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2.0

I have had nothing but problems with GEHA/United Healthcare Insurance. Wife emergency admitted to hospital spent two days, doctors ran test MRI and other imaging items. All while in the hospital under doctors care. That was 2015, when now have a bill from the provider of nearly $5,000.00 because GEHA/United Healthcare denied the claim for MRI and other imaging. We were even told that GEHA/United Healthcare were only paying for one day stay, not the two days we were billed.

2016 my doctor ordered MRI of my Lower back before surgery to remove *** We got per-approval no another company that United Healthcare, eviCore that is contracted with I guess to review the medical necessity for MRI, X-Ray, and other medical image. The company tells United Heathcare/GEHA that the MRI or whatever was not necessary for me. Now the providers wants nearly $3,000.00, which my annual family deductible for GEHA/United Healthcare $2,000.00 after $700.00 co-pays. Wife the year had image done before her knee replacement surgery also this year, and eviCore has stated these images were not neccesary and now the provider nearly $3,000.00. We this year 2016 have meet both the $700.00 and $2,000.00 co-pays and annual out of pocket.

I could go back a few more years were claims are being denied by eviCore for GHEA/United Healthcare.

Reason of review: Problems with payment.

Monetary Loss: $11000.

Location: Dayton, Ohio

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