Review Time
I was issued a policy and paid my premiums on time, but after cancelling upon gaining coverage through my new employer, I have been waiting for six weeks for a refund. Despite multiple calls, their response has been to 'research' the matter. I have now involved an attorney to secure my refund.
LISA KATZ, the salesperson who called me, said she was my "go-to person" for finding health insurance. She recommended a plan for which approval was difficult but told me she had a backup plan if I was not approved. She said she'd help find a place to get CPAP supplies for the best price. When she quoted the insurance package, she did not say she emailed a copy of the application that broke down optional items. I found it after our call and learned about the optional items she made sound like a part of the plan.Once she had completed the application and scheduled an underwriting call for a couple hours later, that was the last I heard from her. I sent her the CPAP information, NO RESPONSE. I asked when we could remove the unwanted optional coverage, NO RESPONSE. I called the company several days later to get an update and was told I had already been denied coverage because I use two medications and a CPAP. I would have thought my "go to person" LISA KATZ would have reached out to inform me about the denial and tell me about the backup plan. NO CALL> NO UPDATE> NO CUSTOMER SERVICE.TERRIBLE COMPANY and AWFUL AGENT: LISA KATZ.
BEWARE os this company Some of the worst health care out there along with customer services representatives. There is no one to talk to if you need help and every month their goal is to not cover more medications and coverages then the month prior. If you call for help you will either get someone that doesn't know english and will hang up because of the language barrier or someone that has horrible attitude. The plans are the worst and cover nothing and don't require pre auth so the customer always comes out getting screwed over.
I was hospitalized 6 months ago. My bills have been returned unopen several times. Customers service is absolutly the worst. They are off shore, poor english comprehension, lots of background noise, children playing, TVs or radios and cars driving by in the background. I asked for a reference number for my claim in order to submit an extension to the hospital and the CSR gave me her first initial and last name initial including todays date as the reference number that the hospital billing department could use to verify our conversation and my account details. Seriously!? How many other people have the same reference number for today?
I was a customer of USHEALTH Group for approximately two years. During that time, I never missed a payment and consistently sent my checks on time. I also never used the insurance once during that period.When I finally attempted to use the coverage, I was told that my insurance was not active. After contacting the company, I was informed that my policy had been terminated due to a missed payment—something I was never notified about by mail or otherwise. Despite my history of timely payments, they claimed it had been more than 30 days and that I was simply out of luck.To make matters worse, they later sent me only two refund checks totaling $45, which does not reflect the thousands of dollars I had paid in premiums.This has been the most disappointing and unprofessional experience I have ever had with an insurance company.
Stay away. In my experience, this has been the worst insurance I’ve ever dealt with.I had an accident that required surgery and I had to pay upfront for the surgery. When I filed my claim, no one followed up, I had to keep calling for status. Each time, they said they needed “certain information.” I provided it, they told me to wait 30 days, and when I called back, they claimed they were still waiting. When I explained I’d already sent everything, they seemed surprised.To make it worse, the email address to send documents kept changing, always a different person, and if that person didn’t submit the form internally, nothing happened. It’s been over five months since my surgery, and they continue to act unaware of the forms I’ve submitted, repeatedly asking for more documents and information.Do yourself a favor and look elsewhere.
Let's face it, insurance can be confusing on the customer end. This means your agent is an important part of the equation and I can't say enough good things about mine, Kat Schlothauer. Whether it's questions on how to access the tele health or general policy questions, she's come through every time from the day I signed up. She's bright, positive, and proactive. It's been a pleasure having her as my US Health go to point of contact.
It is pretty bad when providers cringe at seeing the insurance card. As if to say, "you poor sucker." Every EOB reflects a big fat "0" in the amount covered column. On a positive note, reasonable coverage on prescriptions. As far as the Doctor visits and procedures, one seems to be better off to claim self pay and at least get a much larger discount than the "contracted amount" shown on the EOB. And yes, this is in spite of the fact that our Doctors are in their PPO Network. Definitely making a change come open enrollment.
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