Optum

The ridiculous hoops they require physicians and patients to jump through in order to obtain specialty medication for debilitating illness is unbelieve. They should be ashamed. The physician who writes a prescription is required to recertify it every single month.

It's medication taken on a weekly basis and will have to for the foreseeable future. They DO NOT COMMUNICATE THIS to the patient or the physician during the time the prescription is submitted and NO ONE CONTACTS THE PATIENT OR PROVIDER to advise this ADDITIONAL PAPERWORK is required to fill medication.

I've missed doses and my physician's office (two separate providers have had to do this for this medication) are frustrated too. Causing people stress and then putting their hand out for payment. Unfortunately - this is my…

I’ve made five contacts to refill and deliver my insulin, Toujeo, and each contact ends with the promise of delivery the next day. I’ve yet to receive any delivery. I am out of insulin. I’ve been registered for automatic refills yet each contact results in an inexplicable non processed order. right?

I need this medication to live, evade amputation or blindness! What the hell is up?!

Ranessa Yates was extremely rude, didn't introduce herself and started asking for detailed information for providers without giving all HIPAA identifiers for the patient she was calling on. She then spoke to a coworker and complained about me. It was extremely unprofessional.

I've been having UTI's and visited my doctor at Optum Adult Health in the Journal Center in Albuquerque, NM, on 8/6 as I was finishing up a regimen of antibiotics. On 8/10 the UTI was back and around midday I called my doctor's office to find out if she could provide a prescription or if I needed to go to Urgent Care.

They said they'd get back to me. I heard nothing on 8/10. I called in the morning of 8/11 complaining of pain and again asking about a prescription. I was told they'd put ASAP on the message. I heard nothing.

I called at 4:30 to see what was happening. I was switched over to the triage nurse's extension. I sat on the phone for 1/2 hr and then was automatically switched to the after-hours answering service at 5PM. This is very, very poor response and client service, and I am…

Disputed charge of $18 out of thousands I have spent with them and they cut me off

Every single call to Optum is an absolute NIGHTMARE!!! Every claim I call about it is "handled by a dedicated team" and results in endless transfers. e. out of network benefit information when we're an in network provider). Your off shore representatives do not understand nor know how to resolve claim issues.

This is why providers do not want to accept insurance. There is never a supervisor available to speak to and requests to be transferred to an on shore agent are met with them disconnecting the call. There is NEVER any follow-up or follow-thru on resolution of issues and no accountability for multiple transfers, disconnects, etc.

You intentionally waste the time of the providers to avoid paying claims!

It is there goal to make sure providers don't get the maximum reimbursement. They tell you that your records are reviewed by a billing and coding specialist, however you never get to speak to the medical records auditors' nor is the review the same.

We will dictate medical records the same way and on 1 claim it pays and another it denies. At this point UHC won't over turn any decisions once Optum deny's the claims. Its a scam of a company. I wouldn't recommend this insurance company to anyone or the review company if my life depended on it.

The auditors state everything is bundled but when you ask for more documentation or the policy of where this info is coming from they can't site you the policy just they can't help you and you can't speak to an auditor.

Claims 4/26/21 - 5/27/21 for Member#: 45506131000 _ Roger Smith_ TX ID#: 834182132_ 5900 York Rd, incorrectly denied for non coverage. Customer service was call twice (refer to ref#: 331187). more than a month ago concerning the denials. Client has Medicaid therefore please reverse the denial.

On July 20, I discovered bleeding while drying myself after urinating. I call the Optum office at 675 Arroyo Parkway in Pasadena. My doctor, Veronica Banta was not available that day, so I had a phone appointment with doctor Mandeep Kaur Singh.

She prescribed a urine analysis and sulfamethoxazole-tmp DS tablet, generic for Bactrim DS, 1 tablet by mouth twice a day. She told me to wait for the result of the urine analysis before taking this antibiotic. I did what she recommended.

In the morning of July 21, I went to the Optum office at 675 Arrroyo Parkway and gave my urine sample. In the afternoon of July 21, I received a call from the Optum office at 675 Arroyo Parkway telling me I had a mild urine infection.

I then started taking the prescribed antibiotic. This morning, July 26, I…

I tried to call OptumRX on 07/6/21, at around 5pm, about a specialty medication that I currently have delivered at the Doctor's office. I wanted information on if I start getting the medication delivered at home, what happens is the medication is stolen from my Door Step. The female rep cut me off. kept on interrupting me and never listened to my question.

After she finally took the time to listen, she transferred me to the specialty pharmacy where again, the Male Rep was rude. Did not listen to my question and kept on cutting me off.

I received terrible service from both representatives. If I had a choice, I would never use your services again. Then when I was done talking to the Male Rep, he refused to hang up[ the call, so I could not do the survey.

I have tried to get my medication filled for over a week now--I am now late to take my meds. Each time a called (daily for a week) the customer service person was kind and friendly and said they would ship out my medication in the next couple of days.

So when I did the stupid survey at the end of the call they got high marks. And then I would check on line and there was an error--no one called no one emailed had I not checked I would have thought everything was fine.

I don't care that there were issues I care that the customer service person LIED to me that everything was fine when it wasn't AND even if they were telling the truth--call me back and tell me that there is an issue. This is not the only time I have had issues.

Optum is the WORST and that is saying something.

Every time i visit the office i have to wait more than an hour in waiting room and inside another hour. Today, my schedule appointment was for 11:30 AM, I got there 11:15, I wait one Hour at the office and they still not have a clue what time i would see the physician.

I have things to do more than to spare full day there to see a physician that for one year seeing him, he only gives me blood work to do and not able to explain the high and low arrows on blood test. He had prescribed me Eliquis which give me chest pain and i suspended without his consent and returned to take my warfarin which i feel more safe.

I refused today to re-schedule and I do plan to not return to him. If my primary physician feels a need for a hematologist, i would like to have a different physician someone that…

I’ve been a customer for several years. Every few months or so, they call my doctors without my permission. I’ve stated numerous times to agents to make a note NOT to call my doctors. If I want a renewal, I will ask my dr myself. Still they call them.

Today again I asked the agent if my request not to call doctors was showing in my file. They said no, it was not. This is really frustrating. My doctors can’t take pharmacy calls. I don’t know how many times I have to say do not ever call my doctors! There’s something wrong,

I have not been able to fill my prescriptions for myself through Optum for months, due to availability and various reasons that they claim. Most of the time, it's because they claim they are out. I go through the other pharmacy that is available.

But, when it comes to my son's INSULIN, we were still going through Optum. I called today to renew, because PER THEIR CUSTOMER SERVICE REP, today was the day I could renew. After getting hung up on 4 times, I finally got through and a very rude man told me no, that I could not renew today to call back in a couple of weeks.

I'm so sick and tired of their incompetence and complete apathy to their customers. " Keeping in mind he was on automatic renewal, which, yet again, they dropped the ball on. I'm done. Any insurance company that makes you go…

I would like to speak to the highest Administration. On behalf of my brother-in-law that is wheel chair bound we have an Urgent situation and I have called All of your departments; there has been No help or resolution for his needs.

I can be reached at 626-862-1230 Thank you, Ahna Chien

My elderly mother needed a referral for an MRI that her PCP ordered. This was faxed twice to a clinic recommended by her PCP. Twice the clinic stated to my mother that they did not receive the referral. On the third time the clinic notified my mom that they were not in her insurance network.

My mom then called her PCP's office (Dr. Anozi at Optum Rio Rancho NM) to inform them that the referral would have to be faxed to another clinic that was approved by her insurance. Ashley, who is Dr. Anozie's receptionist, answered the phone and was apparently bothered by mother's request for a new referral. ".

My mother then asked Ashley if she knew of any other clinics that would accept her insurance. Ashley said yes and my mother asked if she could get a list of those clinics. Ashley again…

If I could file a minus number as a rating I absolutely would. My prescription medications are still 'en route' through Fed Ex a month later. Will never use this 'service' ever again. They are nothing but negligent. I can get anything I want through Amazon in two days but my prescription medications are still being delivered through Fed Ex a month later.

Poor customer service, unreasonable amount of time to get medication that is needed. Unreasonable about of wait time on hold to even speak to someone let alone someone who speaks English that you can understand,have been waiting for a medication for over a week when I put in a refill and

the medication was due Tuesday so now I am bad from my RA. Worse company to deal with.

We have a complaint regarding a medicine sent to Kristine K. Katigbak

Medicine’s name : Colchicine Tab 0.6 mg. Drug #: 303553502

She has no existing Rx for this medicine.

We’d like to return this med. but we have no return envelop to do that.

Kindly advise us what to do.

Violeta Katigbak ( mother)

Very long wait times to talk to someone. After giving them the correct information, told that the health plan did not exist. After being persistent, they revealed the health plan does exist.

I am out of a prescription. And it says it is not up for renewal yet. There was an issue last time and they only sent one refill not two. Please straighten this out for me. The medication is BuProPion 150sr.

my husband has RA and dementia. his prednisone is STILL not here. this could be secondary to covid.

however, if you are not able to get the medicine to us in a timely manner you need to send it earlier or change delivery company

Tell me why Optum rx and united healthcare are charging me double the co pay for the same amount of Fasenra. Initially I took the med once a month for 3 months. Now its once every 56 days and the price went from 60.00 to 120.00 co pay.

I have a complaint. I get my medicine for 3 months at a time. And they keep sending me my medicine before I get through with the ones I have.

I For 2 days I have called to find out why they are sending me a collection account. I have lasted more than an hour calling for two lines and nobody answers. terrible service

This is the worst rx company I have every dealt with and I am a registered nurse of 37 years. I have not received a prescription or refill that has not gone wrong. I have been trying to refill a script for two months now and the only change was a reduction in dosage and they cant get that right.

I would give them zero stars! the only reason I used them was becasue it was cheaper to get three months. Never again, the headache is not worth it!

The first representative put me on hold for 12 minutes and 39 seconds before I hung up. The second representative answered my questions about the cost of Otezla 30 mg as a tier 4 medication. 00 a month. Which I can't afford, So why do I even have prescription coverage. It's ridiculous.

I have started humria this company has poor service and was rude to me and said other people were holding my medication back but they are the ones that submitted the wrong thing so i havent taken my medicine in 2 weeks because of them so my disease has came back because of yall

Hello, I tried to order my VERY IMPORTANT prescription (VICTOZA) from OPTUMRX, and they wouldn't refill it for me because I have a past due balance. I CAN'T AFFORD TO PAY this at the moment, due to COVID-19, and a reduction in my hours!

This medication is extremely important in maintaining blood sugar control. I'm highly disappointed in this company, that they would prevent me from taking my meds because of MONEY! I'm going to report to the BBB and drug admin, and whomever else I need to.

Optum has a repetitive loss of patient medical records. It is such a mistake that United Healthcare has associated themselves with Optum, a set back and scam company!! Also, when calling Optum we get connected with offshore representatives who all seem to be worthless.

Optum is a scam or hoax!! Don’t use this insurance!!!

OPTUM IS AN AWFUL HEALTH INSURANCE!!!!!!!

United healthcare should cut ties with Optum! Optum always has repetitive delays and denials for not paying. They also have EXTREMELY POOR customer service and overall coverage.

"0" star... lousy!

2 weeks and still no referral for my son that requires surgery. Dr to Dr, referral and more referral plus waiting time

I spoke to an associate over the phone on May 10, 2021 at 8am. My Tax ID number is 33-0936051. I spoke to an associate named "RED", who was extremely rude and unfriendly from the beginning. I waited for the Customer Survey at the end of the call, she didn't even forward me to it because she knew I would give her a bad rating.

She was not friendly from the beginning, she would cut me off as I was asking her a question, and got annoyed because I asked for clarification.

Optum is completely mismanaged. Doctors prefer virtual consultations. It takes 15 minutes and as an long-term insulin-dependent diabetic with other cronic disabilities, it will never work for me. Two doctors canceled appointment, the most recent one being my endocrinologist after I left a somewhat garbled voice message explaining that Fiasp fast-acting insulin delays for upwards to two hours. Her office called me on Wednesday to say that Dr. Hsieh wants me to schedule with another endocrinologist., although I still presumable have an appointment with her on the 18th.

Just so you know, I am sending a copy of this statement to a third party in the advent I die. Right now the Fiasp insulin seemingly is not working. I injected it today and I need to wait another hour to see if isn't working.…

Horrible company, they tell lies to pacify you, the right hand gas no clue what the left hand is doing

When I call to the doctors office it takes more than 15 minutes for someone to answer the phone. The recording continues to loop and annoy you more than giving me any useful information. It would be a real service, if someone with a pulse will answer the phone and at least act like you really care.

Very disappointed ☹️

It takes FOREVER to get anybody on the phone in the Burbank CA office. Specialists are hard to get appointments with and don't seem to care about patients. I need to be seen, had MRIs done, made appointment to see doctor back in February couldn't get an appointment before May.

Now they cancel without warning/reason and I am still in pain. This is so low, what kind of medical group is this? I want to report this sort of behavior to corporate. I shouldn't be going through this kind of crap!

I am a chronic pain patient and called to get a medication 12hrs early because I have Costochondritis which hasn't flaired for a long time. I have no warning, it just happens. This causes extreme pain in my rib cage.

I do not take narcotic medications. Because my plan doesn't allow for an emergency authorization, I now have to go to emergency room that is over worked and under paid due to covid. Without the promise of even being able to get treatment. 95.

I am now having to pay over $1000 to be seen at an ER. my husband will most likely need to stay home because we have a 2 yr old who I am unable to care for because of the pain I'm in.

So, $1000, $900 in lost wages. You're company is a joke. So thanks for costing us above and beyond what we should have to pay. Anything for a profit…

Horrible customer service!!! So inconsistent! 99% of the timed calls are answered abroad by very nice people who barely speak English and have terrible internet connection. On the rare chance that i am able to understand what they say, they give me conflicting info. Terrible

I would give a ZERO ratings if it was an option!!! Optum medical health care is HORRIBLE!!!! Optum always delays and denies all the claims. Even though I am paying monthly for my coverage, they deny everything! Optum needs to be reported they are total frauds!!!!!!!

I was recently placed on SSDI. The Medicare Advantage Plan I have insists I have to use this ridiculous mail order BS. I'm having to pay for scripts out of my pocket. I can use any number of colorful words right now. The only thing I'm going to say is GET YOUR SH!P together ang get my scripts in the f**king mail!!! This has been going on for a week or more now. Otherwise the next works will be to the Insurance Commissioner, AARP, UHC and anyone else I can find to bring pressure to bear. This is Ludacris.

Now, you said I needed to contact my Dr., which I did. They have sent the information. I know this because I have contacted them 3 times now. When I looked at your site it tells me "The Pharmacist canceled the order". FIX IT- TODAY These are my scripts:

Medications in this order…

My daughter is on the oral chemotherapy medication Revlimid. On 4/13/21 Dr. Larsen, her Hematologist at Mayo, sent in an Rx for her next course of Revlimid, asking for it to be rushed, as the pregnancy test would expire on 4/18, which is a requirement before disbursement.

Per Mayo Hematology department, Ashley Stapp, who was working on the case, was told the Rx was placed in a queue and no one had worked on it, so the pregnancy test expired, as did the Celgene authorization number, so it was unable to be dispensed in a timely fashion to start the patient's next round of oral chemotherapy.

This required a very ill cancer patient to return to the clinic and repeat the serum pregnancy test on a day she had already spent at the clinic getting her other chemotherapy. This is an unconscionable…

Worst pharmacy I've had to deal with. In 4 months have yet to receive medication as prescribed. Each time I call I get the same 4 excuses. Never a return call never can speak to pharmacist never allowed to speak with supervisor.

Am told my medication ordered sent only to be lied to.

this is the second time I missed my dosage due to my medicane was not delivered. Rep stated Thursday 4/8/21 that my Glatiramer would be delivered Saturday 4/10/21. I didn't receive it, I called today Monday 4/12/21 rep said order was cancel.

Noone called to inform me of the issue. Please look into this matter . Would someone contact me please. Thank you Loretha Jacobs

I have been receiving prescriptions from Optum RX for some time. In November of 2020 I received an email from Optum RX that my prescriptions were being processed and would be shipped to home address in a few weeks. In January of 2021, I had not received them and called Optum customer service.

I was told my prescriptions were not shipped because I didn’t automatically renew them. I explained that I was not aware of this as a I was not notified. I was almost out of my prescriptions for my heart condition and asked how to resolve the problem ASAP.

I was not given a clear answer and asked to speak to another rep to who apologized and corrected the issue and I received the prescriptions in two days. In March of 2021, I received an email that my prescriptions were being processed and would be…

Megan Bartusek was supposed to refer me to a gastroenterologist, because my stomach is filling with fluid! She never ended up referring me to get a Abdominal Tap only to have a consultation with the doctor! I am now very uncomfortable and told there is nothing they can do because she never referred me and told me to check into the hospital saying they are the only ones that can do anything!

The staff at the Optum roundhouse in Colorado Springs are so unprofessional and I have nothing but bad experiences every time I go there!

Ever since Healthcare Partners changed to OPTUM it has been a nightmare for me! One delay after another with no consideration for the patient. I have presented for appointments only to be informed that my appointment was canceled. Why didn't someone call me before I drove out and wasted my time and gas.

Just recently on 3/29/21, I had an appointment to see the Surgeon, Dr. Enriquez and I presented early and was checked in; I was called to an exam room only to be told that Dr. Enriquez was not in. Why didn't someone call me to let me know that he was not going to be in? The communication has been terrible and this has delayed my care. I was also referred to OB/GYN at White Memorial and when I called to schedule an appointment I was told that the name of the Dr. on the referral is no longer…

Had surgery 3 30 2021. Hydrocodone ordered Told by optum none in stock. Go to pharmacy. Pharmacy got order they are told by optum there is insurance issue. I called optum told by them I had schedule drug. Inform them that no schedule pain drugs.

Contacted OptumRX 8 different times over the past 4 weeks to obtain a vacation override for Latanaprost eyedrops. Now it is too late to obtain the prescription before I leave for vacation. I would not have given a 1 out of 5 score but nothinglower was available.

To say that this organization is inept would be high praise.

Doctor video visit horrible at location sun city Center.