Metroplus

Metro Plus kept denied me more hours with the home health aide services. They claim my condition is not a medical one when my doctor clearly say it is. I have cerebral palsy and I'm mentally ill and I had surgeries. I am disable I'm paralyze on my right side I can't use it well. I have it since I was nine months old. The Metroplus doctor wants more more info about me to increase the hours and when finally gotten more info my hours remain the same. I got 21 hours per week my home health aide can choose however they want to spend that 21 hours. I do the CDPAP. A family or friend can take care of you through Medicaid and get paid for it. I had them investigated by the Attorney General office they claim my M11Q was fill out by a substitute Doctor not my primary care they shouldn't have accepted it. I wish I knew about all these reviews some of it is right many people doesn't want anything to do with them. Some health home care agencies don't want anything to do with them they said they have known to give less hours to their clients. I wonder if a person who is in a wheelchair or in a bed get the same hours as me? They worse than me. If so then Metroplus really ripping people off. Other than that I have no problem they phone calls to customer services it sucks.

I think the staff are very polite, and want to do a good job. However, there must be a flaw in the system.There was a constant flow of miss information in terms of policies and guide lines. It took me hours on hold, and two weeks to have vital procedures approved. Labs who performed services complained also about the wait time on hold. The danger of this is the provider gets a bad reputation, forcing, doctors to not accept this insurance. It feels uncomfortable when an insurance provider plays "Russian Roulette" with your life. However, the verdict is still out. The first few months have not made a good impression on myself and my health care providers. Maybe it gets better

Billing Service is not good enough !!! On-line payment system not working at all . . .

I was called by the recruiter and was scheduled an interview right away. I thought the interview went well. The director said he would make a decision in a week. I followed up to see if I was still being considered after I didnt he from them. No one responded period!

They really need to get it together. They messed up my billing more than once and gave me the hardest time when I was trying to claim my annual gym reimbursement. I called them at least a dozen times and even went down to their office myself. Also, good luck calling them. The wait is obscene and sometimes they have transferred me to 3 different departments in one call.

Very few doctors take this insurance. I was looking for a psychologist and there are literally a total of 3 available and they are all miles away from my home with very limited hours.