Not like it was before
by Northerner74 on Jul 30, 2024
1.5 out of 5 stars
This could be great Is. Company for Group Bens. if their agents were actually trained in the aspects of this type of Insurance. Every claim I have sent in has been rejected and then sometimes paid out. It takes an enormous amount of time to continually provide additional information before a claim is paid out. When calling the Call Centre you wait forever to talk to an agent who is usually in a hurry to get off of the phone? Furthermore, they have a committee who approves some drugs that are not always on their list of prescribed drugs. This committee in my case misread all Doctors info and Pharmacy Info. Therefore rejecting my claim. Called in as advised by supervisor who just said Call back to call center they have copies of letters. They did not, and only explained that it takes weeks for decisions to be made? Yet I had a letter of decline in my hand. It speaks volumes when a supervisor manager does not even understand what her Call Centre has as information. As I said, this could be a really good Insurance Company if they just understood what they were selling and actually did due diligence when making decisions.
Doesn’t provide service like in contract. Always delays the payment. Bad customer service.
Switching to Canada life I have to fill out all sorts of crap and jump through hoops galore in order to get approved.
Their staff make you look up DINS on their website (too lazy).
I have a feeling I’ll be disapproved for the new diabetes meds. Best of luck to everyone forced to deal with Canada Life.
This company took over the PSHCP program for Government of Canada employees. It was impossible to speak with an agent for the first two months of transition. They failed to communicate key policy points that meant my significant other will lose name brand drug coverage. Unacceptable.
Ever since Canada life became the PSHCP insurer it has been a nightmare to get claims approved. Long processing times, multiple audits, unknowledgeable customer service reps. It's a circus. Missing sunlife with seamless app claim.
The government needs to investigate them and find a better provider.
They say it's working but it doesn't. I've called in a couple of times just to ask what the status if only to be told to wait. Sometimes it takes forever to get to an agent which is understandable. But for me the main issue is, if the coordination of benefits works then I wouldn't need to call.
Every time you phone them you sit on hold for an hour minimum. Then if you’re lucky enough for someone to answer they don’t know anything. They say they will look into it and never do.
I have had nothing but long waits to get through to a rep. 1 1/12 hours with a disconnect just to update important information. Calling from 2 phones at 1 time to see if I'll receive quicker service. Told one thing by 1 rep, transferred to another, as they don't have the knowledge to do this exchange of information. With another 1/2 hour wait. Told there is 6 month prescription availability, but the pharmacist claims its wrong! They are training new staff I'm told. It's unfair to the clients and the staff if this is their training. It's not good enough.
Getting the run around. My claim is almost 2 months and still no clear resolution.. asking the talk to the claim assessment dept to understand the problem and got the answer... ”you cannot talk to the claim assessments dept”.
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Have had to make several calls over the past year and have been amazed with how unhappy the staff I've spoken to are. I get a 'one-off' thing, everyone has a bad day at some point, but 4/5 times seems excessive. Between that and all the additional 'hoops' we're made to jump through (I assume, so we just give up and using their benefits), it's become a real displeasure to contact them. I recently went for a root canal, and they were going to pay $1425 of the $1500 procedure (had a pre-assessment). When it came time, my dentist realized the tooth was in worse condition than expected and aborted the procedure part way in. He only charged $500 for what was done, but they would only cover 1/2 of that? So they saved $1000 from his decision to do that, and thanked me by putting it to me for an extra $200. I've been with them for 25+ years now, but they are not the company they were in the past. Unhappy/Rude staff and bad benefits.