Great-West Life Group Benefits Insurance Reviews

I'm under my partner's health benefits. Chiropractic care is listed at $500 per year covered at 100%. I had my initial assessment for $125. This was the least expensive that I found in my immediate area in Toronto. Only $68 was covered much to my surprise. After extensive time on the phone, I was told that they only cover the lowest amount offered in my area. Looking at the Ontario Chiropractic Association's website I found that they recommend a fee was $88 - $150 for an initial assessment in 2019. The company refused to share with me their supporting evidence showing how they found $68 to be the lowest cost per hour. This is honestly so frustrating. If a plan offers $500 covered at 100% I shouldn't be surprised that my first claim towards this amount isn't fully covered. Maybe there are smaller towns in Ontario where $68 is the cost of chiropractic care but in Toronto, you're unlikely to find this. There's nothing that makes me so upset as sneaky and deceptive behaviour.

Dealing with GWL on a disability claim for my wife has been completely abhorrent. As others have noted, if they can find ANY reason to deny the claim, they will. We have in writing from them that while her doctors may consider her unable to work, they don't agree (without justification given) so go back to work. Despite our request to be seen by a doctor of their choosing, they declined and stuck with their decision on appeal. If your employer defaults to their decision, as he does, then you are stuck with the employer demanding that she return to work despite doctors instructions she can't. The sad irony in this is she is paying for this 'coverage'. The sad footnote is every health care provider we have dealt with, has had nothing good to say about patient experiences with GWL.

I've been off work for 5 months, my EI ran out in April, it is now the end of May. They told me complete lies about waiting for my employer to respond about my income to find out they didn't actually reach out until May 23rd. I've called a few times a week and they kept giving me the same excuse while talking down to me as if I'm bothering them to do their job. Now the person who handled my claim is away and will call me next week. I've been told next week for 4 weeks. This is completely unprofessional, you can't seem to get through to anyone in charge. I'm a single mother, having health issues, no other income. This is insurance I pay for and they treat me like I'm working for them. I have not been able to speak to one person who has been polite or understanding during this whole process. This is completely unprofessional...

If you have an option, stay away from their service. I tried to call a general helpline and find out more info regarding disability claims. They gave me another to call for disability claim info. I called that number, and the lady on the phone told me I should call another office in Scarborough, so I called Scarborough disability claim office. They said they only help with existing claims. With all this passing around, I still couldn't find out if they will accept my situation, where to submit claims, and how to get claim form etc. Useless, rude, slow, ineffective customer services. Lastly, I found out I should contact my account rep-M.D. She never answers her phones or returns phone calls. Every time I call, she is out of the office or away from the desk. If your company is short of staffing, hire more people, and hire smarter people. Super Disappointed

I’m supposed to have group insurance for dental. However each year my out-of-pocket expenses go up and up while Great-West finds new ways to not pay for claims. Recently I had 2 fillings on 2 teeth that happened to have crowns on them. The crowns were not touched. The two teeth under the crowns had cavities where my gums receded. $430 was the cost and $0 was the benefit amount. They don’t cover fillings to teeth that have crowns on them. They consider this “crown repair” when the dentist never touched the crowns at all. This is just one of many ineligible claim excuses they come up with to render your dental plan with them practically useless. I’m going to be pushing our union to switch to a better provider. We have approximately 40,000 employees and many of us in my section are fed up with this company.

Sadly through my workplace, we are forced to pay into this horrible company. They charge a fortune in monthly fees, yet cover nothing that other reputable insurance companies offer. A prime example is their pathetic mental health coverage. You can’t even get the cost of one appointment covered with a psychologist. Also, I’ve spoken to a few working moms who have coverage under their insurance policies for breast pumps. Big surprise, Great-West Life do not consider it essential. They do not care for their customers, they are simply out to gouge hard-working Canadians from their hard-earned money!

I recommend everyone to stay away from Great-West Life Group Dental Benefits! Twice I’ve had to get a crown on my teeth and both times they denied my claim stating that they determined that a filling was all that was needed! My dentist assured me that a filling would not work and this last tooth had a large chip to the point that my nerve was exposed! I’ve never had this many problems with any other Group Benefits Company!

This is about "Drug Insurance", which is not available in the Product type. The Ontario Pension Board's Ontario Public Service Pension Plan drug coverage is supposed to be 90% but Great-West Life Assurance has applied a $1,000/year limit on a specific drug. The information available from the Ontario Pension Board and from the Great-West Life Assurance's GroupNet websites state that the drug coverage is 90% without any exception. Great-West Life will not provide the insurance policy, only a sketchy self-excusing letter explaining the limit using Health Canada and other excuses to deny payment for copayment coverage for a drug I have been taking for at least 13 years at the same dosage. My doctor submitted a form requested by Great-West Life Assurance in which the reason for prescribing and the dosage was stated, which Great-West Life Assurance rejected. Great-West Life Assurance is dishonest. Ultimately, this will probably be settled in small claims court. It isn't just about the small amount of money involved, it is the principle that the information presented by the Ontario Pension Board and Great-West Life Assurance state specific coverage, which is not being honoured and, if there is an exception, that information is not provided, and the supposed exception to 90% coverage is for a different condition for the prescribed drug. The Ontario Treasury Board Secretariat is a party to the insurance policy agreement and will be named as a party in a small claims court lawsuit. If this is resolved in small claims court, it will cost Great-West Life Assurance and the taxpayer of Ontario a lot more money than the outstanding unreimbursed amount.

Always a busy tone when calling customer service. Could not speak to anyone for over a month now, not even their switchboard could reach them, yet switchboard would say that they're experiencing high call volume, so then why isn't that message on their recording when calling in to make customers know what the heck is happening instead of a damn busy tone!!! This is all nonsense!!! 1.4 RATING FROM 133 REVIEWS!!! My husband claims are all selected for audit even though I've been submitting his claims via online, sent proof of the receipts, yet they would email countless times asking for proof, ARE YOUR EMPLOYEE INCOMPETENT??? CAN'T THEY OPEN RECENT ATTACHMENTS??!!! SO FRUSTRATED!!! LOOK at your rating, your service is crap and surprisingly there has been no significant changes even with the constant negative reviews. SHAME!!!

If you have a choice, stay away from this company. They will do anything to not pay your claims. i.e. multiple short-term disability claims of my colleagues have been delayed in payment for months after their disability period. Cancer medication claims have been ignored over and over again. One of my colleague's husband passed away more than 6 months ago and there are still no payments. You can imagine the financial stress this creates. For myself, basically, every claim in the region of 100 $ + (over one hundred) is "randomly" selected for audit half the time then ignored after successful completion of the audit. The customer support line phone always has a busy tone. You simply cannot reach them. The online written requests get no answer. If you escalate to your company administrator, they will make statements that they tried to call you three times to clarify. They will state that you as a customer ignored them and therefore they do not pay. I can go on and on with these stories... Overall, this is a full-on fraud company.