Optum

I am a patient at the Winter Springs Florida office. I had the best Dr. Dr Jason Guevara, who made sure that everything I needed was taken care of in a timely manner but now that he was transferred to another office I have been assigned to another Dr. Without Dr.

Guevera there I get nothing done that I need to be done. That office never answers the phone it takes them forever for the office to send referrals to my other specialists it takes forever for the Dr to respond to the medical supply company when they as for a new prescription` for Ostomy supplies that I can not get without the prescription.

You really need to do something about this. Please don`t make me contact the BBB and make a conplaint. Truel Mrs Camille Woehrle

Extremely difficult to get help from this company they never answer a phone or return a phone call this is why Medicare is so bad because they contracting to these companies that are overseas also when you call it’s very hard to get a hold of somebody and if you do there’s usually a huge language barrier.

Worst company on earth to do business with. The Filipino workers are poorly trained and speaks badly broken English. 2 in other words they suck. Took me seven days a 10 calls the fix a simple problem. Needs to be handled quickly but it won’t because the are owned they United Healthcare.

Hi. This is regarding a visit to Caremount Urgent Care in Fishkill NY.

I had some severe pain under my left breast so I went to urgent care on Friday 9/30. I knew it wasn’t my heart.

They did a CAT scan of my abdomen. They told me everything was negative except that I was full of stool.

I’ve been constipated for years (a side effect of having MS) and I’ve never had pain like that. So Sunday 10/2, I got a ride to a Hospital ER and the doctor said, “I agree with you that it’s not your belly”. I could touch an area that hurt.

She took a chest x-ray. I have a fractured rib! It is soooo painful. My pain was at least a 10.

I didn’t fall or anything.

On Thursday 9/29 I was at the dentist and I violently sneezed. I’m probably gonna need a bone density study. I shouldn’t be breaking a rib by…

Have been going to the polyclinic for over 12 years. Called urology and was put on hold for over 1 hr. Never got through! Left my phone number and never got a call! My wife has had the exact problem.

Will now be looking for hewlth care elsewhere!

being denied Saxsenda when I am fully aware that I meet all the requirements for this medication. Wegovy has been denied in the past also. Now that Wegovy is unavailable it was approved. Both medications have the requirements. And I have spoke with my doctor who says the denial was because I don't meet the requirements.

This run around is ridiculous. What needs done to correct this?!?!

s appointments because it took 3 weeks for them to get my referrals. I called many times and left voice messages for NP MA and referral lady. I never heard back from anyone. I would give them no stars but you can't.

Case manager Kim could be heard yelling at a SNF family member at Rocky Mountain care

On August 24th my oncologist submitted a new prescription indicating I would be taking 100mg of Zejula 2 times per day (200mg daily). I submitted the request to fill the prescription online on August 29th only to receive only 1 bottle of pills on Wed. August 31st. 45 minutes later on the phone with Will telling me that my insurance has to pay (Sept. 1 for the refill) we established that in fact Optum DIDN'T WORK off of the updated prescription, with no solution beyond me having to call again to get the pills sent out. I was told by Will that I would receive a call from his supervisor (NEVER DID) and that a rep would contact me on 9/1 to confirm delivery for 9/2 (again NEVER HAPPENED).

There are several issues with what has transpired but most importantly it is YOUR JOB to make sure you…

We used optum infusions for 3 years, they were great until they no longer found my sons life sustaining medication profitable, forcing us to find a new home infusion company and nurse, and thus in turn my son missing more than one of his weekly infusions. I am very disappointed in how they have handled things, and how they have treated other patients. This is a greed driven company and not for the good of their patients!

Dear Optum Management,

I am a mental health provider and I don't appreciate what your company is doing. Your company keeps denying payment for a client until I provide the client's mental health records. Frankly, the client's private psychotherapy notes are not the insurance company's business. Every other insurance company trust's my judgement in how often I see a client based on their mental health conditions, symptoms and goals. Who are you to ask for the client's private information to cover the cost of their services? It is insulting, frustrating, and and questioning my expertise when a client is suicidal, I need to see them several times a week and make additional telephone calls to coordinate care that I don't get paid for-and your company denies payment for the services I am…

My complaint is in regards to optum on Montgomery in Albuquerque. It is not against the provider. I have been trying since Friday August 5th, 2022 to get in touch with the office of Patricia engleman because my daughter needed paperwork from her last check to join the schools volleyball team.

I had been on hold for well over an hrs many times that I've called. I finally just showed up to the clinic in person and explained we needed these forms filled out before today, Wednesday August 10th for sports school tryouts.

(Last possible day) when I explained that I have been trying since Friday to get this taken care of but no one ever answered the phones to assist in getting this done, so I showed in person. The girl in the front got attitude as she began to say that they are short handed.…

My name is Thomas Mccollum and my wife is Raquel Mccollum. We sent a compliant letter to Andrew witty and three other Optum Leadership individuals on yesterday. We have very serious concerns regarding an employee of Optum in Marietta Ga named Zach.

We didn't get his last name,only first name. Earlier this month my wife visited The Restaurant Depot in Marietta to purchase supplies for our son's upcoming opening of his own Bistro. My wife was in the long line waiting to purchase the items.

Zach was in front of Her. Another customer approach Zach and greeted him and said hey Zach how are you? This is how we learned of his name. The guy asked Zach if he's still with the Optum Pharmacy Zach said Yes.

This is how we learned of his employment affiliation. Zach voluntarily told the man that…

My name is Thomas Mccollum and my wife is Raquel Mccollum. We sent a compliant letter to Andrew witty and three other Optum Leadership individuals on yesterday. We have very serious concerns regarding an employee of Optum in Marietta Ga named Zach.

We didn't get his last name,only first name. Earlier this month my wife visited The Restaurant Depot in Marietta to purchase supplies for our son's upcoming opening of his own Bistro. My wife was in the long line waiting to purchase the items.

Zach was in front of Her. Another customer approach Zach and greeted him and said hey Zach how are you? This is how we learned of his name. The guy asked Zach if he's still with the Optum Pharmacy Zach said Yes.

This is how we learned of his employment affiliation. Zach voluntarily told the man that…

I am complaining against Western Neurological Associates in Burbank Ca. I needed to see a specialist through my insurance Optum. This place gave me appointment after 3 months even though I had daily headaches for long time. I saw a PA instead of doctor, she prescribed new medication and MRI of my neck.

Then the receptionist informed me about my issue. I asked for a follow up so I could know what is going on with MRI and talk about new medication but they gave me appointment again after 3 months. I am very frustrated and I am in pain every day.

I asked to talk to doctor but she never responded. This place is very unorganized and careless toward patients.

Your customer service in the Philippines don't listen. There always friendly, but they just don't get it. I have two Albuterol Rx. One is an inhaler and the other is for my nebulizer. I called to have the inhaler Rx refilled.

I had already sent on delivery back and even spoke with the pharmacist to cancel all nebulizer medication because the Rx was going to be changed. He understood. The girl on the line seemed to understand. Well... I just got more nebulizer medication that I didn't know was coming sitting on my back stoop late at night.

I had already gone over this when getting my inhaler refilled and was almost screaming that I didn't want nebulizer medication. Now I have to send it back again. This is getting old. I'm about ready to go another mail order.

I'm dependent on mail order…

I have an auto-immune injection needed every 28 days shipped by Optum Specialty pharmacy. It was ordered before it was due and scheduled to arrive the day after my due date. It never came. I waited. A week goes by and I call.

Call escalates to supervisor who agrees it was never shipped and promised UPS overnight delivery for today. Today nothing arrived. I call again. Now I’m told they cannot ship til Monday for Tuesday receipt. At this point I’m near 2 weeks delayed over a pharmacy error. Unacceptable.

I am a retired Michigan public school teacher and therefore my prescriptions hold me captive to OptumRX by their agreement with Michigan. My 2 prescriptions will only be allowed to be refilled to a 30 day supply so I checked out the 90 day mail option.

On April 6th, 2022, I signed up with OptumRX to receive a 90 day supply of my two necessary prescriptions. As of May 11, 2022, I had neither my prescriptions nor any contact from OptumRX so I called them. They claimed that the doctor had denied their April 6th, 2022, request for scripts for my meds.

However, NOBODY from OptumRX thought I needed to know about it, so I was never contacted. At all. Not even in the SPAM folder. I contacted my doctor's office after I was told this on May 11th, 2022, and they said no one from OptumRx had…

The customer service with Optum is horrible to say that I’m an employee. I’m sick. The last thing I need is a broken system. People disconnecting on me when I request the survey and last be not least no one embracing the gray to ensure all of my needs were met today.

claims department agents are very sloppy, they enjoy putting people on hold, rep ren left me for an hour on hold, he said 2-3 minutes while he searched for my requested claim information, this has been one of my worst call to optum, there is no option on the automated system to fax eobs and reps need to request permission to the tooth fairy to send eobs via fax, honestly, do people get trained in the claims department? or do i have to request a supervisor on every call just to get the proper information? its 1.20pm and he is yet to reach out to me on the phone,

please feel free to get in contact 877 796 9883 ext 220

My name is Jorge Ruiz, I am the son of Liduvina Ruiz a patient of Optum. My mother's Dr is not available and away at the moment. Dr. Day is the covering physician for Dr. Nazario. I called because I got confusing information yesterday concerning my mother's UTI lab results, the person on the phone stated the results were in and that a doctor would call me back.

I never received a call so I called again today to inquire whether they were going to change her medication or keep it the same. My mother is turning 100 next month, so I am sure you understand my level of concern. When Dr.

Day came to the phone, this is what I was told, and I quote "I am trying to help you understand, I am taking time from my patient to explain to you the situation" When i asked Dr. Day if my mother was not…

Refusing to refill insulin refill. Provider has approved prescription 3 times Optum has said it was denied each time. Somebody is lying about this.

I am putting in a complaint against one of the customer service representative name joseph. I called about a mistake in taking too much money out of my account. He was very rude and had no respect for the customers.

I was trying to explain to him the reason for my call all he telling me that its your fault. I was paying my bill with the pay service they have to pay your bill by phone. the service keep cutting off and I was paying a certain amount that were due optimum.

had take out the payment for this month and next month bill. so I wanted a refund . So joseph the representative tells me it should take 7 to 10 business days for me to get my refund. he was not trying to help me at all.

then he tells me my service may be caught off because the would have to refund me the whole amount…

Horrible customer service. Terrible internal processes. And some of the agents are just snotty. I’ve been trying to get an HSA roll over out of Optum. The first three times I called Optum, I got three different answers. My new trustee got involved and asked me to find out what account number Optum was transferring the balance to. The chick at Optum raised her voice to me that this was a process and that I the customer had not waited long enough. She went on to say that I contacted them on 2/23 and it takes 2 weeks. I had contacted them on 1/20th the first time. So today I called at 3:30pm Central Time today, 3/21. In 2hours and 45 minutes I talked to 4 different people and then was disconnected.

Now I’m on hold again, and the bot says the wait time is over 200 minutes. Or I can hit #1 and…

Had to wait over 45 minutes on the phone just to have them answer to get an appoint. After 15 minutes on hold, while still on hold 30 minutes later driving time I arrived at the 64st office, walked in to make an appointment and my call was still on hold.

This is unacceptable and has been this way since Optum/4c took over this practice that we have been using for 33 years! This customer svc is unacceptable, multiple complaints to my doc(who is not happy about it either-and only 1 of 2 of the original docs left says something!

I want copies of mine and my wife’s records for the past 33 years so we can find another provider! 33 years and Dr Wyatt Decker throws it down the drain!

I placed an order on 1/21/2022. Kept going into the app and checking the status that showed 2/4 as an estimated delivery date. I tried to contact them several times during the first week to see if I could get more information as I Knew I would be out of my medications on January 28.

I never received a response back, told me they were unable to call me back. So after the meds didn't arrive on Feb 4 I went back to my local pharmacy and had them fill the prescriptions.... 50, but caused me a week of total hell because of the pain I was in.

So I called them today 2/7 to find out what had happened. Was told it would be over 37 minute wait time - I chose for them to call me back. Once they called my back I was informed my order had been canceled because they needed to call the doctor for RX's…

Optum customer service for provider lines are services poorly. Their phone numbers on denial letters or EOBs do not answer and call gets disconnected. There is no one to complain about. If you call other numbers, they say "sorry, this is not the correct dept. and transfer to the providers' line which disconnects phone line. They do not send us the denial letters by mail or fax. Also they require us to go to their Portal where unacceptable EOBs are found. There are no EOBs which we can be used to appeal to the healthplan.

Is there anybody who can help me? I have some claim denials and have appealed. We do not have a decision letter on them. Thank you.

This absolutely the worst health insurance company for any therapist to deal with. I regret ever contracting with them and will never do business with them again. T

Optum has a faulty billing department. As a health care provider network, Optum should know that these issues can cause people psychological stress. I've been sent 2 invoices of bills that I've already paid. Lucky for me I paid with my credit card.

Imagine if I paid cash and lost the receipt. I would have to pay twice for services I've already paid for. Tried contacting the Angelia Romero to no avail. Sent her proof of payment and never received confirmation. Was sent to collections and credit was affected.

Had to file a dispute for the 1st invoice. 1st invoice was resolved but now another invoice that they marked paid is now marked unpaid. I've tried sending Angelia Romero 10+ emails with proof of payment and she's not responding back.

I think maybe she is unqualified for her position…

I went to paramount on 11/30/21 to take a covid19 test. When the nurse handed me the test, as an RN myself, turned around to swab myself to protect her. As I turned back to give her my test, she’s was rude and unprofessional.

She told me I didn’t do it correctly. I asked, how did she know how I did it if I turned and gave her my back to swab myself. I perform covid19 rapid exams for an agency. How al I not going to know how to do a simple covid test.

I left, 9 days later after multiple calls they kept telling me results were still pending. I finally went to the same place that performed my covid19 test on 12/09/21 and spoke to the person in charged I told her I felt the nurse had thrown my test away.

She told me it was posible because they have to scan the test. (Lies, you can scan the…

The case # for this problem is CS0186826. 8. from the VA. This error has resulted in thousands of dollars of unprocessed claims. We are a small business providing acupuncture services to veterans at no cost as we are in network with the VA.

" It has been MONTHS and I cannot get any of our claims processed and paid. We are unable to continue caring for our veteran patients because of the lack in response to this problem. QWe are being sent an increasing number of new patients who we will be unable to help because of Optum's negligence.

I have no correspondence about the status of this problem nor any indication it will ever be fixed. It is completely irresponsible and unacceptable to not have this problem solved by now. I have contacted our Congressperson and will continue to contact…

The complaint that I have encountered has been the most incompetent, and unprofessional experience that I have encountered. I have called countless times regarding the status of my debit card and have been giving the run around for month with the card never showing up nor has it been escalated to a supervisor who are never available.

I attempted to contact a supervisor through customer service, but they have failed to contact me regarding this matter. At this point further action will need to addressed for this issue to be resolved in a timely manner.

I called this past Wednesday to see what was happening with my medication. Single mom psoriatic arthritis. They informed me that when they did a mock run everything was fine but, when they put my actual meds through there was a need for prior oth.

They had called my rheumatologist already. I informed them that my anxiety was very high why do they wait till I have no meds to refill. she said she'd try calling them again. She called me back later said she'd gotten a hold of someone at my rheumatologist office my oder would be expedited I'd receive it no later then friday.

Thursday comes no meds no phone call. Friday I get a call late afternoon where they state they still have not received prior other. I state I'm upset the reply is sparky unprofessional and rude where she comments "well…

This was my 1st time making a purchase from this company and I am very disappointed. I purchased 4 COVID home test Kit online and received 8 COVID kits and was charged twice. The conformation email sent to me states 4 kits not 8 and now the customer service agent I have called is stating I am unable to return the extra kits sent to me.

I need this resolved as I was double charged for 4 extra kits I did not order.

Very hard to talk to pharmacy people regarding prescriptions. The local pharmacist can reach out to the doctors and get all refill prescriptions and take care of everything all you have to do is pick up your medication. This mail-order pharmacy becomes a nightmare when you request a refill through them.

you have to call your own doctor to get the prescriptions. Very very bad customer service.

I have been forced through United Healthcare to use Optum for botox injections for migraine headaches. Since day one, there has been nothing but issues. TWICE they have told me "I will call your bank" and "I will use the card you have on file" for charges that are not even legitimate.

Two days ago I receive a call that I had a $958 balance which is false. Prior to that, I was told that an October payment had not gone through or been processed. My bank shows it went through on October 8.

I have never seen anything like this.

OptumRx Targets people with mental health disorders by denying medication and making people constantly attend doctor appointments to fill out unnecessary paperwork. I’d give zero stars if possible

I discovered this morning that I have 4 pills remaining for my prescription rx 310629182 , which had no refills left. However, in talking with UHC, who is my health care provider, I was told that my Doctor, Gregg Kloesner had sent a new 6 month prescription September 25. I don't understand why the prescription was not filled. You are now overnighting that medicine so that I don't run out, but I don't think that should have ever happened.

Further, I was told that it was not enrolled in automatic refills. What????? Why would you call my provider for a new prescription that was on automatic refill and then not put it on automatic refill???????

I'm not sure at this point that I have talked to anyone with any knowledge whatsoever on the process and I have made three phone calls.

Further, I…

I wish I could give them NO stars!! I work @ a Dr's office & it has taken over 30 days to get a PA denied twice & appealed twice. They can't keep track of Reference numbers & do not care about the patient.

I wouldn't recommend this pharmacy for my dog!

I order medication for a patient and it never gets shipped to the office. Ordered medication and received it on another but the dose was incorrect. 's insurance company. Takes too long on hold, hours, that I don't have.

Horrible service, prices are crazy high and they call every day wanting more money!!!! Never combine orders, thus dragging out the process and making it hard. People who answer the phones never seem to know anything. Horrible experience!! Very sorry my insurance changed and I am forced to deal with their inability to do what needs to be done without someone forcing them to do what should be done to get the prescriptions filled.

Optum provides drug coverage for me, paid for as a retirement benefit. They are NOT my pharmacy, although they offer this service. I prefer to use a mom-and-pop place nearby that can deliver the same day. Optum calls me to remind about refills, which might be nice-- if they were authorized to do so (they are not) and if the calls actually made sense in light of when I need to renew anything.

Furthermore, when I tried calling at the listed number I encountered a run-around from the representative, instead of someone who wanted to hear the complaint. By run-around, I mean spelling my name (really as easy as Jane Smith) over and over, verifying my address several times, and other stalling tactics.

In the end I ended the call with nothing resolved. The message I would like to send is that…

Several of my co-workers along with my husband have been denied medication from Optium RX with no cause. These are medication they are taken and have been taken on a regular basis

I have been calling OptumRx since Monday and have spoken to several different people including supervisors and not one person has been able to give a straight answer or the correct answer. Every person I have spoken to gives me a different answer and I am very upset as I am struggling to get my medication filled by my pharmacy. How can you operate on the face that no one knows anything at your department?

Dear Mr. Larry Renfro:

My name is Fr. Charles Blanchard., was diagnosed with multiple sclerosis , and experience multiple co-morbiditirs, including moderate cognitive impairment.

Aricept 10 mg branded has been helpful in addressing cognitive degradation.

OptumRx has been less than helpful in creating barriers to access to appropriate treatment.

For example, multiple calls end with no resolution and a shifting of responsibility.

OptumRx misinformation, artificial barriers and obfuscation yielded anger,, unsettledness and disappointment.

Where might access to appropriate treatment occur?

Regards, Father Charles Blanchard

My transfer of a prescription (onglyza) has been bungled from the get go. I have been lied to repeatedly by your customer service reps. I have already placed a complaint but don't trust that the rep actually submitted it. I asked for emergency shipment via UPS because I was going to run out because of your ineptness. It wasn't done!! Rep. said it was not noted. I spoke to at leat 5 reps since last Thursday 8-26 telling them I needed meds ASAP. Plus you have us speaking to reps we can not understand - why? You can certainly afford to give us reps we can understand. Totally disgusted with you. I will be writing to president of your company.

Mary L. Janes

I'm trying to refill my furosemide on august 9 2021. I ran out of this medication since. I finally found out on august 20 2021 that they dont even have prescription from my doctor... your people are all bunch of BS.

I hope you will investigate this issue. my wife and my son does not want to do business with optum rx because they are aware of my problems with optumrx. let me know if you need further information...

I was very happy with the services provided by Healthcare Partners until Optum took over, then things went downhill. My top complaint is it takes about 2 weeks to talk to your doctor. Under the previous administration, you leave a message with your doctor and can expect a call back either the same day or the next day. Also, the environment changed and not for the better; staff don't seem as friendly.

I heard this kind of complaint from other people too.

I am about to stop ordering through OptumRX. This is the 2nd time I have ordered prescriptions on their website and have them add ones I have not ordered and had to call to get them to stop filling that medication.

2 days ago was enough. I ordered 1 medication and Optumrx added my Synthroid prescription to my order. I called immediately and talked to someone not in the US and she assured me she removed it from my order that I would only be getting what I ordered.

She lied as the next day I got a email saying Synthroid was being mailed and they charged my account $120. Are you kidding me?????? I called the # from my RX CARDS (AARP) and someone in my country answered abd after 15 minutes of waiting she was able to fix the problem.

( I hope as won't know till next week) Money won't come…

Diagnosed after 7 years with COPD and EMPHYSEMA three months ago!! No treatment plan placed, NOTHING I MEAN ZERO!!!! Now a CT SCAN SHOWS NO signs of ANYTHING!! HORRIBLE, TERRIFIED, and straight ANGRY!! Terrible DOCTORS!! BEWARE!