Owed funds and NEVER PAID
by BCMike on Jan 4, 2024
1 out of 5 stars
We recently submitted a claim for a medication. The first time we filled it, the out-of-pocket cost was approximately $17 which wasn't too bad. Not even a month later, we refilled the prescription and the out-of-pocket cost was now $22. Upon further review, Canada Life came up with silly reasons about why they didn't cover more. The same exact cost was submitted for the claim on both prescription refills and the same dispensing fee. Our plan is to cover 80% of this particular medication. The medication cost is $50.56. The dispensing fee is $7.49. Canada Life paid $35.71. Out-of-pocket was $22.34. But then about three weeks ago, I ordered the exact same medication (same DIN and manufacturer) and the costs were all the same (medication was $50.56, the dispensing fee was $7.49 and insurance paid $40.21... so out-of-pocket was $17.84) HOW? So Canada Life doesn't actually cover 80%. It's cover what they want to cover and that's that.
When my mother passed away from ALS, Canada Life was very easy to deal with and accommodating. They worked with my brother and me to get an advanced payment based on her diagnoses and the expected time left. She ended up passing away before we received advanced payment but Jeff was very easy to work with in getting us the full payment instead of the advanced payment when the time came.
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Was turned down for coverage but they still kept my money. How is this “company” still in business??!?
Now a lawyer needs to come into play.