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Honored Social Butterfly

Re: Optum RX - STAY AWAY

2,479 Views
Message 1 of 129

@p243396w wrote:

I am being charged $600 when the price at Walmart for the same item without insurance is $36. Had Drs office contact optum twice now without response.

 

Best plan seems to be switching to different company asap. Filed complaint with Medicare, bbb, consumer affairs., and bank of america.  Maybe there using the current pandemic situation to steal from seniors. Could be possible.


Every insurer negotiates their own prices on different drugs.  Medicare dictates via law which different classifications of drugs they have to carry on their formulary and how many of a certain type.  You have the right to chose the insurance that is best for your needs - including which meds and their cost.  You have the right to change a Medicare Part D plan or a Medicare Advantage Plan with or without a built-in drug plan every year during open enrollment.

 

But, if you are correct in your price check on this medication, then why not just buy it at Walmart without using your insurance.  You might even check GOOD RX to see if you can find an even cheaper price.  How Good Rx Works

 

You are mandated by Medicare to have drug coverage or face a premium penalty if you ever need the coverage.  But they don't mandate that you have to use it. 

 

Insurance is a share and share alike instrument - you pay your premium not just for yourself and your coverage but to also share with others to help them cover themselves and their needs. 

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Re: Optum RX - STAY AWAY

2,613 Views
Message 2 of 129

I am being charged $600 when the price at Walmart for the same item without insurance is $36. Had Drs office contact optum twice now without response.

 

Best plan seems to be switching to different company asap. Filed complaint with Medicare, bbb, consumer affairs., and bank of america.  Maybe there using the current pandemic situation to steal from seniors. Could be possible.

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Newbie

Re: Optum RX - STAY AWAY -- Hell RUN AWAY

3,077 Views
Message 3 of 129

Someone tried to sign me on to Optium RX or they're fishing.

 

First I got an autocall where I just had to say YES to join -- I hung up.

Then I got an email asking me to auto-reply -- didn't reply

 

Stay Away doesn't describe the above.

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Honored Social Butterfly
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Re: Optum RX - STAY AWAY

4,181 Views
Message 4 of 129

@aw6946 

🏆

Let's Make it Easy -

Medicare.gov - Medicare Complaint Form 

 

High star-ratings should not be given to companies that don't perform well.  Part of their payment from Medicare is based on their star-rating.

 

You can also vote with your feet - you can switch to another Medicare Advantage plan, a Medicare Prescription Drug Plan, or a combination Medicare Advantage Plan with an included Prescription Drug Plan during Open Enrollment in the Fall each year.

 

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Periodic Contributor

Re: Optum RX - STAY AWAY

4,196 Views
Message 5 of 129

FOLKS....

 

PLEASE start contacting Medicare to report both OptumRx and your Healthcare plan if it's provided through your advantage type.  Also report AARP UHC to Medicare.

 

This is the ONLY way it will be rectified. This could be considered fraud because people aren't receiving their money.

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Re: Optum RX - STAY AWAY

4,207 Views
Message 6 of 129

I am having similar problems with OptimRX.  The have told me they issued a refund check, but it never came.  I went through their messaging center on line. And they first told me they couldn't reverse the charge and put the money back into my checking account, that they would have to issue a check, that never came.  I have called them about 10 times, and have 20 messages.  They still have my money.  I will NEVER recommend them again.  In fact I may even change my  health care to a different company than AARP Complete/United Health Care.  Senior citizens don't need this kind of frustration.

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Re: Optum RX - STAY AWAY

4,656 Views
Message 7 of 129

I have United Healthcare Medicare Advantage also.  Three of my drugs are 90 day and I can only use Optimum for 90 refills.  If I go through CVS or Walgreens, I must make 3 co-pays.  Virtually every time I need to get a refill, there is a problem with Optum RX.  I've never once had a prescription filled with them without either a run-around or a problem occurring.  You often get contradictory explanations depending on whom you speak to.  They also show little or no concern that your drug has not been filled and never follow up with you.  Horrible!  

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Regular Contributor

Re: Optum RX - STAY AWAY

6,670 Views
Message 8 of 129

Thank you, actual feedback such as this is much appreciated.

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Periodic Contributor

Re: Optum RX - STAY AWAY

6,688 Views
Message 9 of 129

Briova is no more.  They are now OptumRX.  😞

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Periodic Contributor

Re: Optum RX - STAY AWAY

6,689 Views
Message 10 of 129

My insurnace is United Healthcare, through my spouse's employer. OptumRx is a division of United Healthcare.  That is why they push (to put it nicely) people to have their RX filled through OptumRX.  

 

United Healhcare will not allow Walgreens to fill my prescription that is WRITTEN for 90 days, to be filled for 90 days.  30 days is max allowed.     

 

The same medicine, when my insurace was Blue Cross Blue Shield, was 20.73 for 90 days when filled at a Safeway pharmacy.

I now pay a little more then $20 for a 30 day supply.

 

Hard to say if the difference in price is due to me changing insurance companies, if medicine went up in price over the last few months, if the one pharmacy is more expensive then another, if I am being "punished" for not going with Optum Rx, or a combination of factors.  (I lean towards United Healthcare is punishing me.) 

 

At this point, it is worth it to me to pay more (for this particular medicine) to NOT have to deal with OptumRx!  

 

Maybe they only increase the price for certain meds?  I have a VERY expensive RX coming up.  I hope to find out this week IF Walgreens can fill it (it is a speciality medicine) and how much it will be through them.  If I remember 🙂 I will post what I find out. 

 

 

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