Insurance is going to pay now
Dec 02, 2011
I'm so happy!! My insurance nightmare has been taken care of. They have decided to waive the $25,000 lifetime limit and re-process my claim. What a relief that is!!
I called them last year in December to find out what my benefits were. They told me the rules and that I would have a $1,000 co-insurance that I'd have to pay and then it was covered at 100%. They didn't mention any limit on the benefits that would be paid. But when they processed the surgery claim, all of a suddon there's a $25,000 lifetime limit on obesity treatment that I had never been made aware of.
I went through the required 6 month diet from December to June. I got approved for surgery in July and had surgery in September. Come November I received the EOB from Priority Health and they had rejected several charges from the surgery. I was shocked that I was getting a huge bill which I really can't afford to pay. I had just received a bill from the hospital last week for the $5,700 the insurance had rejected.