Author Topic: Cigna vs United Healthcare  (Read 5402 times)

Offline Allyson

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Cigna vs United Healthcare
« on: May 29, 2008, 08:08 pm »
We just got word that APS is streamlining its healthcare providers.  I'm currently with Kaiser which will no longer be an option. 

Our two choices will be Cigna or United.  Does anyone have an opinion of either one?

Does anyone know if Dr. Howland-Sells accepts either?  Based on the overwhelmingly positive Buzz reviews, I think we'll try to see her for our pediatric needs.

And if anyone has a local primary care doctor or OB/GYN that they love, I guess we'll be needing recommendations for those, too.

Offline Marie

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Re: Cigna vs United Healthcare
« Reply #1 on: May 29, 2008, 08:11 pm »
I use Dr. Durrett, she works out of Piedmont Physicians over at Piedmont Hospital

Love her, she's awesome.
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Re: Cigna vs United Healthcare
« Reply #2 on: May 29, 2008, 08:11 pm »
We have United Healthcare and I like them a lot. Haven't had any challenges with the group.

Offline JBB

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Re: Cigna vs United Healthcare
« Reply #3 on: May 29, 2008, 11:57 pm »
it's actually the state of GA... they make the call for all school systems statewide...

As for Dr. Sells... you can ask her if you see her at Holy Taco one night... or Google her website
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Offline Crikay!

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Re: Cigna vs United Healthcare
« Reply #4 on: May 30, 2008, 12:36 am »
We have United Healthcare.  The boy goes to see Dr Sells as his paediatrician.  For GYN I also see Dr Durrett at Piedmont.  OB GYN I love Dr Johnston at Piedmont OB GYN.  Have had no problems with any of them accepting whatever plan it is we have. 

Our family physician is Dr Catherine Bray over on Scott Boulevard but I am rather ambivalent about her.  She's just so hard to get an appointment with and I had a couple of occasions to call for advice and never got a return call.  Would love to find someone closer too.  I can understand seeing the OB GYN over at Piedmont as that is where I'll be delivering (though I will grumble about the drive and parking), but for a family doctor I value locality when family members aren't well. 

I've had a few issues with United Healthcare billing but with patience these seem to have eventually been cleared up without me being out of pocket:

We got some scary bills through from a hospital in Kansas we'd never been to, I haven't even been to that State, and when I rang to query it as a fraud the operator just told me that United Healthcare had paid their part of what they had been billed and it was off their plate now.  Not interested.  Onus was on me to follow up when all I had to go on was a cryptic code for the billing facility and a hefty bill for some unknown procedure.  They weren't at all interested that they had also paid thousands for a claim that wasn't ours and we had to somehow prove that we hadn't been to that hospital.  After a bit of detective work I discovered that an elderly gentleman with the same name and birthday (obv different year) as my son was the real patient.  No idea how United Healthcare got involved though as the lady I eventually spoke to who sorted out the mix up told me that this guy wasn't even insured by them.  Several more phone calls following more billing letters later I think I've now got this cleared up and removed from our account.

Emergency room visits also seem to have caused some billing confusion as our plan allows both in network and out of network facilities to be used if it is an emergency.  Problem is the billing department doesn't seem to have got that memo and I've been having to field direct bills from Spalding and DeKalb Medical Centre after they had been refused payment from our insurance.  Again though, a bit of patience on the telephone seems to have finally sorted that out.  Phew.

We used to have Blue Cross and I think I like the United Healthcare folk better.  I do wish that both insurance companies would be more transparent with their billing and statements though.
 

Offline irises62

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Re: Cigna vs United Healthcare
« Reply #5 on: May 30, 2008, 12:45 am »
We changed to UHC in January.  Its provider network is larger; however, check the exclusions if you require DMEs or other specialized equipment. 

Online Cap'n Ken

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Re: Cigna vs United Healthcare
« Reply #6 on: May 30, 2008, 07:39 am »
I thought this thread was about soccer.
<sig>

Offline EAVZ06

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Re: Cigna vs United Healthcare
« Reply #7 on: May 31, 2008, 05:48 am »
Allyson, I have it on VERY good authority that SHBP members currently with KP can remain in their current plan with KP until the end of 2009.  I am sure that there is to be an enrollment period/deadline that has yet to be announced.  To find in network providers, you can have a current member UHC login in at www.myuhc.com/groups/gdch (for SHBP of GA members only) and use provider lookup.  When using provider lookup, make sure that you search under the correct policy coverage type (HMO/PPO, options/choice ....)  I did a quick search for Dr. Sells based and did not see her listed as an in network provider.  If you still want to use her,  let me know.   I can find out for you if she takes any of UHC's plans.  You  may also have the option to use an out of network provider and pay the difference (depends on coverage type selected).  Make certian you understand what each plan covers or excludes.  Changes from one plan to another, althought with the same company, could have pre-existing condition limitations that would come in to play.  UHC also has a care coordination team of RN's based in Atlanta that will assist SHBP members (and family members on policy) with health matters.  If you or any other buzzers have questions concerning UHC, please PM me and I will see what I can find out for you.     http://www.ajc.com/metro/content/metro/stories/2008/05/22/kaiser_cigna_united_healthcare_georgia.html

Offline Allyson

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Re: Cigna vs United Healthcare
« Reply #8 on: May 31, 2008, 07:57 am »
Thanks for all of the information.  One of the e-mails we got did say that Kaiser would be contracted for another year since their doctors are specific to the Kaiser network. 

We probably will end up staying with Kaiser through the end of 2009.  I'm due with my 2nd at the end of Nov/beginning of December and I'd rather stick with our current set-up for all of my post-partum needs and the first year of well-baby visits.

It's nice to know that there's a United expert on board.  That's who were leaning to when the time comes.   

Offline Imani

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Re: Cigna vs United Healthcare
« Reply #9 on: May 31, 2008, 08:28 am »
I thought this thread was about soccer.
united is not soccer...they resemble football at times.
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