HealthPartners Reviews 

DO NOT Recommend! Health Partner Medicaid Division Fraudulently Denied my claims

I am on the MN State Medicaid system, and have up until now used Health Partner’s as my insurance (Denoted to HP from here on out).

On August 7th, 2024, I started receiving the notice from several of my providers’ billers that the HP had been denying coverage for all of my medical claims in July. and that I would have to start paying for all expenses out of pocket, even though I was told I was eligible and covered with them.
This was part of the message from one of the billers: “Individual receiving medical care not eligible for benefits for submitted dates of service. R Acknowledgement/Rejected for Invalid Information - The claim/encounter has invalid information as specified in the Status details and has been rejected. Entity not eligible for benefits for submitted dates of service.”

After receiving this information, on August 7th I called HP to inquire why I was not being covered for claims with my providers in July. HP told me that I was being denied coverage because I was already covered through the insurance I got from my former job, which ended on June 30th and I had given advance notice of this cessation of coverage to HP prior to that. Knowing this, I asked the HP rep about it, and I was told that I was still covered by them in their system, so I would need to take it up with my former insurance, and HP would be denying me coverage for each of my provider visits in July.

I then called my former employment, who reaffirmed that I was not enrolled with their insurance services anymore as of end of June, confirming what I already knew.

With the confirmation in hand, I called Health Partners again on August 9th. I informed them that contrary to their assertions on August 7th, I was not remotely eligible for coverage through any other insurance in July, and therefore should be covered through HP This is where it got wild - The representative readily agreed, and said that their system did not show her that I had the previous health coverage in July at all, only HP, even though when I called on two days earlier I was informed the exact opposite. The representative did not claim that the change was due to a slow system, or other excuse, and simply stated that HP would pay for the eligible services in July to my various providers, and that I did not need to worry.

In the 14 days since that phone call, and as of August 23rd, I have continued to be told by my provider billers that Health Partners has not approved the claims, and prompted to pay for my medical bills.

So now, I am led to believe that Health Partners Medicaid division has acted in bad faith with me, and through deception have attempted to deny me vital healthcare coverage for the month of July. From the initial phone call on August 7th when HP were blatantly attempting to shift the responsibility of payment to another insurance despite advance warning of the changes, to my claims continuing to be unpaid for despite the assertions of their representatives that they will be. This is wrong, and fraudulent.

While they claim they are willing and able to cover my claims now, I do not have the same faith that I once held with them, and am concerned that given the opportunity, they will attempt to find a way out of paying claims at a time when I need to access care.
I greatly depend on my medical providers and as a result of HP’s mismanagement (intentional as I am left to believe, or otherwise), I am now responsible to pay for all my provider’s invoices, which is an unexpected and costly financial burden. HP has not paid my providers for over 7 weeks, and for my health I cannot afford to lose my medical services. Since my medical needs are important to me, I am left with no other option that to change to a different medicaid insurance so that I don’t lose my services.

Considering as well that I have had to spend many hours over the span of weeks on the phone them, for them to still not pay my bills, is completely unacceptable. I am lucky that I have a job where I can make these phone calls at work, (which are only available on weekday working hours, mind you) a luxury that others who may be struggling in similar situations with health partners might not have. But I have heard others share similar experience with Health Partners Medicaid division, who have continued to weasel out of payments and leave people holding the bag for their medical bills despite the fact that most people insured with the state health insurance system are often struggling to make ends meet as is.

Please, do not choose them as your medicaid provider if you can help it, and if you can’t, be aware of what you might experience

A HP staff from Inver Grove Heights called to speak with one of my residents. I asked who is calling after I introduced myself. And she responded, “I’m RN from HP clinic. I was actually expecting for her to properly introduce herself. RN is a position, not a name. I was expecting she will mention her name first and then her position- this is, I think, more appropriate. This is a constructive criticism.

This is the absolute worse insurance ever! I’ve been on the same medication for over five years and then all of a sudden Health Partners decides that they are no longer going to cover it because they don’t have to! Excuse me pay over $700 every two weeks and you get to dictate what me and my doctor decide is best for my health, that’s not ok. We’ve filed appeals and because they have the upper hand of course our appeal was denied. I’ll just switch to my husbands insurance (not that they care) who’ll cover my preventive medication to ensure I don’t become diabetic.

6/524 I have spent the entire morning with member services and Walgreens getting the run around from a mistake the doctor made on my dosage. When all was said and done. Behind the scenes the people l thought were there to support me after l did all the leg work with the doctor to correct her mistake to the pharmacist to get clearance from member services. Member services told the pharmacist that I had to pay extra co-pay to get another 90 pills because "they are not going to pay for the doctors mistake. This is what member services thinks of us behind the scenes. They are blaming me for picking up the wrong prescription even l immediately called Health Partners and alerted them. Fast forward to today, when l pick up the rest of my prescription today they will "make me pay" for the 2nd claim as they put it. Very disheartening having to hold the people that are supposed to help me accountable. Now l have no trust in member services. The only reason l even got this far is because l was persistent. So basically they couldn't care less who pays for a mistake as long as it's me, not them, not the doctor that made the mistake that works for Health Partners

My daughter have emergency health partner unauthorized change my daughter provider & randomly choose stranger. I call health partner Tanika answer the phone and not listen what i need. I give all info to her but she said need doctor name, its clinic with all different doctor change evrytime i go there so i give her npi number for the clinic, but she said she can not do anything for me. I want to talk with someone else she put me hold.

So I am writing this review not as a patient of Health Partners but as ab employee of a mental health clinic who has to deal with Health Partners.
I sincerely hope you never need your records sent anywhere because it won't happen. HP uses a company called MRO to field record requests and they are abysmal. It takes a minimum of 4 weeks to even hear anything, half the time they have some nonsense "issue" that would be best solved by just READING THE ROI. And if you want to CALL this records department? Forget it. After sitting through multiple phone trees that all ask the same questions, you will be on hold so long that you time out of the line. I can count on half a hand the number of times I have actually been able to speak to anyone in records here. I have been hung up on about the same number of times as I've been able to speak to anyone.

I have/had been going to Park Nicolette (they are owned by HealthPartners) since 1984?

I now live in another country. I went there just to have my hearing aids fixed under warranty and they decided to do a hearing test on me? I said why? I’m just here to have my hearing aids fixed under warranty and they told me they had to and it took about 5 minutes, then they fixed my hearing aids under warranty and then/now are billing me for the hearing test I did not want, need or have a dr order and they have sent it to collections.

I told them over and over I did not want or need the hearing test and I was no longer their client, but they did not care and still billing me.

Very poor customer service. Billing errors with no accountability.

My wife had her eyes swollen. We reached urgent care around 10 mins before closing and the attendant said they stop taking people at 7:40. Not sure what urgent care means for them and why they have 8pm on their website.
Not happy.

Since I cannot review virtuwell.com and health partners owns them, I will review HealthPartners multiple times with bad reviews. This crappy virtuwell.com website that says they can diagnose you for minor things can’t even prescribe you something for a swollen fingernail that is infected. I kid you not. I sent in 4 pictures of an infected finger from a fingernail hangnail. Pretty simple stuff and every time I send anything in and it doesn’t matter what; they have to refer you to the doctor. What’s the point of even having the website then? Just utterly worthless

I looked up the name of their physician that does these online consultations, Justine G****** She has a superlative 2.3 star review rating at her home office. No surprise there.

The prior authorization process is hopelessly inept. We provided the data they requested in the form of progress notes and reports. Since the physician's cover letter didn't specifically mention those records, the claim was denied. They didn't even bother to read the data they insisted that we send. Over and over again working with them is a nightmare.

My husband has been in the hospital for about 2 1/2 weeks now 3 hours from home after having surgery. He will be bed ridden for about 6 weeks. He was denied aftercare treatment to go to a nursing/rehab facility, instead he was told to go home and get a home health nurse 3X per week. He needs a hospital bed with a specialty mattress that requires a prior auth which can take up to 14 days. The pre auth wait is outrageous, considering most take 24-72 hours. It would be cost effective to approve the bed ($855.00 per MONTH), it's definitely costing more than that for 1 night at the hospital. This could be why insurance rates keep going up, but the coverage is getting worse.

Just got a letter saying they were canceling my insurance due to non-payment. According to my bank all checks have been cashed with images of cashed checks on-line. Called and talked to a service rep. Very unresponsive. He said he'd check and see what happened, and would call me back in a couple days!

This review is solely about my experience with HealthPartners on-line or by phone. While, in general, my experience at HealthPartners clinics and hospitals (Park Nicollet and Methodist) has been excellent, trying to get answers to simple questions from one's care team without being physically in one of their facilities is excruciating. In my experience, unless it is about a prescription refill, any other inquiry is nearly impossible unless you choose to set up an actual virtual appointment with a physician. Example: My wife today received pneumonia vaccine which had been recommended by her physician because it is the latest one and she hadn't had one in quite a while. I had a different pneumonia vaccine about four years ago so was interested to know if I should be getting an update. So, I thought I would see if I could message my care team to ask about this. But can this be done through the HealthPartners website? To do so, you must set up an "e-visit" which can require a payment of up to $164. I'd be OK with the payment if their website actually made it possible to ask my simple question, instead of wasting my precious time sending me down rabbit holes without ultimately getting an answer. To get my question asked required me to go through various screens, one stop of which assumed my question related to prescriptions but it was not and was impossible to move on without making a selection. At this point I simply gave up. Then I tried calling HealthPartners general information line for help. Of course, after listening to multiple messages and making various selections on their automated system, I ultimately was put in queue because of the usual "unusually high call volume." After about 15 minutes I simply gave up and decided I was willing to accept the risk of not getting the latest vaccine that might benefit me. I can't recall another such experience that did not end in frustration.

Complete wastes of time and money. You are better off without insurance. The absolute worst. If you have a choice do not buy health insurance from these scammers. Don't use there clinics. If people stop using them they will change or go under. I'd prefer to see them go under personally.

Be very very very wary if you have to contact them or they contact you, their “medical nurses” or “medical professionals” are sarcastic, condescending, rude and do not let you speak much or let you answer their questions, they twist what you’re saying and make it to their own version. When you’re still trying to talk, they state the allocated time is over. The calls are not recorded so you may want to record the conversation for proof, as again, their “medical nurses or medical professional” are sarcastic and really really condescending!!

I was dropped by HP from my Medicare Advantage plan retroactive to Feb 2023 with no written advance notice.
Never had a call or written e-mail/letter from person who dropped me. Made all my monthly premiums and had proof of Medicare coverage which they choose not to believe. Called my congressman, Medicare and Social Security and all have been helpful, but when asked why Health Partners didn't assist me I said I tried for a long time and was never able to talk with decision makes only the customer service people who tried to assist but to no avail.

Update.....I was contacted by Health Partners and we sorted out what was the source of the issue. I was reinstated pending social security updating CMS that I had coverage the entire time. Hopefully this works out.

I am a long-term patient at Health Partners. I am now 68 years old and developed a very painful spinal condition that was verified at their clinic by Radiology. My long-term doctor told me to take over the counter pain meds. My pain level was a 10. I have not been able to move from my chair and need to roll out of bed. I cannot stand the pain. Quality of life does not matter. I cannot get in to see a specialist for 6 more weeks. I do not know what I can do. This is the Brooklyn Center Clinic They just do not care.
I also had a significant problem with their CPAP clinic. Their machine malfunctioned and I got a 2nd degree burn from the machine. I had to go to Urgent Care on that too. I received a bill within days for the copay for Urgent Care. Did they even care that others were in danger.? I also contacted the FDA and they don't seem to care either. I guess malfunctioning CPAP machines are acceptable Just the cost of doing business. I have picture and serial number of the machine and such. But of course, everything is swept under the rug. The elderly do not matter. But, I sure had to pay the bill when I was injured by their machine. Enjoy your youth, It is hard to face the fact that you do not matter when you are old.

35 minutes on hold while just trying to verify if my insurance plan covers the Shingles shot. My doctor recommended calling the number 651-265-1034 for the HealthPartners Clinic, so, I did. After 15 minutes someone picked up and said HealthPartners, please hold, after waiting another 20 minutes I was just disconnected and hung up on.

This isn't the first time something like has happened, if you actually have to call them for anything you can expect terrible customer service and essentially no one there to help you over the phone.

The doctors and nurses seem to fine and helpful when you are there for your appointments, but you can tell they are trying to rack up the billable hours by trying to get you to come back for additional tests that you don't need. My son had a small fracture in his finger that the we had to go back for twice as recommended by the doctor, what a waste of money for the doctors appointment and xray, when we come to find out they can't do anything for it anyways, you can't put it in a cast, it just has to heal on its own.

The quality of healthcare and customer service is definitely not so good these days, and HealthPartners is no exception.

Would have given 0 stars but not an option! Didn't choose healthpartners but husband's company switched providers. I am a type 2 diabetic and finally on a medication that works..this new insurance won't cover the med unless my medical provider let's them know I was on other meds prior to my current one. I already had to pay $400 out of pocket and unless they hear from my provider they won't cover it at all. And trying to get a provider to respond and provide the insurance company with what they need is like pulling teeth!
Why try to change a med a person has been using successfully for 6 months? And why are people with NO medical background telling people what they can and cannot take for medications?? Absolutely horrible insurance!! DO NOT USE THEM!!! You'd be better off going to a veterinarian!