Great-West Life Health Insurance Reviews
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I have GWL health and dental coverage through my workplace. My husband has a different insurance company. Previously with coordination of benefits, we wouldn't pay much more than about $50 for any dental claims because GWL would cover whatever my husband didn't quite cover. Ever since the new 2018 dental fee guide has come out, they no longer cover anything more than the fee *guide* outlines. This guide is woefully lower than reasonable dental costs. Now GWL has left us paying upwards of 1/3 of dental costs. This is ridiculous. When I call to ask why their policy has changed, they just say it's because of the fee guide and plead ignorance. What a horrible company. If I could switch, I would.
They will do anything they can not to pay you. This company is a fraud. They will use any excuse to delay the process and ask for clinical notes and once you provide everything they ask they will still find a reason to deny your claim
Nothing works with this provider. Their website is weak and poorly designed, information is obfuscated under menus that are unusable, the few times I have had the displeasure of using it, it didn't work and had to spend valuable time on the phone with a representative that was also unable to make it work. No apps to streamline claims, paper claims sent in are mysteriously "lost" or not received (despite tracking numbers and signature verifications), claim forms only found after escalating issues to plan admin and HR. I have never had so many "uncovered" claims and incorrect information given to me as when I started dealing with this insurance company... They are the epitome of "unsurance" as in: I am un sure if anything is covered. I have to constantly verify my account balance and spend time verifying payments as I have no confidence they will be forthcoming and cover negotiated and covered claims.
Throughout the years I have had to deal with them for one claim or another. Filled out paperwork for coverage on glasses, my primary insurance company refunds the money no problem and I submit the remaining amount with receipt and paperwork. And they claim I need to fill out more. This is not the first time I've done this either, seems every time I've dealt with them they change information needed or claim they need more. Funny how it's only their company I have frustration with. I've had coverage throughout my 28 years of work and never had issues with any other companies. A company I worked for changed to to them for insurance and because I hate them so much I quit and found another job. I refuse to have them as my primary insurer, I cannot help who my wife's company has but I can sure prevent my pay to go towards them.
My company terminated the group insurance with GWL on January 31, 2016. All claims served and sent before this date were supposed to be accepted and paid.
My wife's eye glasses were bought on December 15, 2015 and after claim went through here insurance, it was submitter to GWL (sent on January 15). And they refused to pay it because they artificially delayed the claim processing up to February 9th! How ridiculous!
Beware of this bunch of scammers.
In 2012 I had my upper front teeth broken off at the roots when I was head-butted by a child, and due to root absorption, they were extracted in 2013. Great-West said they were diseased, so wouldn't pay my accidental coverage. I offered to have an independent test of the teeth as my surgeon and dentist said my teeth weren't diseased. I was also covered by my husband's insurance company Sun Life, who sent me letters that they would pay a large amount of accident insurance. I even called them just before my surgery for implants to make sure I was still covered and they assured me that I was. After my surgery, they said I was never covered by them. How could they have my name etc. and I am not covered by them? After surgery, my surgeon said he was unable to repair the damage to my upper pallet, so I am left with an uneven gum line that looks terrible. I am still reeling from all my costs and if Sun Life hadn't committed to paying, I would have chosen a less expensive route such as a bridge. I am still in shock and still having financial and health problems from all the surgeries and antibiotics.
I unfortunately have Great West Life as my benefits provider through my company and have had a terrible experience with them. They are consistently slow at processing your claim, and often taking weeks at a time. They have also on numerous occasions screwed up my claims and have repeatedly contact me for information that I have already provided them. It is not easy to resubmit an entire claim if you have already sent them the original copies. I've also had to deal with 3 separate individuals on one claim only to have to re-explajn my claim to each of them. This is a waste of my time and money. My husband has Sun Life and I have never had issues with them. They are fast and efficient at all times and provide detailed information of your plan and claims on their website where great West life seems like an archaic website.
It seems that when submitting dental claims electronically at the dentist's office, the EDI system that GWL uses is failing to process quite often. This causes the dentist's office to have to mail in the claim creating a delay.
With direct billing for dental I had no problems. The problem occurred when I submitted an online claim for athletic therapy on September 10th, 15th, 17th. I received an email stating that my claim was being processed. I thought it was great, and I'd be reimbursed within a few days. After waiting, and checking online for my claim status I was locked out of the website. So I called to inquire about the delay. I was told that they were behind and it would be 7-10 days. Then I received a letter dated September 21st (on September 24th) stating that they couldn't find my provider registered with any of the appropriate governing bodies. So I did a search online with the appropriate associations, and easily found that she was a member. Why is the burden of proof placed on the patient? I called again and provided the information required. I got another email stating that my claim is being processed. In the meantime I had attended a total of 5 appointments at $68 a pop by this point with $0 reimbursed. I managed to regain online access and found out my claims had been denied for the same reason. So I called again today and was very angry and frustrated with the representative who I told this needed to be resolved today. I literally am out of money and had to borrow some cash to buy a little bit of food until payday. Why can't a big insurance company find proof of registration and certification of a service provider when its easily accessible to the general public? I told the representative to call my AT himself because I was done dealing with this situation. My other options? Rely on pain killers until I become addicted or damage my liver and become a burden on society.
My school uses them and god are they awful. I had an eye exam and was told they would cover the cost of my frames, but that I had to pay upfront and they would reimburse me. I waited a month with no mention of this from them at all. I created an account on their painfully slow and worthless website only to find all the reimbursements were pending, due to a lack of a known address. They never even attempted to contact me for this information. The website was god awful so as I spent ages trying to navigate properly to set this information and at the same time, called them in case it failed to do so.
After a long while, I had finally submitted my address to them, both online and through on-phone support. I was told I would get my reimbursement in a couple weeks. A couple weeks later, a letter from them showed up at my place asking me for my address... Imagine my disbelief when they sent the letter to my address, asking for my address.
These guys are just around to steal your money unless you waste your time trying to keep them honest.