Need to vent..

[longknocker]

I Work In Health Care, Brother. Sorry, But It's Probably Going To Get Worse.
We All Should Check With Our Physicians Before Undergoing Any Treatment In Order To Determine If Our Insurance Covers That Particular Operation Or Procedure. I Would Call The Hospital & Try To Work Out A Monthly Payment Plan. Hospitals Are Usually Willing To Negotiate. Good Luck!

[MarkinAZ]

In addition to what Greg mentioned, you have the right to appeal your insurance carriers "denial of benefits." Your wife was under the care, custody, and control of her primary physician, and needed to go where he/she is admitted to practice.

I do believe that your wife's doctor can, and should, go to bat for her in this matter, and maybe this would help in a favorable decision to come from the insurance carrier.

You may also want to look into your State laws/regulations regarding insurance carriers too. Bad faith law suits are something the insurance carriers try to avoid (especially when it comes to television and newspaper exposure).

Last resort, and only a last resort, would be to pass this by a good law firm that is versed in this area of neglect by insurance carriers.

Good luck brother...

[Steve]

In dealing with my wife's numerous doctors, specialists, oncologists, radiologists, phlebotomist, labs, anesthesiologists hospitals, etc. NEVER assume that just because your "covered" "in network" doctor is going to send you to another "covered" "in network" whatever. We've learned the hard way that due diligence is always required. Not only do the doctors (and most likely their administrators), no matter how well meaning, have really no clue about the complicated insurance process, but the actual insurance companies are continually changing the parameters.

Sorry for the added stress this puts on you, but definitely appeal and fight. The squeaky wheel gets greased once in a while

Originally Posted by longknocker

I Work In Health Care, Brother. Sorry, But It's Probably Going To Get Worse.
We All Should Check With Our Physicians Before Undergoing Any Treatment In Order To Determine If Our Insurance Covers That Particular Operation Or Procedure. I Would Call The Hospital & Try To Work Out A Monthly Payment Plan. Hospitals Are Usually Willing To Negotiate. Good Luck!