Upmc Health Plan Reviews | upmchealthplan.com @ PissedConsumer

Febe Vhb

Philadelphia, Pennsylvania

UMPC Health insurance

Jan 20, 2023

5.0

I have lost my card I would appreciate it if you can send me another card or text me or email me. I need another one. If you can please call me at (717)552-****. My name is Michelle Martin. Thank you so much. Have a nice day.

View full review

Anonymous

Guest-3390925

Finleyville, Pennsylvania

No stars

Mar 08, 2022

nick walnoha is the crudest customer service i have received get the upmc group out of courage and out of war

View full review

User's recommendation: go to ahn loop back to ahn

1 comment

Guest-2144352

Mar 08, 2022

You need to explain your complaint.

Helpful

Randall T Fqi

Wichita, Kansas

Disgusted member

Dec 14, 2021

At this time I am still waiting for a customer representative after 1 hour and ten minutes over a 35 dollar bill delivered to me yesterday and that is 7 months after the initial visit, and now 4 months after my wife passed away. What the heck took so long? If UPMC is so concerned about its members why am I still waiting on line like a idiot. UPMC should be ashamed of their service. Randall A Torok Blairsville, PA

View full review

Preferred solution: Apology

User's recommendation: Just pay the bill because no one at UPMC cares.

Timothy G Qti

Timothy G Qti |

Pittsburgh, Pennsylvania

Too much printed mail even if signed up for email only

Aug 31, 2021

1.0

Why don't you save your customers some money and reduce the gigantic amount of printed media. You are an embarrassment to Pittsburgh and the healthcare industry. So far this year we have received over 10 pounds and it costs me money to get rid of it! Worst of all is that most of the stuff is redundant BEFORE it hits my mailbox. Also you can STOP over paying the management team, its a crime.

View full review

Loss:

$100000

Pros:

Very little

Cons:

Overpriced

Preferred solution: Let the company propose a solution

Sue R Pjo

THEY PAID NOTHING AT ALL FOR ME !!

Feb 11, 2021

1.0

They are in it to just make money , and will pay nothing !! I had a breast exam witch is preventative care which is supposed to be covered by them , I have gone to the same place for years , and when the bill came they said it had to be their people and I got stuck with the whole bill which came to $550.00 They get $1.200 a mouth for me to have their insurance and I haven't even used anything to use insurance just the breast exam, and they said it had to be with their people that they approve of, They don't use well span and the only Hospital they use is in Hanover which is an hour away, I couldn't go to Gettysburg or Waynesboro witch is only 15 mins away even if I was in a accident they would pay nothing, and I again would have been stuck with the bill. Don't go with these people they will rip you off !! They pay nothing at all, and you will be stuck with the bill. But they will take your $1,200 a mouth to do nothing !! RIP OFF !! TERRIBLE COMPANY !!

View full review

Loss:

$550

Preferred solution: Pay my preventative care for my Breast exam !!!

Sue R Pjo

You people should not be in Bussiness !! You ripped me off !!

Feb 11, 2021

I have my mammogram once a year that is preventative care , I went to the place I have always been going for years , I didn't know I had to go to your people , I had it done and got my bill that said you paid nothing at all for my Mammogram NOT RIGHT !! That was the only time I used your insurance which you paid nothing at all for it. I have to pay it now which is $500.00 that you paid nothing on this !! You get $1,200 a mouth and do absolutely nothing to deserve that money, That was the only time I ever used my insurance card from you , I talked to several people in your insurance company that told me they should pay for something since it was preventative care , and no one did a damn thing on it. I will tell everyone how I was treated, and you should not be in business at all !! YOU ARE JUST A BIG RIP OFF TAKING PEOPLE'S MONEY AND GIVING THEM NOTHING IN RETURN !!

View full review

Loss:

$550

Preferred solution: Pay My preventative care Mamogram $550.00

User's recommendation: DON"T USE THIS COMPANY !! THEY ARE A RIP OFF !!

Timothy G Qti

Timothy G Qti |

Pittsburgh, Pennsylvania

High cost & poor service

Nov 04, 2020

1.6

After paying for the Bronze plan, I'm fed up. The cost for two is $18,000 in premiums for the lowest cost and the highest deductible health insurance plan for the last few years. We only used it for one flu shot and two annual visits (with $50 payment). Called UPMC to find out how I can lower my bill, and they said the only way is to cancel my insurance. It was the same story last year. Nice. More for UPMC bonuses this year (for a non-profit ! Hahaha right). Then I said I didn't want to sign up for an annual policy for 2021 because we are both turning 65 in 2021, and we will be going onto UPMC for Life (Medicare plan). They said we can't do that. The system isn't set up that way. Why do they make it so difficult for the consumer? It should be seamless. He said we first need to cancel our 2021 policy and then set up the new policy. We also need to cancel the auto-pay which bills in advance (required by UPMC for a new policy). They are doing their best to pass their work onto the customer. The so-called concierge can't help and only spews policy and procedure with NO HELP in resolving the issues of excessive premiums and poor customer service. At this point I'm thinking, I can't be the only one. We all need to raise up and get a class action lawsuit together over the blatant over billing, pre-billing, false advertising, non-profit status, fraud, and non-existent customer service, etc., etc., etc.

View full review

Loss:

$18000

Pros:

Convenient location
Very little
Website access

Cons:

Inflexible
Ridiculously slow to resolve problems
Duopoly is borderline criminal & illegal

Preferred solution: Apology

User's recommendation: Just stay away from UPMC Insurance

Sharon B Bqt

WELLNESS coverage scam

Aug 24, 2020

1.3

Buyer beware. After paying 1300.00 (on market place) a month for my husband and myself in 2019, I used this insurance one time for my wellness lab work. I have no preexisting medical issues or have I ever been diagnosed with anything (taking no medications) . My dr (who is my boss too) ordered the labs he orders for every patient having a physical exam. I have had them every year with previous health insurance from the market place and my labs were covered 100% under the wellness. If you are familiar with Tower Health Facilities you know they are owned by UPMC and they have a terrible billing dept. I got bill #1 over 1000.00 even though I watched the receptionist scan my new UPMC INS card in they did not have record of it in the billing dept. (SMH). I got bill #2 for over 500.00. I called customer service on the back of the card and spoke to a clueless individual. Long story short, I filed grievance. I wrote a detailed letter and sent all of my medical records and all my previous labs, I also had my dr write a letter and take responsibility for selecting those labs as my wellness. Well came back that they will only cover a lipid test every 5 years no other blood work is covered under wellness? I even tried to contact our Physician liaison in the lab at tower health dept in hopes that they would try and work with me since I am in the medical field and we did refer patients to their facilities. But the person I spoke to did not understand what I was talking about. Now I advise patients to avoid Tower Health and NEVER EVER get UPMC health insurance. I have reps from quest and labcorp that would have helped me out it I used their facilities and got a bill for 500.00. UPMC/Tower health is a FOR profit company. STAY AWAY from them. I am in collections now paying off the 500.00 bill little by little!!

View full review

Pros:

Convenient location

Preferred solution: Price reduction

User's recommendation: AVOID UPMC insurance and TOWER HEALTH medical facilities

Aryam Mqd

Aryam Mqd |

Pittsburgh, Pennsylvania

Issues with 2019 bills

Jan 28, 2020

1.5

This is ridiculous! This is my 6th contact with UPMC Health plan. I have been a customer for years. Anyhow, to repeat myself again, some of my medical Bill's along with my pharmacy bills were paid by me because there was no contact from UPMC telling ALL of the above that I hit my out of pocket in mid October. Giant Eagle pharmacy said that UPMC NEVER notified them regarding my hitting my out-of-pocket! Last week l spoke with Liz T. twice regarding this matter &;;;;;;;;;;;;;; she told me there is a computer glitch on the pharmacy side &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp; it should be fixed by Monday of this week. She was to call me back when the glitch got fixed. So far I have heard nothing. I also received a bill from the lab for December bloodwork which; I should not be getting. Something in your system is screwed up & l am paying the price. This is no way to treat a customer & be a good healthcare provider for almost $1,000 a month premium. I am so frustrated & expect this to get resolved asap!!. I am tired of repeating this to someone who doesn't care & not getting any answers. This has been going on since; Nov. Work it out, please.

View full review

Pros:

Doctor care

Cons:

Policy on accessing childs information if not 18
Illogical finance driven decisions
Ridiculously slow to resolve problems

Anonymous

Guest-1813746

Philadelphia, Pennsylvania

Assistance

Mar 05, 2020

Doctors refusing to provide name and specialty as walking into icu room upon request 3 times still refused. Proper care not given. Infection gotten within the hospital. Respiratory nurse put heated high flow on which then was considered to (burn my lungs). Nurse didnt want to hear it. Thank god I was there to correct some of these thing or my father wouldnt be treated correctly. There were many things done and said that should not have happened. A resident told my brother to sign a dnr over the phone. Stated that my father has to go to the cops when hes better so why not sign the dnr. That is not something to say to people. Also he was released to the police went on a 6 hour drive and was dropped back off in front of your ER and told to have a good one. When he was released yesterday nobody knew where he was and the police at the hospital were extremely rude actually hung up on me and told me my father wasnt their problem. He hasnt walked in 36 days and has a trek in his neck! This hospital needs to be shut down

View full review

David L Myf

Altoona, Pennsylvania

Unbelievably disgusting experiece

Mar 14, 2019

On March 12th I was at my monthly doctor appointment. As always, my doctor submitted my rx to my pharmacy. They know how far of a drive it is for me to get from my home to both. So, it was what they call a life sustaining medication which was filled the prior month on same day. Therefore, when the pharmacist stated " they will not go through until the 14th", I was shocked. So, I contacted customer service @ 180* 286 **** and spoke to a rep who had a hard time understating something simple. And I asked them why they weren't being filled because I had a far drive to a work site where I should have been but took the day off for my appointment. He got a supervisor to call me back who was sorry to tell me that they couldn't help me I would have to wait til the 14th of march just as the pharmacist at Grattan's Pharmacy in philipsburgh, Pa. Today, is the 14th and I am sitting here typing because I just returned home from a very far drive and that same pharmacist wouldn't fill my medication today (against her own words from Tuesday the 12th) and I called the member services and they now say it is unable to fill til the w16th. They have no desire to honor my request to listen to the recorded phone call from the 12th when they clearly stated (they are covered and to be picked up the 14th today. So, now I have risked my life numerous times on long drives to and from all these places that are a great distance. I am so stressed (which also is the most harmful thing for a near 40 year old me. im 38 to be exact. I felt that I was being laughed at by both parties for a reason. I'll take this complaint as far as I can take it. Because, this is costing me a lot more than gas money.

View full review

Loss:

$65

Reason of review:

Poor customer service

Preferred solution: tell the truth that my prescription was ran by my pharmacy on march 12th 2019 and the pharmcist and rep from upmc for you stated the 14th of march it would go through and can be picked up

Anonymous

Guest-1485721

FAIL TO INFORM PROPERLY OF PAYMENT PLANS

Mar 04, 2019

Had to have procedures done-got a large bill that of course we cannot pay in full. We call and set up a payment plan. 6 months later get a collection notice on behalf on UPMC. Called the collection agency-no payment plan on file and did not make one with them since my payment plan was with UPMC. Collection agency representative was very rude. Called UPMC and am explained that the payment plan is only for that particular bill and NOT for your entire account. At this point they "can't add it to the payment plan" and I would have to make a new plan with the collection agency. When I explain that I can only pay a certain amount per month that amount is inclusive of all things under my name to UPMC not just one bill. I was told there is nothing they can do but they apologized for it not be explained to me that every time you get a new bill you have to call and get that as a payment plan. What good does that do me now! All I can afford is what I made the original plan for. No only do they provide terrible health care where they damage your body, don't test the proper area and tell you that it all needs to be done again, but they also don't honor the payment plan set up and then just apologize for not telling you the way it works the first time...…………….really, just trying to get more money out of people that cannot afford it.

View full review

Roman G Gqn

Gastonville, Pennsylvania

UPMC prescription issues

Dec 04, 2018

2.1

I transferred from United Health Care with previous prescription for cholesterol lowering medication. This transfer was due to my new position. Now, they received my medical history, and they do see that the prescription for cholesterol lowering medication was filled for several months so far. I have told them that before that I was taking a different medication for cholesterol that gave me headaches. However, because they could not find this in my medical records they want me to go back to the medication that previously gave me headaches, tell them that I have headaches again and then they may be allow me to prescribe the medication I have been taking for several months without any side effects. This issue is purely based on their financial consideration, since the first step anti-cholesterol medication is cheaper. Now, basically what it means, hey, although you are telling us that you were prescribed a first step medication before, we don't see it in your records, hence we don't believe you and don't have to fulfil our health care obligation... Also we can pay for cheaper medication that you say gives you headache, then we will see that it gives you headaches and maybe allow you the regular medication(If they don't find any other opportunistic exit)……. There is nobody really that can change this policy, you can file a complaint, which I've done, but who cares in there....They store it in specific electronic folder all those complaints called a trash can and they do a quarterly cleanup, or since it's probably fills up pretty quick they do a daily cleanup for that trash can....

View full review

Loss:

$10000

Pros:

Online options for communication

Cons:

Illogical finance driven decisions

Reason of review:

Bad quality

Insurance Expert Talks

Insurance Claims Tips: What Red Flags to Watch Out

Apr 23, 2021

Insurance claims, insurance fraud & why you might need a public adjuster. Watch our video interview with Vince Perri, CEO of Commercial Claims Show, get expert tips on how to file insurance claims and get the settlement.

Read full article

Vince Perri

Vince Perri is a Expert Claims Adjuster and CEO of Commercial Claims Advocate. He has over 14 years of experience in handling large commercial losses and complex residential insurance claims.

Nancy S Vbx

Pittsburgh, Pennsylvania

What a RIP OFF

May 24, 2018

1.5

Updated by user Jun 26, 2018

There is no update on this review as they really do not seem to care what people think of them they have you sign a contract at the beginning of the policy year and you are stuck.

Original review May 24, 2018

My doctor had submitted a prior authorization request for medication for osteoporosis; this medication was refused by my insurance company. I called member services to attempt to find out why it was not covered and then was told it was completely covered. The following day I received a letter from UPMC telling me to contact member services and was given completely different information from this representative. She told me that the original paperwork from the doctor’s office was incorrect, that they did not tell the insurance company I had previously been on Fosamax but it gave me an ulcer and I was no longer allowed to take it. WHY DO INSURANCE COMPANIES THINK THAT THEY KNOW MORE THAN THE DOCTOR????? The member services representatives do not have the answer, obviously, as they gave me two different answers and apparently the people who do the authorization can't read, as the doctor’s office showed me the original request and it clearly states that I cannot tolerate Fosamax. Since I pay $800.00/month for coverage I find it impossible to believe that ANYTHING is not covered. I will not go to the hospital for an infusion as that is a WASTE of money as opposed to a shot in the doctor’s office. UPMC chooses when to waste my money and one of the biggest wastes is that I pay for this insurance.

View full review

Pros:

Very little

Cons:

Drug approval process

Reason of review:

MY VACATION

user35599813

Pittsburgh, Pennsylvania

Great customer service, website access, doctor care

Mar 09, 2018

4.1

I'm new to the UPMC for Life Plan. I've had Highmark and Aetna most recently and they were terrible! Highmark could never find me in their system because I had signed up for a plan but called the next day and upgraded plans. So they always told me I cancelled my plan! HOWEVER, with UPMC I am so impressed with their customer service on the phone, their doctors care, and their website myupmc. I love the feature that enables me to see all my lab reports on that site. The only thing I would say that I was concerned about was when I recently went to a UPMC Hospital for chest pains, I waited quite a bit, maybe an hour, then I had to ASK to be seen. Chest pains are a big deal. They did bring me back to triage and did an EKG and took blood but then they had me sit back in the waiting room with a needle in my arm to 'save time if we have to give you fluids later.' I think I waited for another two hours. When I asked the nurse about how I get the results of my flu shot, she said to follow up with my pcp. I told her I didn't have one. She didn't seem to understand my question. Finally I figured out they will call me if it is positive. But she should be aware that I was able to find the results myself on myupmc.com.

View full review

Pros:

Doctor care
Customer service
Website access

Cons:

I had to wait to be seen in er for chest pains

Reason of review:

Good customer service

Anonymous

Guest-1068122

Pittsburgh, Pennsylvania

UPMC health plan - terrible

Jun 30, 2017

1.0

UPMC health plan calls and says they canceled my health insurance due to change of address I gave them. I never contacted them with a change of address. They also forced bills to go to highmark insurance even when they are out of network at UPMC facilities instead of processing them in their health plan. Terrible insurer! Horrible patient care.

View full review

Reason of review:

Poor customer service

Contact Information

Website:

www.upmchealthplan.com

Mailing Address:

US Steel Tower 600 Grant Street

Pittsburgh, Pennsylvania 15219

United States

Phone:

(855) 489-3494

Contact Upmc Health Plan Customer Service

How satisfied are the customers?

Check customer satisfaction score and preferences. Find out what customers truly think and feel about the company, product, or service.

View Dashboard

Brands Related to Upmc Health Plan

Companies Similar to Upmc Health Plan

It's inappropriate or not family friendly

It's a duplicate by the same member or copied text

It contains commercial or promotional content

It includes private information

Sexual exploitation of children

Sex trafficking / prostitution or advertising of the above

I am affiliated with this business and need to report something about this review or business

I am the author of comment and would like to remove it

I want to report something else

Cancel

Upmc Health Plan

Upmc Health Plan Overview

Top Upmc Health Plan Reviews

"UMPC Health insurance"

"Too much printed mail even if signed up for email only"

UMPC Health insurance

No stars

Disgusted member

Too much printed mail even if signed up for email only

THEY PAID NOTHING AT ALL FOR ME !!

You people should not be in Bussiness !! You ripped me off !!

High cost & poor service

WELLNESS coverage scam

Issues with 2019 bills

Assistance

Unbelievably disgusting experiece

FAIL TO INFORM PROPERLY OF PAYMENT PLANS

UPMC prescription issues

Insurance Expert Talks

Insurance Claims Tips: What Red Flags to Watch Out

What a RIP OFF

Great customer service, website access, doctor care

UPMC health plan - terrible

Brands Related to Upmc Health Plan

UPMC

Companies Similar to Upmc Health Plan

United Healthcare

Humana

Gateway Health

Ambetter

Why Trust Reviews on PissedConsumer?