My company switched to United Healthcare last July with a $1500.00 deductible and $3000.00 family deductible for a plan year and 100% coverage after that. On November 6th, 2008 my 17 year old daughter was diagnosed with cancer. I was billed for the whole $3000.00 deductible for her and then after that deductible was meet they paid a few claims at 100% and the rest @ 50%. When I contacted UHC they informed me that they had a lot of new people and they entered the wrong code they would have it corrected in 48 hours. In January I started getting letters from lawyers saying that the hospital bills still havent been paid after I was assured by UHC that they were going to pay them in December. In trying to fix that error they decided to charge me $6000.00 in deductibles and they were un able to explain how that got on my account and informed me that they were going to audit my whole account and give them 15 days. On March 2nd they completed my audit, still not fixing the claims and then wiping out my entire deductible. When I called I was told quote "oops we sent it to the wrong department and they entered a code for calendar year deductible and not plan year they would have to fix that and re-audit my account again for the claims they missed on the first audit. I have been calling everyday and finally on the 19th of May, they completed the 2nd audit, again wiping out my deductible and missing the claims that they ran through at 50%. The rapid resolution specialist informed me that I have a 50% co-pay for infertility services and that keeps getting entered by mistake. She has cancer not trying to get pregnant. After speaking with the hospital today they still not have received the money owed since November 2007 and I have not received a re-imbursement check as promised for all the prescriptions I had to pay due to their mistake. I can not get a hold of anyone at the health care commissioners in maryland and finally got the attorney general today. My credit is going bad because I do not have the $200,000.00 in bills that the hospital needs because UHC made a mistake and has promised to pay. I am told by a lawyer that I can not sue UHC for all my time and trouble because they have certain laws protecting them. I pay my premium every month on time and I expect them to pay for the services I am paying for". They keep resubmitting claims now up to over 20 times for some claims/. The people I talk to on the phone do not understand why they are not paid and I am not sure either?. Does UHC pay people to make mistakes on people's claims hoping that they will go away? My daughter is now not able to get her treatments at the oncology clinic do to the bills not being paid:. This has been since 8 months now trying to get this corrected". My daughter's life it as risk because of this company|. I have more important things to worry about right now then to sit on the phone with them for 5 -6 hours a day|. I am going crazy and can not sleep trying to find ways to pay these bills myself until they finally pay for her to be able to continue her treatments'. Does anyone know of anything that I can do? Is there any fast help? I am begging anybody with any suggestions to let me know. 128f6f8
 Comments (9) |
| 1. Written by Ellen on November 9, 2011 from -, -, US I hope things went well for you. I have a VERY minor dispute with UHC for migraine medications which they refuse to pay for--saying it is elective and that I can only have 4 pills a month of Imitrex. Puts it in perspective. Let us all know how things turn out for you. I will reach medicare in a few years and my problem will go away, you're still fighting. My prayers are with you. |
| 2. Written by Ellen on November 9, 2011 from -, -, US I hope things went well for you. I have a VERY minor dispute with UHC for migraine medications which they refuse to pay for--saying it is elective and that I can only have 4 pills a month of Imitrex. Puts it in perspective. Let us all know how things turn out for you. I will reach medicare in a few years and my problem will go away, you're still fighting. My prayers are with you. |
| 3. Written by TMM1983 on September 21, 2010 from hackensack, minnesota, US I file insurance claims for numerous providers. Please know that UHC has not made any "mistakes" here. They have intentionally committed fraud as thay do everyday. Harass your state's governor's office and insurance commisioner's office into taking care of this for you. |
| 4. Written by J. Go on August 29, 2010 from dallas, texas, US I think it's against federal law (EMTALA) for them this to effect your credit score. Look it up at EMTALA or talk to a local banker. |
| 5. Written by Lillian on July 23, 2009 from los angeles, california, US Contact United Patients of America perhaps they can help you. Unitedpatientsofamerica.org |
| 6. Written by PM on September 13, 2008 from reston, virginia, US I am currently in Maryland dealing with an $11,000 bill that I am unable to pay. Please post here anything you are able to find out. UHC claims that I have 90 days to submit a claim I was never billed for and has changed their mind 3 seperate times as to my timely submission deadline, 12 months changed to 90 days as soon as I resubmitted the claim, and now they say I only had 6 months. |
| 7. Written by Shannon on June 30, 2008 from los angeles, california, US Since your situation is really urgent, Contact 310 392 0522 or 310 874 9989. They will be able to help you find out who the regulator for healthcare is in your state, and hopefully find a way to help you get the treatment your child needs. Contact your Congressman and Senator, and the Attorney General in your state for assistance. Contact good morning America, Mr Cuemo, he is doing a good job exposing this kind of abuse. Our prayers are with you, we wish we could help you. Please let us know what happens. |
| 8. Written by JO on June 29, 2008 from los angeles, california, US Contact the california nurses and they will help you I am sure. What state do you live in? |
| 9. Written by Ingrid on June 28, 2008 from honolulu, hawaii, US Contact the Media. |
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