Would you feel bad taking advantage of an insurance company? |
Lets say for example you currently had NO dental coverage, but then you see you have a cavity, so you call and for $9.42 a month you can have full dental added, so you add it.
Then a week ... |
|
What does this mean?! please help pleasee? |
| i need to cancel a holiday. i looked onto their terms and conditions and it said this. sorry im only 12 and im not personally cancelling the holiday but please tell me what this means! does it mean i ... |
|
My insurance company is denying the claim. What do I do? |
| I was with someone at the doctor's office when the insurance company was called. The insurance company told the doctor's office that the procedure was covered. I didn't get anything in ... |
|
INSURANCE!!???? i need insurance, but I DON'T KNOW WHICH ONE?? |
| My family are purchasing a property in Dubai. It's however off plan. We want to insure the payments we give to the developers to cover ourselves in the rare case that the developers run off with ... |
|
Insurance confusion please help! |
| I'm lost! Are you considered a captive agent if your selling insurance for one main company like state farm etc.? I had an agent tell me that sent solicitation with state farms logo and all ... |
|
Is there a way to confirm that my child is covered by health insurance? |
| I just took my son to the doctor. The insurance card provided by my son's father was not honored and the doctor's office was told that the insured had a new provider. I ended up paying full ... |
|
How does health ins work? |
| I am trying to get health insurance, and i am young and mostly healthy. Not pregnant, and will only really be going to the doctor for an annual check up, and an annual well woman's exam. The ins ... |
|
What is the best 4x4 by far? |
I need one to tow my horse box but there are so many out there - which is the best? I need short wheel base and diesel! Additional Details On a limited budget! And sorry this is in the ... |
|
Is there any Health insurance policy for old (+) 65 years ? Response at insurers is really negative. PLZ. HELP |
http://www.mobileshoppee
• Oriental Insurance has no room for the aged
"C V Ramana Reddy, principal officer, Helios Insurance Services Private Limited, said O... |
|
Insurance quote help for 1995 Contour.? |
I need to find out where i can get quotes for auto insurance on a 1995 Ford Contour. Its like a faded black color.
I'm not sure what insurance company my parents use but they are ... |
|
20 years old - Can I get a months Car Insurance? |
| I am 20 years old and want a months car insurance for the christmas holidays - is there any company that will let me do this? Every one I have looked at appears to have a minimum age requirement of ... |
|
Trying to find a good cheap Insurace company ? |
Hi I have have had no tickets or d.u.i"s. just a few late payments ,
I am paying too much like 800 a yr , I need only what the state needs ,No car theft etc,, can some one Please help
... |
|
5 weeks pregnant, laid off in october, no insurance |
| Ok, so I am 5 weeks pregnant, and I am getting laid off in October. My husband wasnt able to get into the army due to a bad knee and that was our only way for medical coverage. I dont qualify for low ... |
|
I need career advise! Entry-level into the Insurance Industry? |
| I am 22 years old and graduated from a university in May 2008 with a B.S. in Marketing. I am currently unemployed, but working side jobs to make some money. My father owns an insurance brokerage ... |
|
How many people in America die because they dont have medical insurance or cannot pay the medical bills? |
| How many people per year in the USA die because they dont have medical insurance? or dont have enough money? Does the hospital really turn you away if you dont have insurance or money? I live in A... |
|
|  |

Ashley | Pregnancy Pre Exisiting!?!?!?!? |
So I have had my individual health coverage plan through Anthem for 2 years. When I signed up for my plan, I specifically asked the agent what would happen if I became pregnant. She told me that I would then call and tell them I am pregnant and they would add maternity coverage onto my policy, but she made sure to tell me that I didnt need to add it until I was about 4 months, because that would just be an extra cost. So I am only 4 weeks pregnant, I mean I think I've found out before you are supposed to. I called my agent today and told them I needed Maternity Coverage, blah blah blah. I didnt tell them I was pregnant, at the end of the conversation, the woman told me that if I was alredy pregnant that it would be considered pre existing. Well I have not been to a Dr. yet, to validate the pregnancy, so does the Drs. office send in the gestational date of the fetus, to prove to the insurance company that the pregnanc was pre exisitng!!?!? I have to have a c-section. Additional Details OK there was NO misunderstanding on my part and yes i get the house insurance, car insurance, burnt, wrecked deal!!!!
What i have a problem with is that i am a 23 yo hard working mother who pays $300 towards health insurance each month. That is with a $2500 deductable, because i am independent. I have had this policy for almost 2 years, WHY WOULD I?!??! pay $100 dollars extra a month for 12 months before i am even pregnant. Ok i want this really expensive ring, i am going to save my money up to get it, why would i go get insurance coverage on it when i dont even own it yet!!??!?! why if i worked for a business where $18 dollars came out of my check every week to cover my insurance then i would get covered?!?! Pregnancy is not pre exisiting!!!! especially when i have been with the insurance for 2 years. i can understand if i didnt have a policy and then call and get insurance with someone after i found out i was pregnant with a wait. i think it is bs! |
|


Rebecca
|
This is BS!!
The same sort of thing just happened to my mom-in-law and she had a nuclear meltdown with the insurance agency.
Long story short, her medical insurance was going to cancel at a future date. She needed to sign up for cobra. The cobra offices told her that she could not call up and apply for cobra until the day after her other insurance cancelled. The day after her insurance cancelled she called cobra and they told her that they could not cover her because she needed to sign up BEFORE it canceled and not after!
Like I said, she had a nuclear meltdown and they finally relented and decided to cover her.
What you need to do is call those "people" back and tell them that when you originally bought the insurance they assured you that, should you become pregnant, then you could purchase the coverage for the pregnancy. DO NOT tell them you will need to have a C-Section; that is between you and your doctor and they have no say in it (they will try to deny you the C-Section if they know about it in advance).
If you dont get anywhere with peon number one, go right up the chain of command until you get what you want. Furthermore, you ARE insured and you should not have to purchase ADDITIONAL insurance to cover a pregnancy as it is not a pre-existing condition. If you were pregnant BEFORE you were an Anthem member, they could tell you that it is a pre-existing condition. But between you and me, when someone told me my pregnancy was a pre-existing "condition" I came unglued.
In short, when you call them back, recount your original conversation and tell them that you will not accept their refusal for coverage. Fight it until you get it.
In the end, you might have a better born baby through a county or federally-funded hospital. I wont tell you my horror story of my insured through private insurance birth for my first child; I will tell you that she wound up with brain damage. I will also tell you that she wound up with brain damage because they were trying to avoid the $800 emergency C-Section and they wound up spending $70,000 in additional medical bills for me and my baby - all to avoid the Standard of Care that costs "so much." |
|

sarah314
 |
Not to question you or anything, but are you *sure* that you heard your agent correctly? Maternity coverage absolutely must be in place before the pregnancy occurs, and I'm incredibly surprised that any licensed agent would say otherwise. If you're certain that she told you that, I'd file a complaint. (Its not going to get the pregnancy covered for you, but at least it will stop her from misleading other people like that.)
As far as how the insurance company is concerned...once a private maternity rider is purchased, there is a waiting period before any pregnancy related claims would be covered. (The company I used to work for had a standard waiting period of 270 days, but most insurers have a longer period. You'll have to check out the specific terms of your policy, once you obtain the coverage.)
The gestational age doesn't matter, because the waiting period is set long enough that if you were pregnant at the time you purchased the policy it would be excluded from coverage anyhow.
Trying to purchase maternity coverage after you're already pregnant is like trying to buy homeowner's insurance the day after your house burns down...its just not going to happen. If the agent told you otherwise, definitely complain to the department in your state that licenses agents. That's a big error on her part, and it shouldn't go unreported. |
|

mbrcatz
|
Most private health policies that cover maternity, probably including yours, you have to carry the maternity rider at least 9 months BEFORE conception, in order for maternity to be covered, to prevent exactly what you did - only buying the coverage AFTER YOU KNOW YOU'RE PUTTING IN A CLAIM. There's no spreading of risk, ya know?
Yes, this is pre-existing, and no, it's not going to be covered.
And the agent PROBABLY gave you flat out wrong advice. So you could see if you can sue her for it, and she can put the claim in under her errors and ommissions coverage - or just pay you for your expenses out of pocket. |
|

EyeSpy
 |
To understand why you are not gonna get maternity coverage, you have understand one of the major reasons insurance companies are in business. They are in business to insure the "unknown". If something is "known", then the insurance company would have to collect an amount of money from you equal to what they would have to cover and pay.
Asking the insurance company to cover your known pregnancy, would be asking them to collect from you the exact amount of money it would take to pay all your costs associated with your pregnancy. Why? Because your risk is known, not unknown.
The $300 / month you've been paying has nothing to do with your pregnancy... that is cost of insurance for you without considering maternity.
As far as the Dr. sending in the gestational date of the baby, it is irrelevant. When the Dr. starts filing claims on your behalf to the insurance company, they're gonna know how long you were pregnant based on the date the baby is born. Also, the insurance company can petition the Dr.s records if the date is in question.
In all my years of selling individual health insurance, I've really never advised getting the maternity coverage because there is usually a waiting period of 10 months or longer before benefits will kick in and that amount of money that individual health insurers charge for maternity coverage will end up paying for the birth dollar for dollar. Heck, you can keep the premium yourself and over the period of a year have paid for the delivery yourself.
Also, the reason why you have to pay for this coverage for months in advance is very logical. The insurance company knows that if you buy maternity coverage, then your intention is to use your maternity coverage. Therefore, they need to collect enough premium from you in advance so that they can pay the claim when it comes along. When you buy the health policy, you have no idea if you are going to have to use it. I mean, you hope you don't have to because that means something bad is happening to you and so it is there IF the need arises. But with maternity, it is not if, it is WHEN the claim is going to happen. It is not the same analogy as buying a ring and paying insurance on it in advance. |
|

STEVEO
 |
come on people. think about it. there is a misunderstanding on the part of the person asking the question. no agent, first day out of cert school, would tell someone to wait till they were pregnant to buy maternity coverage.
even people without an insurance background, if you think about it, would know that you can't buy homeowners insurance once the house is on fire, you can't buy automobile insurance once the vehicle is already in an accident and you can't buy maternity insurance after you are already pregnant.
sorry but you either heard what you wanted to hear (which is very common in these situations) or you misunderstood what the agent told you (which is even more common). did you read the policy? i'm sure it explains all this in plain English. |
|

| |
|
| |  |
| Questions List |
Answers | Last Post
| | | |
5 | 5 minutes(s) ago
| | | |
5 | 28 minutes(s) ago
| | | |
5 | 30 minutes(s) ago
| | | |
5 | 50 minutes(s) ago
| | | |
5 | 2 hour(s) ago
| | | |
5 | 4 hour(s) ago
| | | |
5 | 9 hour(s) ago
| | | |
5 | 2 day(s) ago
| | | |
5 | 1 week(s) ago
| | | |
5 | 2 week(s) ago
| |
|