Health Insurance Company Runaround Help, Please...

[cyan_blue]

Does anyone have experience dealing with insurance runarounds? My Australian cousin is trying to get her travel insurance to cover emergency surgery in Oregon that her hospital docs say is imminently medically necessary, and the insurance company is foot dragging.

Comments

[theferrett]

We ran around for a long time, and moments after we paid cash for a lawyer, things miraculously cleared up. Wish I had better advice.

[cyan_blue]

Thanks! She got in for surgery finally.

[usqueba]

It might or might not help to have the patient brochure to see what's covered (as ammo when talking to the insurance company). Maybe she can look at it online. And/or, it might say "What special hoops you must jump through if you have an emergency while out of the country".

Sometimes the diagnosis is enough to prove medical necessity, sometimes s/he needs to put something *explicitly* to that effect in the documentation.

Foot dragging is SOP.

[cyan_blue]

Thanks! Fortunately she got the approval and is now recovering from surgery.