This has got to be the WORST insurance company EVER!!!!!!! They cover nothing. The only reason we have it is because we are REQUIRED to have Rx plan and this is the cheapest. We know why it is the cheapest!!!!!! Don't buy this insurance.
I have never before interacted with a company that is so consistently negligent in terms of notifying its customers of important matters. I want to describe two recent situations that illustrate what I am talking about. REIMBURSEMENT FOR SHINGLES VACCINE On 8-29-2021, I received a shingles vaccine from my primary care physician. No one had told me that it would have been vastly simpler had I received that vaccine at my pharmacy. On 9-1-2021, I received a $314.00 bill from my primary care physician and paperwork to sign and mail to Elixir Insurance. No one had told me that I would need to pay the $314.00 bill before Elixir would reimburse a portion of that $314.00 bill. On 9-30-2021, I called Elixir Insurance and spent 24 minutes on the phone to learn that they had not received the paperwork [which seems odd to me since I live less than 150 miles from Twinsburg, Ohio]. On 10-27-2021 [after having waited for one additional month], I called Elixir Insurance and spent 38 minutes on the phone to learn [initially] that my paperwork had still not been received and then to subsequently learn [more than halfway through that lengthy telephone call] that the paperwork had indeed been received but that my claim had been denied because I had not paid the "amount due." It would seem appropriate to me that all insurance companies would automatically notify customers whenever their claims are denied. I re-submitted the necessary paperwork -- this time with the required proof of payment -- on 11-2-2021; I received my reimbursement check on 11-13-2021. It would have been vastly more efficient if Elixir Insurance had notified me as soon as my claim had been denied. Instead, I had to spend longer than one hour on the phone [during two different telephone calls one month apart] to learn that information. UPDATING "AUTO-PAY" INFORMATION On 11-15-2021, my debit card number was stolen so I had to cancel that card and then immediately update all of my "auto-pay" information with several companies [including Elixir Insurance]. It took longer than seven weeks [11-15-2021 to 1-5-2022] for me to confirm that my debit card number had indeed been successfully updated and that the payments of my monthly Elixir premium would continue on schedule. On 11-22-2021, I spent 24 minutes on the phone attempting to confirm that my recent change of debit card number [that I had done on-line several days earlier but had received no confirmation of that change] had been successful. The woman on the phone had been unable to tell me if my debit card information had been updated because my debit card number had not been visible to her. On 12-8-2021, I spent an additional 20 minutes on the phone attempting to resolve this situation. The woman on the phone eventually told me, several minutes into that call, that my [previous] debit card had been declined. I provided my new debit card number again by speaking the numbers out loud over the phone [which I always consider to be a security risk]. On 12-13-2021, I logged onto the Elixir Insurance website and learned that my previous "amount due" had still not been paid. I immediately updated my debit card information again [possibly for the second or third time during the past month]. That same day, I filed a "grievance" with Elixir Insurance because of two very clear instances of non-communication during the previous several months. On 12-21-2021, I contacted Elixir insurance, this time via an e-mail message to the "grievance" person who told me, "I have sent a request to our billing department requesting a letter indicating that December's payment had declined. Please allow 10-15 business days for this to arrive." That letter did eventually arrive. Last night, after having waited for seven weeks, I checked my checking account and learned that my Elixir Insurance premium had finally been paid. I am astonished that any insurance company would not immediately notify its customers when a claim has been denied or when a scheduled payment has been declined.
I work for a doctors office and this insurance is impossible ! My doctor wanted to prescribe a medication for a patient and it took 3 days and the doctor calling to get the medication okayed. then they sent another fax saying it was denied. this insurance does not care about to care of their members Patient BEWARE choose a different insurance I only gave them one star because it would not let me past with no stars
I am now in my second year using EnvisonRXPlus Plan D medicare coverage and have become very dissatisfied with their coverage. I have had three things which give me reservations dealing with them. (1st) there coverage of the Shingrix vaccine was poor they make it Tier 3 drug with a very high price and high deductible. It would have been cheaper to go through Good RX. (2nd) when I had surgery my Dr. prescribed a pain med hydrocodone-acetamin 5-300mg. After being driven home from the outpatient surgery I went to fill the prescription and pharmacy said plan doesn't cover that only cover (5-325), they said I would need to go back to the Dr and get a physical script for the change. The only difference between the two drugs is 25mg of acetamin which is a minor difference yet I was unable to get the pain med when needed (unacceptable!!!). (3rd) I was traveling and when I reached my destination I realized I had forgotten my two heart medications, I went to the local pharmacy to either get a partial forward amount of my medications or a new fill which I would use going forward. The prescription was turned down and when I called they said it was reviewed and would not be covered when I protested again they said they would put in for additional review but could take up to 7 days for a response. I missed my medication that day and was forced to purchase out of pocket without coverage at a much higher price to get me through until I returned home. They said policy does not cover lost or stolen medications. It was neither and in fact would have been used after my normal amount. I would have used the same amount over the extended coverage period. Yet they would not help at zero concern putting me at risk!!!
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