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Periodic Contributor

Optum RX - STAY AWAY

If you go to a pharmacy and they hand you a prescription then tell you it cost $160, you have the choice of handing it back.  NOT WITH OPTUM RX.  Website said no co-pay.  Prescription recieved then credit card bill arrives with $160 charge.  Called Optum RX.  They will not accept any return nor issue any refund.  Called Regions Bank to dispute charge.  They refused to accept dispute but charge penalties and interest while reviewing my case and reported a late payment to credit bureaus.  The whole experience has been BAD!!!

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Periodic Contributor

I agree. Not ONLY the credit card issue, there are soooo many other issues. Here is a review I wrote today on Yelp.

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It will be with GREAT HAPPINESS when my year with OptumRx is done. They are the WORST PBM I have ever had to deal with. Their customer services reps are rude, condescending, do not understand customer service, and SPEW POLICY. Anytime a company has to cite, lecture and preach policy, it means they have NO CONCEPT of customer service.

Please understand, I worked in operations, sales, marketing, account services, etc. Within healthcare INCLUDING managing call centers. I also understand EOB, EOC, SPD, and as a member services supervisor I had to understand HUNDREDS OF PAGES of policy. Then HUNDREDS of different customer plans.

I am so thoroughly DISGUSTED with this PBM. AND one of the reps when I asked if I was allowed to speak, she then said yes. Then she went on to tell me about MUTUAL respect on the call. Again, I managed call centers in various industries. I also managed the call center Technology. As well as manged telecommunications. I manged restaurants, I waited tables. I have worked front line positions. I have worked I retail. In other words, they believe I have NO CONCEPT of mutual respect. Then MANAGEMENT NEVER even contacted me when this company completed screwed up. NOTE: I also reported to VPs and interfaced and routinely worked with EVP and C level individuals.

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Trusted Contributor

Hi Sarah,

    I keep getting all these almost threatening 'offers' to join Optum since I'm with United Healthcare, even though I've answered surveys, sent an e-mail, responded to phone calls, and even sent a letter via the USPS asking the solicitations to stop. I did this because about every other time I get an 'offer' I browse the internet to see if there are ANY recent good reviews on Optum. So far, its running 85% CON and only 15% PRO to use the service, so why should I join? I've stated that fact in all my communications to United Healthcare, but it hasn't seemed to do any good. I'm not sure if its a situation where the right hand doesn't know what the left hand is doing, UHC didn't do their due diligence in verifying Optum's accuracy and integrity in processing and filling prescriptions, or they just don't care.

     As an informed consumer, its worth it to me to pay $6/each for 6 prescriptions every 90 days, or $144 annually at a local pharmacy to ensure I have the meds I need for several chronic medical conditions, instead of having to go through the stress of laissez-faire operators at a company who can't seem to process and delivery prescriptions as needed by chronically ill patients - even at supposedly $0 cost to me for all or most of my meds. (Another thing you can't find out unless you call one of the 2 different numbers I've been given over the last few year to call to sign-up for this 'wonderful' plan.)

     How is it that AARP or United Healthcare can't seem to do anything about the slipshod way many patients' meds have been mishandled by this company?

     While I don't always print out the invoice shown at the end of my ordering process, I do read it and jot down the total cost, order #, etc. to compare it with the e-mail confirmation I usually receive from the vendor within a few minutes of placing an online order. I then file the e-confirmation in a file folder until I receive the order, then compare the invoice enclosed with the order against the one in the e-mail.

    Other replies about the process for dealing with your credit card company are correct. I usually spend about an hour printing out everything I have to back-up my narrative, then type exactly what happened when, with who, etc. in the body of the letter to the address shown on the back of my credit card statement for such complaints. It usually ends up being a 2 page letter with at least 2, to sometimes 4 other pages of attachments. I've done it at least 5 times over the 30 years I've had my one card. Each time they held the amount in limbo with no interest or fees accruing unless a resolution was made. Only in one instance did I end up having to pay the charged amount - approximately 3 months after it had first shown up on my statement.

     I hope you have since cancelled your prescriptions at Optum and reverted to a local pharmacy.  I shopped around in my rural area and have to drive 30 minutes to get mine, but I will NEVER sign-up for Optum. If it becomes mandatory in order to stay with UHC, I guess I'll be checking Cigna, Humana, etc. in coming years.

Cee
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Periodic Contributor

Cee

Wish I had done the same research you've completed but yes, I have since canceled Optum and reverted back to my local pharmacy.  Hopefully others will get this message so United Healthcare and AARP either drop Optum or force them to provide basic customer service.  Thanks for your note!

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Periodic Contributor

FYI...Optum RX is part of the United Health Group so don't expect UnitedHealthCare to drop OptumRX.  Cigna also uses Optum.  Aetna does not.  Aetna has its own mail order service.

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Recognized Social Butterfly

I feel a moral obligation to make my criticsm constructive.  Stop being a sucker and use this free service:

 

https://www.goodrx.com

 

In my experience, only Walmart doesn't honor GoodRx coupons.

 

You are getting sleepy.
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Regular Contributor

Good Rx is a wonderful service! Thank you for mentioning it. I think you still need to be enrolled in a Medicare D program in general but I’m going to sign up with the one that has the cheapest premium and use Good Rx as well. Too bad insurance companies rip off seniors, it’s a disgrace! 

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Community Manager
Community Manager

@SarahH845050  We are sorry you had this experience with Optum.  We have escalated this internally and have asked them to look into this further.  You should receive a call from them in the next few days.

AARPTeri
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Honored Social Butterfly

@SarahH845050

 

There is an official manner which you have to file a dispute with your credit card company - it is a legislated procedure to preserve your rights as a consumer.  The procedure should be outlined by your credit card company on your statement or on their website - it tells you exactly the time limit to file, the address to send your disputed amount details and that the amount will be in limbo on your account until the dispute is resolved.

 

I believe if you have some proof from the Optum Rx website when you placed your order of the price that was shown and then filed an official dispute with your credit card company, you would have a good chance of recovery.

 

I don't use OptumRX but are you saying that when you place an order for an Rx with your account number/plan number that they don't give you a page confirming the order and the details like your price for it, where it is being shipped,when it will arrive, tracking info, etc.?

 

Now, this is the process for credit cards - NOT debit cards.

 

 

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Periodic Contributor

Ordered 11 meds at 1 time and all showed $0 co-pay.  I did not print this as I owed nothing.  Went back to website after reciept of credit card bill and only then did it show a $160 charge.  I tried disputing this creidt card charge with the bank but unless I have the before and after print-outs, they will do nothing but charge me fees for the "late" payment.  

 

Why would I pay a bill that I don't believe I owe?  I think you owe me $100.  If you disagree, send me the money and we'll talk about it when I have time.

 

I can understand paying fees and penalities if I refuse to pay a bill after the diespute is resolved even if the resultion is not in my favor.  I DO NOT agree with paying anything before then.

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Honored Social Butterfly

@SarahH845050

 

Here are your answers:

OCC.gov - Help With My Bank - Credit Card Disputes FAQ

 

Of course,you do have to have some proof and provide it to the credit card company, with an explanation of the dispute.  The credit card company reverses payment to the vendor and leaves it in limbo until the dispute is resolved.  They act as middle men in the dispute resolution.  If you file your dispute in this specified manner, the charge in question does not age, nor are there any fees - interest or penalties during the time that the item is in dispute.

 

Since it seems that may not work for you now, you can always file a grievance with Medicare to document your complaint against OptumRX.

 

Medicare.gov - How to file a complaint (grievance) against your Prescription Drug plan

 

Like I said, I don't have dealings with OptumRX but your booklet of terms and conditions should specify your cost of the medications by tier level, deductible, TrOOP, place of purchase - etc.

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