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#1
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health care claim denialWhat is the name of your state (only U.S. law)? Kansas My husband got health insurance for us both via his new job with Oregon trail equipment . The insurance was provided my Meritain . He started work 2nd feb 09 and was told he would have to wait 1 month foR health insurance to begin . We subsequently received 2 cards from Meritain with an effective date of 04/03/2009. On 26th March I was admitted to hospital with pneumonia and Meritain are saying the cards have the wrong date on them . They should have read 04/01/2009 and have subsequently refused to pay the claim. The company handbook ( which they had run out of so we did not receive) apparently states that health insurance cannot be applied for until 1 month after the start date and only takes effect 1 month later . I am very angry as we have ended up with a bill of almost $5000 . Had I been aware that the claim would not be paid , quite frankly I would have returned to England for $500 and been treated for free ( I am a British National here on a spousal visa) Do I have any recourse? |
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#2
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| Why are you using different dating notations for effective coverage and date of service? U.S. is month/day/year. I'm not seeing the problem. Even if we didn't have a date issue, I don't see a cause of action against anyone. Certainly not the provider, nor the insurance company. Perhaps the company if they were required to provide the coverage booklet at hiring and someone told you something different.
__________________ When you are a Bear of Very Little Brain, and you Think of Things, you find sometimes that a Thing which seemed very Thingish inside you is quite different when it gets out into the open and has other people looking at it. --W. T. Pooh (aka A. A. Milne) |
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#3
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__________________ * * The information I gave is based on my 7 seconds of research on Google. Review the information yourself to make an informed decision. Communication is KEY - 10 mins of talking now can save you months of headaches later! Masterfully stating the obvious to the oblivious! (Thanks SP!) Tell it like it is! When all else fails, make up a statistic! ![]() Gender references shall apply equally to the other gender. I will not correct gender mistakes (unless I want to) |
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