Name Witheld due to Health Care Privacy
from
Kent, CT says:
September 11, 2013
Insurance Complaint against: Aetna
Coverage Type: Health Insurance
- Claim Handling - Delays upon Delays
- General - I feel abused by this company
I have MS and take a medication daily that keeps me healthy but it is also quite expensive, about $4500 per month. It was, until recently, experimental, but I was in the research group and eventually granted use of the med. The medication is not supposed to be stopped suddenly, there are cardiac complications. But Aetna stalls filling it whenever I request. "You need a new prescription." "You need a new prior authorization." "Our pharmacists have to review your prescription."
It's a good thing my physician's office is on top of things. Plus they are very kind and provide samples when needed. I have tried to explain to Aetna that I am not supposed to miss doses and that they may be liable for any complications I suffer. To no avail. Whenever I complain to the person on the phone, they get annoyed and say that they are "trying to help". I beg to differ.
It seems I never have an issue with copayments for other medications yet for this one Aetna will claim that they did not have a "valid" card on file to pay for it. They use the same card every month! Plus they used to bill, but they stopped that practice.
I understand that this med is expensive but it works and keeps me out of the doctor's office and out of the infusion center. Th...
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carmen
from
san marcos, CA says:
September 10, 2013
Insurance Complaint against: Farmers Insurance Group
Coverage Type: Homeowners Insurance
- Underwriting - Cancellation
TO WHOM IT MAY CONCERN:
I'VE PURCHASED INSURANCE THROUGH FARMERS AND EVER SINCE,-I AM HAVING NOTHING BUT HASSLE WITH THE FOREMOST COMPANY. THEY ARE TAKING PAYMENTS ELECTRONICALLY AND STILL KEEP SENDING ME MAIL FOR ME TO SEND PAYMENTS.........WHAT THE HELL IS WRONG WITH YOUR FOLKS? MY POLICY NUMBER IS: 103-069-975-364-4 13
MY AGENT JOSEPH ALAN RNDGREN HAS BEEN IN TOUCH WITH YOU PEOPLE FEW TIMES ALREADY. I WILL NOT GO THROUGH IT ANY LONGER, IT'S BEEN ANNYOING ME, AFTER 4 MAILS AND NOW A NOTICE OF CANCELLATION AFTER YOU TOOK A PYMENT OF 33.06 BACK ON 8/5/2013, IN OTHER WORDS YOU ALREADY TOOK THE PAYMENT AND NOW YOU'RE ASKING ME FOR ANOTHER PYMENT. YOU ARE SUPPOSED TO WITHDRAW THE SECOND PAYMENT OF SEPT, SO NOW PLEASE CANCELL ME OUT.
I WILL FIND ANOTHER COMPANY WHERE THEY KNOW WHAT'S GOING ON WITH THEIR CUSTOMERS PAYMENTS. I WILL CALL MY AGENT MR. RUNDGREN.
THANKS
R/CG...
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Elizabeth
from
Brooklyn, NY says:
September 10, 2013
Insurance Complaint against: Tri-State Consumer Insurance Company
Coverage Type: Auto/Boat/Motorcycle
- Claim Handling - Unsatisfactory Settlement/Offer
My name is Elizabeth. I own a 2001 ford focus. On June 4th It was parked across the street where I reside. A women hits my car and runs off. I have 2 witnesses that saw what happened. They got the plates of the women and now the women states she never hit my car. The insurance company is jerking me around and now wants to pay only 50 percent of the damages. The collision shop gave me an estimate of $4,326.59 and the insurance company only wants to pay me $800.00. This company knows I have a witness that saw everything. He also contacted the police and waited 2 hours for them to arrive. Unfortunatley, the police did not take down an accident report because they said the car did not belong to the witness. The following day I went to the precint and filed out a MV-104 stating what happened. I am still without a car and need it to get around and go to work....
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Name Witheld due to Health Care Privacy
from
New York, NY says:
September 10, 2013
Insurance Complaint against: UnitedHealth Group
Coverage Type: Health Insurance
- PolicyHolder Service - Inadequate Service
- PolicyHolder Service - Incompetent Employees
- PolicyHolder Service - Delays/No Response
- PolicyHolder Service - Payment Not Credited
- PolicyHolder Service - Denied Access to Services
- PolicyHolder Service - Inadequate Reimbursement
- PolicyHolder Service - Unfair Negotiation
- Claim Handling - Delays upon Delays
- Claim Handling - Unsatisfactory Settlement/Offer
- Claim Handling - Denial of Claim
- Claim Handling - Unjustified Accusations
- General - I feel abused by this company
I have paid United Healthcare for the past 21 years and 11 months since my late husband died. I have been ONCE to a hospital to have a knee operation because I fell at JFK.
I was operated by Dr. Elliot Hershman from Lennox Hill Hospital in New York around ten or twelve years ago. This is the ONLY TIME I have been at a hospital. I go once a year for a check up and maybe three or four times more. I have always been very healthy.
y policy is 12/13/1948. Since 2011 United Health care refused to pay my bills stating that I was on disability (INACCURATE) then that I was on MEDICARE(ALSO NOT TRUE) They refused since then to pay my doctor's bills I recall specifically Dr. Steve n Bernstein
923 Fifth Avenue New York City. YHC never paid him, they refused to pay him and I had to pay, and then he dropped me because UHC NEVER PAID HIM. They told me and my assistant that they will not pay because AGAIN I am on disability.....INACCURATE, and i can prove it, and I am willing to go to any doctoir to have a test to prove it, then they again said that I had Part A of medicare INACCURATE ALSO. The bills that have to be paid are three or four from $$699.30 to Sunrise Medical, ENZO CLINICAL LAB for $60.00,
CARDIOVASCULAR INSTITURE $176.0...
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Tim
from
Westerville, OH says:
September 09, 2013
Insurance Complaint against: Allianz Global Assistance
Coverage Type: Travel Insurance
- Claim Handling - Fraud
- Claim Handling - Denial of Claim
- Marketing & Sales - Misleading Advertising
The effort this company goes through to avoid paying is frustrating. I had to extend a trip's duration due to complications for my father recovering from surgery. The surgeon filled out appropriate paperwork indicating the complications developed while in the hospital but this firm had the gall to label the whole situation as a "pre-existing" condition. So, I am out the $275 to change my airline ticket plus the purchase price of the insurance.
Other reviews praise their ease of use website as it is not loaded with insurance jargon. What needs to be noted is the "dumbed-down" information is not complete and what is there is misleading.
I would NEVER deal with this company again. They are very friendly when they chat with you, but you have this sense they are stealing your wallet while they speak kindly with you....
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Cynthia
from
Arlington, TX says:
September 07, 2013
Insurance Complaint against: State Farm Insurance
Coverage Type: Homeowners Insurance
- Claim Handling - Rude/Abusive Adjuster
- Claim Handling - Delays upon Delays
- Claim Handling - Unsatisfactory Settlement/Offer
I have been with State Farm for over 25 years. I currently need my roof replaced for the first time and the adjuster who has been assigned to our case is unprofessional and doesn't call back to a second opinion roofing company we are using. This supposedly experienced adjuster is disputing what two different roofing companies have advised him. There are two roofs on my house and they will both need to be removed. He claims there is only one roof on my house. When my husband tried to call and speak to our agent, he was told we had to talk to this "adjuster". We have never even met this adjuster in person. The couple of times my husband did get a hold of the adjuster, he asked why we are getting a different roofer? Do we not have the right to get another opinion? Can we not ask for a different adjuster? We are getting now where fast. Also, a roof was put on before I purchased the home in 1996 by the previous owner. There is a good possibility that this adjuster is wrong....
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Benjamin
from
Ft. Lauderdale, FL says:
September 06, 2013
Insurance Complaint against: Assurant
Coverage Type: Homeowners Insurance
- PolicyHolder Service - Inadequate Service
- PolicyHolder Service - Incompetent Employees
- PolicyHolder Service - Delays/No Response
- Claim Handling - Rude/Abusive Adjuster
- Claim Handling - Delays upon Delays
- Claim Handling - Unsatisfactory Settlement/Offer
- General - I feel abused by this company
I have been dealing with Assurant for the last year, on a homeowner issue, and I have been getting the run around, and there not providing me with the information I am requesting. I feel like my public adjuster and the insurance co are working against me, I am really angry about the situation, what really gets me mad is the public adjuster and the insurance co have agreed to a settlement, That they haven't even shared the settlement amount with me, I will be the one to decide if settlement offer acceptable...
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Sandy
from
Summerville, SC says:
September 04, 2013
Insurance Complaint against: The Travelers Companies
Coverage Type: Auto/Boat/Motorcycle
- Claim Handling - Rude/Abusive Adjuster
- Claim Handling - Unsatisfactory Settlement/Offer
A client of travelers opened their car door into our brand new $50000 dollar truck, and was totally mean about it, disrespectful of others property. We called the police and they filled out an report charging her with damaging our vehicle. We work hard and saved to get this vehicle. Now instead of replacing the piece over the wheel that she damaged they want to sand it, patch it and repaint it. Hello, the truck is less than a week old. Would you be happy with this, I don't think so. Travelers needs to take into consideration the age of the vehicle. If the vehicle doesn't have but 10000 miles on it when your clients damage it, replace dont repair. This is so wrong...
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shirley
from
rocky mount, NC says:
September 04, 2013
Insurance Complaint against: GMAC Insurance
Coverage Type: Liability Insurance
- Claim Handling - Unjustified Accusations
i talked to insurance commission which was no help.i yet to understand why they are there.my kids father was hit and killed by one of there insured parties .my kids tried to get an attorney.we live in nc he had alcohol in his system according to insurance he had on dark clothes and was not at a cross walk,he usually carried a bookbag with belonging he was homeless by his choice we never found book bag all the belongs but in a clean spot beside road.i asked the insurance company for pictures took at the scene thea told me to send them a letter od administraton or supeona/i sent that through insurance commission/the letter of administration was then not good enough vicky brown claimed she did not know she could not use that letter i asked her before she sent a reply why didnt she check her reply she is only human.i asked her to send the letter of administration back to me.she said i can do that for you.i waited a week no letter.she also told me that same day i will have the legal department call my son no call,again she says she is only human.this law in nc 1 percent your fault and 99 percent other smoke screen so they do not have to pay but one day they will have to answer to a higher power i tol vicky brown there is no company wor...
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Elllis
from
San Antonio, TX says:
September 04, 2013
Insurance Complaint against: AAA
Coverage Type: Auto/Boat/Motorcycle
I will hit while sitting waiting on the side of the highway with the flasher on (car had stalled), when a car rear ended me on the side of the road. The car was a total loss. Fred Loya insurance company is now refusing to paid for the property damage. This all happen on June 13,2013. They say do to the fact that they never took pictures they have nothing to go on. I am on disable and have no car for the past mouth. Due to this fact. Can you help me in this matter....
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