OptumRx: From an insider and subscriber's point of view...
A OptumRx customer review by GetHuman user ~ClarifyingMisconceptions from November 17th, 2017
Background on ~ClarifyingMisconceptions's case
GetHuman: ~ClarifyingMisconceptions - can you tell our other OptumRx customers when your case took place?
~ClarifyingMisconceptions: Yes I can. It was late at night, on November 7th.
GetHuman: Did you reach out to OptumRx, and if so, how?
GetHuman: And which of these common OptumRx customer issues best describes the reason you wanted to talk to them?
(Shows ~ClarifyingMisconceptions a list of common OptumRx problems)
~ClarifyingMisconceptions: "Place an order" was why I was trying to call.
~ClarifyingMisconceptions's review of OptumRx customer service
GetHuman: So how would you sum up your experience for GetHuman's OptumRx customer community? We'll censor any IDs, numbers, or codes and any inappropriate words here out of respect to the millions of other customers using this resource.
~ClarifyingMisconceptions: From an insider and subscriber's point of view I have great sympathy for those who have been "transitioned" to OptumRx. The number of calls from seniors regarding denied or rejected prescriptions is unbelievable. After minor investigation as to what the logic is behind the denial, I must complete an in depth investigation to find out that the logic applied is "deceipt, and lack of common sense". The "specialist"(used very loosely) have little or no knowledge as to why claims are handled as they are. Members who pay exorbant amounts of money for health insurance would be better served spending the time they must to determine why a claim is rejected, working another job to pay for the prescriptions they need, and previously had covered.*The previous person asked for an explanation of the ***** logic, it's a method that is being used to compensate for inflation and the rising cost of health care. These percentages, **% * **% or whatever yours may be, are called "coinsurance". Co in what
GetHuman: Let's quantify your experience contacting OptumRx. On a scale of 1 to 5, how easy is it go get help on a OptumRx problem?
~ClarifyingMisconceptions: I'd give them a two out of five for ease of finding your way to help.
GetHuman: What about quality of communication. How would you rate that on a 1 to 5 scale?
~ClarifyingMisconceptions: I'd give them a five out of five on communication.
GetHuman: And what about OptumRx's ability to quickly and effectively address your problem?
~ClarifyingMisconceptions: For that I would say two out of five.
GetHuman: And finally- any advice for other OptumRx customers?
~ClarifyingMisconceptions: Call them early in the day or late. Don't forget any personal or account information you might need for OptumRx to know who you are.
GetHuman: Well there you have it. Some useful feedback and words from ~ClarifyingMisconceptions taken from his OptumRx customer service problem that occurred on November 7th, 2017.