OptumReviews of optum.com

This review is for their Tramway office in Albuquerque. My wife and I tested positive for Covid. So we called our PCP at this optum office. The nurse, who was the only one they would let us talk to, told us that only one Dr. there prescribes Paxlovid and he was out, so they couldn't help us. She advised us to go to urgent care. So with all the doctors there, NO ONE can prescribe an antiviral?? What kind of medical office is this? Plus, the nurse we talked didn't bother to tell us that pharmacists can prescribe Paxlovid. Was she just trying to get rid of us (terrible customer service ), or was she that incompetent? Time to get another PCP.

If I could give it a 0 if I could. . Customer service (phone system and web portal) the worst I have ever experienced. I'm only staying there because my Dr. is there. The reception desk is decent. But trying to get them to answer a call, or using the portal is awful.

I am increasingly convinced that it is an Optum policy to automatically deny any sizable HSA (RMA in my instance) claim for healthcare reimbursement. I live abroad and have been denied several times with the reason “Claim not in US Dollars”. No, it’s not, we don’t use Dollars in Europe. That’s why I documented the rate of exchange and converted the claim to USD when I submitted it. Upon appeal, I eventually get my money, but their appeal process takes weeks. I am currently in my 7th week of appeal for reimbursement of medical insurance premiums. A straightforward claim, the documentation of which was fine in 2023, but wasn’t accepted when I had to resubmit for 2024.

Today is March 21. TrustPilot needs to add a zero or negative numbers to be eligible to rate Optum properly. 1 is too generous. For some reason, my wife's Optum card stopped working in December, and she requested that they fix that. They did not, so she requested a replacement card (card was not lost, just deactivated) on Dec 27. After multiple attempts, online requests, last month they said they would send her a replacement card (as they had said before). Two weeks later, they turned OFF my card. Again, thinking that they needed to run off my wife’s card, they turned MY card off. Same as what happened to my wife's card in December. So now... my wife has a card that doesn't work, I have a card that doesn't work, and we STILL can't get a new card that works. Wife calls AGAIN, they send me my card a couple of days ago. My wife still has no card. I call customer service, enter all my info, get to the rep, they ask all of the same stuff. I immediately ask for a supervisor, and the rep has me explain it all to him so that he can explain to the super. 14 minutes later, I get a "Supervisor" that sounds like she is calling from a beer fest party. People yelling, screaming, laughing, and having fun. NOT reps on other calls.... She makes me start over, repeat the entire thing. Still no commitment to Fedex things, says she'll take care of it and we'll get it in 7-10 days. I'm not sure how they mail things... Pony Express? I say fine... who do I call in 7-10 days to complain again since it didn't show up the last few times you told us that. I requested that they FEDEX a replacement. 7-10 days is the answer. Next thing you know, all she can say is "Can you hear me?" like 20 times, ZERO responses to anything that I say, and the line drops. SO, 7-10 days from now, we can start this process over. Highly recommend that you skip the line, start by complaining to the super, and if that doesn tgo well, escalate. My next call will request super first, THEN I will ask for their boss. This is totally ridiculous and HORRIBLE customer service. By the way, call drops, they know the number to call me and reconnect (they asked) and no one called back. PURE incompetence and apathy.

1 star is an infinite # of stars too many for this scummy company. By far the worst FSA or HSA provider I've ever used in my life and this is my fourth one (and it's not even close - it's like if the top 3 providers were the Chiefs, some other NFL team, and University of Alabama's football team, then Optum would be my high school JV team). Literally the most basic health charges that should be obvious in being covered require mountains of documentation, incl. those listed on website as being covered). The burden that they place on patients who are likely already having to deal with considerable headache and personal difficulties in the first place which is why the need to pay for said medical treatment (e.g., cancer) is incredible. Crooks that don't care about supporting their customers with their medical expenses, instead doing everything they can to not help people who have rightfully paid into a system in the first place. People who work here should be ashamed of themselves.

All I can say is OPC has Poor management, poor customer service people who really do not understand their positions, the meaning of PR. They shipped a wrong item, I asked for replacement or credit that was all, they could not do it then hung up on me. People with personal problem.!! I need to say all I did, bought a item from UCard hb OTC list of United Healthcare.

Optum continually questions ongoing medical care for events that happened several months ago for which I have multiple times submitted information to them to verify that there is no other person or place responsible for my injury. It gets really old having to give them the same information over and over and over ad-irritating. Yesterday, 12-18-23, I received yet another letter asking for information provided long ago for Surgery on 4-4-23 and ER visit on 6-4-23.

I wish I had read the reviews on OPTUM before we made an appointment with the OPTUM clinic located at 925 S. Euclid St in Anaheim. I just want to make people aware of this situation. We have a high deductible health insurance coverage which does cover preventive services such as a basic blood test without having to meet the deductable. In September of 2023 we made an appointment with this OPTUM location for just a basic blood test and nothing else. They confirmed us that it would be covered 100% by our insurance. When we came in the nurse took our blood pressure and she left. Then the doctor came in and asked us a few trivial questions such as what medications we are taking. I told her I have been taking amlodipine for high blood pressure and that was all. We had to wait a couple of hours to have the blood drawn. The nurse who drew our blood seemed like it was her first time doing the blood drawing for a blood test. We had to call OPTUM to get the test results after waiting a couple of weeks. They did not even bother to call us or mail us the results. A few weeks later we received a bill from OPTUM for an office visit of $238.38 . We called to find out about the bill and were told to disregard the bill as the billing code was incorrect. Later we called OPTUM billing department to make sure the bill was voided. They said the bill was never voided and therefore we had to pay the full amount. We tried to negotiate the price down but they refused to negotiate. To protect our good credit we had no choice but to pay it. So here is the lesson we learned from this incident. They say anything to get you to set up an appointment and come in. The doctor would use every trick in the book to turn it into an office visit such as asking you what medications you are taking. The doctor sends a prescription of the medication you are taking to the pharmacy even though you never asked for it. This is enough for the doctor to turn it into an office visit. OPTUM sends the bill to your insurance for the cost of an office visit. Of course the insurance won’t pay OPTUM because you have not met the deductible. Even if you did meet the deductible the insurance company will not pay OPTUM the full amount. OPTUM and other service providers always bill the insurance 3, 4 times the amount they expect to be paid. But if your insurance won’t pay them they hold you responsible for the whole inflated amount. In conclusion this is a bad place to go to. Their practice is unethical and immoral. You should run far and run fast from OPTUM . But if you are in our situation and have no choice but to go to this place, here are my suggestions: - When you come in make sure the nurse and the doctor understand you are not there for an office visit. - Do not let the nurse take your blood pressure. This you can do yourself at home. - Do not even step on the scale. - Do not answer any questions the doctor asks you. Just tell the doctor you only want a basic blood test and nothing else. I hope this will help the public avoid falling into the trap like we did.