OptumReviews of optum.com

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!!!!