Drug Benefit
by Chris Nickel on Apr 16, 2024
2 out of 5 stars
Sun Life appears to not believe severe depression is a disability. They need to update themselves and enter the 21st century. Initially approving, then denying a disability by Ms. Jollymore, mother of a severely disabled baby, receiving palliative care and they cut off her benefits.
Disgusting behaviour, but not *unexpected* from these rip-off insurance companies that get rich off our backs. Sun Life is one of the very worst.
Sunlife confirmed coverage of charges ahead of time when I verified. They then refused payment. When I called Sun Life the service team blamed internal consultants for coverage refusal. Multiple calls and wasted time, each time Sun Life promised to rectify the situation. They never did and ultimately waited until we gave up. Stay away from this company. Over the 12 years, I was a client because of my employer... I have multiple examples of this company actively avoiding coverage and generally being a terrible insurance company. If you have a choice stay away from Sun Life at all costs.
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I have Sun Life gold package for dental treatment. All estimates sent by my dentist have been rejected, nothing approved.
Nothing covered...
Very low standard insurance provider
Out of all the group benefits providers I have used Sun Life has been the worst customer experience. The gist of my complaint is they refused to pay the full claim for my contact lenses/eyeglasses because they said I filed the claim 2 days early from the exact 2-year anniversary date. Called 2 times and no resolution was provided. Escalated issue to a manager but was denied access to a manager or the claims adjuster. They could not reimburse me for the full amount or allow me to cancel the claims and resubmit it. CSRs were from another country and it was difficult at times to understand them (English was not their first language).
If anyone has a small business looking for group benefits, please avoid this company at all costs!!!! No point to have unhappy employees. My experience with the other insurers was excellent. A call centre was in Canada or North America. The employees were empowered to fix issues.
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The Pharmacy I attend raised their dispensing fees back in January by 1 dollar.
My Group Benefits with Sun Life state 100% coverage without any noted limitations like "up to and including".
Sun Life will not recognize the dollar increase and are forcing me to pay. I know, it's only one dollar, but that's not the point to us it? Next year it might be two, etc.
Currently, in short term disability due to surgery. Lost wages claim felt like a lot of delay, with numerous "we need more information from your doctor" and "we need some clarification from your doctor". Not outside the realm of possibility, just having multiple responses of this kind makes me think, either my doctor is a fool or Sun Life dragged its heals.
When I return to work, I am putting serious thought into leaving group benefits and going back to our previous group benefits provider in a private basis. Already acquired quotes and they look favorable.