In NY, If one does not have health insurance and is in an accident, can he get coverage? |
| No health insurance and there's an accident and now many medical bills, not long term and no permanent disabilities, but something that may accumulate to thousands of dollars in medical bills, ... |
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Double house insurance query?? |
Having moved house in March 2007 i have just found out that having initially moved my house insurance over to the new property i am still paying insurance on the old property.
Swinton have told ... |
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United Healthcare Insurance? |
| My husband and I have United Healthcare Insurance. We have a $1200.00 deductible. We have a 25.00 copayment. I was told that we only have to pay the copayment to see a doctor, that they would cover ... |
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What can I do when GEICO insurance don't pay me what I think is fear? |
| My wife had an accident last week. It wasn't her fault as the police saw. They can't fix the car because is more expensive than give us its actual value. Geico has offered us $3306 but we ... |
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What to do Jeep wrecked (totaled)? |
| long story, she hit me and she had no ins.Mine is taling care of it but body shop has did 5G's already on it and now they say the frame is (Diamond) and can't be repaired needs new frame,... |
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Where can I find cheaper health insurance? |
| I currently pay $933.00 every three months for health insurance. Are there cheaper alternatives to this? Thank you in advance.... |
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What's an affordable life insurance with no health exam? |
| My father needs life insurance and has health problems. He needs something with low monthly payments, but will provide enough if he has a natural death.... |
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I didnt know that it matters how much insurance the person at fault had. Did you ? |
| The person at fault hit 4 parked cars an my car is damaged bad. I have a 2001 Grand am annd the other person had an 2005 camry with full caverage but only $5000 worth of coverage for damages. Now Im ... |
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What does pearl home insurance cover? |
| does it cover laptop water damage?... |
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Which life insurance is better? |
Assume husband and wife are 30 years old
A) Whole life insurance
Husband: $75,000 coverage
Wife: $75,000 coverage
Total coverage: $150,000
Monthly premium: $113/month<... |
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Can I take a life insurance policy out on my daughters Father? |
| He's out there... His luck may run out.... Who will support pay for his costs and help me with Our Daughter? What's the best policy to go with? How much do people usually take out? P... |
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Do insurance companies pay for hospital stays if coverage stops while in hospital? |
| My wife is pregnant and going to deliver March 30th. She was fired from her job on the 1st and got to keep her coverage thru the 31st. Since we will be in the hospital for 4 days but wont get out ... |
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Why do vets ask for vets fees paying in full? even for emergancies?..whats the point in getting insurance? |
When a pet gets ill not everyone has the money to pay for a vet...myself included.
I thought with pet insurance they pay the vet and i just have to pay the excess which is £50
B... |
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princesspeacock | Is there a way to appeal a medical claim after 2 years and the accounts have already gone to collections? |
I had surgery back in 2005. I didn't have insurance, so I applied for COBRA. When I asked when the policy would be active, the person taking my information told me she would backdate it to the beginning of THAT day. So, I went to my dr that day and he told me that I needed an ultrasound. The next day, after the ultrasound, I was told I needed to have surgery. A week later, I had the surgery. A month after the surgery, the insurance I got through COBRA sent me a letter telling me that my actual start date on the policy was the day AFTER I called, so they considered my problem to be a pre-existing condition and wouldn't cover the surgery. Also, I wasn't aware that I was still covered under my parents ins. When I found out, I sent them the claim, but they wouldn't pay due to timely filing. All the dr's bills are now in collections. Is there any way to appeal after this length of time? If there is, how would I go about doing this? |
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sarah314
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More than 2 years is too late for an appeal.
There would have been actions you could have taken at the time all of this intially occurred, and quite likely the issue could have been resolved. However, there is likely not much you can do now. You can always try summarizing the situation for your state's Department of Insurance, but I'd expect that you'll likely get a response advising that they can't help you at this point. |
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zippythejessi
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Probably not. Most insurance plans have a certain length of time for appeals - it usually maxes out after a year. But, your first step would be to call the plan to find out about their appeals process. Primary and secondary plans are a moot point in this case - timely filing is timely filing.
However, expect that you're going to have to pay. You really should have addressed this right away instead of waiting two years and the account being sent to collections. |
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Custo
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Dude, COBRA back dates to the last day your terminated health insurance expired. So, either your old health insurance was effective; or your COBRA was effective. There should be no lapse... |
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shelcom
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After 2 years you're stuck. Normally it's 60 days. |
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Christie
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There are many holes in your story, or maybe I'm just confused.
1) I believe your COBRA effective date SHOULD BE the day after your medical coverage terminated. Period. There should have been no lapse in your coverage.
2) Pre-ex shouldn't apply because you should have had credible coverage and under HIPAA regulations, as long as there hadn't been more than a 63 day break in coverage, nothing should be considered pre-existing. And since there shouldn't have been a lapse in coverage, pre-ex seems to be a moot point.
3) You can't be covered by your own insurance AND your parents' insurance. If you're eligible for your own insurance, you wouldn't be eligible to still be covered under your parents' coverage.
4) You may file an appeal with your insurance company, but you'll need to contact them to find out what the procedures are. Procedures vary from carrier to carrier, so it would be impossible for anyone here to tell you how to go about doing that with your particular insurance company.
I'm just not entirely sure you've got all your facts straight, because so much of this doesn't make sense to me. |
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ken erestu
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You have more of an issue of primary carrier. If you were still a valid insured under your parent's insurance policy, that company would be identified as your primary carrier.
The other company would be known as your secondary carrier. To resolve the issue with them you have to demonstrate by some tangible evidence that the agent "verbally agreed" to make the start date effective that day. If you can prove that, then you will be okay.
Either way, this issue can be resolved by seeking intervention from your State Insurance Commissioner's Office or Department. You can file a complaint claiming "bad faith" against both insurance companys. They really take notice and act when they have a claim of bad faith actions lodged against them.
Although this action won't take care of the collections issue, it will get the insurance companies to take you seriously and pay for the coverage you deserve.
In the meantime, negotiate with the collection company regarding a payment plan. This will prevent your credit rating from getting wrecked while this matter is being resolved.
Good luck. |
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mbrcatz
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I don't know of ANY insurance company that will pay a claim filed more than ONE year after the date of service; some are limited to only six months.
It's written into the policy that way - so they're going to deny out of hand, based on the length of time. You're not going to win an appeal on this, sorry. |
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