UCare Minnesota

Initial Business Response / [redacted] (1000, 5, 2015/06/10) */ Ms [redacted] , Please see the attached response from Mr [redacted] , Senior Vice President and General Counsel of UCare Thank you Consumer received apology and refund

Initial Business Response /* (1000, 10, 2015/11/24) */
*** Please use the online complaint system to view the business response
Dear MsKeate:
Ms*** filed a complaint with the Revdex.com (Revdex.com)On November 2, 2015, UCare received a letter from your office dated October 27,
Ms***'s concern was about eligibility for Fairview Choices and the delay in paying claims on the policy
Thank you for bringing this concern to our attentionUCare has been able to resolve the issueOur records reflect that the family enrolled 1/1/2015, the spouse termed coverage end of April, and MNsure changed term date to the end of May, We generated an invoice for May premiums in July and then termed for non-payment as the subscriber did not pay May premiums for their spouseMNsure agreed to backdate the term date to 4/30/In July and again in August the
household (subscriber + dependents) were reinstated and the account was brought to current
The subscriber notified us of outstanding dental claims and we worked with the subscriber, provider and Delta to get the claims reprocessedIn late October, the subscriber mentioned that there was also a vision claim from August that was unpaid (UCare shows no receipt of this claim)We contacted the provider on 10/27/and 11/9/and requested that they submit the claim
On 10/25/15, the family had issues getting a prescription refill for the dependent and UCare determined that the pharmacy was attempting to submit with the wrong member numberWe contacted the pharmacy on 10/26/and provided the correct member ID and the claim was successfully processedUCare's Membership and Enrollment Director, Sue *** Member Services Supervisor, Linda *** and Team Lead, Soua *** have all worked directly with the subscriber to ensure all outstanding issues have been resolved
We appreciate the opportunity to provide information in your investigationUCare has a strong commitment to customer satisfactionIf you need further clarification or information, please feel free to call me at XXX-XXX-XXXX
Initial Consumer Rebuttal /* (2000, 12, 2015/12/03) */
(The consumer indicated he/she ACCEPTED the response from the business.)
I appreciate that UCare took care of the outstanding balancesI am grateful for Sue *** at UCare for personally following through with Delta Dental to provide the funds due to our dentist

Initial Business Response /* (1000, 5, 2015/06/10) */
Ms. [redacted],
Please see the attached response from Mr. [redacted], Senior Vice President and General Counsel of UCare.
Thank you.
Consumer received apology and refund.

Initial Business Response /* (1000, 8, 2015/04/13) */
Company provided a letter of response, and consumer accepted their response.