(Closed) WTF Insuance Company?! WTF!

posted 10 years ago in Wellness
Post # 3
229 posts
Helper bee
  • Wedding: July 2010

That’s sooo ridiculous!

If it’s emergency surgery do they really expect you to go and do research so you can find a doctor in your network? Total bs.

I heart Canadian healthcare.

Post # 4
459 posts
Helper bee
  • Wedding: October 2010

Hey Rachaelrobin!

I’m sorry you have to deal with this.  My Fiancee basically mediates between hospitals and insurance companies, so I know a bit about this type of stuff…no expert though.  Soooo…many times when it’s an emergency and there is medical documentation supporting that, you can appeal with the insurance company and hospital to cover it.  For example: if your appendix burst and you’re in the middle of the street, the ambulance comes, they HAVE to go to the closest hospital no matter if it’s covered by insurance or not because it’s truly an emergency. 

However, the problem with the appendix is many times you can go into the ER and although you need surgery immediately it’s not like a gun shot wound to the chest…they have the time to transfer you to a hospital that is “in network.” 

Work with the hospital and insurance company to prove that it was emergency and hopefully they’ll be able to work something out.

Best of luck!

Post # 5
14181 posts
Honey Beekeeper
  • Wedding: June 2009

You’ll have to argue that there was no time for you to transfer to an in-network hospital with in-network doctors!

Post # 6
3176 posts
Sugar bee
  • Wedding: May 2011

That sucks! An ex-bf was in a really bad car accident and was taken to the hospital when he was unconscious (he was in a coma for 3 weeks) and his insurance company refused to pay for anything b/c he didn’t notify someone before being admitted…um hello he was unconscious!!! how is he suppose to make a phone call?!?!?! There excuse, someone should have known to call. Insurance companies really suck sometimes!

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