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Dustlawyer

(10,539 posts)
19. Of course they did the same stuff before! When my second son was born early with
Fri Aug 8, 2014, 09:21 PM
Aug 2014

unknown complications and the bill started climbing, they tried to avoid paying by saying we had never called to add him to the policy. I called my agent and the home office from the delivery room. My agent called the home office and recorded it. They backed down until the doctors figured out what was wrong with my son, he had Cystic Fibrosis. The insurance company knew they would pay out a lot over his lifetime, so a week after we had learned the terrible news they canceled again saying we had committed fraud in the application (we had not)!
After getting an attorney specializing in EURISA (sp), a Federal statute governing most insurance plans and he found a possible loophole, they backed down again. The problem is that insurance companies can commit Bad Faith under this statute, but the most you can recover is making them pay per the policy and pay your attorneys fees. No punitive damages, nothing to dissuade them from making the attempt at not covering an expensive claim. This is why they pull this shit on people when the people need them most!

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this is WHY we MUST get RID of INSURANCE COMPANIES randys1 Aug 2014 #1
Ok. I agree with you on almost all of your points except yeoman6987 Aug 2014 #27
That's Bad argument Number Three; Appeal to Consequences Xipe Totec Aug 2014 #37
A lot of them can move into the jobs MsLeopard Aug 2014 #42
Did the woman submit her birth year incorrectly, or did the insurance company gateley Aug 2014 #2
They shouldn't have to scream about this but elleng Aug 2014 #3
I was in a clinic a while back and there was a notice to employees to not accept Blue Cross.... Spitfire of ATJ Aug 2014 #4
this never happened prior to ACA frylock Aug 2014 #5
Things were great befotre the ACA. cheapdate Aug 2014 #7
:Sarcasm: I assume. elleng Aug 2014 #20
It seems to me the insurance companies are looking for ways to get out of paying. airplaneman Aug 2014 #6
Oh good grief! She has a lot better chance of this getting paid with the ACA than not. hedda_foil Aug 2014 #8
This is an excellent example of why ObamaCare (ACA) is a huge improvement salib Aug 2014 #9
YES. elleng Aug 2014 #21
Blue Cross always tries hard not pay claims any way they can! We need non-profit healthcare!! Sunlei Aug 2014 #10
I agree. Not to long ago we needed a new piece for my daughters wheelchair. It cost $22. They jwirr Aug 2014 #16
Decades ago.... cynzke Aug 2014 #33
In these cases you need to talk back. Somewhere there is a worker who is not getting it and has jwirr Aug 2014 #41
Don't remember the name, but... cynzke Aug 2014 #35
How is this an "ObamaCare" issue ... 1StrongBlackMan Aug 2014 #11
Because it's NOT an Obamacare issue. It's Fox being Fox, lying per usual. DRoseDARs Aug 2014 #15
It's not even a Nevada Health Exchange issue. eom. 1StrongBlackMan Aug 2014 #18
My mistake, thank you. I'm Nevadan, so I'm aware our exchange had serious problems... DRoseDARs Aug 2014 #22
What a disgusting company. PersonNumber503602 Aug 2014 #12
insurance companies deny almost every claim at least once klyon Aug 2014 #14
1.2 Million Dollars Unknown Beatle Aug 2014 #13
And that's the real problem! 4b5f940728b232b034e4 Aug 2014 #26
This is the same industry christx30 Aug 2014 #28
Earlier this year, I got a piece of glass embedded in my foot Fortinbras Armstrong Aug 2014 #38
I Am Confident This Issue Will Be Resolved & Their Insurance Company Will Pay Up... Corey_Baker08 Aug 2014 #17
Of course they did the same stuff before! When my second son was born early with Dustlawyer Aug 2014 #19
I suspect... cynzke Aug 2014 #36
Sounds like we need to amend ACA to include Medicare for all Strelnikov_ Aug 2014 #23
Blue Cross was a member of ALEC and lobbied hard against the ACA all the way to the end. McCamy Taylor Aug 2014 #24
You can't change a leopard's spots. Insurance cos do what insurance cos do. nt valerief Aug 2014 #25
how much is the co-pay? quadrature Aug 2014 #29
This will be resolved. drm604 Aug 2014 #30
Why is this the fault of the ACA? 6000eliot Aug 2014 #31
Annnnnd.....you'll get CRICKETS in response to that question, too!!! MADem Aug 2014 #34
About the only way I can see how this is even remotely related to the ACA hughee99 Aug 2014 #43
Single. Payer. Now. area51 Aug 2014 #32
I agree we need single payer or universal davidpdx Aug 2014 #40
The problem is a typo, not Obamacare. Vinca Aug 2014 #39
The insurance company is at fault Mz Pip Aug 2014 #44
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