Melinda Laughman

This review is from a real person who provided valid contact information and hasn't been caught misusing, spamming or abusing our website. Check our FAQ

Verified Reviewer

Refusal service

stars-rating-full stars-rating-full stars-rating-full stars-rating-full stars-rating-full
I repeatedly try to contact them but it states it is open but phone hours 9 am to 5 pm and can not pickup but then you wait & it hangs up on you, or transfers you just to hang up on you. I'm in a identity theft and have a housing correction which I was at wrong and they justified it by throwing me out of my house and refusing my insurance.
View full review

Preferred solution: Do thier job and stop making excuses for being uneducated or trained to do your jobs effectively and communicate better.

Chris F Bmc

This review is from a real person who provided valid contact information and hasn't been caught misusing, spamming or abusing our website. Check our FAQ

Verified Reviewer
| map-marker Las Vegas, Nevada

Going 50 or 60 miles one way

stars-rating-full stars-rating-full stars-rating-full stars-rating-full stars-rating-full
We have a 92 yrs. old Dad who is now disable. He has a very hard time walking, pain in legs, and other problems. Just to check to see if his kidneys are failing we need to go 50 to 60 miles to see one of their approve doctors. We can't go to one in our town. This ride would kill him and they do not understand. I been writing to get a new evaluation for him, also asking for more time for Person Care Service. They need letters or notes from doctors. Come on we are in need and feel we are hitting a brick wall. Because we do not know if the doctor will do what we asked in a timely time. We shouldn't have to beg for help and aids needed.
View full review
Pros:
  • Cover doctor visits
Cons:
  • Do not cover medications

Preferred solution: Deliver product or service ordered

Anonymous
map-marker Pahrump, Nevada

Refusing to do a Reevaluation

stars-rating-full stars-rating-full stars-rating-full stars-rating-full stars-rating-full
We have been to Dad's doctor to asked Medicaid to evaluated Dad, we have asked our Social Worker Derek Amberman to help us with Medicaid. We even called Medicaid. All have giving us the they can't help. Our Dad is 92 yr. old failing health and we feel we are banging our heads against a wall to get what we need. We feel no one is helping Dad, we are tired of trying. Our Dad is a senior citizen, veteran lives with us for over 45 yrs. and now we can't help from Medicaid.
View full review
Mary S Ldj

Calling for Information

I tried to communicate with Rhode Idsland Medicaid office and those lazy people kept me waiting on the phone for 15 minutes. I cannot believe that they are being paid for not answering any phone calls. Bad service customer!!!!!
View full review

Preferred solution: Information about coverage

Igor r

MEDICAID SUCKS IF YOU ARE IN PAIN YOU BETTER GO ELSEWHERE

stars-rating-full stars-rating-full stars-rating-full stars-rating-full stars-rating-full
These sociopaths REFUSE to allow the pharmacy to fill my prescriptions. It happened many times, including today A A GAIN when I saw my doctor and he examined me AND I CAN Barely walk, having to stop 3 times between the car and his office- he sent in a prescription to Walgreens on Torrey Pines and Charleston, and they are telling me it needs prior authorization which my doctor explained to me he TAKES CARE of that OF THAT EVERY TIME HE MAKES SURE HE DOES
View full review
Pros:
  • Cover doctor visits
Cons:
  • Do not cover medications

Preferred solution: To stop making it IMPOSSIBLE FOR THEIR CUSTOMERS TO FILL THEIR PRESCRIPTIONS THAT THEIR DOCTOR, wrote for them,

User's recommendation: GO ELSEWHERE IM WARNING YOU OR YOU WILL SUFFER IN PAIN

Patrizia S Foj

This review is from a real person who provided valid contact information and hasn't been caught misusing, spamming or abusing our website. Check our FAQ

Verified Reviewer
| map-marker West Palm Beach, Florida

Scam, you can't get anything done!

stars-rating-full stars-rating-full stars-rating-full stars-rating-full stars-rating-full
Updated by user Mar 02, 2021

I had to ask for a fair earring and I’m waiting for a date

Original review Jan 31, 2021
Has your dentist told you that the deep cleaning is not covered by medicaid? Not true! Has your dentist told you that they submitted the request for deep cleaning and it was denied? Not true! Medicaid payes for the deep cleaning, it is covered (code D4341), but they pay the dentist $20.00 per quadrant, $$80, and the dentists dont like that, because they usually charge around $500 and most private insurances pay them that much. So what do they do? They attach code D9630 IRRIGATION, which is just an antibiotic mouth wash they spray on your gumms at the end of the cleaning, 1 minute procedure and it not covered by medicaid. They charge you between $60 and $40 per quadrant ($240/$160!!!) and they will not perform the deep cleaning if you dont pay them out of your pocket! This is blackmail! They are not happy with what medicaid pays them, so they want us to pay the difference. If we are medicaid recipiants, that mean we are poor, probably on SSI, we dont have that kind of money! Therefore we cannot have the procedure done. Same thing with the fillings, they are covered, they receive $51.00 from medicaid, but they dont like that so they attach D9910 APPLICATION OF some decation which is NOT necessary and its not covered and they charge you $60!!! More than the filling! And, again, they will not perform the procedure you need unless you pay for the gimmic. For example, Quantum Dental (Boynton Beach), When I tried to get a deep cleaning done, first they told me that medicaid always denyes the requests, so I called the insurance company and they told me it was not true. The first time they submitted the wrong request so I had to go back and do it the right way so that medcaid would accepted it. The second time, they told me it was denied again, but when I called the insurance company, they said that it was covered. When I called them again, they changed their story and said that I would had to pay up front and may or may not get reimbursed, but that I had to pay for the medications (the fluid they spray after the deep cleaning a 2 minuts procedure), which was not covered and it was $37. I told Judy that I had no problem paying for the medication but I would call the insurance again about paying the deep cleaning up front. When cnfronted with the insurance agent, she changed the story again saying that I didn't have to pay for the deep cleaning but the medication was now $300 with a 50% discount!!!!! Now we all know that a deep cleaning ANYWHERE, even without insurace, with medication is never higher than $600!!!!! Evidently they are not hapoy with what the insurance pays them for the deep cleaning and they were going to get more money one way or another. They should be out of business!!!! Another dentist I went to see, hoping that would be honest,(Royal Dental Boynton Beach) did practicly the same thing, only that they wanted $240 for the irrigation. The insurance company called several other dentists, and they are all practicing this scam to get paid what they actually want for the procedures and not what the insurance pays. Bottom line, people on medicaid in Florida cannot have any kind of dental procedures. I know for a fact that in Oregon is not like that, you can get fillings and deep cleanings for free, period. I hope medicaid people will read this and write to medicaid, congressmen, anybody, and get this scam resolved!
View full review
Anonymous

Freud, breaking ADA act

stars-rating-full stars-rating-full stars-rating-full stars-rating-full stars-rating-full
I would like to ask FBI and ADA irganization to investigate congresdman who maked Medicaid to refuse service or taking away the insurance from people with documented disabilities in time of need for immediate attentiin by writing misinterpretation of the true and false facts on the survey, which breaks ADA act They make and are pushy for people to do survey every time they call there. They even say that pregnant females should see dr. Once in the month, when in yhe 3 rd trimester you see dr. Every week especially if you have complications during pregnancy.Usually they do survey for 5 min every time you call, but today took one hour to ask me questions. She even asked what is my ethnicity, which is illegal to ask. She ask how many times i and my neeborn baby have seen dr. And have been to the emergency. Chicago does not have money, and they are trying to take people' s insurance away even if they break the law The more times you say you have seen dr., more likely is for them to take your insurance away. I am a single mother who does not work, and my newborn is in need of immediate attention due to kidney problems and some other issues which can make him be on wheelchair forever or even his kidney to get damaged or infected to the point that he may need new kidney. They. even did not adk me if i am citizen. All she asked was for my ethnic background. She said that my medicaid and the medicaid of my baby will be taken away. And i can appeal or reapply. My child medical needs can Not wait other 3 months when actually I meet all the requirements for my child to have medicaid. Do you see people how corrupted Chicago is? If you have a chance to do insurance comming from rich suburb, I would suggest to be done. For next year, i will be looking for some office outside of chicago. My suggestion is Do Not Do the survey. It is a trick fir them to take your medicaid. Do not tell them how many times you see dr and do Not tell them your ethnic background. Even if they keep on going and being pushy, treat them with FBI or Better Business Bereau. Based on her actions, my conclusion is that chicago will just leave insurances for people born in the United States, which is race discrimination. She even did not ask me if I am American citizen or illinois resident, which is passing the requirements. All of this freud and musdeaminer comes from the corrupted people on top of Chicago and from the cortupted congressmen who is having insurances do that, but at the same time they are steeling the taxpayers money. If they wanted me to pay for insurance, this *** on top of Chicago should not have made his lawyer who is saving Chicago' s money in their sweet words to harass me and abuse me in every teaching job I found. This is the same *** who went on top of Chicago public schools and now suing Illinois Education person. He is such abusive cortupted bully that their bullying made my sibling commit a suicide, and they were trying to make me kill myself too. That's why I left Chicago, but it seems like they are like ants who are stuck to your *** everywhere you go. Since they left me jobless and without income, they will be paying for their crap and my child will have medicaid insurance, and i am not going to tolerate anything else unless they want to find me a full time job with insurance through their connections. Because i am in a ***......otherwise I will sue them for Million dollars if they try to stand on my son' s way, who might turn out to be some relative to this French bully or may know his sperm donor father who is senior consultant and the hughest rank of boys scout with all of his medals whose family is in the higher level of administration and they have lots of connections. There are some higher level people who have been redpectful to me. All I am saying is that this sperm donor cares about his offspring, and if I write everywhere asking him to use his connections for nobody to mess up with his child, he will even make sure to close the mouth of these corrupted congressmen who are in charge of this obstraction of justice. I am glad that I have Master of Management with classes in bussiness administration and law that I picked up this freud quickly before the survey to be finished, even after the lady Continued to be pushy even after I told her that my child woke up and may turn on his tummy. So, this *** French bully can mess up if he wants again with me because i will tell him off again..and I will fight him off in his bully way until he starts to cry and and ask me to stop... there is nothing to loose...i have no job, no income, no references, no sibling, no relatives because i am the *** bad sheep making them look bad, no father, my own abusive mother keeps abusing me because of all these assholes...i have been abused in the work place and by these *** corrupted buddies...all i have is to fight for my son...and i am going to fight them all off....they are just messing up with the wrong person..so back off... Chicago corrupted *** and corrupted congressmen
View full review
Reason of review:
Poor customer service
Cheikh Xto

Medicaid Staff Behind The Curtain

stars-rating-full stars-rating-full stars-rating-full stars-rating-full stars-rating-full
I have significant degenerative spine conditions in my cervical and lumbosacral spine, plus other significant physical stuff thats degenerative as well. Have mris,scans, and xrays. On disability and medicaid. In a Texas clinic for last year, and the puppeteers in medicaid paid of another hired puppet provider to obliterate all my objective physical medical evidence and conditions. Same thing like the clinic before. The clinic before had pcps come and go. I had proofs from radiology and my own faxes, that they had all the imaging, and would hand the records to them at each visit. They would give me osteoarthritis med and back spasm med, yet records show NOTHING. No diagnosed medical condition except secondary fibromyalgia. My federal diagnosis I got my disability on has been persistently deleted and ignored. This last place am at now I gave the one provider first day all my records, she copied them and handed them back to me copied from the clinics type format copier as some proof for me. It included one page I filled up with info as much as could also, fit it one page with note that I bring med record to every new provider. That page faxed in. However, faxing too expensive per page nowadays so good faith handed to new provider. That should be all that is necessary. As well as radiology telling me over phone they faxed all imagery to her and clinic. radiology have paper proofs that all imagery sent to every past provider, PLUS my faxes to them. But totally ignored. The radiology, and note I faxed describing all imagery content and that brought to appointment, and all radiology imagery reports not in record at all. Chump show for third parties. There is NO knowing, who these lowlife degenerates are, that are staff in medicaid doing this. They think someone will cut off benefits cause nothing in record, obviously where this is going. I would rather go to a hay stack needle indigent clinic, NON MEDICAID. But they refuse service to medicaid insured. Basically you have to be on this with disability. Sociopath low life cr$$k$, taking medicaid funds and keeping it for themselves and cronies. Greedys sure are all going for this unethical negligence deleting my med conditions and objective evidence by these sickies that should not have employment!!!! Trying to find another medicaid flying monkey, not many to pick from left for a pcp. Also, this insurance pays for nothing, its worthless, wanted medicaid to stop, at least type I am on. Only on a couple inexpensive meds. Ignored, no treatment anyway period.
View full review
Pros:
  • Minimal
Cons:
  • Most
Reason of review:
Bad quality

Preferred solution: Decent ethical provider

5 comments
Guest

Ganonymous needs to add to info. Was on medicaid, and noticed fudged records, as well as grotesque fabrications without any objective evidence.

Plus medical conditions left out. had some decent doctors who acknowledged at visits in past the med conditions and diagnoses, but not med records, etc. In 2011 on Evercare which changed name to United Healthcare in 2012. The UHC ignored serious complaints i made.

They were the ones who sent me in mail multiple complaints all with new case numbers that I NEVER made, and they totally ignored complaint I made. The disability medicaid I am on has two insurances to pick from. So i right away had insurance dropped from UHC to the other medicaid insurance option, as saw they were corrupt.. I tried ombudsman at DHS to get the fake reports out.

That is when I got the DHS fake report, instead of info on getting the other fake reports out from UHC. Then I got letter in mail from third party, at same time, who told me UHC said to complain to medicaid.

third parties could not obtain the 6 fake reports. And med records since November/December 2014 when I left UHC still edited, false info in, and fudged ongoing through medicaid with other insurance through this August 2017 complaint on medicaid.

Guest

click on show more and all of comment shows, i.e. on part about med records saying sending me letter they received my objective med evidence.

Which was given FIRST visit, and faxed by radiology first visit also. Ganonymous

Guest

Ganonymous the anonymous here commenting update. This medicaid is health insurance without care, testing or treatments.

Had MRI lumbar and S1. Was done and then swept under rug repeatedly. cervical spine xrays and MRI done because a doctor wanted to make $ off treatments, and was sure significant chronic conditions would show so pulled strings to have done, and then had the lumbar s1 and cervical spine treatments to charge medicaid for. Both mris and xrays deleted out of records afterwards.

Luck even had those done in first place. Had a sacrum injury long time ago, and one illiac crest lower than other since . after plantar sensory neuropathy diagnosed both feet and legs. Needed neuro tests to confirm and sacrum imaging as well but NO way can pay for.

Had a few immunizations and some bloodtests here and there with inexpensive meds from medicaid. Including a common medical condition that needs one or two bloodtests a year and an inexpensive med. Have had grotesque fabrications in med records by these lowlife paid off cr$$k$ in the past and other vile incidents. With objective medical conditions omitted throughout from record.

Get records out and find stamped verification of the objective evidence for proof. Last clinic I signed my records out after being in the clinic a year and chronic and all objective physical conditions omitted and no stamped proof in it, as told about in this complaint initially. Recent happening. like stated med records said they would mail me letter in mail confirming they have.

I did not hold my breath to say the least. I received in mail a letter with NO month day or year on it, no day of when received the listed imagery that they did list on it, and NO last name! Only my first name and no other identifying info at all. So worthless.

So i will play the mind game and try to get letter resent with info on. This medicaid is what you would call, BAD FAITH INSURANCE. Or BAD FAITH DISABILITY insurance.

Its basically insurance with no coverage, you have to pay out of pocket for most of what needed by seeing other docs out of pocket on your own but cannot afford. But what I have been getting is an unscrupulous bad faith insurance outfit ongoingly and calling itself, medicaid.

Guest

Issues trace to some staff in the medicaid office. As I stated, no way to find out who these individuals are that cause these issues.

Medicaid is run by the state, who tells the insurance you are on, and tells your providers how they want things done. They pay them. I made complaint in 2014 and found out it traces from medicaid from state and DHS from state. First complaint insurance contracted through medicaid, told me to make amendment request.

Chump response. Ignored objective medical evidence ongoing blatantly, no excuse. 2014, my second complaint to insurance about a falsified report, was not even acknowledged, and proof sent. Instead got six separate case numbers, of six new complaints, in my mailbox, that I never made.

Plus calls left on my answering machine to call about new and more complaints I never made. I wrote state ombudsman a note of sending me origins of false reports I never made, or if I can pick them up. it stated that all these reports were put in my state medicaid file. Then DHS sends me ANOTHER false report I never made.

Taking focus off complaint why, and also they were involved with it.

Also making me out to look bad all these fake reports. Cannot make complaints.

Guest

I am Ganonymous and all that has and is stated, are my only stated opinions. I contacted med records at clinic and got confirmation that all info, mris, xrays and scans WERE in records and a confirmation letter from med records that info is all in clinic is being sent to me. There has been in past other vile medicaid incidents, however this is the current issue complaint.

View more comments (4)
Anaiya Kdx

Medicaid not covering Co Pay

We have both Medicaid and insurance from work we use the insurance from work first and they have a 10 dollar co pay on all 5 meds i take 5 meds that are covered by both insurance and Medicaid but medicaid wont cover the co pay for 3 of them but they cover co pay for the other 2 drugs i take also covered by both insurance and Medicaid and they paid Co pay for hospital and ER as well i cant afford 30 dollar extra per month for meds i am report to Centers for Medicare and Medicaid Services (CMS) as well as suing Medicaid of Maine
View full review
Loss:
$30
Pros:
  • Service
Cons:
  • Not covering all meds they cover
Reason of review:
Problem with delivery

Preferred solution: Full refund

Anonymous
map-marker Greenville, North Carolina

Medicaid - Insurance Policy Review from Greenville, North Carolina

Why is vision and dental separate from traditional health care? Arms, feet, hands, bones, brain, ears, nose, throat, stomach, heart, knees, ankles, back, reproductive, *** and elbows (to name a few) are covered under traditional health care. Why are my teeth and eyes not included? This makes no sense to me. I am a disabled senior citizen and I need glasses, but can't afford them. Medicare does not cover glasses anymore. I have been told that I make too much money to qualify for Medicaid ($1200.00/mo)
View full review
Reason of review:
Bad quality
Anonymous
map-marker Leverett, Massachusetts

Medicaid/Mainecare taking estates after patient passes away

Mainecare/Medicaid prints on its yearly reviews that it will claim the estates of recipients up to the amount of medical services rendered. Most elderly people and an increasing number nationwide have no other health insurance available that will supplement Medicare. This entitles states to take property and bank accounts that would normally be left to children, grandchildren, and charitable organizations. People have to come together and take this issue to court as many times as it takes to make certain that inheritance is still available. The government does not need to force future generations into poverty. Social Services was put into place to help people.
View full review
Reason of review:
disenfranchising low income people
1 comment
Guest

thats why most elderly people use Medicare instead of medicaid because PA does the same thing and medicare is identical to medicaid

Anonymous
map-marker Ruckersville, Virginia

MAD AS ***

A very rude gentleman called my husbands cell phone; when I answered he proceeded to tell me of his debt. I exolained to the (nice) gentleman that my husband had become diabled and that between insurance and medicaid all debts should have been square, he snapped and said "do not interupt me" when I said exuse me? He said "just pay your *** bill by the end of the week or else!" then hung up. I hope "Mr. Glock" never finds himself in a position of tragedy, or at least I pray I am the bill collector on the other line!!!
View full review
1 comment
redflash

:) I can relate to what you're going through as I am in the same situation. I good luck and may God bless you and make you better!

Anonymous
map-marker Lexington, Kentucky

This company May encourage fraud

I went to the lunch seminar yesterday. I fell for the whole deal, my fault. What I found so disturbing was when I went to get my password and access no. There was a woman who told the man at the table that she was on disability and could not earn money. He told her "that is ok, just put it in his name, and here let him sign this form". He was really telling her to defraud the government. That was 1. a surprise, I did not know being on disability I could not earn money. 2. I could not believe what I was witnessing, and what came out of this mans mouth. I found out I could not earn more than $60 a month. I called to tell them and cancel the program and as the speaker said,when you call our number, you will get a voice in the US. The man I spoke to was in the Philippines. Who are you people really? Is this really a scam. Wonder if Medicaid would be interested in this company? Shocked and dissapointed. Rue
View full review

Insurance Expert Talks

Insurance Claims Tips: What Red Flags to Watch Out

Apr 23, 2021

How to file an insurance claim? Why do you need a public adjuster? Vince Perri, CEO of Commercial Claims Advocate, shares his best tips about insurance claims. Find out how to deal with complex residential insurance claims and commercial losses.

Read full article
Vince Perri
Vince Perri

Vince Perri is a Expert Claims Adjuster and CEO of Commercial Claims Advocate. He has over 14 years of experience in handling large commercial losses and complex residential insurance claims.

Anonymous
map-marker Plainfield, Illinois

Government wants most americans dead

Yes, with he new regime we have in place, they need more ssi, medicare, Medicaid for the new illegal citizens to be. one new way, only one of many, are the fire safe cigaretts, they will kill off most of those who smoke them, and no one cares, tere is no fda, cia, fbi, ect, to protect Americansanymore. Since i started smoking fsc, cig i have noticed coughing, lungs hurt, sore throat Dont give me any flact, when i started there were no warnings, and didnt know they tainted them to addict us. There are only a few states that still sell reg, addictive cig, with toxins, i suppose they are using other as guiney pigs.
View full review
2 comments
Guest

To answer your question: YES WE WANT YOU DEAD!!!AS A DESTRUCTIVE SOCIETY WE HAVE DECIDED TO TAKE ON THE NATURES WAY OF SIMPLY CULLING OUT THE HEARD. SO AS A REPRESENTATIVE OF OUR FINE NATION, WE ENCOURAGE YOU TO SMOKE MORE. ASHES TO ASHES AND DUST TO DUST SIR!!

Igor r
reply icon Replying to comment of Guest-62133

God will judge you.

View more comments (1)

Why Trust Reviews on PissedConsumer?

  • Professional auto and live moderation
  • 100% user-generated content
  • Equal opportunity and protection
  • Zero tolerance for fake reviews
  • Verified content
  • PissedConsumer is on the Inc. 5000 list

For more information read Blog article