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Daniel Grootner OptumHealth Allies, The National Congress of Employers, Unified Life Insurance Company CVS Caremark. Hello my name is Abdul Vega. My wife Christine and I were solicited for family plan insurance coverage with dental and eye benefits by Daniel Gootner at America's Choice Health Group. (561)800-0700 af Internet
Hello my name is Abdul V. My wife Christine and I were solicited for family plan insurance coverage with dental and eye benefits by Daniel Gootner at America's Choice Health Group. (561)800-0700 after requesting information from a third party online.
Daniel Grootner contacted us immediately with in seconds of my request. Daniel and I spoke over a two day period. I wrote down his description of my coverage option's and his recommendation's. Unsure of coverages provided I, asked Daniel if he could fax me a copy of the coverages and if I could start them on July 1st. He said he could not send the policy coverage breakdown without starting a plan. Daniel advised me of my right to cancel, should the coverage have been misrepresented.
Busy at work, I suggested Daniel call my wife, Christine after playing phone tag throughout the day so, he could discuss the plan with her and he did. My wife Christine asked several question's and wrote down, just as I did, notes that we later compared.
Ultimately, we chose to accept and pay for a policy as member ID #656629***;
Discrepancies
1. No co-pay on doctor's visit(s) which according to the packet that I received, is NOT true. The Unified Life Insurance Company packet that I received states in print this coverage will cost a minimum of $50 per visit.
2. We both were told that there would be prescription coverage of 80%, with 20% to be paid by us, the policyholder. This too is not true as the packet that we received has a prescription discount card attached to it. Not actual coverage.
3. Daniel also told the both of us on two separate occasion's, that there were no maximum visits, which this too, is not true. The packet states that there is a 5 visit maximum on both accident & sickness, whether in-patient or out-patient.
4. Daniel stated that there would be no cost incurred by the policyholder(s) for emergency room visits, this too is not true as the packet states $50.00 per visit and a maximum benefit of 1 visit per coverage year.
Today, upon going over our Certificate of Coverage that we received in the mail this morning from Unified Life Insurance Company as well the "discount" cards that we received, we realized that Daniel had misrepresented OptumHealth Allies, the National Congress of Employers, CVS Caremark and The Unified Life Insurance Co.
Upon calling Daniel this morning, he had a condescending attitude from the start of our conversation. When I ask for a supervisor, he said he was a supervisor then began to attack me verbally stating that I was accusing him of lying to myself and my wife. When I tried to explain to him in a rational tone, he barked accusation's of possible illiteracy on my behalf and suggested that I was not understanding what he meant during our previous conversation's.
As our would-be conversation continued I began to realize that Daniel Gootner is as unprofessional as they come. As a Regional VP for a large retail company, I found his tone and over-talk to be disrespectful. This is not a company that anyone should be doing business with, including insurance provider's and insurance policy holder's. Daniel went on to speak about my finances ???, which had no baring on his misrepresentation of coverages, which seemed to be his way of deflecting his misrepresentation of coverages provided under the Unified National Health 200 Plan.
In addition to being unreasonably loud, rude, condescending and misleading Danial Gootner of America's Choice Health Group, dare think that his misrepresentation of coverages warranted a verbal lashing of sorts to a paying customer. I am truly not surprised after reading dozen's of complaints on ripoffreport.com, bbb.org and a other websites online.
I will be forwarding my complaint to OptumHealth Alies @ P.O. Box 10340 Glendale, CA 91209 (877)426-2559, the National Congress of Employers, the Ripoffreport.com, the BBB and Unified Life Insurance Company @ P.O. Box 25326 Overland Park, Kansas 66225.
I will also be filing a petition via facebook, to start a certified class action lawsuit against America's Choice Health Group on behalf of a large group of people as plaintiffs who have suffered some similar harm from the same actions of the defendant or defendants of America's Choice Health Group, if I do not receive a FULL refund of $276.00 which is the amount of monies that I paid to America's Health Group for the insurance coverage with a start date of June 15th which was not our agreement. See above mentioned coverage start date of July 1st pending the review of the Certificate of Coverage by myself.
Due to discrepancies found with in the Certificate of Coverage versus the 3 verbal telephone conversation's that we had, it is my conclusion that I will not require the services provided by Daniel Grootner and the companies that he will continue to misrepresent.
Thank you in advance for your assistance in this matter of immediate concern.
Respectfully,
Abdul & Christine V
(((REDACTED)))
3 Updates & Rebuttals
john
Alabama,USA
I am with you.
#4UPDATE EX-employee responds
Sat, December 19, 2015
This company has scammed so many people, the list goes on and on. I worked with them for months, they train everyone to lie and they take their money. People are now catching on and soon there will be a lawsuit against them. The only issue is the numbers are fake and the caller ID is a lie.
Since I worked their, I know the address, business names and real phone numbers.
Business Owners:
Corey Shader- (((REDACTED)))
Jason Price- (((REDACTED)))
Office Location:
555 SW 12th Ave, Ste 120, Pompano Beach, FL 33069
We all need to join together and do something, this has been going on for far too long.
asperling
Gilbert,Arizona,
I agree with you
#4Consumer Comment
Thu, April 18, 2013
This guy Daniel Gootner is really a character and I felt like going through the phone to grab is neck. I have been lied to as well, been taken for over $1497 dollars from this Unified health group which was falsely represented by this America's Choice health and wondering why the authorities are not getting involved with this? Is it because the feds are getting their kickbacks from this group, I come to find out that all I hear from this Daniel Gootner and his associates is nothing but lies. Plus finding out about the BS he deals out well I am alerting everyone and also my legal consultant about this and if this is not solved within 24 hours of todays post which is April 17, 2013 then I will take them to court. This is a rip off of this kind and still can not believe that this country allows companies like this America's Choice Health to get away with this. Is Unified health in cohoots with them or what? It now makes me even angrier now that I see all these rip off reports about the same company. How can you allow this to happen and I blame the federal authorities to allow this Bull sh* to go on and people like myself trying to get insurance so I do not have to pay a fine thanks to our President. Insurance companies are rip offs in the first place but not like this where companies can scam people out of thousands of dollars and not be held accountable. This country sure has let us US citizens know they do not care about us, just our money. We have a communication problem where now companies like this America's Choice health can get away with this.
TakenAdvantageOfbyUnifiedHealthOne
United States of AmericaSame Thing Happened To Me
#4Consumer Comment
Mon, September 17, 2012
Please see my post below, same thing happened to me, looks like about 3 months after your report. http://www.ripoffreport.com/unified-daniel-gootn/health-insurance/boca-raton-florida-3cc03.htm Can you tell me if there is a class action or if I can help you in any way, please let me know. I know what you are going through, but there seems to be plenty other people who do too, which is sad that they have been allowed to get away with it for this long.