Hey all, I’ve been having issues with my insurance trying to approve a surgery. My surgeon submitted a prior authorization and they denied it. They resubmitted it with a different diagnosis to meet the criteria. They usually take 5-10 business days. But within 48 hours I checked my UHC account and it said “cancelled”. What does it mean when it’s been “cancelled” and not actually denied? I have United Healthcare through my mom’s work. Thanks!

So a few months back my secondary health plan changed because I made too much money to stay on the plan that covered the payments which my primary insurance didn’t cover for my therapy appointments. Today, I get a call from the therapist saying a few things: They didn’t have my secondary listed anymore(not sure why), my insurances United and mass health were not aware of each-other, and now I owe $550 for past appointments. What’s really annoying is when I had this insurance plan change, I made sure to talk to my therapist and office asking to make sure I was still covered, and I don’t remember if they gave me a *clear* yes or no, but I remember being told that it should be fine. My personal line that I drew for myself with therapy is I would stop going the second I had to pay a dime out of pocket for it(it’s been almost 2 years since I’ve started) So my question is there any legal repercussions if I don’t pay a dime to this debt? What options should I explore, if any at all. Do I just make a payment plan for 1 dollar a month? lol Obviously I feel very wronged by this, and insurance companies won’t give a damn about me telling them “oh no I thought I was covered”. Thanks for any input.

I had horrible customer service experiences with United Healthcare this past week. Horrible enough that I want to send a complaint to the appropriate people. I have unsuccessfully searched all over for an email address - I can't stand the thought of another phone call with them. Does anyone know the email address?

I am wondering if anyone has figured out the best insurance available in ohio that is budget friendly? I use to have medicaid but they kicked me off a few months ago and ever since I've been on this healthcare marketplace insurance with united healthcare but in still struggling with paying it and living my life lol... I have omnipod and dexcom g7 and they barely cover that... I'm also wondering if it would help to find separate insurance from my spouse? Or just to stay on the same insurance?

UPDATE: I called this morning and apparently the post authorization did get approved without my knowing and without updating in my online portal. It's still showing online that I owe the full amount but the employee I spoke with said to ignore those charges and wait for a bill in the corrected amount of $333.87 which is much more palatable. Major thank you for everyone's input!! It was late and I was getting very anxious about it, I seriously appreciate everyone's comments. Hopefully there won't be any more mishaps and I know better moving forward to make sure preauth gets sent. Recently I had a colonoscopy at the suggestion/request of a gastroenterologist for issues I've been having. This was my first time having any kind of outpatient procedure and my first time dealing with marketplace health insurance (United Healthcare) on my own. I did not know that prior authorization was a requirement for this procedure. Prior to scheduling the procedure I spoke with UHC about coverage and was told I'd only be charged the copay because it was in network. After the procedure I found out the medical office and hospital failed to request authorization and did the procedure anyway, now I'm being charged $5,000+ for the colonoscopy because of it. I didn't know I needed authorization and moreover it was the medical facility's responsibility to get that, and NOT perform the procedure unless it was granted. Am I mistaken? Has this happened to anyone else? What are my options? I've already called the medical facility to submit a post-authorization appeal but it seems to be denied as well. I'm at a loss and feel entirely screwed over, would love some advice!

This is a weird problem to have. My therapist is not in-network (I have United Healthcare/UMR) so I pay her and submit the bill to UMR for reimbursement. For about a year, my insurance has usually said she is in-network, and reimburses me for about 50% of the cost (100% of their "adjusted cost" which is half of what I actually pay her). I mentioned it to her but she said she has never been in-network, which I believe - it would be pretty dangerous for her to try and take payment from both me and the insurance company. So I figured it's fine, if my insurance says she's in-network when it comes to reimbursements then I'll believe them. The reimbursements this year are now 95% of the actual cost (so they're paying me back more now). And I'm really starting to wonder, is it my responsibility to say something to the insurance company about this? Is there a chance that they ask for some of this money back later? Thanks for your advice