EMBLEM HIP HEALTH |
EMBLEM HIP HEALTH PLANS ANTHONY L WATSON FRAUD, SELLS INSURANCE THEN REFUSES TO HONOR CONTRACT ny, New York |
23rd of Jun, 2011 by User834150 |
I had had a Healthyny policy for 11 years with HIP and was recently terminated. They sent me a form letter dated May 30 2011 telling me my health insurance is canceled as of May 1 and I have 62 days to shop elsewhere. Yet they billed me and I made payments for May and June. To complicate matters I was on the cholesterol lowering drug vitorin for years with no problems. Then in March 2011 HIP stopped covering vitorin until I tried other cheaper drugs first. I have been having problems with these new drugs and failed my last blood test. Just because they canceled my health care policy should not absolve them from rectifying a medical problem they started. My doctor just sent me a bill for services provided on 5 15 11 under a HIP health plan. HIP canceled my health plan on 5 30 11 retroactive to 5 1 11. I have copies of canceled checks for my May and June premiums. Finally I find it very upsetting to hear people laughing at me in the background when talking to HIP representatives. They may think this is funny but I dont see the JOKE. I have set up a web site at anthonylwatson.com calling for the resignation of Anthony L Watson Emblem HIP CEO. |
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Health insurance companies, in an effort to contain costs, may decide to drop coverage for an insured patient whose care is more expensive than they want to pay. That is called health insurance policy rescission.
Once the patient becomes sick, the insurer will carefully review his or her original application for coverage, find (what they consider to be) a discrepancy, then will claim the insured patient lied on his or her application. That gives the insurer legal permission to drop the claim.
Problems develop for patients who have not intentionally lied on their applications, and for whom the insurer finds discrepancies that don't relate. For example, in a case in Texas, a woman's coverage was dropped after she developed breast cancer. The insurer rescinded her coverage by claiming she failed to disclose a visit to a dermatologist for acne - clearly unrelated.
Further problems develop for patients who have paid premiums for a period time, but then have their coverage dropped after they get sick. The insurer doesn't bother reviewing the policy until after the person has been paying into the system. They are collecting money, but then not providing their promised services. |
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