Health Problems

Noodleface said:

I dunno if I posted this before or if it was during my hiatus.. but we appealed some decision BCBS made and they buried us in paperwork. This came all at once in two giant boxes from USPS. We got more later too. View attachment 603246

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I’ve heard of patients having good luck by showing this stack of paperwork to their local congressman and/or filing a complaint to state insurance board but maybe it’s just rumors

It's alright we switched insurances after that thankfully

Kajiimagi said:

Seems like a lot of the horror stories are BCBS (they fucked me too multiple times) at one point I was arguing that a MRI was covered and they were saying it was not and the $2K cost was mine. I wrote all the times/dates/whos in a document I titled 'Exhibit A' to sue them when I guess they gave up. The Radiologist was in network so they covered it. They are a fucking clown show. Not sure any of the others are any better.

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This whole fiasco was my son was receiving ABA for autism. At some point after 2 years of services we had to fill out some random survey they sent about his care. Based on what we provided, they claimed a third party reviewed our response and determined my son was "doing much better now" and no longer needed therapy so they wouldnt cover it. The kicker to that was they said they would stop covering it a couple months ago, so were trying to charge us for months of services out of pocket.

Couple things:
1. You don't just cure autism, obviously
2. If he was getting better IT WAS BECAUSE HE WAS IN THERAPY
3. Fine you want to stop covering it, you can't just say 'we stopped covering it a few months ago' and never tell us.

This wasn't some rinky dink charge, it was several thousands of dollars.

When I appealed they sent me that, which was an EOB of every single therapy session among many other things.

Eventually they just dropped the charge and we stopped services. Thankfully new insurance deemed it medically necessary.