Sharyn M Uik
map-marker New York, New York

Non-payment of a claim/with no explanation

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Updated by user Feb 28, 2023

Well lo and behold, A Supervisor from Unified life did indeed call me back. Can I get a woohoo (For now).

Her name is Amy, She was very nice, knowledgeable, and answered the questions I needed answers to.

I thanked her, and told her I appreciated the call back. After...

Original review Feb 28, 2023
After an appt w/my Provider regarding a health issue, I was told there was a podiatrist within the Healthcare Group that I belong to. Btw, My provider accepts Multiplan/Unified Life. I scheduled an appt with this Podiatrist, who by the way was not located at another office, it is within this particular Healthcare Group, actually right around the counter and down a different hallway. All of my medical information, prescriptions, surgeries, Insurance info, etc can be seen via computer no matter which Dr I see in this in Health Group. (Duly Health and Care) Approx one month after my Podiatrist appt I received an EOB from Unified Life saying that this Dr is a non network provider. So I'm trying to figure out how could that be when he's in the same Healthcare Group, same building, can access any of my records, in fact I didn't fill out any paperwork before I went to the doctor as you do with the new patients. I called Unified Life, the explanation that I received was not understandable so I explained to them at this time that that was unacceptable to me because it was getting me nowhere. I asked to speak to a supervisor or manager, was told supervisor in a meeting will call me back. I then called my Duly Health and Care and explain situation, was told that I need to contact the insurance company and let them know that they would have to call Dr office/Duly Health and Care update credentiality. The next day I called Unified Life back and explained what was told to me regarding them to call the office to update credentiality. I was told something completely different regarding the entire situation. Was told I need to contact Multiplan for them to figure it out basically., It was at that time I asked to speak to a supervisor yet again, I was told two different reasons why I could not do that because they were not available and someone would call me back. I'm still waiting for the supervisor to call me back from the day before. I then hung up, and called multiplan, the number that is on the back of my card. They told me to call a different number I called that number and was told to call the number on the back of my card. I am being bounced around between here and there and there and here. No matter what number I call for multiplan I do not speak to a live person, I get an explanation that they don't handle this or that and I need to call the number on the back of the card. I tried, and tried, on my own to try to get this resolved. Multiplan is in no way shape or form doing anything at all to help me. I don't understand who I am paying as both Multiplan and Unified life are on my insurance card, (Unified Life is the name on my EOB) Btw, when I had called the day before I was told that Unified Life didn't have anything to do with this issue and that they were separate from Multiplan. So that's why I asked then who am I paying cuz I'm getting nowhere. When my husband's employer cut off all benefits after my husband had a work related injury, I was left scrambling trying to figure out what am I going to do for insurance, I found this Multiplan and was told things that were in my opinion no true, I have to say the guy did a good job at BSing me into thinking this was a good plan. I regret every day for the past couple years that I made this decision. I know he fed off of my desperation as I needed insurance immediatelyS I would never recommend Multiplan. This is not the 1st issue, but it is the LAST straw that broke me :(
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  • Auto messages to call different numbers
  • Feeling hopeless
  • No live person to speak with when calling

Preferred solution: Claim to not be denied. Payment to be paid to provider. Multiplan be responsible vs auto messages getting nowhere.

User's recommendation: I would NEVER ever recommend Multiplan!!!

L M Uve

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Verified Reviewer

Resolved: Do not sign up with them

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Updated by user Feb 06, 2020

I didn't purchase their garbage insurance plan.

Original review Feb 06, 2020
I was looking for new coverage since my Cobra benefits would be running out. The agent tells you all of these wonderful things. But when you start to ask pointed questions about the supposed plan, they don't have any straight answers. I had two different agents contact me and they both hung up on me when I started asking questions. Do not sign up with these folks. They are crooks trying to steal your hard earned money and will not provide you with any coverage. So, if an agent calls you and tries to pitch PHCS/Multiplan, hang up. They are thieves and liars.
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  • Scam

Preferred solution: stop trying to sell scam insurance

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