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In a message dated 11/3/00 7:01:18 PM Pacific Standard Time, SFRYE@...

writes:

> Is this united healthcare or U.S. healthcare??

> just wondering?

> in GA

>

>

>

This is United Healthcare.

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  • 1 year later...

PPO generally pays better than POS....(I think) POS is point of service. I

had blue cross/blue shield of Idaho and they gave me big headaches and

refused us the surgery but in the end they lost.....they were our secondary

so they had no choice once medicare approved it.

Others on the board will be able to help you with insurance......

Judie

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  • 3 years later...

Hi Bill,

I'm not sure what the correct answer is to your question, but I would

question it with the insurance if it were me. What a pain in the

butt to have to deal with surgery and all of this too. Hope your

surgery was a success at least.

a

> Well, after over four and a half months and three submissions, I

> managed to get the hospital portion of my surgery paid (I had to pay

> up front for everything, so this waiting hasn't been pleasant).

>

> Two problems -- The insurance company paid the provider (i.e., the

> hospital) so I'll have to deal with their bureaucracy to get

> reimbursed. The real question, though, is the explanation of

benefits

> -- the insurance company discounted the submitted charges as a PPO

> discount and then paid a percentage of that discounted amount.

>

> Since the hospital never should have received payment, I don't think

> there should have been a PPO discount applied. Am I right in that

> thinking or am I barking up the wrong tree?

>

> Bill

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  • 1 month later...

If an employee terminates the coverage either ends the

date of term or the end of the month - you'd have to

check the eligibility provisions with the insurance

company of the Human Resources Dept. Depending on

your company size and the state you live in you can

continue the group coverage through COBRA but you pay

the premium plus 2%.

Kim

__________________________________

Yahoo! Mail - PC Magazine Editors' Choice 2005

http://mail.yahoo.com

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  • 6 months later...
Guest guest

I have never had to use insurance before this pregnancy and boy has it been

fun (ha :)

My Riley Jade (born 1-12-06 bilateral club feet) got her Markell boots and

bar in March. I just found out that our insurance does not cover " Orthopedic

shoes, foot orthotics, or other devices to support the feet " . What? This

seems a little crazy to me because if she doesn't have the shoes and bar her

feet would relapse and they would have to pay for numerous surgeries etc.

(Preaching to the choir) Is this typical and does anyone else have any tips on

disputing or getting insurance to pay? I had heard the 's weren't

covered but didn't realize the Markells (sp) were not.

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Guest guest

I had trouble getting the Markells paid for as well. I called BCBS and they told

me they didn't cover it because I ordered from an non provider. So, the next

time I ordered Markells they were covered 100% because we used their preferred

provider..

Reid

Austin -8/1/05

julsthom@... wrote:

I have never had to use insurance before this pregnancy and boy has it been

fun (ha :)

My Riley Jade (born 1-12-06 bilateral club feet) got her Markell boots and

bar in March. I just found out that our insurance does not cover " Orthopedic

shoes, foot orthotics, or other devices to support the feet " . What? This

seems a little crazy to me because if she doesn't have the shoes and bar her

feet would relapse and they would have to pay for numerous surgeries etc.

(Preaching to the choir) Is this typical and does anyone else have any tips on

disputing or getting insurance to pay? I had heard the 's weren't

covered but didn't realize the Markells (sp) were not.

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