United HealthCare Services
Reviews and Complaints

I had a total knee replacement 12/17/19. Unfortunately, I had life threatening complications and had to be transfused for major blood loss. Went home 12/23/19. On 12/24/19 developed a fever, increase swelling in leg with large hematoma, went to ER as was told by MD ‘s office. Admitted 12/24/19-12/28/19. I was transfused again to get Hemoglobin above 7 on 12/26/19. Hematologist insisted on being hospitalized for at least 48 hrs to see if further transfusion is needed. I developed a fever and an infection on 12/27/19 and received IV antibiotics due to past history of resistance bacteria to this infection in the past and allergic to Rocephin. Per Infectious disease, they wanted to see the sensitivities of the positive culture that was reported on 12/28/19 to make sure I receive the correct outpatient antibiotic and also be monitored for 2 hours after being given an oral 1st generation cephalosporin to make sure I did not have an anaphylactic reaction. Well United Healthcare denied 12/27-12/28/19 saying I should of been changed to observation because I wasn't bleeding, dizzy and normal BP. I was still on oxygen and weaned the am of 12/28/19 also. I was dizzy as I had to be helped to the bathroom at all times and an alarm was on the bed if I tried to get up. I was still severely anemic but barely above 7 Hgb so didn't need another transfusion. This is the 3 rd denial in less than 1 year from UHC for Care. This is time consuming and inappropriate to question several specialists with the same recommendation to stay to 12/28/19. I was probably discharged to early initially and saved them a day of charges. I have never experienced this with past insurances. As a Physician, I find it unprofessional for them to question specialist and other providers care and recommendations when they have not seen the record, obtained a History and exam of the patient nor review their vitals nor labs, etc. They saved my life and UHC doesn't seem to care what type of care was given just the cost that matters.

There are several claims that UMR is denying. One of the claims was processed and they have now taken that one back that they paid and requested monies be returned to them. Prior to me having me a sleep study, the facility called the benefits number to see if there were any pre-authorization or any pre-determination requirements. They were advised that neither of those were required. Now that the sleep study has been done, the insurance company is denying the claim. I had to have a CPAP tritation study due to the diagnosis of severe obstructive sleep apnea and the insurance originally paid that claim. Since I have been fighting the decision to deny the first sleep study, they have now retracted paying for the 2nd sleep study so they are denying that claim as well. This is leading into if they do not justify paying the claims for the diagnosis they cannot justify paying for the medical equipment needed which puts my life in jeopardy. I have appealed the denied claim for the first sleep study and I have received the letter stating they are upholding the denial. I have also spent a lot of time since October on the phone with the insurance company trying to resolve this matter. I even called and talked to the insurance company with the facility that submitted the claims as well. I have a lot of documentation that needs to be reviewed and a formal investigation opened. I have made all the attempts that I can to resolve this matter with them and they are refusing to do anything. If they had told the facility what was required prior to scheduling the study, the facility could have provided the necessary information. Because they facility was not told that anything was required, they had the green light to schedule the study. There are multiple calls on file with the health insurance company where the facility has called to see what the requirements are for a sleep study and on all of those calls the facility is told that nothing is required. Now I have approximately $15,000 dollars in medical bills not including the continued added bills for the medical equipment. The insurance company provided the facility false information and now they are trying to hold me responsible. I need action taken immediately.

United healthcare deny on rescue inhaler ordered by Doctor
Inbox
C
Colleen Sweet
to opmc
8 hours agoDetails
Hello,

My daughter was prescribed by the doctor a rescue inhaler after several times she had to be helped to the nurses office during the school day.
After attending a Cornell Vet program on Saturday November 2nd, her shirt was washed and dried and she forgot the inhaler in the pocket. It was broken.
I called the doctor Saturday evening, they sent a request to the CVS to get a new one.
The CVS said that United Healthcare refused to provide a new inhaler until the 13th of November. The doctor contacted United Healthcare and they still refused to provide the necessary rescue inhaler ordered by the doctor.
I called United Healthcare on Sunday morning the 3rd, and spent 4 hours on the phone and was told it would take 48 hours to fix the problem.
My daughter ended up in the nurse on Monday morning at school having to be helped to the nurses office with a horrible wheezing attack and the nurse called me to come to the nurses office. She asked why she did not have the rescue inhaler ordered by the doctor.
I was told this is neglecting the needs of my child.
I called the doctor's office at the time. They said that United Healthcare had been contacted by them on Sunday morning to provide a new inhaler.
I called United Healthcare again on Monday the 4th after my child had to leave school. They said they would contact their own doctor who had never seen my child, and they would see if they could let her had the rescue inhaler.
Tuesday November 5th, they still did nothing to get the inhaler.
She had another attack.
I called the Doctor who told me an urgent request for the inhaler ordered by the doctor was placed several times to United Healthcare.
I called CVS pharmacy and they said that United Healthcare refused to provide a new inhaler until the 13th of November.
I called United Healthcare again on Tuesday the 5th.
I was told that they were working on it.
Still no rescue inhaler after several times my 13 year old was denied the medicine yet again by United Healthcare.
Wednesday the 6th I was told after calling again that they would allow her to get it that day and to go to the CVS pharmacy and they said that the rescue inhaler would be there.
I went to the CVS pharmacy and they said that the still refused to provide a new inhaler until the 13th of November.
I called United Healthcare again on Wednesday the 6th I was told that they were working on it.
Still no inhaler, and my daughter once again ended up in the nurses office.
She was sent home wheezing.
I called United Healthcare again.
They said it should be authorized soon.
Finally after 4 hours on the phone and having the Doctor call them and the CVS pharmacy call them they allowed the inhaler ordered by the doctor to be processed on Thursday the 7th at 4:15pm.
My child went without the inhaler ordered by the doctor for 6 days!
Because United Healthcare refused to provide a new inhaler ordered by the doctor.
This is abusive and neglecting the needs of my child.
I would like to file a complaint with the NY state of health.
Can you tell me how I can do this?
Thank You for your time.

I was bit by a dog and had gone to Henderson Nevada emergency room where I waited 3 hours to see a practitioner and not a doctor and they gave me a tetanus shot and 1 tylenol 800mg. My full coverage UMR denied the hospital bill of $8000 for a tetanus shot and 1 pill of tylenol 800mg. My full coverage also provides my dental and I am able to get 2 cleaning per year with my coverage but I guess they just didn't want to pay the $8000 tylenol and the tetanus shot. Henderson Hospital has now threaten to take me to collections if I don't pay the $8000, I am not sure what I should do. I didn't even get stitches. Should I just let it go to collections? honestly I didn't know that tylenol was that expensive...

The lady that handles things for acts like she doesn't care if the workers get paid or not its not out of her pocket. She is not very friendly and she doesn't do what she says she will do, doesn't come and see you when she tells you she will be there. Tell one lie after another to cover up what she does. She keeps blameing someone else. Then she tells another one. NOT HAPPY WITH UNITED HEALTH CARE AT ALL!

I have been dealing with the same pharmacy for years and now they won't fill my rx because UMR prefers that I use their pharmacies. Trouble is no one ever told me this and when I try to contact UMR it is just an endless series of automated prompts. This is life and death for people that count on their meds to keep them healthy. I guess that UMR or Orlando health does not give a crap about my well being.I will be making an example of them on the internet, social media and to everyone I talk to. I am out of meds and I guess I am just supposed to die now so they don't have to pay anything.

I have been a United Healthcare customer for eleven (11) years with two (2) plans; Supplemental and Prescription. I have always paid my monthly premiums on each plan in full and on time. In 2019 I moved from Pennsylvania to New Jersey and placed a Change of Address with United Healthcare using a form that was in the coupon payment book from United Healthcare. I also had a Change of Address form with the US Postal Service. I continued to make monthly payments to United Healthcare for my supplemental plan using the coupons in the payment book. The prescription plan payments were dependent on a monthly payment notice that was mailed to me by United Healthcare. When I moved in July 2019 there was a problem with receiving mail at my new address due to issues with the US Postal Service that were not resolved until September 2019. These issues can be confirmed by the Middlesex, NJ 08846 Postmaster who was instrumental in resolving the problems for me. With the confusion of relocating and the mail issues I did not realize that I was not receiving my United Healthcare monthly invoice for my Prescription Plan until I was informed by my pharmacy that my prescription plan would no longer pay for my numerous drugs. When I contacted United Healthcare regarding this matter they informed me that the invoice was (a) not forwardable because United Healthcare did not allow forwarding and (b)that changing my address with the United Healthcare supplemental program did not change it for the prescription program. United Healthcare maintains separate data bases for each venue. I am a 76 year old consumer who had no idea that this was United Healthcare procedure. My prescription plan was canceled ninety (90) days (October 1) after non-payment. After two (2) days of lengthy conversation, including misinformation from the United Healthcare customer service in the Philippines I was informed that I was "out of luck" until the next enrollment period (October 15, 2019) when I can enroll for effective January 1, 2020. Until that time all my prescription refills would be paid out of pocket without regardless of the issues as detailed above or the fact that the lack of all my drugs are life threatening. And what is very interesting is that in several other residential moves that I have made in the last seven (7) years from from Florida to New Jersey. within New Jersey and New Jersey to Pennsylvania I have never had this problem. If I had to provide a change of address for my prescription plan to United Healthcare and have no record of doing so, how did they know I moved? Is this a new procedure/policy to drop me from the program so they can force me to come back at a higher monthly premium? Is this another "scam" by the insurance company to increase profits? I will need to consider drugs over food from now until January 1, 2020 but only those drugs (insulin, blood thinners, heart medication) and others that I need to survive and rely on food banks, family and friends for food UNLESS this complaint will provide a solution.

Edward E Benson
80A Middlesex Village
Middlesex, NJ 08846

I am a dentist proving services to your members in Illinois. We have changed ownership 3 months ago 6-01-2019. I have submitted a letter with a w-9 form to your dental customer service unit since your office doesn't have a provider relations department directly. I just off the phone with a representative, and a supervisor my TIN # STILL IS NOT ENTERED AND MY CLAIMS ARE NOT BEING PAID. Who and when is someone going to take responsibility to help providers with problems?

Cordially,

Steve Slominski DDS
Golf River Dental, Des Plaines, IL
[protected]

i recieved surgery nov 22nd, ll my teeth ere extracted later in he evening i spiked a fever and a rash called the emergency number all night.the next 2 days they were out of the office stil calling emergency number with no call back.i went into the office on monday faceblown up and severly black and blue.the staff was shocked at what i looked like the dentist checked out my mouth and tld meafter swelling goes down i have to have another surgery because of bone spurs coming thru my gums.i checkedout my billing in the mean time which thy were paid before i even had surgery how does that happen so bottom i was very upset with the treatment and didlose my temper at the manager and no one else i gota letter 3 weeks later dismissing me from practice thereforei never got fitted for my permenant dentures my life has stopped wontleave my house work, and mentally destroyed .al i want is for them to do the right thing and give the money back for getting paid for dentures.so i can go somewhere else and get my life back.if you refuse to help i will make sure the public sees this injustice i will go media and show the people what they left me to live with.

Following 23 Sept interview with IT Director Olivia Olivarez and team members Theresa, Cynthia and her boss Jim I sent a thank you note.
Since Olivia Olivarez had not provided a business card at interview I did not know the exact spelling of her last name.
Her feedback to my thank you note is as follows" I'm appreciative of her note. But I'm disappointed that she spelled my name wrong. That's a huge issue for me. With one person who does it, then begins a chain reaction. I eventually don't receive my email because those folks have spelled my name incorrectly." She further stated the team thought I would be bored. If I believed I would be bored I would not have agreed to a face to face meeting. She goes on to tell me she has had the job 3-4 weeks and has inherited incompetent staff. As a professional I find this response very inappropriate. In addition, during the phone screen she began by expressing her dissatisfaction with her team in executing their tasks. Rather than focus on team needs and how my skill set fulfills those needs she emphasized how incompetent her team was. She invited me for a face to face meeting and said "You'll see when you meet them." I attended the face to face meeting at which time Olivia did not pose any questions but left the two staff to craft questions to assess my skill set. Jim her boss attended later in the meeting and posed relevant questions to which I responded with enthusiasm and eagerness to serve the team needs. He said he does not get involved in hiring decisions.
At the end of the meeting she notifies me that just that morning UHG/Optum/ and WellMed are in a hiring freeze and in order to move forward she would have to rewrite the requisition. So why conduct an interview during a hiring freeze?.She told me she had one more phone screen that afternoon and 2 more face to face meetings. Her email indicates that due to the team belief I would be bored she is passing on my candidacy.
As an IT Director I don't believe Olivia Olivarez is capable of making sound decisions on candidate suitability by her emotionally charged response to the incorrect spelling of her last name in a thank you note. Her professional acumen is clearly lacking and not in alignment with WellMed hiring practices. One does not belittle team members to a candidate nor does one presume the candidate would be bored and not suited for team membership and then respond to a incorrect spelled last name by lashing out to the candidate.
Perhaps the stress of candidate selection during a hiring freeze is too much for her to handle.
I would like to escalate this inappropriate response to my thank you note to her superiors. I had an excellent interview, poses relevant skills to compliment the team efforts and am committed to serve the enterprise to the best of my ability.

Irma Villarreal Castillo
San Antonio Tx
[protected]

Information from a survallance. Back log from the implant on my business phone client personal info, pharmarcutical info. Client addresses medications. If these document do not load contact john @[protected]@yahoo.com. Or @[protected] ican email you the documents and the party thats involved in this matter. This constitute the hepa act and is a violation. Of. Clients privacy

I have had two knee surgeries, have an injured shoulder and have been rear-ended 7 times. I was getting a synvisc injection for my knee to help relieve the pain & make it easier to walk. UHC is giving me a hard time now getting another injection even though its been over a year. I found a place that does cryotherapy. I called UHC FSA & was told it was covered. The cryotherapy place said they have many patients that come there & use their FSA. I turned in the first receipt & was reimbursed. The second receipt was denied & I was told my doctor has to write a letter. I can't even get into see my doctor for over two months. I can't take cortisone shots because I'm diabetic. I beginning to wonder why I'm paying for insurance...they don't want to pay for anything.

Richard & bonnie rader
71 algonquian street, aurora, colorado, 80018, ph-[protected], [protected]@gmail.com
08-18-2019

Apria healthcare
P.o. box 802017
Chicago, il, 606-2017

Account 0547bex690, reference 00bm6819, bipap st

Account department,

On 08-13-2017 we received a new bipap machine.

Apria invoice amount was $1890.56.

The amount to be reimbursed from united health care was $1, 512.49 and richard rader copay was 20% of united health care $378.11.

Apria started billing me $58.00 per month.in 6.52 months apira would be paid in full.

Apria continued to incorrectly invoice me $58.00 monthly as of 08-2019.

We paid apira:

2017, $ 696.00

2018, $ 464.00

2019, $ 116.00
Total - $1, 267.00,
amount due apria - $ 378.11,

Richard rader over paid apira - $ 888.89

I spoke to united health care regarding their non-payment of apria invoice for $1, 512.49 and they stated apria did not apply for re-imbursement during the required time allowed by united health care. this is an apira problem and not richard rader.

Richard rader relied upon apria accounting to correctly bill him. therefore remit a check in favor of richard rader (account 0547bex690) in the amount of $ 888.89.

Thank you,
Richard rader
Cc: united healthcare services, inc.
9900 bren rd e mn008-t-615, hopkins, minnesota, united states - [protected]

I receive Ocrevus infusions twice a year for MS. United Healthcare is making it impossible for me to receive my treatment. Right before my last infusion at an MS center they said they would no longer cover infusions done at the center. This caused my infusion to be late. I received the next infusion at home by a home health care nurse. It was a complete disaster, no protocol followed, infusion was done incorrectly. I will never again allow a home healthcare nurse in my home. My infusion is due now, for the past month I've been dealing with UHC issues again. Infusion centers in my area do not accept the pharmacy UHC requires to supply meds.So, once again, my infusion will be late at best. How is it that they can override physicians and put lives in danger. This is so wrong! I am a paying customer and have been for over 32 years. What gives UHC the right to mess up my treatment and cause me unnecessary pain ? I'm filing complaints wherever I can. They have no right!

I always had health insurance since my son born. In the month of April 2019, my insurance deactivated because health insurance co. Send my application to Medicaid. I just called them to change my address and automatically send my application to Medicaid, I confirmed with them during this process my son insurance will be active and their answer was your sons insurance will be active. At the end of the month of April, got to know that my son insurance deactivated for that month. I had doctors visit on that month and they are sending me bills for lab tests. I can't afford that bills. This complain is against market place and health plan of Nevada for cheated on me for my insurance.

Our company continues to have issues with claim payment of high end custom rehab. Before we ever submit the claim we always obtain a prior authorization. This authorization is a pre-medical record review. Once approved we order the equipment, delivery the equipment and file a claim. With out fail, our claim is always going to initially be denied for medical records. Reconsideration is then done through the web portal where all the medical records are uploaded and sent in for review. Typically, I have to call with in a month to get the status of the claim. Almost always the initial customer service rep I speak with is of no help what so ever. It's pretty obvious they are reading from a script. I then ask to speak with a rep with Optum to which usually ends in me being told medical records are not on file and to resubmit. This is a ongoing cycle and very frustrating giving the fact that UHC is supposed to be following the Medicare guidelines. We never have trouble getting claims paid through Medicare once we have received the approval. It is an ongoing struggle to get these claims paid through UHC and seems to be an obvious attempt at delaying payment. I am currently still working on a claim that totals $30, 000.00 that was approved and dispensed to the patient. The date of service was from June 2018 and we still have not received full payment. A complaint was filed with the insurance commissioner and still pending. We have complied in every way possible and at this point this is total neglect and disregard for the supplier who has provided a service based on an approval that was obtained before the equipment was ever dispensed. We in good faith supply the patient with this custom equipment that is specific to that one individual needs. We recently submitted a high end power chair that was also approved in pre-medical review, submitted the claim and now are getting denials. This denials are not justified and when we call for clarification we get different answers from every single representative we speak with. I have been told a supervisor will call me back within 24-48 hours but my suspicions are we will not hear back as usual. If I have not heard back by Friday, I will file another complaint with the Insurance Commissioner.

My member ID is [protected] - I have been trying to get information about my status and what I need to provide to be an active member once again after paying for COBRA last week through Discovery Benefits. I've been sent to can't tell you how many different places and no one, I mean no one will help me. [protected] is my number. Look up the contacts.

In March my husband retired and starting the first of April I went on cobra. I knew it would be a problem. I was going to PT at the time. I received my cobra card the end of April and gave it to the PT office. They had already billed several claims under my husbands insurance. To make a long story short, I still have 2 unpaid claims. I have called UMR for several months and have been told we will take care of it. It is now July 18th and they are still unpaid but I can do nothing. Just hope I don't get turned over to collections

I received a letter in the mail about 3 months ago stating I have to stick with one pharmacy, and that I could call within 30 days of getting the letter to have my pharmacy changed to another riteaid. Well, when I called 4 days after receiving the letter the first time to do it, the girls had no clue what I was even talking about, and told me don't worry about it! The following month I try to use the other riteaid, and was told I still have to use the one which was 'assigned' to me! So, I called united healthcare again, and was on the phone for over an hour trying to figure this all out, to no avail! He told me this situation would be escalated, but still haven't heard anything! I call back today because here we are, the riteaid I was assigned to doesn't have my meds in stock, again! It's like this every month, and i'm sick of it! I shouldn't have to deal with this! I was told again today this would be expedited, and that I 'should' hear something by the end of the day. No! I was already told this exact same thing, never hearing from anyone! I just got off the phone with yet another rep, and she told me the same thing, i'll be hearing back from someone by today! I am so sick of this! The riteaid in plesantville never has my meds, and are racist against me. They always say stuff to each other while I am there! I actually filed a complaint about the pharmacist awhile back, and I guess the pharmacist heard something about it, because she told me that nothing will ever happen to her when complaints are filed! Wow, really? Well, its pretty obvious noone does their damn job! So, what am I supposed to do now? I will be getting in touch with the bbb, along with the governor! I am being treated like crap! This issue should've been taken care of 3 months ago! All I want to do is switch from one riteaid to anothet riteaid, and noone can seem to do this. Even when I called within the 30 day timeframe! No one knew what I was even talking about! I am so beyond sickened of this! I demand to have my pharmacy switched right now! I'm not waiting any longer because people can't do their damn job! It's not my fault! I've already been trying to take care of this! I need the pharmacy switched to the riteaid on new
Road in northfield, nj, right now! I am also getting in touch with others about this, as well!