Health Insurance

Have Questions? Need Help? 1(800)557-5693

Qualifying for Health Insurance, Affordable Health Insurance, Health Insurance Underwriting, Insuring Children, Health Savings Accounts, COBRA Continuation, and more

Coverage Denial

| No Comments

Question: I am suffering from metastatic breast cancer and have been treated for several months. Now I am being told that my insurer will only pay for 4 office visits and 300.00 of lab work a year. Can they suddenly change my coverage like this after my deductibles have been met?

Answer: Thanks for your question. Your insurance company cannot change your coverage as a result of claims submitted. There are several possibilities regarding what's happened here and I'll run through the ones I can think of. First, it may be that your insurance company has withdrawn your old plan from their portfolio and placed all members in a new similar plan type, i.e. they have not targeted you specifically. If this is the case they would have written to you to give you notice of the change, usually 60 days prior to the change. Second, and this is the most likely scenario, your plan has always been structured in this way and you need help from your broker or your insurance company to understand how it works. In actual fact, this should be part of the education process when you buy a plan. I can get you started on understanding your plan if you can give me the names of the plan type and insurance company.

Leave a comment

Twitter

Health Insurance Expert Community

Ads by HealthcareShopper

Affordable Health Insurance

Get affordable health insurance
coverage from the best
companies. Lowest rates.

Medicare Supplement

Get Medicare Supplement
coverage from the best
companies. Save money!

Health Insurance Comparisons

Get a health plan in minutes
Compare details and rates
Or call 800-557-5693

Anthem Blue Cross

Blue Cross and Blue Shield
Health Insurance Plans at
Guaranteed Lowest Rates

Child Health Insurance

Get a children's health care
plan. Choose from the best
CA Insurance Companies

Health Insurance Quotes

Compare health insurance
rates from all major health
insurance companies

Individual Health Plans

Health plan benefit and
rate comparisons in seconds.
We make it easy for you.

Catastrophic Insurance

Covers the big health care
expenses and you pay less.
Call us 800-557-5693

About this Entry

This page contains a single entry by Phil Daigle published on July 12, 2007 8:01 PM.

Qualifying HSA Withdrawals was the previous entry in this blog.

Application Denied. Should I lie? is the next entry in this blog.

Find recent content on the main index or look in the archives to find all content.