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Atlantis Health Plan


3 Reviews & Complaints

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Do not get Atlantis Health Plan!!!!
Posted by Rob Tyler on 08/09/2009
NEW YORK, NEW YORK -- This insurance will take you for a ride. It seems cheap compared to the others until you need something done.

1) They claim that they have all these doctors in their network however if you call those doctors, they don't accept Atlantis anymore.
2) Since they pay doctors so little, the doctors that do accept them, will see you for 2 minutes and kick you out.
3) Every little thing you want to do will require "PRE-AUTHORIZATION" and they will usually deny it as being MEDICALLY NOT NECCESSARY!

Save yourself the Time and headache. Don't get this insurance. If you already do have this insurance and are having problems, don't hesitate to contact the NY State Attorney General office at 1-800-428-9071. Also, you can contact the NYS Dept of Insurance at http://www.ins. state. ny. us/complhow.htm (1-800-342-3736).
     
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Posted by chinamom on 2010-02-06:
I'm sorry your experience with Atlantis Medical Group has been disappointing. However, I've been a client for 4-5 years and I'm absolutely delighted! I haven't used doctors in the network; instead I go to their satellite office because my dr. tung is the best. The wait has never been more than 30 minutes and as a self-employed person, time management is a huge factor. Besides, many of the tests are done at the office and most commonly prescribed meds are sent by mail. I'm about to turn 65 and pray there is a way to incorporate Medicare into AMG. This is the bestest medical clinic experience I have ever had in my life!
Posted by voiceoff on 2010-05-10:
Where are these satellite offices? I never knew of them and just got this insurance
Posted by Phyllie on 2010-11-02:
How is your health? I have to take pain medication every day andd have had nothing but trouble with Atlantis when I go to pick up my prescription.
Posted by gothmbodhi on 2010-11-04:
There's one near Penn Station. I use that one. My wife used the one in Bay Ridge Brooklyn. There's also one in Kew Gardens and somewhere on Westchester Ave. in the Bronx.

The best part is you can go there for free!
Posted by MSBUDDY on 2011-09-18:
RUN, RUN FROM THESE PEOPLE - THEY HAVE THE SECOND WORST RATING IN ALL OF NEW YORK STATE, AND HAVE BEEN AT THAT LEVEL OF RATING FOR A FEW YEARS NOW.
READ UP ON THEM FROM THE NEW YORK STATE INSURANCE DIVISION, AND STOP WASTING YOUR PRECIOUS HEALTH CARE MONEY ON THESE ARROGANT PEOPLE WHO HAVE ENDANGERED PEOPLES LIVES THROUGH THEIR CLINICAL REVIEW PROCESS AIMED AT SAVING THEMSELVES (THE OWNERS) MONEY. (AND BY THE WAY: THE FOLKS WHO YOU THOUGHT OWNED ATLANTIS HEALTH PLAN NO LONGER DO SO - BUT YOU WON'T FIND THAT OUT UNTIL YOU TRY CALLING THE NUMBER ON THE BACK OF THE CARD TO ASK FOR HELP WITH A PROBLEM. SO MUCH FOR THEIR INTEGRITY. NOT ONE DOCTOR WHO WAS ONCE AN ATLANTIS PROVIDER HAS A POSITIVE WORD TO SAY ABOUT THEM. ASK YOUR DOCTORS ABOUT THEIR EXPERIENCES WITH THEM, AS THEY ARE A MORE CREDIBLE RESOURCE THAN RANDOM PATIENTS/FRIENDS OF THE OWNERS - AND THEN FIND SOME OTHER COVERAGE. READ ABOUT THEM - AND PAY ATTENTION TO THE FACTS, NOT ANECDOTES FROM PATIENTS!
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Run away as fast as you can!
Posted by Pfp3094 on 03/16/2010
I was thrilled to find a health insurance plan that appeared to be reasonably priced. The co-pays seemed in line with other carriers and my doctor participates in their program. They also boast about their "no referral required" policy. What I did not realize was that every breath you take has to be pre-authorized through the company. I have a chronic condition which requires daily medication for the rest of my life. If I skip a day of medication my body begins to build up immunity to the medication which could eventually cause my death. I was informed that the pre-authorization would only take 72 hours. Unfortunately, it took Atlantis six weeks to pre-authorize the medication - which left me without medication for three days. While this is a lifetime med, the company requires pre-authorization every 90 days - which I just cannot understand as this is a waste of time and money for the doctors as well as the insurance carrier - not to mention the insured! They also require that you use their mail-order pharmacy out of Ohio but will not authorize the release of the medication until you have completely finished the current month's prescription - once again leaving you without medication for a number of days. Every insurance carrier I have previously had, allowed a 90-day supply of long term medication if shipped from their mail-order pharmacy. Atlantis will only authorize a 30-day supply. I highly recommend that you read all the small print if you proceed with Atlantis but I strongly suggest that you stay as far away as possible. It may seem like a good deal but that couldn't be any farther from the truth.
     
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Breach Of Contract
Posted by Phyllie on 11/02/2010
I changed my health care from Oxford to Atlantis only because Oxford was getting way too expensive. Since I have been taking pain medication for over 10 years to deal with chronic pain, I only switched after I was assured by the representative that there would be no problem with filling my medication every month. Then when I got a copy of my contract it specifically stated that any ongoing treatment would be covered while under review. NOT TRUE!! They cut me off and had me go to one of their Dr. s (who I still go to). I paid for all my medication for the first 3 months and never got reimbursed. I have been with Atlantis now for almost 2 years and have never gone to get my medication without a problem. Every time I'm told "Atlantis are refusing to cover it". When I get on the phone with Atlantis, they say they never got a request from my Dr. I call my Dr. and he tells me he did send request. A couple of times I conference my Dr. and Atlantis. All of a sudden the story changes. Then Atlantis finds the request and tell me I have to wait 72 hours for approval!! Over the past two I have counted the days that I have been left without my pain medication and it amounts to 3 1/2 months!! I had the nursing supervisor hang up the phone during one of our conversations, saying "I don't have to deal with this". They haven't paid my Dr. in 6 months and I am embarrassed every time I go to see him. I have told Atlantis that I am going to sue them for breach of contract and false advertisement. During one of my problems, they told me the Dr. was looking into my claim. The Dr. was in India and had been for some time!

Also, I spent 10 days in hospital with chest pains. Atlantis would only pay for 2 days, saying the rest of the time was medically unnecessary. On the 6th day of hospitalization they found that I had a highatail hernia, 4 days after Atlantis said it was medically unnecessary! In conclusion, if you can afford another plan, stay away from Atlantis. They lie, they cheat and they're incredibly rude. When you get someone on the phone, they act like they're doing you a favor!! On a scale of 1 to 5 apples, I give Atlantis Health Plan a worm from one of those apples!!!
     
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Posted by leet60 on 2010-11-02:
I am sorry to read your situation. Unfortunately since the new health care act the goverment passed is quickly coming into affect you will find that more and more insurers are raising rates and refusing to cover preexisting conditions. It will get worse before it gets better.
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