Just Awful
by Annie Passiant on Sep 4, 2023
1 out of 5 stars
IF I COULD GIVE ZERO I WOULD!
Time after time, year after year having to deal with this company for health insurance claims is absolutely terrible! Their agents you speak to are useless and their denial rates are atrocious. The money this company makes and they deny claims and change rules and makeup or don’t even read submissions properly. I often wonder who works here, as they “misread” claims all the time. I wish my company did not have Canada Life as Benefit. Spend hours trying to please them and endless amounts of paperwork. Denied orthotics all the time, even though send in all the pages of paperwork required, suddenly new rules and new paperwork needed. Have even been preapproved only to be denied when submitted for money. The knee brace was denied because the family doctor prescribed an ACL tear, but the orthopedic surgeon wrote on their forms surgery was done for ACL, so they deny the claim as the doctors don’t “match”??? Ridiculous & the most frustrating company EVER! I could go on & on with numerous examples. Don’t use this company if you don’t have to!!!
Do not cover any drugs related to cancer. Denied my stress leave. I have to fight for any and all coverage. A letter for every medication to justify why or if there is another medication he could use. Seriously! Money for nothing. Avoid them at all costs.
Had two claims denied or only partially covered for the most frivolous reasons. No sense of customer service or understanding.
First was a monthly dental exam denied for being 1 day early out of an entire year. It's truly picking at the details and finding any reason to deny you coverage. Would hate to consider if it was a more important claim at stake.
The second was an eye exam only partially covered due to 'customary amounts'. However, THEY DO NOT SHARE the customary amounts. Totally unfair to say you will cover eye exams and then create an arbitrary hidden limit you never tell your customers. It might as well be a $10 limit, cause no one will know. Not to mention the coverage wasn't used for many years longer, zero understanding or transparency.
Told me I was covered for a TENS machine. I provided more than they asked for in documents. They still denied my claim. They are not fulfilling their duty as a benefits provider.
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I see my claim refused and given the following reason for the refusal: "the provider does not meet our requirements". So fine, I now need to know what requirement is not met by the provider so that I may choose one that does meet the requirement.
I asked Canada Life to explain further, and it took them 4 days to email me stating that my "provides does not meet our requirements". How is that supposed to help? It is clear that no one bothered to look into the claim to answer a very legitimate question.