An insurance that actually tries to cover claims!
by R Vallee on Sep 8, 2023
5 out of 5 stars
I work in Longterm Care and Desjardin is supposed to cover a portion of lost wages while an employee is off on sick leave, medical leave etc. I have heard nothing but negative feedback from other employees who tried to access this benefit and have been denied. Under medical leave from my doctor who filled out the required paperwork in detail... I was denied. Under prenatal sick leave, I am having problems again. The company loves to take your money but denies coverage in the event of medical leave.
Just follow these easy steps to claim your $200.00 towards $400 orthopedics: From your physician/healthcare professional: 1. Original recommendation/referral from the physician or authorized healthcare professionals, including the diagnosis that determined that the foot orthotics or orthopedic shoes were necessary. The orthotics or shoes must be prescribed before you buy them, and the recommendation/referral must be recent for the expenses to be eligible. From the supplier: 2. Original receipt with the provider’s name and address, date the provider received the foot orthotics or orthopedic shoes, patient’s name and cost breakdown. 3. The date you picked up your orthotics or orthopedic shoes. 4. Confirmation that the orthotics or orthopedic shoes have been paid for in full. 5. Copies of the biomedical exam results and gait analysis results, both dated and signed by the healthcare professional. Note: The examination must be performed by a healthcare professional who is a member in good standing of a provincial or Canadian professional association recognized by Desjardins Insurance. The examination must be within the scope of the professional’s abilities and recognized field, and it must have been performed by the specialist identified on the receipt. 6. Complete description of the process used to create the foot orthotics or orthopedic shoes, including the casting technique and the raw material used. Only techniques using a three-dimensional (3-D) image or unique 3-D cast impression of the feet using a raw material are eligible. 7. A copy of the manufacturing lab’s invoice with: patient’s name, qualifications/credentials, including name, address and telephone number of the laboratory, date the provider placed the order and the date it was delivered to the provider, type of orthotics for footwear modification claims, a receipt detailing the cost of the modifications is required, along with the documents listed above. Once you've done all this just fax it all to them and wait for them to decide if they are going to pay it or request further documentation to support your claim. My employer used to use Great West and it was great. EVERYBODY I talk to at work HATES Desjardins.
A few days ago, I tried to make an insurance claim through my group insurance plan (it is given to me via my workplace) therefore, as per instruction, I need to open a web account. However, when I tried to use my log in information, I found it wasn't working. I double and triple-checked all of my information, used my old passwords, and even tried to use the forgot you User ID Feature. However, none of these worked. So, when I finally decided to call them, I found that they only had their phone services open for Mon. to Fri. , and even then only from 9AM to 5PM they have their only customer service times directly on work hours, which seems like they are running away. What this company needs isn't a customer service line done by people, what they need is a customer service done via email to retrieve your forgotten passwords or information. Their customer service needs better hours like evenings, and weekends for better management and customers can make their claims,
My company group plan ( 1000+ members ) has been with them for 10+ years.
We are switching out of them because they are a nightmare to deal with.
I personally just had a terrible experience with them as they will use any weasley method available to not pay their bills.
Rick
The company I am employed by recently switched from another insurance company to Desjardins Insurance. Big mistake.
In less than a year of the switch, many employees including myself have had to jump through hoops in regards to coverage. They will not pay what they say they cover unless you go far out of your way to request a reimbursement check.
Most recently, they have cancelled covering a surgery I had and denied my disability claim because they say it was not filed in time. The hospital only fills out the forms to send to the insurance company after the surgery, and only after the surgery. Desjardins cancelled and refused coverage a week before I had to go for the surgery itself.
These people are scum. Avoid using them at all costs.
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I have been on many different group benefit plans in the past and Desjardin has been by far the best experience.
On 2 occasions now, I have had them personally call me to explain claims that were denied and what further information was needed and worked with me to cover the claims.
Their customer service has been wonderful with no wait times and they have actually been on my side to get drug coverage and procedures covered.