At the time I told the hospital I was going to sue them because they were negligent and caused what happened along with my doctors….they absorbed the cost. They appealed it, but the insurance denied the appeal. They told me they were going to absorb it if it was denied because they knew I had a potential lawsuit against them.
The insurance was paid a huge amount of premiums. It was good insurance yet they got away with it. It was a valid claim.
Looking back I wish I had sued the hospital and my doctors anyway… I was recovering from life-threatening events that happened and I was worried they might try to bill me for it if I sued them because it could’ve bankrupted me. There were some other reasons too.
I’m always worried now if I have to go to a hospital for something that it could be denied. I have health conditions that can cause me to end up in the emergency room/hospital at any time. But I have learned how to take care of them at home when it happens. The er / hospital is the last place I want to anyway.
There have been a lot of denial of medications, raising copays etc. which my doctors fight, raising co-pays to astronomical prices, but I got the co-pay covered by the pharmaceutical company copay assistance plans, and various other things like that. Weird thing is with one medication I was on for a long time, they finally came out with a generic. And the co-pay was lowered a lot, then all of a sudden they said they don’t have the generic anymore and I have to buy the name brand! I got them to lower the co-pay on it somehow because they wouldn’t let me get the generic, but I don’t think they did that the last time so I have to call them again.There’s a lot of crooked dealing that goes on with these companies. Another one was raising a co-pay from $25-$757!
I have to spend a lot of time on the phone dealing with all of this and other issues. It’s very stressful.
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