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Name Witheld due to Health Care Privacy from Moore, OK says:
January 17, 2016

Insurance Complaint against: AARP
Coverage Type: Health Insurance

  • PolicyHolder Service - Denied Access to Services
  • Claim Handling - Unsatisfactory Settlement/Offer
  • Claim Handling - Denial of Claim
  • General - I feel abused by this company
Have Medicare supplement with AARP Complete Secure Horizons. Called Customer Service to inquire about assisted home care with light housekeeping and transportation.Representative stated with Page 14 Article 5 I would have unlimited services for up to 36 hours a week and 8 hours a day for such. Agency who was already giving home health care with nurse, PT and OT secured the referral from doctor for help in the house (making bed, vacuuming, driving to appointments, social visits) Clerk from Agency called me and said I was not covered because Medicare never covers such. I called customer service number on back of my insurance card which was United Health Care. Representative called agency and spent over 30 minutes telling her how to file claims, and assured me I was covered. So, services began within two weeks. From that time on, the agency stated I was not covered, and United Health CAre denied claims.When I called UHC they told me I was covered but agency did not have correct codes and had to have provider write off. They contacted agency and talked to them while I was on phone, and told them it was covered and they should code the claims correctly. Agency argued, but continued services. This went on from July to November, wh... Read More

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Name Witheld due to Health Care Privacy from el paso, TX says:
December 30, 2015

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

  • Claim Handling - Denial of Claim
  • General - I feel abused by this company
I am a federal government employee and have been a customer of BCBS federal plan for 15 years. I was recently diagnosed with prostate cancer. After visiting with multiple doctors at MD Anderson clinic in Houston I had decided that proton beam therapy was the best for me. BCBS denied the doctors request for this treatment. Their reason was because they say it's not the appropriate care for. I thought their job was to make sure we're covered and to pay their share when we get sick or injured. It's my body and it should be mine and my dr's decision which treatment is best for me. I really wish there was someone in this country looking our for us instead the the rich corporations who own these companies.... Read More

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Jason from Hector, MN says:
December 30, 2015

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

  • Claim Handling - Rude/Abusive Adjuster
I am with Farm Bureau. I had an accident. I hit two deer five miles apart. With talking to the adjuster I told him what happen. He told me it was 2 deductibles because it was two separate accidents. I asked if that was right since I was being honest of what happened. The adjuster asked me if I wanted fixed or not in the most rudest way. He was the most unpleasant adjuster I have ever dealt with. Plus his office is 275 miles away. The fact that he was rude and belittled me during the conversation has made me decide to change companies. The customer service in the adjusters area is the worst I have ever seen and I have heard from others complaints like this. I talked with the adjusters manager and she told me that there is nothing they will do about his behavior. I hope this helps others from making a mistake. My agent is nice and tries to help but he didn't help with the adjuster at all.... Read More

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PRAVINA from MINNEAPOLIS, MN says:
December 21, 2015

Insurance Complaint against: Transamerica Corporation
Coverage Type: Travel Insurance

  • PolicyHolder Service - Delays/No Response
Pravina S Chohan 3928 Edinbrrook Ter N Brooklyn Park, MN 55443 November 7th 2015 Claims Administration Office for Transamerica Casualty Travelex Claims 4600 Witmer Industrial Estates Suite 6 Niagara Falls, NY 14305 Dear Sirs, Please find attached Baggage Claim Form for Family trip to India with All relevant documents to support. Since we went as a Family with 3 total members, you will find names of my husband, Sunil R Chohan and my Son,Hiren S Chohan to avoid confusion. We were booked to fly to Mumbai, India but to due delay in Minneapolis, our connecting flight to Mumbai was missed at Newark,NJ but Delta offered a flight to New Delhi, India which we boarded since our connecting domestic flights would be missed. Delta kiosk at Newark,NJ promised that we would receive our luggage in New Delhi which it turned out not the case. We filed a report to Delta desk at New Delhi and when we reached Mumbai we approached Air India desk since that was that Airline we had flown from New Delhi to Mumbai. Claims office in Mumbai Airport took our claims report from United Airline from New Delhi and gave us their report with phone numbers to contact should we find necessary. Copy of this is attached ... Read More

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Kevin from Brockport, NY says:
December 14, 2015

Insurance Complaint against: MetLife
Coverage Type: Life Insurance

  • Underwriting - Premium Too High
  • General - I feel abused by this company
I have had 2 group life insurance policies, one on myself(just turned 50 years old)and one on my wife(just turned 55 years old) which I continued to carry after I had left Eastman Kodak Company. Metlife decided on the newest Aging, Salary & Rate update that they were going to raise my monthly insurance premiums from $45.58/month to an outrageous $85.99/month, an 89% rate increase. My wife's premiums went from $34.40/month to $56.00/month, also an outrageous increase of 63%. Believe it or not Metlife has also added administrative fees to both policies each of $2.00 per month. Talk about trying to bleed people dry! How do they think that people can afford this? I cannot believe that this insurance company has imposed these huge rates on individuals and am very unhappy with them at this point. They are ridiculous with these increases and are going to lose good customers because of it. There is no negotiation on these rates either. The only way that you can have lower rates is to drop off some of your coverage. Why is the customer the one that always has to give something up? Metlife's profit margins must not be high enough................ Read More

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Evelyn from New York, NY says:
December 14, 2015

Insurance Complaint against:
Coverage Type: Liability Insurance

  • PolicyHolder Service - Abusive Service
  • PolicyHolder Service - Inadequate Reimbursement
  • Claim Handling - Rude/Abusive Adjuster
  • Claim Handling - Unsatisfactory Settlement/Offer
  • Claim Handling - Fraud
Around 10/28/15, I was contacted by Mr. Carlos Marshall, AMIM, Senior Claims Representative of One Overton Park-3625 Cumberland Boulevard, Suite C100, Atlanta, Georgia 30339. He was very rude from the beginning of our relationship. His client Harbor Lights Yacht Company had me wait for 4 months to give me their insurance information. That I was supposed to be given to me immediately.I was injured very badly from a fall due to poorly lit lighting conditions around the stairs,my inability to see anything in front of me & their shaky & unstable handrails.This occurred on 7/21/15 10pm On 7/22/15, a day after the accident, I contacted Mr. Woodley to inform him of my accident. He said that he & his wife were sorry & that,, they'd have the area fixed. I have several disabilities and pointed them out to Harbor Lights. I received call on 10/08/15 from Mr.Woodley" He finally revealed that he was one of the owners.Alex Suazo was his partner. Woodley screamed and yelled at me stating my being disabled would not get me much of anything, that I removed the rope blocking the area off and that I had no witnesses. Mr. Woodley also said that he fixed the area where I fell! I told him that I was in a lot of pain & he said "so what". I tried ... Read More

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anthony from squawvalley, CA says:
December 11, 2015

Insurance Complaint against: Allied Insurance
Coverage Type: Commercial General Liability

  • Claim Handling - Delays upon Delays
  • Claim Handling - Denial of Claim
refuses to negotiate after investigation and talking to several different agencys there is nobody that agrees with mr peterson at this company... Read More

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JT says:
December 21, 2015 at 7:58 PM

Can you explain what you mean no one agrees with mr peterson?

Name Witheld due to Health Care Privacy from ELWELL, MI says:
December 04, 2015

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

  • Claim Handling - Denial of Claim
  • General - I feel abused by this company
My husbands claim for physical therapy was denied due to the therapists being a "participating" provider versus a "preferred" provider" even though the provider was on the insurance company's list of "preferred" providers. I called and the provider had no idea that they had to have preferred status and now we are stuck with an $812.00 bill that was denied due to the provider being considered "out of network" and only a participating not preferred. The insurance company will not do anything other than to tell me that it is not their problem and site the disclaimer on their website. What can I do as now I am stuck with this bill. I was expecting to pay half and not the entire bill? Thank you.... Read More

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DIANA from MYRTLE BEACH, SC says:
October 23, 2015

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

  • Claim Handling - Rude/Abusive Adjuster
  • Claim Handling - Delays upon Delays
  • Claim Handling - Unsatisfactory Settlement/Offer
  • Claim Handling - Denial of Claim
  • Claim Handling - Unjustified Accusations
10/04/2015 Flood in South Carolina-inside my neighborhood-my SUV got flooded-motor was not working 10/10/2015 -the Vehicle was towed -finally- by the insurance company 10/22/2015- Alan Jackson, insurance adjusted-refuses to pay the flood-blames the Chevrolet for the problems of the auto. Refuses to extended the car lease that we are using, demanding to return the vehicle, because Geico will not continue to pay. 10/23/2015 SUV it is still at Myrtle Beach Chevrolet/Cadillac in highway 501-no repairs have been made. We don't have a vehicle to move my family of 5.... Read More

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Name Witheld due to Health Care Privacy from Dearborn Heights, MI says:
October 05, 2015

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

  • Underwriting - Cancellation
  • PolicyHolder Service - Incompetent Employees
  • Claim Handling - Denial of Claim
  • Marketing & Sales - Misrepresentation
  • General - I feel abused by this company
I recently left a company (US Steel) for another job on Sept, 19,2015. My wife and I were told that my coverage would be till the end of the month if I was in good standing. I put in my two notice, but my wife had a medical issue. She called on either the 17 or 18 of September to verify, she was told the same thing again. She then got a last minute appointment on Sept 23, 2015. On Friday, Sept 25, 2015, we checked to see if any claims had come through, only to find out my previous company cancelled me on the Sept 21, 2015 and my claims would be denied. I have a Union Benefits Person, who also checked after the fact with my company insurance, she was told I was good till the end of the month as well, only to be told the next day that information was wrong. How can the people that work for benefits representatives give you wrong information and not be held accountable. Now I have $3,700 in medical bills I can't afford along with a Cobra package that I can't afford as well. My wife would have waited if the people on the phone new their job and given the correct information. I will have medical insurance at my new company when I reach my 90 days in November. The bad information came from my last company benefits center, US... Read More

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I have an Insurance Complaint!
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