United Healthcare is great insurance!

lflatford

New member
United Healthcare paid 100% of our daughters Vest!!! I could not believe it, after all the horror stories you hear about insurance and CFers! I just thought I would share this with everyone, so if by chance you get a chance to change to United Healthcare you would know it has been wonderful to us so far! I know that each families case is different when it comes to the same insurance, but I thought I would share some good news! If anyone has any questions feel free to ask me and I will do my best!
Thanks
 

anonymous

New member
I just got changed to United Healthcare and am not looking forward to it. The only CF clinic in the state is not "in-network" So I have to pay an arm and a leg deductible each year to go to my "out of network" clinic and hospital. I am glad it is working out for you though. I was on NTCA my whole life up until the recent switch and it was absolutely amazing. It paid 100% hospital which is nearly unheard of. Yes I have been spoiled so now I am complaining. UGH<img src="i/expressions/face-icon-small-smile.gif" border="0">

Emilee

not logged in
lovingbenandcambree
 

anonymous

New member
That is wonderful that your daughter's vest will be covered. The vest is wonderful.

I have United Healthcare as well. They refused to buy my son a vest a few months ago. Yes, my daughter has one and they said one per house hold. I am thankful for the one vest, but Aetna bought my daughters. Aetna was GREAT! United has been a headache for us. What really matters is the company that you work for and the benefits that the company is willing to pay. My husband worked for a large company when we had Aetna and everything was covered at 100%. Now he works for a small company and the company chose to limit coverage on medical expenses, so there is a lot of money out of pocket now. United would only have paid $2500 of the $16500 of the vest anyway on my husbands plan. We were planning on appealing that amount until they said two vests is too many (not when you have TWO kids!!) Go figure.
Sharon, mom of Sophia, 4 and Jack, 2 both with cf
 

lflatford

New member
Well, I guess no matter whether you have the same insurance co. they treat each client differently. I am glad some of you have also had success with your insurance co. For the others, hope you get some good news soon, we used to have all kinds of problems but recently nothing but miracles! I wish some upon you as well!
 

anonymous

New member
Just wanted to say, as the benefits manager for a small company, for many companies, it's not so much WHAT the company CHOOSES to pay for insurance but what they can AFFORD to cover. We try to offer the best policy to our employees that we can reasonably afford but it's hard. Large companies (with thousands or hundreds of employees) can generally get better coverage for a cheaper price because the risk is spread over so many employees. Versus a small company like ours, where a couple of really bad health risks inflate the cost for everyone. Example, until two years ago we paid $1100/month for a family plan per employee. This was during a time we were LOSING money. The problem was we had a lot of health claims for a few employees (my family included). The majority of the families used much less than $1100/month, some didn't even use their medical coverage. However, in order to make up for those of us who averaged $1000-3000/family per month in claims, the insurance company raised everyone in our plans insurance to help defray the costs. Sad fact is, only really large employers, extremely healthy groups (meaning young groups), and the government can afford decent coverage these days. Just another reason our healthcare system needs a major overhaul! And, another place where those with health issues get discriminated against. Small companies can't afford the added costs of high claims/risky employees like us.
 

anonymous

New member
Just wanted to add - in a full time position, $1100/month insurance coverage amounts to $6.35 per hour the employee works (assuming 40 hrs/wk for 52 wks.)
 

rose4cale

New member
It will be interesting to see what our insurance will do for Cale's vest. What we've been told so far is that 'we shouldn't have any problems'. Those seem like famous last words though. The Doctors told us we had to wait until he turns 2 for the vest. After he turned 2 they told us to wait until he turned 3. He turns 3 tomorrow!! <img src="i/expressions/present.gif" border="0"> His next appt isn't until Dec so we'll see if they put us off another year or not. We do have wonderful insurance through BC/BS with my husband's job, so I hope we don't run into any issues.
 

anonymous

New member
My family has United and for the most part is been good, with only a few drawbacks.

Our family plan is expensive, but when you look at how often I am in the hospital and on home IV's, it's really nothing. One hospital stay alone is equal to what we pay for one year of health insurance. And United likes to pull this thing we're they'll cover hospital stays completely, but hit you with a high copay for home IV's.

Copays are not that bad either.. the highest is only $25 for a months supply of TOBI.

So in my experience United Health is a good choice...and they did end up paying for my vest (but that was about errr, 5 years ago)
 

anonymous

New member
We have United PPO Plus and i am so sad that we need to switch due to their high deductibles. They have been great with whatever we need. We have met and paid the max out of pocket $4600 each of the last two years!! I know it is not alot when you look at what they are paying for. But i would have to go back to work to pay for it and that defeits the purpose, right? I am so scared...my husband wants to try BCBS HMO. Does anyone have any issues with HMO's in general??

Blythe
momto Brinly 16mo and Birgess 3 yr
 

anonymous

New member
We have used HMO's and have had no problems. Currently, we have UHC and they are just ok. I had great exp. with bx/bs, even the HMO's as they participated with so many of our Drs. UHC is not widely accepted in the area where we live. It has been an education and after a lot of fighting, we have made out pretty well. It is extremely time consuming, but worth it to get the care from the Dr.'s we have trusted for so long. Best Wishes! Jo Ann
 

anonymous

New member
My fiance has UHC which I will be on after we marry... I'm already in touch with a lawyer and trying to sort everything out so I know what you expect, but for those of you with UHC and CF/family with CF... are your co-pays manageable?
 

anonymous

New member
We have Aetna and they paid for our daughters vest. They also have paid 100% for hospitalizations and our co-pays at visits are $15.00. We had United Healthcare and they were pretty good, never had any problems but so far Aetna has always been a great ins. co. for us. ( we used to have Aetna before when i carried the ins. through my job but now my husband carries the ins. )

Congrats on your vest....We love the vest

Kaitsmom<img src="i/expressions/rose.gif" border="0">
 

julie

New member
What I am curious about is WHY are you guys disclosing to a NEW insurance company that yu already have 1 vest for one of your children? Honestly, that is NONE of their business. You have to disclose as little as you possibly can about stuff like that these days, everyone is out to save money. If your doctor is the one who disclosed it, I think you ought to have a little talk with him/her. If the medical informaiton ISN'T being used to adjudicate a CURRENT claim that is UNPAID, the doctor CANNOT disclose it because it is NOT being used for a current claim.
 

anonymous

New member
We have Humana KPPA/HMO and they have been wonderful. They bought my daughter's vest about 5 years ago & we have never had a problem getting her anything she needs.
 

anonymous

New member
I though the VEST was only warranted for a SINGLE user. Maybe if you can document this you can say that the VEST warranty will be voided if used by two patients.
 

julie

New member
Thats a teriffic point.... I'm not in the prediciment but I AM curious to know. I think I will start a bit of research when I find some free time-never thought of this
 
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