So, I got notice a week ago that my medical insurance - Medical Claims Services/Health Care Value Management - decided to reject a claim for a doctor's appointment I had in July of 2001. They suck. They refused to respond to the claim for a year and three months and finally rejected it based on the fact that I have a prior condition that they were uncertain that I was previously covered for. But get this - they didn't cover that initial appointment with my neurologist because of my history of epilepsy, but they covered my subsequent appointments with her. So, what gives??? Why some, but not the first? Why are they such huge colossal assholes???
So now I had to contact my old employer because my previous health insurance company has since gone out of business, and of course my old employer has updated their computer systems since I left so I am now nowhere to be found. Ultimately they did find me in the payroll system but not in the HR system and told me that I have to get my new medical insurance to write them a letter requesting the coverage verification. Well, of course they aren't going to do that. Hell, they waited over a year to address this in the first place. So I had to make a special request to the powers that be for them to accept a letter from my company's HR department which will then be forwarded on to the insurance people. This is endless and annoying and I just want to hurt somebody.
Argh.
Assholes.
Comments (1)
Yeah I must agree whole-heartedly that Health care in the US sucks. I just went through an appeal and external review for my absolutely necessary Chiropractic care and they approved 8 WHOLE sessions...woohoo! That only covers about 2 1/2 weeks for me! I found the BEST chiropractor Dr. Pat Andersen in Madison, WI and he has worked for over a year on me and I can actually live my life with little pain now! I couldn't even bend over to wash my face in the morning and now I can pick things up off the floor with little pain. I truly believe in really good Chiropractors (they are hard to find), but obviously my Unity Health Insurance does not believe that it was medically necessary for me to get my adjustments. I would rather build my body up for the long-term without drugs if I can, than go for 8 visits, let my body deteriorate and then do it all over again and again. They would rather I did that. This country's Health care system is run by Drug companies and is symptomatic, not preventative and curing. Oh, did you know that Health insurance companies hire these external reviewers based on them finding the results in the insurance companies' favor? As an example, the insurance company would say to the external review company IPRO "if you find 95% of the external reviews in our favor, we'll bring you more business." Isn't that great!?! What a huge CROCK!
Posted by: Sheryl Lindmeier | March 23, 2007 10:52 PM