a woman GEIKO adjuster ryan ricket adjuster is rude wont return phone calls is never at his desk says unjustified accusations rude delays wont pay my medical bills and will not pay for my broken glasses 400.00 when purchased offered me %50 will not pay for my missed work or pain ad suffering... Read More

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angeline from Monticello, IA says:
January 03, 2014

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

  • General - I feel abused by this company
Allied has forced insurance of my son, onto my insurance because he lives with me. My son had an accident 5 years ago and we transferred him to State Farm Insurance because they offered a lower rate due to the accident. Now Allied has placed him back onto my Allied policy stating he lives with me and they are charging a high rate due to his accident 5 years ago. I believe that insurance follows cars not drivers and he has his own policy and car with State Farm. Can they force me to insure him on my policy. They say that they will drop him from my policy as long as I exempt him from driving my car, but that is a bad idea, because there may at some time be a time when he may have to drive my car and god forbid if there was an accident it would not be covered.... Read More

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