Sun Life Health Insurance Reviews

The stress to have to deal with finding out your medication is not covered or required pre-approval is insane. Despite receiving a fortune from the employer and employees to provide coverage, they get away with a lot of not covered items.

I called Sun Life health insurance before having my AMH blood test done, to see if it would be covered by my insurance plan. The representative said that it would be covered at 80%. I went ahead and had the test done a few days later and paid $108. I got a receipt as I thought that I was going to be reimbursed the 80%. I submitted the claim online with the receipt to Sun Life. I checked online on the claim and was shocked to see it say that this expense was not covered by my plan! I called and spoke to another representative and she said that it was covered 80% only if I went to a commercial lab and not a fertility clinic. WOW. What a scam. I looked up commercial labs and it said that all labs are considered commercial as long as they used commercial tests. What a joke and a great way not to pay out benefits. Next time I will get it in writing. Very frustrated and annoyed.

I've been with Sun Life for over 8 years ONLY because it is the only option my organization offers. If you have literally any other choice take it. They make it very difficult and confusing to make claims. I'm guessing they just hope people give up so they don't need to payout. The website requires 2 different access ID/certificates to get into and for some reason, my password is constantly reset (without my approval) or the account is locked and you need to call the phone line. The phone line connects you to the UK which can't access your info if you live elsewhere. They then transfer you to an automated line that has a ton of very vague options for you to choose from. You are then on hold for a long time (every time I've called) before you get to talk to a person. You are asked to confirm your identity and I think I have given every single bit of information I have... Only to be denied access because the email that the claims are sent to us different than the one I registered with. More to follow on this... I am covered by my company under a different medical plan. The "benefits" are for my family. Other than being the name on the plan I have literally nothing to do with it. I am away in remote locations multiple times a year and unable to access my Sun Life. All my claims are for my spouse or dependants. The only person who is able to access and approve the claims is me. I have asked and they will not let her access, change, make claims, or do anything on the account. Again, I could be gone up to 8mo a year. Without getting to personal, my spouse has had major life-changing surgery. The claims we make are very straight forward with lots of information (from doctors) to back it up. Sun Life fights tooth and nail with us on every claim. There is always a loophole or a fine print on why they can't pay it. Most of the claims can be submitted online... But if they decide it is questionable (all of them) then you need to physically mail in receipts etc. It's 2020, which is completely unnecessary and again just a deterrent. To summarize: - They deter members from making claims - will fight over every claim - customer service is atrocious - benefits are expensive and provide less than competitors - beneficiaries have no access whatsoever I would never recommend Sun Life to anyone and would switch in a heartbeat if I was able. Look elsewhere.

Looked into Sun Life for Health and Dental as a small business. The worst customer service and the absolute worst coverage offered. They never get back to you, pass your calls around until your disconnected and will only deal with you via snail mail. THEY DON'T COVER WHAT YOU ACTUALLY NEED COVERAGE FOR. They could have told us this from the beginning. Instead, they picked apart the paperwork for two months (this box not checked, this wasn't initiated) before sending via mail once again nothing was cover. They will not cover any medication that you are already taking!!! THEY COULD HAVE TOLD US THIS TWO MONTHS AGO INSTEAD OF DRAGGING IT ALONG!!! No humanity, just lengthy bureaucratic process without no actual help.

I am only with Sun Life as it is my husband who has their benefits through work. But I would never choose them if I had a choice. I had a claim I submitted with them, checked that it was indeed something covered by our benefits before going to the service. I submit the claim with my backup and get told it was denied - so I call in and first I get this extremely rude employee screaming at me on the phone and telling me over and over that it was denied because they are my husdand's insurance and not mine to use (though I am on the policy and know that I am under him on the insurance), he wouldn’t even listen to me, so I hung up and called back - spoke to another lady who put me through to her manager, who told me she couldn’t see why my claim was denied but that I needed to get the person who completed my service to call in with their information (though they had their registration number and all nesscary information.) I did so and had the person call in - waited forever to hear anything back about this and in an email, they say that they will reimburse me for this claim - great! But of course not, the reimbursement still hasn’t come yet and that was over a month ago, I called in to see what was going on and was told they won’t speak to me about anything. My husband needs to call and though my service came to $245 (and we were covered up until $300 per service), they are only reimbursing $100. So I’m just fed up at this point and say save your money. If you don’t have to go with Sun Life, don’t.

I am paying for the highest health insurance plan they have since year one and for the first time I sent my drugs invoices to claim department, which is a basic medication for regular hypertension, but they say that my drugs list is not covered, why? No answer, only told me to contact my area agent, I called him and briefly, he told me that it's not his responsibility!!

So dissatisfied with the way your company made the contract with mine. Why would you allow everyone, but a spouse to be able to use certain benefits? Why wouldn't you allow the benefits I get, to be used for both myself and my spouse? Instead, we have to use money we cannot afford to use to pay for what is important in everyday life. Not everyone is rich and many people, especially the poor, count on these benefits for everyday use. I'm so upset that this is allow this to happen to those with disorders when they need help the most. Rich get richer and the poor get poorer. So disappointed with you guys!

For extended benefits, sun life's policy seems to be to drag out your claims until their claim limits are reached or they found any reason to exclude coverage. Three times I sent in information with different reasons for denial. I terminated my policy with them and submitted a claim. After not being paid I found out they were requesting a referral for medical claims (which BTW we had sent in before, but their policy is you need to send in every 12 months. Most other companies I have dealt with do not require this even once). They sent this information in and I was told that the claim period had ended. I don't understand how this company can deny money entitled to you because you have exceeded their policy periods. They have no problem taking in your monthly payments but do anything to exclude paying out. I agree with other posts as to how anyone can work for this company. They must be paid commisions on how little they pay out for claims.

Sun Life Financial always lies about our coverages. Every single time they say they don't cover this and that, then we need to send screenshots of the agreement to prove they are liars. We spend hours and hours to argue with the non-knowledgeable and unprofessional staff and management to prove we are covered. Hate to deal with this scam company, but my work benefit is with this company. One day we will bring their scam to media with all the proofs.