Sun Life Health Insurance Reviews

My mom died on February 22nd. We went to the funeral home, filed paper work the next day. I contacted Sun Life about my mom's claim on March 20th to find out they never picked up a phone to call the employer to get the employers' documentation. They only emailed the HR rep on the 15th of March. They said they couldn't tell me, but someone to call them. The employer told they never heard from Sun Life. Not until I requested to speak to a manager at Sun Life due to this lack of communication and professionalism. The employer had to send a stack of papers from over 20 years ago when my mom took at the policy. I then had to complete documentation almost every time I heard from Sun Life because they stated they couldn't verify the beneficiary, and myself and brother signed multiple forms to confirm we are the only living next of kin. They also kept changing their story about what was needed for review and couldn't give an eta for the review process. Every time I asked why - well this is our process not we're sorry for your loss, we're to help you through this difficult time. They even tried to blame the employer for not getting the confirmation of beneficiary when the policy was taken out when that's their responsibility for their policy they provide, not the employer. They never give the correct information to the funeral home of Status of the review for them to get paid. I just now got paid. Unfortunately. I can never recommend this company to provide any kind of benefits to my employees if I actually cared about them.

Called their suport line, to get a poorly trained rep who gave incorrect information and basically wanted to just get through the call, and not research the issue with the claim rejection. This person advised I needed to fill out a "PDP form" from the pharmacist and then give it back to the pharmacist. I live in BC and no one in BC (Pharmacist or Doctor) knows what a "Provincial Drug Plan form" is.
Called back as this drug was covered previously and asked to discuss with a Supervisor, as the Sun Life first line of call takers are basically useless.
When the supervisor called me back she was not well informed on their protocols as she had no clue what she was talking about but advised that I needed to "Fill out a form" then when I asked her to send me this form, she sent me the approved Special Authority Form they already had on file for me?
In short (In long really, but this is my therapy after a Sun Life call) I sent them the receipt only which was done at the Pharmacist when filling the order a week earlier, and they paid the claim.
Again a frustration and normal experience to be expected by Sun Life benefits group, basically wasted a week and 5 phone calls for no reason.
If I was a senior, likely I would of just not been paid as navigating through Sun Life's maze of deception is not for the light off heart!!!

I am convinced that Sun Life purposefully makes submissions a nightmare with the hope that people give up and don't submit.

I sent a submission in by mail. They claimed they didn't receive it. I re-sent via Registered mail, and was confirmed received. They claimed they never got it. Finally, after being on hold for 45 minutes, I was given an internal fax number. This meant hours of effort, frustration and $50.00 in postage.

Submitting Collaboration of Benefits is also a joke. I just tried to submit $683 of alloawable expenses, all within limits online, and was reimbursed $18.00. This will now require yet another long wait and some sort of run around.

These are just 2 examples in a 7-year span of terrible service. It feels hopeless and is unethical business practice.

If you can avoid Sunlife... do so at all costs.

So far 4 weeks and they have me jump thru hoops paper work is awful been paying into this for 15 years..all about the money they don't care about you as they would make it less stressful especially when you are going thru a hard time and injury.. No wonder people are suicidal.

Throughout my adult life, I have dealt with many coverage providers. Sun Life has been a nightmare from the beginning. Their app and their website are down more often than it is up. Half the time you can’t connect to the chat option. It seems like the default is them denying your claims and then you have to jump through hoop after hoop after hoop to get it covered. They denied a claim for my husband and asked for extra information (even though I filled out all the paperwork and provided them with every single thing my dentist gave me ) and when I went to the dentist to get the extra information the dentist was totally confused as to why I needed more information than I had already provided them. This company is a complete joke.

I have been with Sun Life for more than 28 years and have had no issues until this past 6 months. I submitted a dental estimate more than 6 months ago and 8 phone calls ago. To date, it’s still not completed. The dentist has also contacted me twice and gave up. Information is sent in and never processed. I feel is due to people not doing their jobs. People working from home and not doing their jobs. Time to get back to work. Frustrated.