MDwise

MDwise Review

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3.7
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J
3 years ago

I am blessed to have the HIP insurance available t...

I am blessed to have the HIP insurance available to me for the past three years. I have yet to use it. I had to contact customer service for various reasons (one being I worked a seasonal job and lost my coverage because of it) and the customer service is outstanding. I am thankful that I am healthy with perfect health. Being 58 that says a lot. Thank you MDWise.

C
3 years ago

It has helped me to be able to not worry about pay...

It has helped me to be able to not worry about paying for my asthma meds over $500 every 3 months. Staying healthy is important and getting preventive care has helped me stay healthy. I hope HIP 2.0 plus stays around for many more years. Thank you.

R
3 years ago

Shea or whatever her name was extremely rude would...

Shea or whatever her name was extremely rude would not transfer to a sup as soon as i called to ask a questions she was sighing and huffing as if my call bothered her...kept interrupting me and wouldn't even ask anyone how to find the info bc she did not know ...just terrible customer service!!!

m
3 years ago

My aunt and I live d in the same house for some ti...

My aunt and I live d in the same house for some time. Same case number. Unfortunately we were always getting mistaken for one another. Which caused neither of us to get our redetermination papers,and both of us losing out insurance. She is on meds that keep hee alive. I was on Epclusa- the hep c cure.I called daily for 3 weeks and went into the offic 5-6 times. I could NOT get them to expedite my reinstatement before my meds ran out. Now that I'm a week without my meds, I get a paper in the mail telling me IT'S BACK ON!!! You can't start where you left off. You HAVE to start treatment over. The treatment that causes insomnia, nausea, headaches. The works. Thanks md wise for your WoNdErFuL customer service!!

c
3 years ago

i love MDwise insurance. i have it for my two gran...

i love MDwise insurance. i have it for my two grandsons and i have never had any problems with their doctors or medications. if i have a question they are there to help me figure things out. they also send me reminders for even the little things that you sometimes forget about. i wouldn't use any other insurance company. i even called one evening and talked with a nurse about one of the boys that was not feeling well and they were very helpful and helped me with my decission as to whether to go to the emergency or not. MDwise rocks.

B
3 years ago

I am totally and completely disgusted at the onlin...

I am totally and completely disgusted at the online service, how difficult the online system is to use, and the fact that we have tried MULTIPLE times to get my husbands "mymdwise" to work, and we can never retrieve a user name or anything. When we called (weeks ago), we were told his insurance is active, but they don't know why we can't log in. Tech support would call...it never happened...also...when we were searching and found a facility we were looking for (on the online doctor search)...come to find out...they don't TAKE MDWISE. It is still on mdwise online. It was a devestating discovery. When we are eligable to switch, we will NOT stick with this program.

A
3 years ago

MD Wise has always been helpful to me and it is ea...

MD Wise has always been helpful to me and it is easy to talk to the people there, my only complaint is that there is a brand of long acting insulin I can't take I had bad reaction to it, and they approved me for the one I was on first, but now every few months, they try to make me try it again and I have to have special approval to get it. So far they have approved it but its just irritating to have to fight with them about it every 2 or 3 months. They know I can't use it but it is cheaper than Humalog so they try to push it on me instead of giving me the humalog. Other than this issue I have had wonderful experiences with them!

R
3 years ago

A customer service rep named Shea (not sure of spe...

A customer service rep named Shea (not sure of spelling) was rude beyond belief. Otherwise, an escalated issue was handled very well. I'm not so sure I like Walgreens though & would've rather stayed with CVS but they're out of network.

M
3 years ago

Very helpful with helping me understand and direct...

Very helpful with helping me understand and direct me via phone and email with perfect continuity, meaning that the next agent already knew what my call is regarding and further helped in any concerns and questions that I had. They answered all! And set my mind at ease in clear understanding. Thank you so much! Exceptional service indeed to say the least. Keep up the great work! :)

G
3 years ago

Thank you for the affordable coverage, and for 90%...

Thank you for the affordable coverage, and for 90% of the time I do not have any major issues, but I am having problems with the claims department denying claims due to the misconception that I had other insurance coverage during a certain time period. They paid most of the claims but didn't pay some. I have called countless times about this situation and they have promised me that they are handling it, but I have been sent to collections on 2 claims now. Please help!

J
3 years ago

Worst insurance company I have ever had to deal wi...

Worst insurance company I have ever had to deal with. There customer service reps are great but there claims department must be made up people with an IQ below 0. How many times can you mess up a claim and call it out of network when in fact it s in network. How many times can they screw up? When they stop screwing up, I will let you know. They keep processing a physical lab test as out of network. I called to question this. The customer service rep was confused to because the lab was in network, so they sent it back to claims. Once again I get the benefits breakdown and it is still saying it s out of network. It is March my physical was in August for freaking sake. Oh and I had surgery which they authorized I have the paper and everything that has the authorization number and they keep saying it wasn t authorized. It s been sent back to claims three times already. Are they retarded? Incompetent or just morons? At this point it s hard to tell. Is there even a light burning at the other end in claims?
Update: I am adding this in as of 3/27 mdwise reached out to me to help resolve some of these issues. They were very nice and helpful I am hoping they will be able to fix all these problems. I will update again if or when they resolve the problems.

M
3 years ago

i have had md wise this year, almost every claim w...

i have had md wise this year, almost every claim was denied due to "out of network", while in fact it is in network. Always called before service and checked website. Then you call in and they tell you they will review, then they deny, and so it goes. Have a claim from june not settled. Finally filed complaint with indiana department of insurance, and still waiting. Worst insurance company ever!

A
3 years ago

Should have a much higher rating and the negative ...

Should have a much higher rating and the negative reviews are petty. Truth is this -- HIP and MDwise is what makes Indiana a fine place to live. Without it, the suicide rate would double in this state.

B
3 years ago

I had medial branch block on right side which they...

I had medial branch block on right side which they kill the nerves in my back. Took 4 mths to get approved and now have to wait for the other side to be approved. What takes so long? I make my monthly payments which i haven't worked since March of 2013 after a failed back surgery. I call and i get the run around. Other than the long wait the insurance is good...just slow for approval.

E
3 years ago

Hip has been a life saver for me. I couldn't affor...

Hip has been a life saver for me. I couldn't afford health insurance and had ran up almost 200,000 in medical bills that I couldn't pay. I have been able to get all of my health issues taken care of with the program.

T
3 years ago

I've been with MdWise for YEARS, faithfully. Pract...

I've been with MdWise for YEARS, faithfully. Practically all my life. But I'm about to switch, because they suck at dental care. I 27, so full dental care is HARD to find. I am in dying need of perio deep cleaning, and 5 times I was denied, because according to them, you have to have significant bone loss, for it to be covered. I am suffering every day in pain, because they wont cover it, and it's too expensive out of pocket. A blister formed behind my two front teeth, I know is due to perio. This blister thing HURTS!!! Its red and irritating. I can't bite, chew or eat in general, because of the sharp pain it sends, when I hit it. I was prescribed a rinse that was DENIED too, and would have cost me 103 out of pocket. I didn't get it, because I could not afford it. My situation is getting worse by the day, and they dont care until you damn near toothless before jumping in. Having neurofibromatosis doesn't help, because patients like us are prone to having skeletal deformities, and this makes it harder to keep my teeth clean. I suffer from a underbite, as well as crooked teeth. Till this day, I can only chew from one side of my mouth, because the rest puts pressure on my jaws. I can kick braces, and corrective jaw surgery to correct my bite, and my declining health issues out the window too. They wont even cover a deep clean. I know the other stuff I NEED to be pain free isn't going to happen. Guess I'll have to continue to suffer, until I can switch providers. But hey, thanks for the free subway and movie.

C
3 years ago

Extremely rude customer service. Recently asked to...

Extremely rude customer service. Recently asked to have my cell phone number removed from their database, as they were blowing up my phone daily. Three reps and one supervisor later, I'm still getting daily calls and voice mails despite requesting my number be removed (for weeks) from their primary database. I was professional, patient, clear and soft spoken even, however, the last rep and supervisor were beyond rude. There are no excuses for unprofessionalism from a supervisor. HORRIBLE SERVICE. Run away.

M
3 years ago

I have had MDWise for the past year and am very pl...

I have had MDWise for the past year and am very pleased. I need blood work frequently and need a number of medications, and I have not had any issues with getting any of the things I have needed.

K
3 years ago

I have missed now 22 doctors appointments using th...

I have missed now 22 doctors appointments using there transportation or the standing order either the rides don't show up or they don't call and let you know that they couldn't find you a ride,I truly think they don't care about anything but a paycheck I have asked to speak with a supervisor and have never gotten to speak to one.yjisbplace is a joke!!!

C
3 years ago

THIS INSURANCE IS FOR MY SON. IT IS ABSOLUTELY A ...

THIS INSURANCE IS FOR MY SON. IT IS ABSOLUTELY A GODSEND! HE HASN'T BEEN ABLE TO WORK THE LAST FEW YEARS AND IT HAS GIVEN HIM THE COVERAGE SO HE CAN SEE THE DOCTORS NEEDED. HE IS NOW WORKING HARD TO GET BACK INTO THE WORKFORCE. HOPEFULLY HE WILL BE ON THE RIGHT TRACK SOON!

P
3 years ago

This "insurance" is a joke. Can you go visit a doc...

This "insurance" is a joke. Can you go visit a doctor yes. However that doctor get any say in your medical treatment... Any tests they need to do have to be pre authorized by MDWise "doctors" that have never seen you as the patient. In my case an orthopedic surgeon requested an MRI with a contrast on my shoulder to find the tear in my rotator cuff. That request was denied. Mdwise instead in their infinite wisdom of orthopedic medicine decided that physical therapy for 6 weeks was necessary before they will approve the MRI. This "insurance service" is a worthless as the paper they print the card on. The customer service is as equally worthless as the health coverage itself. Plan to spend a couple hours on the phone to accomplish nothing but learn just how impossible they are willing to make it to get the care you need.

C
3 years ago

MDwise has been a life saver for me and my family....

MDwise has been a life saver for me and my family. Don't know what we would have done without them. Everyone is so kind and helpful. Always willing to answer any questions. Thank you MDwise for everything you have done for us.

I
3 years ago

I've only been with MDWise for a couple months, bu...

I've only been with MDWise for a couple months, but I am very satisfied with the primary doctor that I have. She is new to me as well, and she really takes the time to listen to my concerns, and addresses them quickly. Thank you MDWise!

N
3 years ago

MDWise provides good healthcare coverage. Client s...

MDWise provides good healthcare coverage. Client service department is helpful and friendly and the MDWise Rewards program is nice because you can earn gift cards just by going to your Dr regularly.

C
3 years ago

Piece of crap system. I bet Obama runs this too. T...

Piece of crap system. I bet Obama runs this too. They need to get their act together. A bunch of amateurs running a system and screwing helpless Americans out of money that they don't have and that's why they went to mdwise and now mdwise is the monster causing all of the problems. Way to go, pat yourselves on the back.

J
3 years ago

I would recommend MDwise, you have just got to wor...

I would recommend MDwise, you have just got to work with them. I was on the ACA then I got a letter saying in Indiana you got to have HIP. I like the way it's set up no copay's. I signed up to get everything by email. It took them a year to get it right. I love the rewards program too. To get people to go to the doctor. I though I did not qualify for Medicaid. I first applied for disability HIP but you can only have 2,000 in one month. So, I did not.

Now I have a clam form IU Health that went to my old one in from 2015. WHY NOW!

b
3 years ago

They are putting everything in out of network, whe...

They are putting everything in out of network, when I called before my surgery and they were in network. A lot of stuff they is not adequately disclosed for the average person. I have 3 appeals going right now

F
3 years ago

They are a terrible company. The phone crew is u...

They are a terrible company. The phone crew is untrained, unprofessional, and highly clueless. They never follow through with anything, and every time you call back, they have no clue what it is they were supposed to be following up on. Then of course the whole process starts over and then over again and again etc. I guess a lot of patience is necessary. It usually takes 4-14 months to get a bill paid. Unfortunately ive been dumbed down enough that im starting to get accustomed to having collections letters sent to me on a regular basis. But i am always concerned about how it will reflect on my credit score. Of course, they wont answer that question.
I would absolutely LOVE to give them 1 or 0 stars, but i cant complain too much when my family of 4 gets coverage for $28 a month. I guess you get what you pay for. But still, considering i spend 30-50 hours a year on the phone with them, all while constantly worrying about my credit score, is it worth it to me?

Yeah......i guess

C
3 years ago

first insurance that actually cares about my healt...

first insurance that actually cares about my health and wellness love it best thing that i found on the exchanges all states should adopt their model and the country will be much better off and they are less expensive WOW!!!!

T
3 years ago

Worst health insurance ever. Network is limited, m...

Worst health insurance ever. Network is limited, most doctors listed on their website we have called don't even accept mdwise... if your thinking about whether or not to get MDWISE or just pay a tax fine I would recommend you pay the tax fine. Yes they are the cheapest on the government marketplace in Indiana, but the old saying runs true with these jerkoffs, you get what you pay for.

M
3 years ago

Great

L
3 years ago

I have been with them for 2 years now. We moved to...

I have been with them for 2 years now. We moved to IN from MI in 2014 and so many people said to stay away from MDWise. I have had no issues at all. They are prompt with paying and or approving services. I would recommend to others.

C
3 years ago

If an insurance company could get 5 stars I would ...

If an insurance company could get 5 stars I would give them five. No they aren't perfect but they are the easiest I have ever had to work with. My wife and I both have them and other than the normal pre-approval stuff all insurance companies require I have no complaints. The only time we were turned down is because they wanted the doctor to do a better more expensive test which was completely covered. I was glad we had them when we had to fight cancer.

J
3 years ago

Everything was good until the doctor came in he ha...

Everything was good until the doctor came in he has no patience at all and i have 5 children every single move they made he acted as if je couldn't concentrate. I have a special needs child and and he just blew up at my child. Being a doctor you ars suppose to be tolerant of things. That doctor needs to work elsewhere.

S
3 years ago

I have always been satisfied with MD Wise....I hav...

I have always been satisfied with MD Wise....I have made several calls and have always received kind and courteous people to answer my questions. Without MD Wise I could not afford my doctor visits or my medications. Thank you so much for this. I will be going on Medicare shortly but MD Wise has been a blessing to me. Thank you Indiana...

J
3 years ago

It feels wonderful to be treated like a person reg...

It feels wonderful to be treated like a person regardless of my income or type of insurance. I appreciate the opportunity to have such broad coverage at an affordable rate. I can only hope this program continues.

R
3 years ago

The customer service gals are always spot-on for k...

The customer service gals are always spot-on for knowledge of my benefits, issues, and support. The coverage I have is great. There are times I have to wait a longer than usual for approval of certain procedures but they get approved. When I am being taken advantage of by a provider with a billing problem I've even had opportunity to be on-line while the customer service rep called them to inform them of how the state had things laid out. It was refreshing. Though MDWise may not be perfect, but wow, the coverage gives me security and the providers really know what they are doing. All of them.

T
4 years ago

It would be nice to finally call the phone number,...

It would be nice to finally call the phone number, and make a payment to you guys, and have someone not so rude and getting mad at you because they talk so fast, and your trying to understand what they are saying. I have made my payment every month on time, and I stopped receiving bills in the mail because your reps cannot seem to get my ADDRESS correct every single time I call to make a payment and tell them the CORRECT address, so I pay on the phone, and I am greeted by a RUDE person every single time, and someone who hates their job. Make this easier for those who actually pay their BILLS!

D
4 years ago

Answers promptly and customer service is much bett...

Answers promptly and customer service is much better now they've been around a while. Wish you could always talk to the same person, since some are very intelligent and willing to go the extra to help you resolve the problem. Still some confusing issues with the overall system for sure! I give 4 stars today. Admit that some times I only get 1 or 2 stars service. One issue right now rates 0 stars, since I was directed wrongly and will be stuck with a plan, I was told to move to, till I can get someone to move it to the right one, or another remedy. Geesh!

L
4 years ago

I also think that MD Wise is wonderful coverage. T...

I also think that MD Wise is wonderful coverage. The employees are very helpful and full of information and they are always inquiring about my needs and if I'm being taken care of. I'm so fortunate to be able to have insurance at the time. Thank you MDwise.

d
4 years ago

This is a great company and I am very satisfied wi...

This is a great company and I am very satisfied with my coverage. Everyone I have ever spoken to at MDWISE has been fantastic. They are always very friendly and helpful. I would highly recommend this company to anyone looking for a very good insurance company.

R
4 years ago

MDWise has been awesome for me. It covers my insul...

MDWise has been awesome for me. It covers my insulin, all my other medicine as well as the visits. My reason for the 4 stars is because for the past 6 months or so I get the same notice that I am considered medically frail. It's like I have been removed from the HIP+ and they send another letter telling me I am back on it. I have received bills from 2 places stating that I owe a balance. I'm assuming this is caused from the system somehow changing my plan from HIP+ to HIP every other month.

S
4 years ago

Worst experience I've ever had. We have been tryin...

Worst experience I've ever had. We have been trying to get an MRI approved for my son since July. Mdwise either denies it or says crazy things of why he can't have it approved. They said we need a peer to peer which is where my son's actual Dr. Calls mdwise and speaks one on one with them and explains why he NEEDS MRI done, but yet when my Dr calls she says it keeps going to voicemail and mdwise is not responding to her phone calls. Dr only have so much time. We have had to reschedule MRI 3 times now. I feel like my son's care is being jeopardized. He has does many months of therapy etc yet they still will not help us with this test to see what is causing my son's pain. I usually don't do reviews but this has been ridiculous. When I tried to call mdwise they said there is nothing I can do as a parent that the doctor's office just had to keep calling. I feel hopeless with this situation. I'm an upset and concerned parent. Why be an insurance company and not give the care patients deserve.

A
4 years ago

I have never had any problems from MDwise. I have...

I have never had any problems from MDwise. I have two sons that are on the MDwise plan, and have not had any problems with the people that I talk to on the phone or the people in the doctor's offices. I think that this is a great plan so far.

J
4 years ago

I agree with Justin. THE WORST INSURANCE EVER. you...

I agree with Justin. THE WORST INSURANCE EVER. you have to be approved for EVERYTHING!!!! I cannot believe there are no Orthopedic doctors within 75 miles in our network, so don't accidentally break a limb or need orthopedic care in Southwestern Indiana, you'll have to drive 75 miles or more to get it taken care of. I can't wait for open enrollment to switch my insurance.

MDwise

MDwise

3.7