Insurance company refusing to pay!!! Coventry health care!!!
We have Health insurance with Coventry Health Care. Recently I believe they may have merged with or been bought out by some one else.in any case we pay $240.00 or more a month & the employer pays the rest which is 1/2 or more than the amount we pay. (Almost 6,000$ a year in insurance premiums paid)
Now that you know the amounts paid to these blood sucker scums every month & year, I'm sure you will realize why we're so pissed. They refused to pay for over $18,000.00 in medical bills that are/were supposed to be covered under their guide lines. The insurance is with my wifes employer & there are over 50% of the work force (total work force of about 1000 people) who complain about this to the Insurance company as well the employer to do something about it. NOTHING IS BEING DONE SO FAR!!!
Hum? 1,000 people x $6,000.00= 6,000, 000.00 a year
6 Million a year for 1 businesses premiums.
It seems the employer as well Insurance doesn't give a damn about people just how much they can get away with it. So far they didn't pay the last 7 bills
(ranged from $24.95 up to $700.00 over 6 month period) until repeated actions of re-submitting claims & fighting with them costing us money as well as the providers & the bastards still refuse to pay for the tests that we are eligible for that will be in excess of 16,000.00 U.S.D. & eligible for.
Coventry keeps denying the precertification for the medical tests that have to be done prior to an important major operation. The operation can't be done with out these tests (MRI, X-rays & other tests). So the operation is on hold now too & the person who needs the operation is in severe pain daily because they can't get the operation because they refuse to pay.
But then again they don't want to do what they get paid for, that is pay for the provider charges & medical bills as they are under contract to do why the hell would they want to pay for a $50,000.00 operation? It's like they want you to pay them & on time as well every month on time
(direct deduction from check on Med.ins.) & if you need the insurance you paid for, too bad you have to pay the medical bills too on top of the insurance premium. Is it not the reason you pay insurance premiums so that in case something happens you are covered? WHY PAY THEM FOR NOTHING!!!
The bastards refuse to pay for the little things as well, like eye glasses & contacts the visits to the doctor the dental all of which is covered under the plan & all gets precertified that has to be by the Doctors & us as well to make sure it's covered but yet they will precertify & then not pay the bill when it is sent into them.
What is the point of paying for insurance that you can never collect on???
The employer offers no alternative to the employees. It's Coventry only.
These employees work between 40 & 60 hrs. Every week you would think they would want to take care of them wouldn't you?
You would think an insurance company making 6 million a year from just one of the many companies they cover, with their rate they could afford to pay?
We pay our bills why doesn't COVENTRY HEALTH CARE PAY THEIR BILLS!!!
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