2
out of 5
POSTED: | BY: LORA ABBOTT
Denied claim and lied over the reason
I filed a recent claim for medication refills that had previously been approved though this was the first claim where I had met my deductible and would be owed a payment. My claim was denied and the reason listed was that they were missing medical records. When I called, the representative I spoke with admitted that they had the records, so the reason listed on my explanation of benefits was an outright lie. They did reopen the claim, and eventually approved the medications, giving me a whopping $11 back. So I had to jump through major hoops just to get $11. I had cancelled my policy for a different reason (found better coverage elsewhere) just prior to this incident, but this certainly leaves a bad taste in my mouth.
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