D
drockhold
Guest
What is the name of your state?
Ohio
This is a long, sad story--
Please help----my sister got a divorce from her husband in 1992---her divorce decree read that her health insurance company at work was to pay for all of their childrens' hospital bills as necessary (minus deductables and co-pays)and her ex-husband's (he lives out of state now) current healthcare provider was to pay as secondary provider at his work.
Her son fell ill in late 1998 with rheumatic fever and serious complications from the illness, and was treated at a local hospital in Lima, Ohio---he was then referred from the local hospital to a childrens hospital in Columbus ohio and was fully treated after 4 months and then released.
Then in late 2000 my sister started receiving collection notices from both hospitals in the amount of $18,000--and found out that they were never paid by her health insurance at work.
After investigation by her, she found out that her insurance company at work was never billed for these charges and that her ex-husbands health insurance company was billed instead of hers as was described in her divorce decree. Her ex-husbands healthcare provider naturally didn't pay these bills.
Now, today after 2 yaers of calling & writing letters to Aetna (her employers past health insurance company) she was told that her employer had switched healthcare providers in 2001 and she was told by Aetna that they didn't have to pay any of her child's hospital bills for his 1998 illness.
She then was instructed by Aetna to submit these past bills to her husbands employer sponsored healthplan for the company he was with in 1998-1999 (Fed-ex)--(health care provider was and is United Healthcare)--although he is with a different company now--(outside of his original employer group in 98-99) Now they won't pay for it because her husband is under another plan with UHC but, with another company.
So, because of their marital situation, and her husband lives 2500 miles away---it looks like she's left holding the bag for someone's clerical error--probably somebody at the Lima, ohio hospital's billing department.
With that all said---can't she go back to the original health provider (hers) and present bills from 1998 --and explain the clerical error that she did not make, and force them to pay the bill for her child?
Or at least go back upon her ex-husbands health care provider for payment (assuming all co-pays and deductables are then subtracted from the balance and get these bills paid?
my point is this---IF the correct healthcare provider had been billed in the first place by the hospital-assuming the origianl error was on the Lima, Ohio hospitals part-then this situation would have never had to happen.
What does she do now?
Help-Help-Help
Ohio
This is a long, sad story--
Please help----my sister got a divorce from her husband in 1992---her divorce decree read that her health insurance company at work was to pay for all of their childrens' hospital bills as necessary (minus deductables and co-pays)and her ex-husband's (he lives out of state now) current healthcare provider was to pay as secondary provider at his work.
Her son fell ill in late 1998 with rheumatic fever and serious complications from the illness, and was treated at a local hospital in Lima, Ohio---he was then referred from the local hospital to a childrens hospital in Columbus ohio and was fully treated after 4 months and then released.
Then in late 2000 my sister started receiving collection notices from both hospitals in the amount of $18,000--and found out that they were never paid by her health insurance at work.
After investigation by her, she found out that her insurance company at work was never billed for these charges and that her ex-husbands health insurance company was billed instead of hers as was described in her divorce decree. Her ex-husbands healthcare provider naturally didn't pay these bills.
Now, today after 2 yaers of calling & writing letters to Aetna (her employers past health insurance company) she was told that her employer had switched healthcare providers in 2001 and she was told by Aetna that they didn't have to pay any of her child's hospital bills for his 1998 illness.
She then was instructed by Aetna to submit these past bills to her husbands employer sponsored healthplan for the company he was with in 1998-1999 (Fed-ex)--(health care provider was and is United Healthcare)--although he is with a different company now--(outside of his original employer group in 98-99) Now they won't pay for it because her husband is under another plan with UHC but, with another company.
So, because of their marital situation, and her husband lives 2500 miles away---it looks like she's left holding the bag for someone's clerical error--probably somebody at the Lima, ohio hospital's billing department.
With that all said---can't she go back to the original health provider (hers) and present bills from 1998 --and explain the clerical error that she did not make, and force them to pay the bill for her child?
Or at least go back upon her ex-husbands health care provider for payment (assuming all co-pays and deductables are then subtracted from the balance and get these bills paid?
my point is this---IF the correct healthcare provider had been billed in the first place by the hospital-assuming the origianl error was on the Lima, Ohio hospitals part-then this situation would have never had to happen.
What does she do now?
Help-Help-Help