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@brucew

My comments are based on actual experience, not online ratings. I've found Medica very non-tranparent in answering questions about benefits. One CANNOT speak to a claims processor and their "customer service" call center often cannot answer questions. I'm trying to get an answer to how Medica treats hearing-aid & associated cost benefit under the Mayo Medicare Supplement insurance. I need new hearing aids. Mine are 6 years old. The company I have used previously for my hearing aids tells me they are getting reimbursement for less than the $5000 benefit detailed in the plan document, and they have spent hours on the phone with Medica trying to figure out the criteria used to pay claims. The handling of these claims seems to be very subjective and inconsistent. Mayo HR call center personnel said they have been DIRECTED to forward ALL benefit questions to Medica. One cannot get a straight answer from either Mayo or Medica on this topic. I requested a complaint form from Medica so I can address my questions in writing, which will also be directed to HR Director at Mayo. I was told by Medica the complaint would "have to be addressed in writing". Very disappointed in how insurance benefits are being administered by Medica.

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Replies to "My comments are based on actual experience, not online ratings. I've found Medica very non-tranparent in..."

Bruce: I want to offer a few counterpoints to your arguments.
1. There is nothing unusual about the fact that Medica did not allow you to talk to a "claims processor". That is standard practice. Those folks are busy doing their job and not equipped to respond to requests from plan members. That is the work of the Customer Service group that answers the calls.
2. HR Connect staff are correctly referring you to call Medica with your issue. The staff in HR Connect are not trained and do not have access to the right data to be able to respond to your specific questions about the Mayo Medical Plan.
3. The formal appeals/complaint process is by necessity in writing. This is not new to the plan.
I can certainly understand your frustration. If you would like to e-mail me at my Mayo e-mail address, I would be happy to ask a Manager to look into it further for you.
Robert McGriff
Mayo Clinic Benefits