Optum

my husband has worked for his same provider for over three years. So we've had OptumRx for the same time phrame. Now we have not had any complaints about med prices and what not. Until recently. So I went to see my doctor about being put on Qsymia. A weight loss drug.

I have been on phentermine and topiramate through Tricare years back. Figured I'd give it another go. It was easy peesy. not at all. So you can buy the meds out of pocket. Sure. For $94 of half a month's worth. 14 pills. That's it.

Which I NEVER would do. A. Well it got denied a few days later due to "my insurance plan". According to several of the OptumRx reps I need to upgrade my plan in order to qualify for Qsymia. Now this is where it gets funny. Lol.

but we do pay a monthly premium. or so. Maybe even more. they are…

I saw Dr. Mariano Myron/ Surgeon today (3/24) at Glendora Office. I had an infected, strong foul smelly, and discharging Sabaceous Cyst on abdomen. The cyst started discharging 3/18th night. I was on antibiotic given by PCP on 3/17th but it did not help!

Dr. Mariano agreed to perform surgery today & explained about the procedure with a few stitches. He questioned about allergies, medical & surgery history, etc. and left the room. He returned and said they need approval. I confirmed Optum is good with approvals. I offered myself to call Optum and explain my situation.

After a few minutes, nurse Alley told me they cannot do it today and I need to go to Pasadena location and clean it in 2 days. I explained about my situation when I am unable to breath due to strong foul smell with nausea,…

Optumrx is denying a medicine I've taken for over 10 years. I have tried the generics, but have side effects. Optumrx is getting worse and worse each year in delays and denials.

I have been waiting for over Two weeks for my medication and nobody is helping. My primary PCP is Jackie Reeve in Albuquerque NM and I visited on the 14th of July and she never put the order in. Im fustrated and tired of waiting for my refills.

This company is the worst. They have called me EVERYDAY for a balance I NEVER got a bill for. I asked for an itemized bill to be sent so I can get reimbursed after I pay the amount and they are STILL calling me everyday.

Last year, THEY lost a check and proceeded to harass me everyday while they looked for it. Even after the check was found, they sent my file to debt collection. If you need something from them, they will take MONTHS but if you "owe" $1, you will be called everyday.

I cannot enter the building while my very sick husband is seen and the office never sent me a TOKEN to be able to register his account online. I am responsible for his care and cannot even talk to his doctor much less arrange his care or meds online.

I’ve been trying to work with optum Rx yo obtain a medication for my endometriosis for 3 weeks now. They have given me multiple excuses which all contradict each other. And as of now, they still cannot run the prior authorization and have told me it may take a few weeks.

My doctors appointment was scheduled for July 10th, and it is now the 15th with still no answers on when my provider will be able to obtain the medication. It’s been a horrible experience, to say the least. I will not recommend optum rx to anyone.

I have been trying to reach my doctor since Sunday through the portal and then by calling for the past three days to get my prescription renewed. I just checked and nothing has been done. I was told Thursday that my provider is on military leave and the other providers were covering.

I have been out of my medicine since Monday. It's pain medication. I am not doing well and I need to get this resolved asap.

This AM I was refused entry into the clinic at 230 Lake Mead Blvd Henderson NV, because I have been losing my ability to semell lately. Whoa, I have a hurt knee and put ICY/Hot onit every 4 hours or so, lose my smell for awhile ?

Sure the Icy/Hot is very strong smelling --hence--My ability to smell is hindered for awhile. The Person at the door refused my entry, and one of the receptionists took the issue to her supervisor who agreed with the refusal to let me in.

Now what do I have to get tested daily and carry some kind of paperwork with me daily? This situation has gone to far, people (not only me) are being harangued at this location and it needs to stop and a new "door" person is needed.

I am almost done with SW Medical and that includes optum. Act on this situation.

I spoke with a very kind representative on March 5th who was helping me with my new rx that I needed to get refilled and get a prior authorization.

However, I spoke with a very rude and impatient representative today. She did not really want to listen to what the previous represents and I spoke about or my concerns. She started talking about the crisis (Coronavirus), etc. I called when the crisis was just starting and things were not as crazy and today she told me not to get excited things would be handled, but I am not excited I just need to know how to get a new rx filled!

I HATE being in the middle of this company and my dr office! My dr office has called me twice to tell me it was completed. When we had Aetna RX as my mail in pharmacy I never had this much of an issue.

It takes…

I was on hold for 25 min. and then was cut off. Called again and was told by recorder, leave name and number and they would call back. Office is; AZ Medical Services 1669 W. Ina Rd. STE 141; phone 1-520-795-6183. Norvelle E. THOMPSON 520-883-3583

My physician's office contacted your prior authorization department 1-800-711-4555 on February 5 and obtained approval for 2 150mg and 1 75mg of Xolair injections every 2 weeks as I was instructed to do by your Specialty Pharmacy at 1-888-702-8423.

I visited my physician's office today and there was no medication. I called your specialty pharmacy and spoke to Joy, Air (a supervisor), Jofe with the prior authorization department and a few others as well. I was told that my physician would have to still call your specialty pharmacy for the prescription fill. Once a prescription has been approved by prior authorization, it should flow through for processing by your specialty pharmacy. Joy, the first person I spoke with was very condescending.

If i had a choice of rating my experience with a…

I have been having a problem with refilling one of my meds for several months. So i was being told that i could not get refills because there was not a order-hence having 2 accounts for 1 drug. I called 1day before the med could be refilled and was told that it would be sent out the next day.

I discussed this with a supervisor named Dave and he made no apologies but said the med would be sent out this day and would take 3-4days to arrive. I requested that it be sent out immediately since the operators were at fault and he said no it will take 3-4 days.

I called the next day to verbalize this complaint. The operator told me that the med order was not processed yesterday. After she discussed this with someone else she said that the med will be expidited and i should recieve it in 1-2days.…

I am a provider. I am being harassed by a bevy review requests which are required immediately in the midst of a busy client week. When I attempted to complete the review, I responded within 90 minutes and I was placed on hold for over 2 hours to no avail. I do not have time for this as I see Clients and reviews must be done by clinicians. I have been in network since 1999. I have dealt with reimbursement rates 20 years out of date. I was able to negotiate something reasonable and now, am inundated since the new year 2020 with request for review and no way to complete them.

I contacted Provider Relations who tried to connect to Review. They were unable to reach the review department. There have been numerous complaints by members and providers besides my own. Members are at risk for having…

Edwina was my daughter Diachonae Miller's Behavioral Health Advocate for years. I've never had any communication with Edwina but once on December 18, 2019. My daughter gave Edwina my Cell# on 11/06/2019 and asked Edwina to contact me conerning her Hospital Discharge concerns.

Edwina Neglected to do so. My daughter was found deceased 11/12/2019 on the sidewalk on Main Street in Houston.

1. Contacted Optum for refill of Zytiga 2. Arranged for Black Friday delivery 3. Did not come Friday, Sat, Sun, Mon, or Tues 4. Maybe tomorrow (Wedn)? 5. 36 minute call today (Tues) with a person who told me it was "too early to order" which is why I didn't get my meds.

I asked for Friday delivery knowing that I had meds till Sunday... too far ahead? I don't like these people, but they're the only game in town. The odd part: they're owned by United Healthcare, my insurance company. Time for single payer healthcare? You bet!

Worst insurance ever. Switched insurance to this one because I lost my benefits after changing jobs. Had to go through a painful PA process for a medication I had been on forever to stabilize a sleep disorder. PA was denied because the medication was not "FDA" approved for my condition.

Off label use happens all the time in medicine and the FDA approved medication is extremely expensive. Spoke to very unhelpful nurse who had no idea what was going on. Their motive is to NOT cover medications. Would not wish this prescription coverage on my worst enemy. "

This company is consistently incompetent ,rude and stupid. They manage to find a way to screw up at least 2 of my prescriptions every month. I'm SO TIRED of the same ridiculous explanations of why they got it wrong again!

I would give lower than 1 star if possible!!!! I have waited for my prescription (auto-fill) for over a month! I am out of my meds. And still getting calls saying it is on its way one time, there is a problem another time, 5 calls in 3 days!!! How hard is this!!!

Please United Health Care get a different prescription provider...FAST!!!!!!

I have never in my life had to deal with something more difficult than getting a prior authorization for my daughter's ADHD medication which she needs daily for school. I was told by Optum a prior authorization had to be sent it by her doctor which he did and it was approved.

When trying to get her medication filled with CVS insurance denied stating they needed prior authorization which I had paperwork stating it had been approved. Come to find out Optum said the doctor send over the wrong one (which was for the generic) and needed to fill out a authorization for the brand (which is 3x more expensive).

Her doctor even said he had never had to deal with this before with any insurance and it seemed very odd to him,but he would send over what they needed. Now Optum said they had received…

Have been trying to find a.... male PhD.... for weekly therapy for 6 months within 8 miles I have contacted all on the Online list

all R too busy or only see nursing home patients I am NOT suicidal but DESPERATELY in bad shape; difficult to function

EVERY TIME I call OPTUM they keep referring me the PhDs on the list who R NOT AVAILABLE PLS help...... I cannot go on like this

305 651-3737

There is only one worse company to have to business with, and that is Microsoft! OptumRX is awful, They have no business being in business they have made security so full of crap and no one knows what they are doing.

I spent an hour on the phone this afternoon and still didn't accomplish why I call in the first place. The help is handicapped, they must pay the worse salary in the business because the help can't speak proper English or preform task!

First my passwords didn't work properly, to change and get another one is hell!!

Secondly, I called because I am now the care taker for my wife and I wanted one account for us both, again they put me through an hour of crap I wanted it under one name and one account. Who ever set up their security is an idiot, do they understand "keep it…

Two fold: 1. com) notifying me receipts were requested for FSA reimbursement. Card was suspended without a single communication being received. Completely unsatisfactory. 2. There is not nearly enough communication as to why a claim was rejected - using the guidelines under the list of suitable FSA uses, nearly any healthcare expense is suitable.

The 'repayment denial letter' link doesn't actually take you to the letter either - if you are going to make a link clickable, make it take you to the actual destination... not to another landing page. And with all the letters there, none of the dates match up because you've decided to list the date of the letter, not the transaction!

Another great thing about your…

Optium and my prescrbing Dr. Are having problems on the prior authorization for my medication. No medication should be stopped and is ENDANGERING my health. For a week the problems continue I need this escalated, however no one is working towards a authorization that has continued for submission. 0022 ph

I ordered this medication on 8/5/19 I did not receive it. I called Optum 2 times and was told that it was out of stock.. I asked why I was not notified and was told that an email was sent. I checked , I did receive an email. I was on the phone for 20 minutes while customer tried to cal the out of stock team, which never reached. I asked to speak to a supervisor. It just rang and rang, no one answered. What is your policy and procedure when you have a medication out of shock to notify your customers? How do I reach a supervisor?

Garvin Golding ID: 938973716-00 LOSARTAN/HCTZ TAB 50-12.5 Rx : 246856123

Cost per refill Pricing unavailable Medication Illustration Refills remaining 4 Prescription

Prescriber: Hassan Abouleish

Rx expiration date : 12/15/20

Pharmacy OptumRx

Delivery method…

I recently received an out of date medication from OptumRX. When I called about it, I was told I must go to a pharmacy for a bridge prescription to replace it. 00. It's not the money, but why would I be charged to replace a mistake not made by me?

Also, my confidence in mail order is affected. 00, and quality control should review the error.

They have completely incompetent employees who cannot keep track of prescriptions, they don’t actually help you resolve any issues and they don’t listen to the issue you’re experiencing, they constantly speak over you and are extremely rude on the phone. I just got off of the phone with an employee named Beverly who was rude, had no idea what I was talking about, constantly spoke over me and hung up on the phone call without giving any information regarding the reason I called.

This company should be shut down I’ve never heard a good thing about them and they don’t ever do their fucking jobs. They have stated that multiple prior authorization forms my doctor has sent were not received when I have the confirmation of receipt form in hand and have repeated the dates to them, along with…

Here is the email I sent to OptumRX for my complaint. I replaced the prescription for xxxxxxx. It's a specialty medicine per OptumRX's definition and will have to be forwarded to another pharmacy, BriovaRX, to fill. BriovaRX merged with OptumRX a year ago. And, the inconvenience and confusion came after this merger.

================================================================ Jxxxxx,

Thanks for reaching out to me about my concerns. I thought the problem I faced went away, but obviously, it didn't. Here is my experience this time: 9/6/2019 (Friday):1. I visited my doctor and my doctor sent a prescription for 25 mg xxxxxx to OptumRX. 9/10/2019 (Tuesday)2. I visited OptumRX's website and found out that the prescription wasn't converted to order. I then processed the order on the webpage…

I am an LCSW in West Palm Beach, FL and am a provider for United Healthcare/UMR/Optum. On 3/17/2019, I received the scheduled rate increase by Optum. As of that date I was getting paid the new scheduled rate. There were no Issues; however, I noticed that suddenly my claims with the Dates of Service of July 1, 2019 and all claims thereafter are being paid a rate that is higher than my fee agreement.

I have made numerous telephone calls and email. I have not been able to resolve this issue and continue to be overpaid. Provider services has told me that my information is correct in their system and are not sure why I am being overpaid.

I was told that it may be an issue with Claims. I call claims and they want to refer me back to provider services.

Finally, Provider Services told me in an…

Today is 8/12/2019. I held this one extra day to try to let my anger subside. It has not. My Doctor faxed in a new prescription on 7/24/2019 to Optum Rx. I did not receive it, but was seeing doctor 7/31/2019.

I told doctor and they called Optum Rx and was told prescription was there. I waited. Finally called 8/8/2019. Was told they thought it was a refill and was waiting for me to order refill. Explained it was new, needed immediately and to overnight at Optum’s expense, due to their error.

Was told couldn’t do that. NO Mention about being a problem. Optum has my phone number, home address, post office address AND email address. NOBODY attempted to notify me of a problem. Apparently, my prescription was a name brand that is not covered.

This has been going on for almost 3 weeks today. I…

Nurse practitioner treated me very unfairly, was very judgemental, rude, and made me feel as though I was not receiving the best care and treatment for my condition. When speaking to me, she was very hostile and made me feel as though my health did not matter to her. Her name is Nurse Practitioner Annie Davis (Priscilla Davis) at Michelin Family Health Center in Lexington, SC

Beginning around the first of April the medications I requested by phone were never filled. Supposedly because of unsuccessful attempts to reach my doctor which has never been a problem for me. Serious conflict started April 24th. I was not informed that OptumRx was filling, shipping, and charging me for a rx that I didn't request.

I didn't even know what it was for. Shipping and withdrawing the funds occurred faster than the speed of light. The shipment was intercepted practically at my front door. Why did I have to wait a month to get my money back?

Let me stress again that OptumRx had no consent whatsoever ever to process or bill my acct for this. The refund was finally received during the first week of June. June 26th the same thing happened for the second time.

Once may be an…

No sure if this is the correct department. I am wanting to complain about Ootum ID and Optum EPS. I have tried for month to get a former employee who is the administrator to our web access for EPS. I have been given the run around stating that I have send in notarized letter stating who I am.

I am the Billing Manager and I need access to the ERA through EPS. A former employee still has access to that site. I sent in a administrative change letter that was emailed to me and now they want a notarized letter from me.

I have never heard of such a thing. I finally got my Optum ID but it took over a month to get it while being on a three way phone call with the former adminstrator because she wanted a screen shot of the account.

That is a complete HIPPA violation, now they won't deactivate her…

I received a phone call from someone who claimed they were from United Health Care yesterday. He told me that I needed a renewal of my Pravastatin medication. I told him that my cardiologist and I had decided that I was to get off my previous statin medication and after three weeks to try Pravastatin.

I told this man that I did not need a refil at this time. I also suspect that he contacted my pcp office and said that I needed a new prescription for Metformin, which is not true. I just picked up my prescription last week and it is good for 2 months.

In addition, I have one refill, so I did not need any prescription for Metformin. My problem is that this man has gone behind my back and called Rite Aid and ordered Prevastatin and also contacted my pcp. When I went to RiteAid this afternoon…

Never received my Optum Care card when I called in January to find out why they had the wrong address which I changed two years ago... It was corrected and here we are in March I’ve connected twice and notified I’d be sent another card... What’s the problem ?

I live in Las Vegas, yesterday I had ordered rides back and forth , my ride was supposed to pick me up at 3:30 to go home, the ride never showed up.I called Optum care numerous and no one answered , I learned today there was a 40 minute wait,I am 84 years old and am handicapped I didn't get home until after 5 at an expense of $12.50 which I want refunded .In all the years I traveled with Executive Cab this NEVER happened

I am trying to send OPTUM RX my Feedback for my experience this week in obtaining prescriptions - this format will not allow the length of my document to be included. Please provide an email address and contact name that I can share this experience with.

dec 31 I ordered restaesis eye drop first heard zero then $400some dollars...today would be $75 medicare I called same day cancel they said was shipped san diego...I asked for them to have sent back said no..dont take medication back..its not possible open vials plastic twist off...not something taken internally not medication...I dont want to be charged on am ex patricia k chipinka 2/13/1941 was with united health care Id 8406799-01 210 695 9588 210 831 6400

The company claims that they are available 24/7. When calling on a Saturday afternoon and trying to get through to a customer service representative, the call simply went to the survey that takes place after a call. Nobody answered. Was simply forwarded to the survey. Obviously gave 0 responses on their survey which says from a level of 0-10, 0 being the worst score possible.

Made an online account to try to contact them and the SEND button doesn't even work after navigating through their system to send them a message. Send button does absolutely nothing. How are you supposed to reach these people to get any sort of assistance?

Your customer service people are rude I was asking about paperwork for my husbands prescription was told they could not speak with me and was told they already contacted him I told them this was not true there said they left a message on our answering machine but was cut off I said then you did not contact us and asked her to please call my husband about this which she refused Saying it was my fault I have a faulty answering machine I find this unreasonable we pay a lot a money for this insurance and

should be treated with more respect

6/30/18 Ordered Victoza, told needed new rx. dr sent new rx 7/3/18 Order placed and scheduled for overnight priority on 7/6/18Meds need t be refrgerted) scheduled to be delivered on 7/7/18; did not arrive call made to Optum on 7/9told I needed to find out where order was.

After 2 hours on phone with an extremely rude supervisor in Texan named Kinesha who hung up on me, another assistant Angelina tried to help. We called FedEx, gave tracking number 444061546199, was told that that a call was made to FedEx by Optum telling them to return the medication to them It was shipped back to Optum under tracking number 714511389783 and

was received back at Optum on 7/10/18 and signed for by D. Simmons. A new order was placed and I was told it would be overnighted and I would receive it on 7/12…

Undelivered ordered meds with me authorizing co pay. Was told by a supervisor ( Katie ) that my order was made on 2/3/18. Correct. Then stated optum attempted to notify me 3 time without my response. Wrong. Only notification on 2/4/18 that order was received.

On 2/6/18 email that immediate action was required. Done. I had to call 4 times to get my meds ordered correctly and overnighted. Been out of some of my meds for over a week. Out of INSULIN now. Personnel incompetent and negligence will cause someone death .

I have all e-mail and incoming phone #' s on my tablet and phone. Was lied too. Very dissatisfied with Optum Rx. Considering legal action.

In june my script for Drabinol 5mg ws filled with no problem at all.Since then every attempt for refills has been denied on al levels .Ihave a disease known as Primary Lateral Scelosis it attacks every nerve and muscle In my body.Drobinal helps with with the painful spazams I suffer 24 hrs a day.It also helps with the depression brought by a disease that is slowly eating my nerves and muscles away, Please reconsider and approve my medication Gerald Simmmons 850 294 4090

I have been a Medicaid provider for the last 15 years I have 60 to 80 Medicaid clients. I specialize in the SPMI population severely and persistently mentally ill. I left Changes Counseling because Christian Smalley the owner thought it was okay for Marvin Johns to make sexual comments to one of my clients. Mr. Smalley told me she deserved it because of the way she was dressed. He accused me of having PTSD because I took it, "so hard" I didn't go back all my client followed me to my new counseling center called healing house counseling.

Optum would not let me bill directly they said they were closed to new providers. I began billing through Sundance Behavioral and they charged me 37% of what I was making. I looked for a way to bill straight through Medicaid and it worked for several…

Over 30 people were fired "laid off" yesterday and today at Tucson location. CEO made it clear that lawyers had composed the list of those unnecessary for business operations. Although another contract unit was available for agents to apply to, pending background check and urinalysis, a great deal of manpower and intention lost to those training for job as pharmacy tech.

Attendance was disregarded, and of course, those who attend regularly will make unintentional mistakes.

I went to my account online. 86 that I wanted to pay on my account. 86. 67. This is my first and only billing complaint so far.

Prior auth was denied for my son's medication which he has been on for 3 months due to insufficient clinical data. Doctor's office called and did it again over the phone, everything should have been ok. My son met the clinical requirements for this drug due to the fact that he has tried and failed numerous in the same category. Also the medication already had a prior auth in place and just as needed the end date extended. It was denied the second time also.....after talking to too many incompetent customer service people, I demanded a supervisor and found out the supervisor won't return my call.

I'm taking this further and spoke to the doctor's office, I obtained the denial that was faxed from Optumrx to the doctor and found out the reason it was denied was because the clinical intake was…

I vacation in Tucson for 3 to 4 months. While I'm in Tucson I have my optimum RX prescription sent to me. As soon as I return to Indiana I call them and have them change my address back to my Indiana address.

Two I vacation in Tucson for 3 to 4 months. While I'm in Tucson I have my optimum RX prescription sent to me. As soon as I return to Indiana I call them and have them change my address back to my Indiana address.

Two Weeks ago I ordered two prescriptions and receive them in Indiana with no problem. I need a refill on the third one so I sent a notice to my doctors office and they refill the prescription. Now I have not received this prescription in Indiana so I called optimum RX.

They informed me that this prescription was sent to Tucson. This is not my permanent address. However, they…

I get my medical supplies from OptumRx as it€s an easy way to purchase. Optum Rx cares for us and has medical supplies you need from people you trust. Earlier I used to go the drug store and collect my medicines, but not all places you get particular drugs.

AT Optum Rx you get all that you need and its supplied fast as well. They give medicines that are safe to use and do not cause any side effects. I like their service and would continue to opt for them.