cindy p Xml

Terrible!!!

I have an elderly father who pays $197.00 monthly for MVP and is deemed catastrophic. Was recently released from RGH and has massive ulcers on his rectum area.

A wound nurse was placed to help my elderly mother with the wound care. Now they are saying my father is fine and does not need the care.

The nurse is placing another request that has been denied. I am very curious as to why MVP gives a licensed personal a hard time???

These are 88 and 84 year old elderly people that need help and are being denied!

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1 comment
Harry Rollins
Financial Expert

You should contact the MVP Health Care customer care team for assistance. You may try to reach out to the company support via live chat on their website, by phone at (800) 662-1220 or by email at members@mvphealthcare.com. You may also ask for top management comments via the MVP Health Care social media networks.

Yamira Alw
map-marker Bowie, Maryland

Significant barrier for Yale neurology to get medication coverage x 3 weeks

Yale chief of Neurology made repeated calls over 3 weeks. Fax that I signed to give permission for appeal was lost by MVP despite Yale having receipt that fax went through Repeatedly confusing what medicine Yale is trying to get approved Multiple barriers and run around both for Yale and for me as the patient and MVP member
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Reason of review:
Order processing issue
1 comment
Harry Rollins
Financial Expert

Please contact the MVP Health Care support team for assistance. You may try to reach out to the company support via live chat on their website, by phone at (800) 662-1220 or by email at members@mvphealthcare.com. You may also share your experience with MVP Health Care customers by posting your comments via the company social media networks.

Anonymous
map-marker New York, New York

Irresponsible trinket!

i was told that mvp will cover more than half the cost of cardiologist visit then they screwed me off that they only paid 10% and i had to pay 95%,not fair, i am getting someone else!
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1 comment
Harry Rollins
Financial Expert

Please contact the MVP Health Care support team to get more information as to what options your health care plan covers. You may reach them out by phone at (800) 662-1220 (toll-free number) or by email at members@mvphealthcare.com. Please note that the support team working hours are Monday - Friday, 8AM to 8PM Saturday, 8AM to 4PM (Eastern Time).

Cynthia U Dit
map-marker Schenectady, New York

MVP Pre-Authorized a test, pre-issued a code #, then later denied that claim

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I am re-submitting my previous review (#139****) made earlier today due to a typo which earlier today I made and which I have now corrected in the MVP Healthcare Insurance issued "Pre-Authorization Approval's validating code number".

The MVP Healthcare Insurance issued a pre-authorized insurance approval number was A11089****-*4170 (expiration: 11/02/2018 ) for my 09/19/2018 CT Scan.

MVP's Pre-authorization approval contractually and ethically meant that MVP would pay for the entire cost of that CT Scan minus the $140 co-pay that I am required by my MVP insurance policy to pay. That CT Scan cost $1,927.82; therefore MVP was obligated to pay $1,787.82 of the $1,927.82 billed charge for that CT Scan.

Approximately 4 weeks after my CT Scan, MVP postal mailed me a 19 October 2018 dated letter which stated that MVP refuses to pay insurance for my 19 September 2018 CT Scan.

Prior to my 19 September 2018 CT Scan, MVP pre-authorized insurance approval of my 19 September 2018 CT Scan; BUT later weeks after that CT Scan MVP corruptly wrote that MVP would NOT pay any money based on MVP's [fraudulent] reason that MVP had never authorized the 19 September 2018 CT Scan.

Contrary to MVP's fraud, the truth is that MVP pre-authorized its insurance approval of that 19 September 2019 conducted CT Scan procedure that my urologist scheduled with a radiology/imaging facility. MVP electronically even sent my urologist an MVP pre-authorized insurance approval code number A11089****-*4170 for that radiology CT scan. That 19 September 2018 CT Scan occurred weeks before the 02 November 2018 expiration date of that MVP pre-authorized insurance approval.

When I arrived on 19 September 2018 at the radiology / imaging facility for that CT Scan, the radiology/imaging office told me that MVP had pre-authorized insuring my CT Scan, and that I would only owe an MVP required $140 copay.

Now, outrageously, MVP is requiring me at my time and expense to initiate a formal written Appeals process internally with MVP solely caused by MVP's own fraudulent actions, lies, and breach of contract.

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Loss:
$1928
Reason of review:
Issued Pre-Authorization & then lied about its existence.

Preferred solution: Deliver product or service ordered

2 comments
Guest

Sounds like MVP should be hit with a class action suit

Guest

MVP should micromanage its staff more, because we have had a similar experience, If MVP cares about clients, then there would not be such dishonesty. Take the higher road next time, and sue!

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Marlene M Ves
map-marker Utica, New York

Refusing to pay preauthorizrd CT scan

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MVP also screwed me in the same way.Preauthorized a CT scan on 13th, scan was done on same date. Staff where i had ct had me sign a waiver While ASSURING me that MVP authorized the procedure and it was just a formality. Then they both played pass the buck, assuring me the procedure was authorized and billing had not caught up. Outcome, I now owe 5,000, have a collection agency on me. Cant file appeal at MVP cause its past deadline, . MVP sent paperwork with a date af 16th not 13th as they had ok d on phone. They won't backdate form, because I'm dumb enough to work everyday hospital won't reduce bill. 5,000 is the same money on The 13th Friday aa it is on the 16th Monday. Can you say predatory on part of provider and bad faith at MVP .....oh YES!!! The two conglomerates need to work this out. Provider even admitted in a letter the need to review practice and retrain all staff! Recommendations anyone?
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Reason of review:
Problems with payment
2 comments
Guest

I've learned this lesson the hard way and have refused to sign the waiver even if it means not getting the test done, because I refuse to pay one extra penny towards these outrageous over bloated multi billion dollar insurance companies.

Guest

To whom it may concern: We're sorry your experience with MVP Health Care has been a disappointment to you. We are still interested in resolving your issue to the best of our abilities, and so we invite you to please contact MVP Customer Care at 1-88*-***-****.

We will do our very best to address your concerns. Thank you.

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Cynthia U Dit
map-marker Schenectady, New York

Fraud by MVP by MVP issuing pre-authorization which MVP later ignored

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Four weeks after my 19 September 2018 CT Scan procedure, MVP notified me by its 19 October 2018 letter that MVP is not covering any of that $1,927.82 CT scan for which MVP itself had pre-authorized insurance covered approval. MVP's 19 October 2018 notification fraudulently states that CT Scan was done without MVP approval.

Contrary to MVP's fraud, the truth is that MVP pre-authorized its insurance approval of a CT Scan procedure that my urologist scheduled with radiology. MVP electronically even sent my urologist an MVP pre-authorized insurance approval code number A11089****-*4170 for that radiology CT scan. That 19 September 2018 CT Scan occurred weeks before the 02 November 2018 expiration date of that MVP pre-authorized insurance approval.

And when I arrived on 19 September 2018 at the radiology unit for that CT, the radiology unit told me that MVP had pre-authorized insuring my CT Scan, and that I would only owe an MVP required $140 copay.

Now, MVP is requiring me at my time and expense to initiate a formal written Appeals process internally with MVP solely caused by MVP's own fraudulent actions, lies, and breach of contract.

View full review
Loss:
$1928
Cons:
  • Being fraudulently cheated by mvp
Reason of review:
Fraud /contractual breach by MVP

Preferred solution: Deliver product or service ordered

1 comment
Guest

No surprise

Anonymous

NO COVERAGE ON PPO

Nothing is covered, from drugs to blood tests. A typical blood test costs $671. No medication I need is covered. It was $1000 with insurance and just $75 with a coupon. Shameful company. Deductible is crazy high and is impossible to afford medication costs. National level is coverage is spotty and very limited outside of Hudson Valley (CIGNA barely helps). Would avoid at all costs. It is cheaper to travel abroad for medical attention than it is to buy one drug with this company. Customer service hours very limited. CIGNA costumer service only directs you to the closed MVP offices. Everything is denied always, I had to wait for two months before a medication was approved- only to have it cost 10x more on the insurance plan than it would with a coupon from my doctor!
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Reason of review:
Bad quality
Anonymous
map-marker Schenectady, New York

Was told that my deductible had been met by representative

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On November 13, 2017 I called MVP to find out if my deductible had been met for the year. I was told by a gentlemen that it was met. I then had to have several dr. appointments, bloodwork and further testing due to a stroke I suffered. Now they are saying that my appointment on November 13, 2017 and bloodwork is not covered. They downright lied to me and now I have a huge bill that I can not pay. i would have never gone to the dr's until I had the means to pay. This company really should be held accountable for their representatives lying to the consumer. I am also contacting the New York State Insurance and also the Attorney General. I spoke with MVP today and they said they are not doing anything about it. How can an employee of such a prominent company get away with telling people flat out lies.
View full review
Loss:
$500
Cons:
  • Disgusting
Reason of review:
Poor customer service
1 comment
Guest

Amen!!!

Resolved
susan h Wmh

This review is from a real person who provided valid contact information and hasn't been caught misusing, spamming or abusing our website. Check our FAQ

Verified Reviewer
| map-marker Schenectady, New York

Resolved: Denied me coverage then billed me.

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Updated by user Dec 05, 2017

They issued a refund.

Updated by user Dec 05, 2017

After registering a complaint on your web site, filing a complaint and a review with the Better Business Bureau (who did contact MVP), Posting on MVP's FB page and on my own FB page, finally filing an internal appeal which listed all the actions I had taken, I got a...

Updated by user Nov 28, 2017

Actually, the total should be: Denied me coverage then took money from my checking account".

Original review Nov 28, 2017
I applied with my local chamber of commerce insurance representative on August 15th. Around the 28th I got a call from MVP saying my application was denied because I didn't have a qualifying event and it was not an open enrollment period.

I said okay and kept my Excellus insurance. On September 15th MVP took $878.40 from my checking account. I called numerous times about that and bills I kept getting. I was told that they had " no record" of anyone calling me to deny my application.

I filed a formal complaint and was denied repayment. I have now sent a complaint to the NYS Dept of Health Office of Health Insurance Programs Bureau of Consumer Services- Complaint Department and will call them as well in the morning.
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Reason of review:
Problems with payment
Brenan Kff

MVP Health Care - Review in Insurance category

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I recently had my eligibility revoked for the NYS marketplace due to paperwork I was never told to send in. I called MVP on 2/28/17 (when I noticed my payment was $250 more than I normally pay) so that my payment for March coverage could be cancelled/credited back to me until I could talk to the NYS of health and fix it (I had once been a few weeks late with payment in the past and they hadn't had an issue), and even was willing to pay a late fee. The woman on the phone and her supervisor said there was absolutely no way I could get a refund (they really have no way of refunding people?) and now I have to figure out how to pay my rent this month, which is due tomorrow. I would have stuck with MVP for years, but now the moment I can change my insurance companies, I am going to. They are going to lose a whole lot more than $323 from me.
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Reason of review:
Problems with payment
Amaiya Ssa

MVP/ BEACON HEALTH OPTIONS/ CONIFOR PARK

Recently I sent my child to inpatient rehab. My healthcare was under MVP and I was given a list of programs the participate in my plan However, this was all anger via 3rd party Beacon.

My son went to Conifor Park in Schenectady NY that was recommended. My son was kept twelve days and being approved one day at a time via Beacon. After only 12 days my son was sent home with 8 Different types of medication. Being a retired firefighter and EMT I thought why would they do this to my son that had substance abuse.

I organized his meds and after being home a few days he laid down on his bed and stopped breathing and went into cardia arrest.

He was given CPR and revived. This company was only worried about their bottom line and sent my son home with enough medications to kill several adults all over money.

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Cons:
  • Mvp insurance
Reason of review:
Poor customer service

Preferred solution: I want this litigated over my sons cardia arrest

Anonymous
map-marker Montgomery, New York

Mvp insurance stinks

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My employer, to save money, went with mvp insurance if you can call it that.It is better described as " shut up and die insurance ". So far my wife has had a surgery that we had to pay for 100% since they don't cover tumors in the jaw and I have been denied back surgery because once again they don't cover anything . How can it be legal for an insurance company to take people's money and provide no benefit .If you have a choice I strongly suggest that you steer clear from this company unless you like to be told "no" a lot!
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Cons:
  • Mvp insurance
  • Coverage and premiums not as described
Reason of review:
Bad quality
Anonymous

What a terrible company

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My dad was in the hospital and was prescribed Xarelto. When we filled the Rx, it was $300. I tried contacting the company to find out if that is the covered price and when they replied they refused to discuss the price of the Xarelto via e-mail. His follow up was at the end of the week, and we needed to know what options were available, what medications would be covered at a better price and they absolutely refused to respond to my inquiries. They also refused to accommodate my hearing disability by telling me that I need to call for further information. Either they refuse to help me because I can't call in or because there is something sketchy about their rx pricing, I don't know, but it doesn't make any sense that they were unable to answer a seemingly simple question about a drug price.
View full review
Loss:
$3600
Cons:
  • Slow respond
  • Customer service department
Reason of review:
Poor customer service

Preferred solution: Deliver product or service ordered

Anonymous
map-marker Gilbert, Arizona

Medicare Part D Health Plan Review

I have paid my monthly bills before due date, they canceled my 3 little girls policy because they billed it wrong......Now my children have no benefits , something is not making sence here.....NOT GOOD......
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Reason of review:
Problems with payment
Anonymous
map-marker New Paltz, New York

Bait and Switch

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When we applied for an individual health plan, MVP's website said our usual doctors would be covered under the plan we selected, and it's online application website allowed us to select those doctors as our primary care providers. We received a confirmation letter from MVP in the mail with those doctors listed as our primary care providers. I then paid $1,300 a month premiums for several months, which was more than the $1,100 monthly premium MVP's website said the plan would cost. Imagine my surprise when I took our older daughter to her primary care provider and was told by that doctor that MVP would not cover the bill because he was "out of network". How could that be?! He was her selected primary care provider! MVP said that they have not covered our doctors in years and that a new associate must have entered the information in wrong. I said that I applied online, and their whole computer system was thus in error, not a single associate. They said I could appeal the decision.
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Loss:
$4100
Cons:
  • Coverage and premiums not as described
Reason of review:
Not as described/ advertised

Preferred solution: Deliver product or service ordered