Bandits
by Danielle Dusome on Dec 29, 2023
1.5 out of 5 stars
Equitable is extremely reluctant to cover expenses, and requires a perverse amount of information to do so.
My wife has no coverage for counselling through her benefits. In order to get Equitable to pay I have to submit the $0 EOB from her coverage, before they will cover.
Additionally, if the practitioner is the same as last week, and you covered that expense, then you already have their registration number, don't you?!
I hope very much that a computer is reviewing my claims, because if it's a person, they are dangerously incompetent!
I will NOT RECOMMEND this insurance, especially their Group Health and Dental Benefit due to:
1.Their booklet does not reflect the full requirement esp with custom made orthotics (please read another review here by dee on 24Jan2017);
2. Don't respect doctors prescription or find the medical judgement unsatisfactory;
3.They issued me a statement stating my condition "does not warrant treatment" though they have not seen, nor assessed my condition - the statement was plainly based on all the paperwork they received.
4. You get what you pay. Before they pay up, they will ask for too much paperwork. They think, our MD's or health service provider can make letters after letters to explain further your need for treatment.
Please avoid or spare your company and your employees complains, embarrassment, headache and grief just avoid this insurance as stay with the big names.
Their policies are a lot worse than those of other insurance policies, for example: 90 days to submit all claims after you terminate (and who wouldn't). Their systems are archaic and when you call in, nobody knows how to direct you properly. Any employer who is using them is simply trying to go 'el cheapo' on their employees. I lost 1500 because of their policies that they did not disclose until it was too late. Frauds.
When I was trying to get my orthotics approved, it was a joke. We went through 3 cycles with Paris Orthotics (the biggest orthotics maker in Vancouver, Canada). They couldn't believe it. Equitable kept rejecting the claim (due to the fact that Paris didn't specify the manufacturing process with enough detail, and I saw the level of detail they prepared! In the end, on the pre-approval form Equitable wouldn't confirm if they will cover the orthotics 'for sure'. Paris Orthotics have been in business for years and never have problems with any Insurance companies. That was until they met Equitable life. In the end, I didn't want to risk $500 so I had my old pair of orthotics fixed (which they didn't cover, at 1/8th of the cost). This was typical. Don't use them, don't buy them.
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Stay away! They didn’t take my payment for 6 months and then cancelled my policy due to non payment- I call them daily to try and pay and they don’t pick up then they call back at 5pm on Friday and when you don’t pick up they blame you for not paying, terrible customer service I ask you to stay away if you have any real health issues you are dealing with as they WILL NOT HELP YOU!