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Okay yet another insurance rant

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TZ Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Jan-13-09 07:36 PM
Original message
Okay yet another insurance rant
As if I haven't had trouble enough with goddamned CIGNA with my health issues, now they are pulling shit with my mother and stepfather. My stepfather needs backsurgery..bad..He's in a ton of pain and can barely function. He was supposed to have it tomorrow but because of the shitty insurance company its been put off for another 8 days.

Why? Because according to the bean counters, as of December 31st they no longer are covered by CIGNA. Uh what? Now, my mother did retire from her job, but she kept the insurance, not as a COBRA deal but just as an individual coverage. And she's still paying for it.In fact she just sent them an EIGHT HUNDRED DOLLAR payment for the month. Yet they say she and my stepfather aren't covered. And she tried talking to them, and of course..they aren't helpful. My mother is a really nice laid back person but she got so frustrated she ended up yelling at the person on the phone.
She ended up calling back the next day, and actually talking to someone HELPFUL there (thats a shock to me, I've never had anyone there be helpful). So now they are "working on it".
Meanwhile, they are technically uninsured and my stepfather has to endure another week of pain (oh and he can't take his painkillers either because of the up coming surgery).
God I'm so sick of these games. I hope health care reform is a topic for Obama SOON.
:rant:
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CreekDog Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Jan-13-09 07:57 PM
Response to Original message
1. Best healthcare in the world
*Worst* system of getting it and paying for it. :banghead:
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TZ Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Jan-13-09 07:58 PM
Response to Reply #1
2. indeed,
I literally got a migraine after talking to my mom about this.
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lizerdbits Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Jan-13-09 08:06 PM
Response to Original message
3. Your mom yells?
Well I could see it if your teenage years were like mine...

Maybe the payment hasn't been processed yet so they're claiming they haven't paid for their coverage. I hope they get it resolved.
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TZ Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Jan-13-09 08:07 PM
Response to Reply #3
4. Not often.
I haven't heard her yell in years. Which should tell you how bad these nimrods are.
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mainegreen Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Jan-13-09 08:40 PM
Response to Original message
5. Call the board of Insurance.
I'm sure you've done that already, though, knowing how much you've had to battle with them.
NEVER arbitrate. Go straight to the Insurance Board.
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TZ Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Jan-13-09 08:41 PM
Response to Reply #5
6. I'll suggest that if nothing else helps
But she's actually under a different plan than I, we just unfortunately have the same shitty carrier
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latebloomer Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Jan-13-09 09:05 PM
Response to Reply #6
9. Well, get her to do it.
Edited on Tue Jan-13-09 09:54 PM by latebloomer
It's not too much work, and it's the only thing that makes them sit up and take notice. Cigna kept denying a claim, each time for a different reason. When I sent proof that the law was in my favor, they then changed the reason they weren't paying me. This happened 3 times, until I reported them to the state board, and voila! Success!

Did the same thing with another company, after spending countless hours on the phone fighting with various levels of management, writing and losing an appeal, etc. Miraculously, when I reported them to the board, they suddenly realized I was right.

I swear they just try to torture and demoralize you till you give up. But I'm too damn stubborn. :D
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BeachBaby Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Jan-13-09 08:41 PM
Response to Original message
7. Give your mom a hug for me, k?
:hug:
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TZ Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Jan-13-09 08:43 PM
Response to Reply #7
8. you bet.
someday you are gonna come down and have dinner or some other form of meal with us!

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