OptumrxReviews 465

I called to find out what my doctor visit rate was. Its 60.00 per visit AFTER a 2500 deductible until that deductible is paid its $250.00. They never called or explained my rate or deductible. I had to call in a 2nd time to find out my rate. Complete Rip off. Dont bother with this insurance company.

Amazing incompetence IT staff. Entering your birthday is incredibly poor programming. The lost generation those people you raised that are living in your basement

Need I say more. Avoid using this company if you can. Customer service, web-site, auto answer are so poor. The fish rots from the head down. Replace the head of this company. Must be Frank Burns!

Called today to get a refill for my grandpa. The rudest PT i have ever spoken to. I am a PT myself and i cannot explain how disappointed i was to be talking to someone that rude. I asked if my grandpas prescription could be filled for 90 days because he is going on vacation and he doesnt respond so to confirm i repeat it again, and he tells me "i fill it as my doctor tells me to not you." Soooo angry from that response. Wish i knew What his name was. People like this should not be working healthcare.

Royal Caribbean's association with OPTUM is damaging their reputation. Sent damaged Covid test kits without any remedy/replacement or refund. A $75.00 loss. Con artists.

This has got to be one of the most incompetent companies I have ever dealt with. I have MI Medicaid. I tried to set up a specialty medication account for one of my meds that I needed transferred from Specialty Walgreens and after 1.5 hrs on the phone we got it set up. I then needed a nonspecialty medication set up and the lady gave me a number to call for that department. I called and the lady on that line put me on hold for 40 min to try and reach the Rite Aid I needed it transferred from. After 40 min the lady was gone and I had to call back again. I called the same number they said they couldn't verify my Medicaid, that the number was under someone else's name, and call Medicaid and verify that I even have coverage. I've had coverage for over a year, and just refilled a prescription. I called Medicaid, they said there were no problems. I called the same number back and was told this line only dealt with Medicare and not Medicaid and to call a different number. I called that number and was told to call the number I had just called because they were the correct number. I called the line back and they said again they only dealt with Medicare and to call another different number. I did and that number was a non-working number. I then called the original number and talked to a supervisor who said they couldn't verify me and only found a discount card for me. I don't have a discount card. I called the specialty line back and they transferred me to another person who had me call Medicaid again and then told me the Medicaid I called with the wrong one and he would wait on the line with me while I set up a three-way call. When the Medicaid number answered, he had already hung up. After explaining the situation to Medicaid they informed me Optum wasn't even contracted with them in the first place and should have told me from the beginning. They said the specialty pharmacy was contracted with them either. By the end, it had taken 7 hrs to hear they weren't even contracted.

Called because my medication was suddenly not covered - everything checked out at the pharmacy and online via their site. Had the site pulled up on my computer and the associate told me the site was down - blatant lie. Getting tired of constant formulary changes and terrible customer service. I will be looking for prescription coverage elsewhere next enrollment period.

Getting help from customer services is rarely a good experience. You will not be notified of change in formulary/pricing until your order doesn't arrive and you call to find out what the problem is. You will get a different answer from each person you speak to. I recently had to make 4 calls about an order placed in June only to finally be told it was no longer covered by Optum. If you can afford to, avoid using Optum.

I have been dealing with them for 4 months now. They practically force you to go mail order with your prescriptions instead of going to your local pharmacy. I caved in and told them I would try it if I could get my prescriptions for less than my local pharmacy. They were charging me over $300 a month for my prescriptions and I could get them at my local pharmacy for less than $40. I explained to them I could not pay the excessive amount. They stopped shipping my prescriptions and I went back to my local pharmacy to get refill and when I tried to pick it up, my local pharmacy told me they were denying my prescription and the pharmacy said I had to call their toll free number to talk to them. I called them and was on the phone for over an hr trying to get my prescription approved. The med I was trying to get is a very important medicine. Without it, I could have a stroke. I explained this to them and they told me they couldn't approve it bc it was too expensive ($200) for them to pay through my local pharmacy. So in other words, they had rather save $$$ for themselves than be concerned with my well being. They have caused more stress in the last few months than being helpful to me! If I pay the insurance monthly it should be MY DECISION in who I use for my healthcare needs! NOT THEIR DECISION! If I could give them a negative rating I would!

I called and had the best experience. Someone got all the information needed and assured me my mothers meds would be there when the time came for refill. I was informed I would be contacted if there were any issues. Here I am, two days before she runs out of one of her meds, and they have NOTHING on file? One out of 7 scripts is all they can come up with and now I need to contact her doctor to provide a script for something that takes a few days to get in. Never mind the rest of the scripts - this is a farce people. It's true what they say - if it sounds too good to be true - IT IS!

Absolutely one of the worst business I have ever dealt with in my 56yrs. Poor service and overpriced.

This company is horrible!. I wish I would have read these reviews before I decided to go with this company through my job. You'd better believe when open enrollment comes around again I am switching back to my prior health insurance coverage as fast as I can! I had surgery for a complete tear in my rotator cuff about 4 weeks ago. First of all, getting pain medication through them was a headache and a hassle from the start. I am still wearing a sling, still have very, very limited range of motion and in pain!, I can't comb my hair because if I do it hurts too bad, cannot reach behind my back to wipe my butt, yet they decide that I don't need my pain medication anymore. (And all this time I thought that pain was subjective!). The prescription coverage that I had with my prior insurance company was amazing; no issues. So sorry I switched.
I CAN'T WAIT for open enrollment to switch back to them!. (I only gave Optum Rx one star because I had to check something to be able to put this review in)

It has been 6 months since I had to change to this disgraceful pharmacy. Still not sure exactly what drugs they cover and what they don't.

Upon repeated calls they were not able to help me get my medication in a timely minor. I had to go days without the medication. If something happens to me because I could not get my medication in a timely manor, I hold them soley responsible.

They are horrible! Currently trying to scam me for $1200 worth of meds and lying to me 1st saying they were at fault, and were going to send, then saying I received and signed! To make matters worse, I didn't even put in an order. I happened to be checking my claims and caught it--2 months later. Of course, my insurance is involved, but I've been in contact 4X's now and it's a different story every time!

I have literally spent hours on the phone trying to resolve prescription issues. It all started when they sent the medication to the incorrect address, not one that I had ever even lived at. It was a business address. Then it took three more phone calls and more time on the phone trying to explain to them their error and to finally get my medication. You get shuffled back-and-forth between departments, one person says they're going to fix it, and then something else goes wrong. I have never dealt with a medical pharmaceutical company that has absolutely no idea how to do their job correctly, and in a timely fashion, in order to get life sustaining medicine to the customer. I actually give them NO stars!

I returned a medication which they delivered later than promised and I had to buy from another pharmacy. After I returned which has been over 2 weeks and so far no refund yet. They always say the same story when I call "it has been processing" but at the end they have the returned medication and my money!

Absolutely the worst on line prescription service I have ever dealt with. We are now on the fifth call to try to get a prescription filled that has been a maintenance prescription for 20 plus years. Never had a single issue with the previous company. Their agents on line have zero authority and keep adding new conditions to get a simple prescription filled. Confusion reigns with this company and one has to wonder if their compensation plan rewards them for denying prescriptions. I cannot rate them low enough to describe the gross incompetence we have experienced.

This is a distributor company for a drug plan. They are impossible to talk to and get the orders wrong all the time.