In December 2020 I became eligible for Medicare. I called healthcare.gov to get a policy and was steered into a blue Cross advantage policy. I live in Tennessee.
The premiums were over $800 a month which I thought was a little high given that I had Medicare. In May I called to inquire. The agent and Blue Cross was very helpful and explained me that they could not even pay on the policy had I been face with a medical emergency.
So in speaking to Healthcare got called in demanding my money back they denied it based out of bunch of very complicated bureaucratic BS. They said perhaps I would have better luck with Blue Cross of Tennessee.
BC BS was no better. They really put the BS in the acronym. They claimed that healthcare.gov had to void the policy in order for them to give the Refund that they agreed was owed. Ended up in a grievance board that lost the grievance application at first and then found it and then denied it for the same reason.
The bottom line is that I paid $4000 to Blue Cross for a policy that any computer would’ve seen was not applicable and I should not have been paying for simply by Looking at my birthdate and comparing that to the date of eligibility for Medicare. I believe a iPhone could handle processing the entire country in 30 minutes without being taxed too hard. I explain this is a pretty bad example of incompetence And noted it was an example of an overpayment to them. I asked if they had a lot of under payments they routinely accepted Without notifying their customer. Is it possible that their Software actually did catch this and was told to ignore it because it’s happening a lot?
I’m looking for somebody to give me some advice on a lawyer who could take this for a contingency. I know that there is some government type lawyers it will do these kinds of cases. Any advice?
submitted by /u/alleyhathorn
[link] [comments]In December 2020 I became eligible for Medicare. I called healthcare.gov to get a policy and was steered into a blue Cross advantage policy. I live in Tennessee. The premiums were over $800 a month which I thought was a little high given that I had Medicare. In May I called to inquire. The agent and Blue Cross was very helpful and explained me that they could not even pay on the policy had I been face with a medical emergency. So in speaking to Healthcare got called in demanding my money back they denied it based out of bunch of very complicated bureaucratic BS. They said perhaps I would have better luck with Blue Cross of Tennessee. BC BS was no better. They really put the BS in the acronym. They claimed that healthcare.gov had to void the policy in order for them to give the Refund that they agreed was owed. Ended up in a grievance board that lost the grievance application at first and then found it and then denied it for the same reason. The bottom line is that I paid $4000 to Blue Cross for a policy that any computer would’ve seen was not applicable and I should not have been paying for simply by Looking at my birthdate and comparing that to the date of eligibility for Medicare. I believe a iPhone could handle processing the entire country in 30 minutes without being taxed too hard. I explain this is a pretty bad example of incompetence And noted it was an example of an overpayment to them. I asked if they had a lot of under payments they routinely accepted Without notifying their customer. Is it possible that their Software actually did catch this and was told to ignore it because it’s happening a lot? I’m looking for somebody to give me some advice on a lawyer who could take this for a contingency. I know that there is some government type lawyers it will do these kinds of cases. Any advice? submitted by /u/alleyhathorn [link] [comments]Read Morer/HealthInsurance