Insurance Complaints - InsuranceComplaint.com

Robin from Orlando, FL says:
February 29, 2016

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

PolicyHolder Service - Inadequate Service
PolicyHolder Service - Delays/No Response
PolicyHolder Service - Abusive Service
Claim Handling - Rude/Abusive Adjuster
General - I feel abused by this company

I had an accident in November 2015,the accident left my vehicle In-Operable and had to be towed to an authorized service center for allstate insurance co.The name of the service center where my vehicle was taken was "Service King auto body". After estimate was completed,I had to go to the shop and sign before work could be done. After repairs were made and my vehicle was returned to me, I found things that were not completed and other damage done to my vehicle that was not caused by the accident. Things that were not immediately known by me until I used the vehicle for a thanksgiving trip.During my trip, I got a flat tire and triple AAA roadside assistance could not help because my spare tire was missing. I had to have the car towed me, which left me to arrange alternate transportation for myself and my 82 year old invalid mother on interstate 95. Upon my return, I immediately contacted my insurance adjuster Mr.John Tesoriero and he told me to contact service center directly. When I did, they would not return my calls. Again back and forth between service center and my insurance adjuster Mr.Tesoriero with resolution to my concerns. I let the matter go again until today when my vehicle had to be towed. Today Mr. Tesoriero rudely t... Read More

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Name Witheld due to Health Care Privacy from Herndon, VA says:
February 20, 2016

Insurance Complaint against: Aetna
Coverage Type: Health Insurance

PolicyHolder Service - Incompetent Employees
Claim Handling - Unsatisfactory Settlement/Offer

I have a marketplace health plan through Innovation Health. Today I received my first 2016 explanation of benefits (EOB) for a covered service through a network provider but the EOB did not include a member, or negotiated, rate. Thinking this was an oversight, or perhaps the claim was still not completed despite being noted as such, I called the member phone number on my card to discuss. That discussion led to a remarkably convoluted series of assertions: * Claim that the only mental health services covered were kleptomania, pyromania, and some psychotic condition I don't remember. Argued over prolonged period until I read directly from the mental health section of the full coverage policy indicating general mental health services were covered, which was met with actual prolonged silence. * During the above argument, I noted that nowhere were the limits on mental health to those 3 conditions disclosed. Agent erroneously claimed that was disclosed on the policy documents in my account (it wasn't because it wasn't true) and was available on the marketplace website before purchase (most definitely not true as the marketplace only provides links to the summary of benefits and gives no details about specific codes or procedure... Read More

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mildred from milwaukee, WI says:
February 16, 2016

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

PolicyHolder Service - Unfair Negotiation
Claim Handling - Fraud
Marketing & Sales - Misleading Advertising
Marketing & Sales - Misrepresentation
General - I feel abused by this company

Montly Policy amount changed twice without my knowledge. And montly payment were deducted from my account without my approval.... Read More

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Name Witheld due to Health Care Privacy from Sanderson, FL says:
February 04, 2016

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

Underwriting - Cancellation
PolicyHolder Service - Inadequate Service
PolicyHolder Service - Incompetent Employees
PolicyHolder Service - Delays/No Response
PolicyHolder Service - Payment Not Credited

I have had my policy cancelled twice in 2015 due to accounting and computer errors with Fla Blue Health Insur.that when customer service rep. and supervisor were spoken too regarding the issues assured me they would be corrected. This all started in July 2015 and as of today Feb 4, 2016 I am still having the same type of issues. They have my phone number associated with someone elses account, cannot find out the correct premium amt on automated phone system. I have someone approved to be able to speak to Fla. Blue on my behalf at anytime but when she calls the customer service rep does not see her name on my account. Speak to another rep and they see her name. Inadaquate customer service, most just say it is a Health Care Gov issue instead of researching and handling the issue by Fla. Blue. When HCG is contacted they show all information is correct & see no reason for any issues. When I tried to pay my Jan 2016 premium on Dec 30, 2015 the automated ph system took the payment from my credit card with no problems. When I ck'd a few days later Fla Blue showed no payment being made. On January 5th, 2016 charge showed on my credit card on 1/6/2016 after I had paid again for the Jan premium on Jan 5th, 2016. I had to have the char... Read More

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Charles from Aiken, SC says:
February 02, 2016

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

Claim Handling - Rude/Abusive Adjuster
Claim Handling - Delays upon Delays
Claim Handling - Unsatisfactory Settlement/Offer

My vehicle was involved in a situation that took place at a retirement home, last August 9, 2015. State Farm's insured, hit eight vehicles in the parking lot, while a birthday celebration was going on inside the building. My 2010 Cadillac CTS was one of the vehicles hit. My Insurance company, Travelers, handled the repairs (Subrogated Claim). The repairs were made and I ask my Insurance company about the Diminished Value brought about by the accident. I was instructed to deal direct with the Insurance company at fault, which was State Farm. I filed the claim and was told that they would bet back with me shortly. After not hearing, I called numerous times, I finally was able to talk to someone and was told that an adjuster would get in touch with me. A few weeks later, a person by the name of Coswello Fair called and said that I needed to get appraisal estimates concerning the dimished value from several dealerships and send it to them, which I did. I visited two dealerships and got their opinions in writing and sent them to State Farm. I never received a response, so I called and after leaving ten messages I was finally able to talk to Mrs. Fair. She said she didn't receive the appraisals, I sent them a second time. Not hearing a... Read More

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Eric from Forest Grove, OR says:
January 28, 2016

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

PolicyHolder Service - Inadequate Service
PolicyHolder Service - Delays/No Response
PolicyHolder Service - Inadequate Reimbursement
PolicyHolder Service - Unfair Negotiation
Claim Handling - Delays upon Delays
Claim Handling - Unjustified Accusations

On January 1st of this year, while traveling on Pacific Ave between Forest Grove and Cornelius, a driver entered the highway from a driveway on the north side of the road, entered the center divider while speeding up, and pulled into my vehicle. It happened fast enough that I did not have time to react to avoid the collision. We both pulled to the right shoulder of the road immediately to exchange personal and insurance information. He told me that he didn’t see my vehicle as he sped up to merge. I asked how he couldn’t see a 2007 Chevy Tahoe that has automatic daytime running lights, to which he simply stated again that he did not see my vehicle. Based on the other driver’s insistence that he would insure his insurance company would cover all repairs and his pleading that I not let the police sort the accident out, I felt it best to immediately contact the police and report the accident. When the police arrived, he and I both provided a statement (police report is attached). The investigation seemed to take longer than I thought it would. It turns out the reason for the length of the investigation is that his Washington driver’s license came back as being suspended, so he was going to be cited for the accident. Though th... Read More

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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 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 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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