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.
I have read nothing but poor reviews of Canada Life after they took over PSHCP. I have had nothing but amazing service. Any phone call has been handled quickly and efficiently. I attended an optometrist appointment yesterday and submitted my claim... honestly fearing how long it may take. WITHIN 24hrs, I had the claim processed and funds directly back into my account. Amazing service!
Denied two claims with covered DIN's. I can't get an explanation because I've spend nearly 2.5 hours on hold over the last 2 days. I emailed from their website for support and have received nothing but a cookie cutter response stating they are behind on claims. They didn't address my concern as the claims I was referring to were already processed, just incorrectly.
I had podiatrist surgery, by a podiatrist who has been practising for the last 30 years. Canada Life denied my claim saying he does not meet the qualifications. However, they covered my initial assessment. After calling several times and giving them the registration number they still denied it.
I am a retired Canada Life employee with 37 years of service. I worked in a number of areas, and for 22 years was responsible for the management of group health, dental and disability claims. Our service standard for medical/dental claims was 5 days for dental and 10 for medical claims. We consistently met these service goals, in a very competitive group insurance market. Not to do so, would have resulted in a loss of business and “my job”. It is shocking to see the current state of affairs in Canada Life’s claims area. The acquisition of the Federal Civil Service Plan has resulted in huge increases in claim volumes, without sufficient staff to provide adequate service. Senior Management are to blame. Hopefully, more staff have been hired and within a short period of time the claims area will be able to deliver much better service to all their group health and dental customers.
They simply wont pick up the phone, I called 3 times, waited over an hour each time.
As bad as it gets.
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.
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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.