State Farm Insurance
Hernia Claim Denied Over Stomach Pain Entry After 20 Years

Health & Medicine

I've been a State Farm customer for 20 years. Had home, car, and health insurance with them. I was sold hospitalization expense insurance by agent (wife of owner agent). She said "this is the best insurance around... They wrote Bob a check when he had his heart attack".

I filed a claim for a hernia after going to the emergency room. It was denied because the lady that filed the report at the agents office put "stomach pain" for the cause. Seeing the error, I got the medical report from the hospital. I took it back into the agent with the Hernia underlined to resubmit. I received a letter from the CO office stating it was again rejected for "stomach pain". I sent the CO office a letter explaining that it was input in the system as stomach pain by the agents office person and that the report from the doctor clearly showed a hernia. It was again rejected.

The issue is that they input it wrong in the system. And no one will take the time to actually read the report from the doctor that shows what's wrong. State Farm claims that "stomach pain" is not covered... But an accident like pulling a hernia is.

State Farm and this agent Bob Hollingsworth has lost a 20 year customer because of this. I can somewhat understand the first mistake, but now I've given them 4 times to make it right and neither State Farm nor the Agent (or his employees) will take the time to make this right. I have cancelled all my insurance with them and have gotten the same insurances cheaper from another company (local agents as well).

No wonder people hate Insurance companies as much as lawyers now a days.


Company: State Farm Insurance
Country: USA
Site: statefarm.com
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