Terrible service: Wait time for calls long, rejection rate for claims high
by Ev Chan on Feb 21, 2024
1 out of 5 stars
I submitted my claims several times, they always try their best to postpone the settlement. I spent a lot of time to call them or sent email through their contact information, that is totally wasting your valuable time.
If you consider your life or healthy insurance, please consider other companies.
Absolutely terrible. Cannot reach them by phone, don’t process claims that were approved by previous Insurance. A disgrace to Public Service pensioners
I would give these people a -10 if the option was there.
I submitted Dental expenses on Canada Life confusing and not so functional web site. No one got back to to say some information was missing. I have been trying to call them, waited for 1 hour 45 min no response for 2 days. After I hour and half a message came on to leave a message for them to call me back. A week later no call. I even emailed, still no response. Still waiting someone to call me back. I don’t understand how on earth companies like this stay in business. PATHETIC!!!
My employer has Canadalife as the insurance provider. I have consistently had poor experiences with them, not processing claims. Most recently, 3 months ago my hospital billed them for semi-private rooms. I called them several times, and they assured me it is processed and will be paid and reflected online in 2 days - but the claim is still pending. It looks like the customer service agents just try to pacify customers without providing truthful information.
I would give -5 stars if I could. This "company" is a joke. Since I switched from Sunlife (which was great) to these people, I am living in a nightmare. They keep denying coverages and refuse to cover my medication fees which was alright 100% with Sunlife (my and my wife plans). Not to mention the horrible customer service full of incompetent agents with 0 knowledge and 0 training. RUN AWAY!
There is no easy way to review one entire claim if a portion of it was out of the benefits fund and a portion out of the HSC. It takes weeks and weeks (and weeks) to have a more expensive claim paid - even when a Predetermination was received. Emails are rarely, if ever, responded to. It's a 2 hour wait to speak with an agent. One agent cannot help you - you need to speak with one for dental, another for health, another for HSA. I would never recommend Canada Life.
I filed for my yearly orthotics refund. Not processed for a long time. I tried to call them, the first time when someone answered, as soon as I finished giving my claim number and ID, I got hung up on. I called back waited for 1 hour 45 min no response. I called back the next day same wait time and then a message to leave a message for them to call me back. A week later no call. I even emailed, still no response. Yesterday I called again and finally was able to talk to someone. But only to be told that they are currently handling October claims. These are expensive and I am only on pension and I need the money back for grocery. PATHETIC!!!
I was added to my husbands benefits but it won’t let me make a claim as the website thinks i have other coverage. When I try to update my profile it doesn’t work. I have been calling canadalife for 3 months now, they say someone will get back to me but they never do. Its ridiculous, I have claims to make and am unable to make them. Terrible service
Hours and hours and hours on the phone waiting only to be switched to somebody's voicemail!
They are "falling behind" processing October claims. I hope they are processing 2023 and not claims from the previous years.
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Absolutely worst company to deal with. Long wait time to speak to agent or supervisor, long call back time, high rejection rates. It seems like Canadalife does not want to reimburse us for medication. They make you wait for a long long time before an agent answer you.
I put in 3 clams from mid October to mid Jan and 2 were rejected. For one of the claim, I had to paper file in and sent in thru email. I submitted the claim on Jan 10, 2024. I had called 3 times was told the paper claim would take a month before it would be reviewed. I called today and was told it was rejected and I wasn’t able to view the claim on canadalife website. The agent told me it was rejected due to incorrect DIN.
The DIN was provided to my pharmacy by Canadalife. Before doing the compounding, my pharmacy was on the phone with Canadalife agent for 20 minutes and was given the DIN and dosage and the agent assured my pharmacy that this should be approved by Canadalife. Fast forward one and a half month later, I am now told DIN is not correct. I can’t go back to my pharmacy now and ask to call Canadalife to get the correct DIN.
I told them I would like to talk to the supervisor and was told supervisor not available and she can only put in a callback and it could take up to 5 to 7 business days.
This is not acceptable. We never had such issues when we were dealing with SunLife.