Manulife Health Insurance Reviews

It is unacceptable that they leave me and my family without medical care for 4 months! On many occasions, we needed medical support but we were hesitant because of them. I am still working on my first claim for 4 months with no sign of them ever processing my claim or even replying to me. Their customer service was nothing but a waste of time, they deal only by mail, they don’t reply with any confirmation when I send a mail, on the phone they never provide any useful information and they can’t even find my profile, they say they will call back with an answer and they don’t. I mind you I have VIP access through my company. I am trying to convince my company to change the benefits provider and I will avoid them at all cost in the future.

Almost every claim with them is initially rejected or delayed for invalid or illogical reasons and involves consistent follow-up time, stress and aggravation. Below are just a few examples. Example 1: I have coverage only for myself; I do not have my spouse or anyone else as a dependent with them. However, for a standard claim for myself, I was told that I need to set up “Co-ordination of Benefits.” The claim I submitted was for myself. Therefore asking for “Co-ordination of Benefits’ does not make sense. Eventually, the claim was paid after several attempts and other incorrect replies. Example 2: For a straight-forward eye-exam (my coverage is 50% every two-years), and this exam was well over two years from my last one, they did not pay up-front saying that they need to “review and adjudicate” the claim before approving the payment. This was only a $59.00 payment, and should not have required any review as it is part of my standard coverage. It should have been paid automatically. The Health Tier I selected & paid for includes eye-exam, therefore this review is unreasonable. Example 3: I submitted a claim online with the dentist’s name, address, phone # etc. clearly entered. The claim was not paid and when I followed up they sent an email stating that “we need the name of the dentist who provided the procedure.” Note: It is impossible to submit an online claim without entering the practitioner’s info; the system would not allow a user to proceed without it. When I pointed out that the info was indeed on the claim, they then said they need the procedure code (which I had also provided). I then provided every bit of coding and detail (on a phone call to them) but still not good enough, I had to re-mail paper-work. At the time of this review, the claim is still pending. Finally, trying to have anything paid from my Health Care Spending Account balance is a nightmare.

They continually request additional paperwork. I spoke with a customer service agent on the phone and she walked me through the entire process. I had issues prior with not submitting enough documents, so I decided I would submit every single document and receipt associated with the claim and they still required more, specifically the name and address of my doctor, which would have been on the initial paperwork.

I called again today and was given a completely different method of filing claims, and told to disregard the previous information. This has happened with every single claim, I've never had this issue with other companies.

I fractured my ankle and went on short term disability for a month. After asking a simple question about whether or not I was entitled to physiotherapy recommended by the surgeon, under short term disability, the case manager avoided my question and went off topic, minimizing the severity of pain I was feeling. The case manager then deferred to the group benefits department. The group benefits department lied to me by omission. They said I wasn't covered for my physio past the $200 a year, but failed to mention I could carry over the amounts into my healthcare spending account the next year. I only found out this information from my employer. The case managers are not true managers in the sense of the word. They just parrot a script. I'd have a better time speaking with a chatbot. At least chatbots have an excuse for being soulless.

Their customer manager sent me information and dates clearly not the same as with their official terms and policies. When questioned their practices, they ignored your questions, and the best part is their official complaint page returns a page not found error when submitting and no one at their complaint department to pick up the phone calls!

We, unfortunately, don't get a choice as insurance is chosen by my husband's company. We could not figure out why my son's dental visit was not fully covered but mine was. My husband called and asked and they said that between ages 8 and 12 they get 8 units a year but can only use one unit at a time. That means you would have to take your child to the dentist every 6.5 weeks to use the 8 units. 1 unit is 15 minutes. So take them every 6.5 weeks for a 15-minute appointment. My husband asked how anyone would be able to know this as there is nothing anywhere on their website, on our account page, or in any booklet anywhere that tells us these important details. She acknowledged that and said we should maybe do a pre-authorization before every appointment. I have 4 kids. How much does it cost them to do a pre-auth every time? Likely more than allowing my son to use his 8 units better. I told our dentist office about this and they were flabbergasted. The representative simply told us to take it up with our HR office but they likely have no idea about this like the rest of us. It feels like they could just make things up as you go. There is zero proof this policy exists except that they said so. They had nothing to show us or send us. I don't trust them at all.

They cover you for $200-500/year for paramedical but refuse to accept registered counsellors along with psychologists. Psychologists charge +$200/hour per session Clinical counsellor's charge ~$130/hour per session Even though registered clinical counsellors MUST have a master's degree (same as Psychologists--more in some cases). So basically you pay more for less. Refuse to even listen to any reason and give the same standard answers. I understand that counsellors aren't listed...my question is WHY NOT?

I have been a Manulife Customer since 2015 - in 2017 my wife went to Podiatrist. Our understanding was you had a limit of $500.00 per year. My wife underwent treatment at a certified Podiatrist to the tune of 600.00. Manulife would not cover the cost of treatment at all. Called their Customer Service Line and the Rep did not understand why they did not cover the claim to the set limit. Indicated he would get back to me - he did not. Called them again and an agent said they will pay for the visit to the Podiatrist (which they did not) but not for treatment. I asked if this same policy applied to a Chiropractor and she said yes. So I asked her the following: "so if my car was having a problem, I could take it to a mechanic, who could tell me the issue but I cannot get coverage to fix the problem ... so why go to the mechanic in the first place?". She went silent. Manulife just sucks for a personal Follow Me plan - I suggest you look at Great-West Life or the folks from Blue Shield. Manulife and their agents are either dishonest or poorly informed on their own program offerings. Look elsewhere!!!

Belonged to CoverMe.Com for over 5 years. The promotional information and the realities are two different stories. Dental coverage was probably the one area we had the least complaints in and would rate it 4 out of 5 (major dental may not be covered). Medical is 1 to 1.5 out of 5. They have so many unexpected caps so while yes they may cover "..."; it falls under a category and that category has caps, so we presumed we were covered when we were not. If you consider it, companies like this would go bankrupt unless they provided caps, so don't go into it blindly accepting their amazing advertising. Also remember, what the staff tells you means nothing if it is not in writing within the contract and we found answers were less than satisfactory. For us, we decided it would be better to put the cost into a special fund to cover unexpected costs. Bottom line, it was very disappointing.

Rude customer service and NO, they do not cover what they say on the TV ads