Appalling
by James Caddy on Jun 13, 2024
1 out of 5 stars
Le service est horrible. Les employés ne sont pas polis, ils ne sont pas formés correctement et ils n'arrivent pas à traiter de simples demandes. Le suivi des demandes est médiocre. En fait, il n'y a aucun suivi de fait. Ils refusent de couvrir des éléments qui sont dans le contrat d'assurance. Je vais évaluer la possibilité de déposer une plainte aux instances qui protègent les clients de ces pratiques abusives de la part des compagnies d'assurances.
Denied my claims on my PERSONAL HEALTH PLAN, in which i have $500 to use “freely” for stuff that isn’t covered (which is literally everything, there is terrible coverage with this company).
Im now $500 in the hole from PHYSIOTHERAPY that was supposed to be covered!
It has been one month and I can't get through, or talk to anyone or get my claims processed. They denied my claim saying it was before the date of insurance. I can't file a claim because they say I have to file with my secondary insurance first. I don't have a secondary insurance. Omg 😱
I have been with Canada Life since July 1, 2023 and it's been a nightmare! Wait time to reach someone by phone is 2 to 3 hours every day and every months since we joined. After waiting 2-3 hours, answers, explanations and solutions are non-existent. Messages go unanswered, claims are denied with no explanation, Co-ordination of benefits just don't work. The on-line chat does not work.
It appears that the only departments that are working well there are their 'DENIAL' and Accounts Receivable depts.
This is really shameful.
It has been months since the Public Service Heath Plan was switched over to Canada Life. The website still does not work properly and their customer service representatives refuse to take any calls about improperly rejected drug benefit claims due to "higher call volumes". Canada Life is not doing anything for us for free: we pay every pay check for this service. This is absolutely pathetic.
It is literrally impossible to speak with someone. They keep denying claims saying that I need to provide my kids proof of school attendence which I provide every single claim...
First its 2023, keep up with everyone else. The app is for dental which now a days no on needs, the health side doesn't have a app, so you need a computer to submit. Submitting you have to enter your info every SINGLE time, doesn't save.
Second, EVERYTHING comes back denied, After waiting a MONTH.
Third, call times are insane. You call right at 8:00 am and there's an hour wait. If you call after 10 am there's just no getting through, nor is there a time to wait they just hang up on you.
Customer service is terrible, rude and I'm assuming they have no staff.
YOU should just close. NOT a successful company at all. It's terrible how you even have customers.
I know all insurance companies are a pain, but this one is in a different league. YOU personally have to follow up with management about your cases multiple times, when they finally contact you, they deny your claim as soon as possible; if you need to claim any medical benefits, or drugs, ect, 90% of the time the website & phones are "down due to technical issues."
Good luck claiming anything or getting any coverage.
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I was going through some health issues and my case manager Jamie was a nightmare to deal with. I went and got cleared by multiple doctors including their own and every one of them said I had to be off work for a bit. Jamie deliberately went against and fought the doctors and me every which way and on multiple occasions telling me my symptoms weren't as bad as she thinks they are and her opinion matters more than the doctors, she also tried to get me to quit my job a few times. I spent months accumulating debt with no payments coming in while stuck in limbo until the point I lost my home, almost lost my car, had to sell most of my possessions and had to move back to live with my parents. I paid into this company for almost 4 years and when it came time to use the money I put into this company they screwed me over. I will never in my life work for a company that uses these scammers as insurance. There was never any formal of resolution and they just kept sweeping my calls and complaints under the rug.
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Over a month to add someone to plan despite numerous escalations then denying claims.
Denying claims for prescriptions saying it's not a prescription.
Two months wait for claim to be told the website doesn't always take claims and they have no record.