It has been two years from the date of service and my health

Message

Author

	Add to del.icio.us
	Add to YahooMyWeb
	Add to Simpy
	Add to BlinkList

Posted: Fri Jul 30, 2010 11:00 pm Post subject: It has been two years from the date of service and my health

the health insurance refusing to pay the trasportation to children's hospital stating that it is hospitals responsibility because they felt the need to send my child to children's hospital in sacramento. Due to this and another similar case where a hospital bill gets bounced between our medical ins. and mental ins. -because my son's hospitalization started with meical problems and ended in psychatric diagnosis-my credit score has dropped a lot. I want to send a demand and take them to small claims court claiming damages.

rominyou

New member

Joined: 30 Jul 2010
Posts: 1

1.62 Dollars($)

Posted: Sat Jul 31, 2010 12:46 am Post subject:

Quote:

I want to send a demand and take them to small claims court claiming damages.

ok
_________________
"Never, never be afraid to do what's right, especially if the well being of a person or animal is at stake. Society's punishments are small compared to the wounds we inflict on our soul when we look the other way." Martin Luther King Jr.

Lori

Moderator

Joined: 10 Sep 2007
Posts: 8173

Location: Missouri
287.90 Dollars($)

Posted: Sat Jul 31, 2010 3:11 am Post subject:

That's a post for a legal forum not an insurance forum. There are no where near enough details here for an insurance professional to develop much of an opinion and give you guidance, nor is there enough information for an attorney to develop much of an opinion and give you legal guidance.

BNTRS

Senior member

Joined: 05 Nov 2009
Posts: 828

13.02 Dollars($)

Posted: Sat Jul 31, 2010 3:14 pm Post subject:

Reimbursement for out of pocket expenses are usually defined by the words "medical necessity" or "medically necessary". Transportation that is "medically necessary" typically involves an ambulance ride because it is unsafe, unwise, or impossible to transport a person in a private passenger automobile. If a patient is being transferred from one hospital to another because the second hospital offers specialized care required by the individual, the insurance company may not see that as medically necessary, but rather a convenience. Pressing the point vigorously may change their interpretation, but don't count on it. Some policies may provide for the transportation expense of a parent to visit a hospitalized child or dependent, or to transport that person to a distant hospital if no local services are available. But these are the exception, not the rule. _________________ CA-licensed P&C Broker-Agent and Life Agent. CA Insurance Lic #0596197. Now investigating insurance company abuses, and providing litigation support and expert witness services. Send me your questions, and I'll send you my answers.