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TomK211147
Contributor ⭐
September 15, 2020

Refund check for drug overcharges that has never been recieved

  • September 15, 2020
  • 2 replies
  • 8515 views

I recieved a letter in mid june 2020 stating that UHC had sent me a check for $522.68 for overcharges on my drugs purchased through OPTUMRX and my local pharmacy that has never been cashed. They included a form to have OPTUMRX and UHC re-cut a check for the $522.68 and it was sent on july 1,2020. They said that once it was recieved, it would be processed and re-issued in 7 - 10 business days and I should recieve it in 30 days thus I should have recieved by mid-august. It is now mid-september and still no check, just a runaround when I inquire when check was sent and when i should recieve. I have now contacted the Attorney General in the State of Nebraska's medicare fraud division to file a formal complaint. I had UHC- AARP medicare complete HMO and was getting all my statements to my current address thru December 2019 when I moved my coverage to Humana medicare HMO. As of today, September 15, 2020, I have not recieved the refund check for the overcharges on the OPTUMRX perscriptions.

    2 replies

    GailL1
    GailL1
    Community Champion ⭐⭐⭐
    September 17, 2020

    @TomK211147 

     

    This sounds very fishy to me - there are lots of scams going around.

     

    Did you have to give any of your personal info on the request?  Like your social security number and/or your bank account number?

     

    Do you know whether or not the claim was even correct - i.e. that you are owed money??

     

    I think it is good that you contacted the AG but if you did give out any of your personal info on the request like your SS # and/or your bank account info - you need to also contact Medicare Fraud Unit.  Also make sure that your bank account and social security account is secure - same for your credit.

     

    This is kind of old but scammers sometimes just redo old scam and put them back into service again.

    AARP: 6 Common Medicare Scams 

     

    I hope I am wrong but unless you are assured that the "refund" is substantiated by the insurer and you understand the problem - then it could be a scam and you need to protect yourself NOW.

    IT‘S ALWAYS SOMETHING . . . . .. . . . Roseanne Roseannadanna
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    LindaR298556
    Contributor ⭐
    April 15, 2025

    I received a check today 04/15/2025 from Optum Rx in the amount of $175.00.  Check came with a letter of explanation stating i overpaid a prescription and they were refunding the funds.  The bottom of the letter has verbiage about how plans are insured by UnitedHealthcare. It also references a DATE OF SERVICE as 04/01/2025.      Sounds legit, right?  Wrong. 

    I moved to a different county in Florida at the end of February 2025. I made sure I had enough of my prescription meds to last for 2-3 months. My medicare insurance was Aetna before the move, coverage ended 03/31/2025. After the move I changed to United Healthcare and the coverage started 4/01/2025.  I was able to make an appointment with the new doctor for 4/30/2025.  So i absolutely know I could NOT have a date of service 04/01/2025.   I looked at the check again held it up to the light and there was no security lettering in the background of the check.  I looked online and found these Optum Rx check scams were happening years ago but it looks like they are back.

    You deposit the check then they advise you it was an error and you have to return the money.  When you return the funds they get a hold of your account information. 

       ***** BE CAREFUL DO YOUR DUE DILIGENCE ****

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