Optum Reviews 87

I am totally disgusted with Optum. The provider I go to no longer answers the phone from their patients. ALL calls, not just scheduling calls, go through a centralized Optum system. Those answering the calls have no idea what a person is talking about and often will give the wrong answer or they just don't know the answer. What a disgusting way to run a physician office.

Optum UHC Provider Relations.
I am a mental health provider who has been trying to get credentialed with Optum UHC. The application was submitted March 11. It is now Aug 6. Though it has passed the credentialing process, the application is stuck in the loading information phase. This has been going on for over 3 months. I have spoken with numerous individuals and it has been escalated twice to provider network managers. They do not respond to emails and no one seems to know what the issue is. It is highly frustrating. Honestly, it does not appear that they care about their providers at all.

My experience on today with Alethia was helpful. She assisted me as much as she could. The challenge that I am experiencing is finding a specialty physician. Alethia is in Member Services department. She did all that she could do. I would not recommend
Anthem Blue Cross/Optum (HMO) plan but if you can afford it I would recommend the PPO plan (Blue Cross). The physicians that I encountered were pleasant and professional with the exception of one. I have encountered several physicians in the course of (3) years. The challenges are more on the administrative part of the HMO plan. I worked in healthcare. I know what quality healthcare administration should encompass. There need to be constructive improvements within this business entity. I hope that the necessary changes are implemented soon. This has been my experience.
I hope that this is helpful. Blessings.
Best Regards,
Patricia

They are the worse. Be aware there is a Humana insurance that is under OptumCare. DO NOT DO THAT ONE!! They make you call almost 5-6 different phone numbers and 10 different reps. They even told me my doctors was out of network thru Humana, he is In network. There system is not working and they cannot see on their end the Humana provider network site. Please contact Humana and make sure you are not under the Humana OptumCare plan.

Typical United Healthcare system. Make the service as crappiest possible so they can maximize profit. Create a call center where the people that are interviewing hire have tendency to be sociopathic which is to them important trait. Screw up everything left and right. Ruin a perfectly good system on a health care partners when they took it over there was Exodus of doctors and staff were good reason. The bottom line is get as many patients in and paid as little as possible. I after 30 years with health care partners I had to walk away when often took over. They screwed up so much and they're violating laws and complaining them is useless. Let me put in one date but there were multiple dates so I just randomly put in a date. Took 5 days to tell me I had cancer from biopsy cuz they're so screwed up almost didn't get a blood test in order to have a pre-op for pre-op to get my surgery done. They're just so messed up it's just pathetic. They are a sorry excuse of it health care clinic

My wife was double billed for a appointment for a pelvic exam only and got paid from medicare $227-!00%! The Gynecolgy/obstetrics department sent up a claim code to billing dep't for a office visit and a exam.Medicare only pays for a preventative pelvic exam every 2 years.Called Medicare to find out why they didnot pay the additional charge for a office visit.they told me that a office visit is separate from the exam and that once you walk into the office before the actual exam there is a charge for appearing at signing in.That charge amounted to a extra $225 that she is responsible for.This amounts for double billing using a claim code thatOptum knows Medicare will decline!She only made one appointment for a pelvic exam and not a annual exam along with a pelvic exam! They never told her when the appointment was made that it was a 2-in 1 appointment with a additional charge of $ 225!I called Medicare to find out why they declined the extra charge of whivh I already knew based on the same experience with optum 3 years ago! I made sure that my wife informed the Doctor that she is only here for a pelvic exam.The Dr. reassured her in conversation that there would be NO extra charges! So the Dr.snds up the claim code used by Optum which isnot compatible with Medicares correct claim code and now they are trying to extract a additional $225 from her for a service they didnot perform and she didnot want.Needless to say I filed a claim with the NYS AttorneyGenerals office for what I call a Bait and Switch deceptive billing practice.Watch out Senior citizen women for this pracice by Optum.If they would have told her upfront that there would be 2 charges she would have cancelled the appointment on the spot.But they are clever by making you sign a waiver that you are responsible for what the insurance doesn't pay!If you don't sign they won't see you!Now they have your signature and can put in any claim code they want even for things that were not performed! This is called padding the bill.

on the phone over an hour...no one picked up...still can't get our payments (dental office) because our account is locked. TERRIBLE customer service

I would leave a 0 if I could. I've had a kidney Stone that caused sepsis twice. I almost died. It's been 4 months and I'm still waiting for surgery. I can't get anybody to call back. I've called 2 and 3 times to get a call back from the first time I called. It's been two weeks. I've never known a medical organization that you have to call over and over just to get a call back. You can wait 2 weeks for a simple question to be answered. It's absurd. They are horrible. I would never use them again. I have incredible insurance. I can go to anyone I want. How I ended up with this
organization is just sad. I will never let it happen again.

My Chart
I was notified I had been entered into a care plan and to log into MyChart for details. 1. My user name and password, entered correctly 3 times, was rejected. 2. went to reset username and password, their form had autoloaded MY HUSBAND'S birthdate. The form had come to MY email, not his. 3. I created a new username and password, with the correct birth date. This also was not accepted. 4. I called their customer service line and was connected to their Online Pharmacy! Can't wait to leave Optum!

I had a simple straight forward question with asking who to contact or send open enrollment to and they will not answer my question, instead a reply sending me in circles right back to customer hub. When I ask for them to contact me by phone, they refuse and tell me to email customer care. Very Frustrating!!!!

No Integeity, No honesty. No Respect.
Optum is a CORRUPCompany. I never seen any mail in Pharmacy. Implant operates like this. RFK MUST SHOT DOWN this DISGRACEFUL, DISGUSTING Company ASAP. My advise to you all LEAVE them ASAP. Go find another mail in Pharmacy or your local Pharmacy that they can deliver your medications to your house. Hell with this AGGRAVATIONS. I got better things to do instead of dealing with this BUNCH of LOSERS.

This is the worst health care provider I have ever had

As a owner of a clinic, optum is the worst benefit manager in existence. So you are all aware, optum is owned by UHC. They claim they cannot communicate with one another. Perhaps the largest scam company out there. I plan on dropping them at my practice as they are withholding thousands of dollars in covered claims.

For a month my child did not have health insurance. Optum charged me $566.00 for an annual physical that took less than 10 minutes, and I had to fill out most of the forms on their tablet. When I called them to communicate that this charge is not appropriate, I was told the charge would go to collections. When I asked to speak to a manager, they said none was available and I needed to call back in one hour.

I'm a 60 year old man who has congestive heart failure which had taken a turn for the worst just before the new year. Got to get a approval through my primary care physician to go to the cardiologist. They closed for the holidays. I get my authorization about January 2nd and immediately called the cardiologist for an appointment. They can see me in 3 and 1/2 months. This is standard operating procedure for anything at Optum. I guess the strategy is that hopefully the customer will succumb to their illness and Optum will no longer need to pay for any procedures or office visits. I can't help but think that this is extremely detrimental to my health as my condition worsens daily. 10 days ago a simple cold put me in the hospital with pneumonia. Being sick and having to advocate against a system such as this is overwhelming for almost everybody.

I have been dealing with the Optum Gastroenterology office in Lake Success NY for months & months after an error their office made regarding approving a procedure, which led my insurance company to deny the claim and they are charging me over $3K. Trying to get any help or a live person over the phone is virtually impossible. The challenges to try and get anyone to resolve the error Optum made regarding the approval authorization process for my testing is unbelievable. It is useless to work with these inconsiderate people. If they are this incompetent with records, paperwork, and their own patients, I don't think I will ever trust them again with my medical issues.

a joke. all about money. Call doctor office get someone else. problem not solved . better just going down to office and speaking to someone, bunch of college educated idiots who do not know shit.

I'm very glad to share my experience of opyum lifestyle it really helped with a problem I could nt solve for years # keep up with the good work

Hello, I have been on the phone with customer service and communicated with them via email all week as well. I have requested for my phone number to be updated and to receive new FSA card. I was asked a serious of questions. Such as last transaction with date, where it was used and the dollar amount. Another question was to provide the last 4 numbers of my my fsa card. I explained that I can not log into my account due to the log in page displaying my old phone number. Therefore I can not receive the security confirmation code to get into my account. I also explained that I don't have the last 4 digits of the fsa card because as I mentioned to customer service I lost it. They said we can not assist you then. I provide my social security, date of birth, full name, phone number. This is normally enough for all other companies. I feel like I'm calling the IRS or trying to obtain A credit report. Customer service just hung up on me after saying they can't assist me. No care in the world that I have no access to my own account and unable to use my account for medical expenses. This is my account you can not hold it hostage. I have $2000 going in January. And I need access to my money!!

I called two more times including a supervisor it was the same story. Who is supposed to know the information on top of their head. I'm sure I'm not the first that lost their card and changed their phone number.

I then emailed customer service Amber Robinson. She asked me the same questions. So I spend HOURS to call my doctors and pharmacy to see when, where and for how much I used my card. I was able to get the last 4 of my fsa card as well. I should not have to go through all this. I provided the information to Amber. She had a couple of more questions but the email conversation went on for 3-4 days as she only replies after 9 pm once and then I don't hear nothing got another 24 hours. She then finally update my phone number. I try to log in and I am not receiving the confirmation code to my phone or via email. Now I am even more frustrated. I emailed her back to make sure she inputted the right phone number. I didn't receive a response since Thursday. Again yesterday on Friday I give customer service a call again to check which phone number was inputted and or if there is a system issue and that's why I'm not receiving the confirmation code and the representative on the one did not see
to have a lot of knowledge. She continuesly put me on hold. Finally After 20 min she tells me I have to place a ticket with the tech department she can not update my phone number. I told her it took you 20 minutes to tell me this? Then I was another 10 minutes on the phone for her to create the ticket. The representative told me I would receive a call from the tech department. I never heard from them. One week later I'm still dealing with a simple issue. It is not complicated what I am asking. I complaint to my HR department about my experience. We are a big company and they are giving you a lot of business.

I need access to MY account and money asap!!! I'm not spending another week with this issue or hours on the phone and email. As I mentioned you are not the IRS and you can't hold on to my money or not care that I don't have access to my account.

I looked up Optums corporate contact information and did research on who is the CEO and VP. I will file additional complaints.

I have to say that Isaac is a CR with a great knowledge and easy to talk to.
I was so upset when Brenda (condescending and nasty) treated me like I was an Idiot and HUNG UP !!!!!! on me
and she can say bye-bye to her job because is a Flagrant Violation of the FCC what she did and after that HORRIBLE!!
experience I call back and Isaac a very young man who treated me like 👍 👌 💯 and I said this because Isaac made my day