Mel
Avoid Surest insurance if at all possible
I started three weeks ago to get coverage for my back surgery. I work in the schools and knew the recovery time would be lengthly. My surgery was scheduled for June 7th. On May 24th I was told that my insurance through Surest was activated. The surgeon called the next day and said it was blocked. I was asked to wait three days for the claim to be activated. Three days later the surgeon called and said it was blocked. I called Surest they reassured me that that everything was fine. I called the surgeon. They said the cold was blocked. After several attempts to understand the situation and why I was being told one thing and the Surgeon another my case went to a higher review(This was due to the fact that Surest would not accept the codes the surgeon was giving.)This took until June 4th. On June 4th I was given an activation code and was told that I would be able to have the surgery. On the 5th the surgeon called and said the code was not activated. I called Surest and was guaranteed that I should be able to show up to the hospital. I was told there was no activation that needed to happen and that I should be good to go. On the fifth at 4:00 I received a message from my surgeon stating the surgery was not activated.At 5:00 I called Surest, I was firmly told that everything was fine, to get on the Surest Website, take a picture of my claim, send it to my Dr of what is being activated and I should be able to have my surgery. I did as I was directed. On the 6th at 10:30am the Surgeon called and said the insurance had not activated the claim yet. I told the surgeon that I was told I should be able to show up at the hospital and be good to go. They said they would call Surest. At 3:30 the surgeon said that they still have not activated the claim yet. After I was able to put both the insurance and the Surgeon on the same line, Surest put us on hold for 15-20 minutes came back and said that they were truly waiting for the claim to be activated and it would take 14 days. They said that they could try to get it to go through tomorrow on the 7th but the surgeon would not do the surgery without the insurance being activated. Due to this absolutely horrific error on Surest part, I know have to rescheduled my surgery a month out and will have to miss a month of school in which I should not have had to miss. I will miss a month worth of salary and the initial beginning of meeting my students. This is unacceptable. Surest needs to learn to communicate within their departments and not lie to their members about what is going on. I have worked with several insurance companies through my own work and working for others and I have never experienced such a lack of professionalism in processing claims, knowledge about codes and communication among departments. Stay away from Surest. Those I did talk with were very kind but they did not have the knowledge to help me get to the surgery I desperately needed. I do not blame the workers I blame Management.

