Re: PacificCare Ins. Question

[Guest guest]

Hello,

My hubby was on Pacificare and it was a nightmare here in Texas. Most of

the doctors refused to accept it because they do NOT pay there bills. It

reached the point where the state insurance commission got involved and the got

in

a lot of trouble. It reached a point where docs and hospitals were

demanding payment upfront and you wait to get your money from the insurance

company.

They also refused claims for most of my meds saying that I need to go on a

med in there formulary first before going to some of the high dollar

meds...the only problem was that I was allergic to what they wanted me to take.

They

still would not approve payment!!!! I finally threatened them with legal

action for trying to force me to take a drug that I was allergic to and could

kill me.

After that any calls to them pertaining to our insurance was sent to a

special person. I guess I was labeled a trouble maker and they have people to

answer those calls.

I hope since then maybe with all the law suites, complaints and Texas

insurance commission getting involved things should be better.

Toni