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I FINALLY beat the insurance company! [View All]

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Home » Discuss » Archives » General Discussion (1/22-2007 thru 12/14/2010) Donate to DU
Horse with no Name Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Jul-09-09 08:30 AM
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I FINALLY beat the insurance company!
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Yeah me! :eyes:
They authorized surgery for me a YEAR ago. When it was done, they denied it.
After filing a complaint with the state board of insurance (unsuccessful--piece of shit state sponsored piece of rot agency), after TWO appeals...FINALLY I have persuaded them to pay it.
Who knows? I guess when I started mentioning that it HAD to be illegal to deny something after it was authorized, and mentioning that why they had INDEED sent me a letter stating that the surgery would be paid for, they FINALLY decided in all of their benevolent wisdom, that yes indeed, they would certainly pay for the surgery.
And it only took me a year!

I would like to COMPLIMENT this fine system of healthcare in this country and the wonderful job the insurance bureaucracy does in doling out healthcare. Thank GOD I am not in a socialized system that would have made me wait 30 days before doing the procedure (uh well, wait, it took 45 days to get the initial authorization that they declined after-the-fact--but who is counting!), and would like to thank this wonderful system that did not allow the government to come between me and provider (if you don't count the fact that I had to file with the state insurance board--they aren't REALLY government, are they? And who did NOTHING after it was filed--because they aren't an "enforcement" agency, just a place to deposit complaints and make you feel like they give a shit when the insurance companies fuck you over). Not to mention my doctor who went a year without payment without harassing me (this was absolutely true--he had a copy of the authorization too).

What a fine medical system we have in this country! Thank God for the free market!

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  -I FINALLY beat the insurance company! Horse with no Name  Jul-09-09 08:30 AM   #0 
  - Another example of why anything less than a strong public option is unacceptable..  yourout   Jul-09-09 08:34 AM   #1 
  - Now, check your FICO score & your credit rating.  SoCalDem   Jul-09-09 08:35 AM   #2 
  - Good advice. I wonder if the surgeon was paid, also, and if he or she  Ilsa   Jul-09-09 08:47 AM   #4 
  - You know, car insurance would most likely decrease with a public option.  glowing   Jul-09-09 09:14 AM   #6 
     - Great point!! n/t  lildreamer316   Jul-10-09 01:34 AM   #16 
        - Thanks.. I was just thinking that because car ins. increased again.  glowing   Jul-10-09 03:02 PM   #18 
  - recommend  xchrom   Jul-09-09 08:37 AM   #3 
  - K&R  LuvNewcastle   Jul-09-09 09:00 AM   #5 
  - I share your pain  Warpy   Jul-09-09 09:58 AM   #7 
  - Warpy -- you've got the knowlege to question a bill.  Tracer   Jul-09-09 10:05 AM   #9 
  - I've been toying with the idea of opening a service for uninsured folks  Warpy   Jul-09-09 10:16 AM   #10 
  - I had surgery at one of the HCA/Columbia facilities that stole all the money from Medicare  Horse with no Name   Jul-09-09 10:22 AM   #11 
     - It's not all a scam, but the scammers are out there  Warpy   Jul-09-09 10:31 AM   #12 
  - Hopefully with a stick  scheming daemons   Jul-09-09 10:00 AM   #8 
  - You ought to file a small claims suit against them and  Vinca   Jul-09-09 10:33 AM   #13 
  - You should write up your experience as an opinion piece and submit it  mnhtnbb   Jul-09-09 10:35 AM   #14 
  - Again makes me think I'm dead lucky...  mwooldri   Jul-09-09 10:32 PM   #15 
  - You drew a line in the sand nt  AzNick   Jul-10-09 01:38 AM   #17 
 

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