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» LymeNet Flash » Questions and Discussion » General Support » HMO PAYS CLAIM FOR IV ANTIBIOTICS

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Author Topic: HMO PAYS CLAIM FOR IV ANTIBIOTICS
Neil M Martin
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I've written at times about my private war against two HMOs. One finally paid, after a 40-month no holds barred, hardball knock-down-drag-out street fight

I asked (nicely) for out of pocket expenses for 8 months' Lyme disease IV antibiotics.
They used several 'dirty tricks' but I kept coming back.

AND THEY PAID!!! Sev thousand$!!

Perhaps it was out of the goodness of their hearts. Perhaps it was my threat of suit. Doubtless pressure applied by my senator's office (since 2/04) made a difference.

But all of a sudden the HMO admitted its undue delay (they sat on my claim for over a year AFTER I cleared a years' worth of their "hurdles") and the check WAS in the mail!!

Local paralegal calls this "miracle".

Thanks, everyone, especially those who prayed.

NEVER NEVER NEVER NEVER QUIT!!


Posts: 697 | From Tucson, AZ USA | Registered: Apr 2002  |  IP: Logged | Report this post to a Moderator
zipzip
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merry xmas!!!! ho ho ho
Posts: 795 | From nyc | Registered: Sep 2004  |  IP: Logged | Report this post to a Moderator
Mo
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This is wonderful news, Neil!!

Way to go!!

Mo


Posts: 8337 | From the other shore | Registered: Jul 2002  |  IP: Logged | Report this post to a Moderator
kam
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Glad to hear it!

I, too, just received a bill that was in the $1,000's and now is only in the hundreds.

I was having difficulties with the PPO. I, too, am not sure what exactly changed but am happy to see it did.


Posts: 15927 | From Became too sick to work or do household chores in 2001. | Registered: Dec 2002  |  IP: Logged | Report this post to a Moderator
RECIPEGIRL
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Member # 5884

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That's a wonderful Christmas present.

I'm impressed. I can't believe they finally paid you. That's unheard of.

Good going Neil.

Jan


Posts: 602 | From Burleson, Texas, USA | Registered: Jul 2004  |  IP: Logged | Report this post to a Moderator
HaplyCarlessdave
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I'm sure their are many people that are going to be glad to hear that they have a chance! Congratulation for hanging tough with this 'company' ! It's really too bad we even have to use that terminology--- "hardball", "street-fight". etc. (But, from what I've seen and heard about, totally called for, lamentably!.
DaveS

Posts: 4567 | From ithaca, NY, usa | Registered: Nov 2000  |  IP: Logged | Report this post to a Moderator
snowboarder
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Neil,

Congratulations to you on your victory!

I've found with insurance companies the squeaky wheel gets the oil. The more you hound, threaten, or whatever it takes to get your money the better your chance is of winning.

Happy New Year!


Posts: 738 | From Colorado | Registered: Oct 2004  |  IP: Logged | Report this post to a Moderator
   

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