u/bbygrluwu

I’m in North Carolina and I’m seriously so done with UnitedHealthcare Community Plan.

I used to have Aetna, which I paid for monthly, but the program I was part of was discontinued in my state. I was then moved onto North Carolina Medicaid through UnitedHealthcare Community Plan.

I’m generally healthy and don’t have a ton of medical expenses. The only thing I’ve been dealing with recently is fibroids and extremely low iron, which required some scans, lab work and follow-up appointments. Otherwise, I pretty much just go to my yearly checkups.

Before seeing anyone, I contacted all of my providers to make sure they accepted my new insurance. Most of them did. I also contacted UHC directly to confirm that the providers were authorized/in-network under my plan.

Fast forward to an ultrasound, a doctor’s appointment, two follow-ups, three different sets of lab work and countless phone calls to UHC.

They have denied every single claim.

The reason they keep giving me is that I supposedly have Blue Cross Blue Shield as my primary insurance. I have not had BCBS since 2021.

I have told UHC this repeatedly. They asked for the termination date, which I gave them. They still kept saying BCBS was showing as my primary insurance, so I contacted BCBS myself. My account was so old that I had to be transferred through several departments just to find someone who could pull up my information and resend my termination letter proving that my coverage ended years ago.

Today I called UHC again, and now the representative told me their system shows that I’ve had BCBS since 2025 which is impossible because I had Aetna during that time.

At this point I even contacted BCBS again because I started wondering if someone had somehow opened a policy using my information. As far as I can tell, there is no other policy.

Every time I give UHC the information they ask for, I’m told it will take about two weeks for the “update” to process and that I need to wait before calling back. So I wait two weeks, call again, explain the entire situation again, and somehow I’m right back where I started.

Meanwhile, my providers are contacting me about bills because UHC keeps denying the claims.

I asked to speak with a supervisor again today and was told I’ll receive a callback, which I doubt. At this point, I’m expecting another round of the same thing.

I genuinely don’t know what else I’m supposed to do.

Has anyone else dealt with this, especially with NC Medicaid/UHC Community Plan? Is there someone at the state level I can contact to get this corrected? Do I need to file a formal grievance or appeal? At this point I’m looking for anything that will get this fixed because calling UHC every two weeks and starting from square one clearly isn’t working.

Additional information:

1. My plan with Aetna was canceled June 2025 and I was immediately enrolled into Medicaid.

2. My first doctor's appointment was October 2025 then December 2025, and February 2026.

3. I started calling UHC in February after finding out the claims were denied and they originally said it was a taxonomy problem.

I genuinely cannot believe this article was emailed out and published.

The title is "Women Should Not Be Believed" by political commentator Raynard Jackson.

The very first sentence is: "Women who make charges of rape should not be believed." I want to be clear before people intentionally misunderstand me: due process matters. Every allegation should be investigated. Evidence matters. No one should be convicted based solely on an accusation.

But that's not what this article says.

There's a huge difference between saying "everyone deserves due process" and saying "women who report rape should not be believed." False reports exist. No reasonable person denies that. But they are statistically rare and are not representative of the overwhelming majority of reports. In fact, it's statistically more likely for a victim to not be believed, to never report at all because they fear they won't be believed, or to have their case never result in charges or a conviction.

That's exactly why we've spent decades creating documentaries, movies, TV shows, public awareness campaigns, and survivor advocacy organizations to address the fact that disbelief is one of the biggest barriers victims face.

What also bothered me is that the article uses a handful of cases to make a sweeping statement about millions of women. They incorrectly use a few high-profile false allegations to conclude that women, as a group, shouldn't be believed when they report rape.

You can support due process and acknowledge that most victims are not lying. Those ideas are not mutually exclusive. I think this article was horrible and deserves discussion because rhetoric like this has real-world consequences. It influences how victims are treated by family members, employers, juries, law enforcement, and the public.

Let me know what you think.