STEPHEN's complaint:
March 02, 2016

Insurance Company: UnitedHealth Group
Coverage Type: Health Insurance

• Claim Handling - Denial of Claim

ON 06/09/2014 I WAS ADMITTED TO SOUTH FLORIDA BAPTIST HOSPITAL IN PLANT CITY FOR KNEE SURGERY. I WAS UNDER MY WIFE'S INSURANCE FROM HER WORK. UNITED HEALTHCARE SERVICES. I PRESENTED THE HOSPITAL WITH MY INSURANCE AND HAD THE SURGERY. TWO DAYS LATER I WAS DISCHARGED FROM THE HOSPITAL AND WAS SENT FOR REHAB AT PALM GARDENS REHAB CENTER IN SUN CITY WHERE I SPENT 11 DAYS. I WAS CHARGED $1100.00 BY THE REHAB CENTER FOR MY COPAY AND THE INSURANCE WOULD PAY THE BALANCE. I PAID THE REHAB THE $1100.00 FOR MY PART. ABOUT JUNE 2015 I RECEIVED A LETTER FROM THE HOSPITAL SAYING THAT I OWED THEM $44,000.00 AND THAT I NEED TO CONTACT THEM TO PAY THE MONEY. I DID NOT CONTACT THE HOSPITAL AS I WAS STILL SICK WITH MY KNEE AND HAVING A LOT OF PROBLEMS WITH THE PAIN. ABOUT A MONTH OR MAYBE 2 MONTHS LATER MY WIFE SAID THAT THE REHAB CENTER SENT A LETTER SAYING THAT I OWED THEM THE BALANCE OF $4,166.40. MY WIFE SAID THAT SHE WILL CALL THE INSURANCE AND SEE WHAT IS GOING ON. SHE CALLED AND WAS PUT THROUGH TO THE CLAIMS DEPARTMENT SHE EXPLAIN ABOUT THE LETTERS SHE RECEIVED SHE WAS TOLD THAT THE REASON THEY DID NOT PAY ANY CLAIMS IS BECAUSE I HAD OTHER INSURANCE. SHE EXPLAIN THAT I DID NOT HAVE ANY OTHER INSURANCE BUT UNITED HEALTHCARE. SHE WAS TOLD THAT THEY WOULD REWORK THE CLAIM AND GET BACK TO HER. SHE NEVER HEARD FROM THEM AGAIN. ABOUT 1 MONTH LATER SHE CALLED UNITED HEALTH AGAIN A YOUNG MAN SPOKE WITH HER ANDSAID THAT HE WAS GOING TO HAVE THE CLAIM REWORK AND WOULD GIVE HER A CALL BACK. NOTHING. SHE CALLED BACK AGAIN IN EARLY JANUARY AND SPOKE WITH ASHLEY WHO SAID THAT SHE WOULD CHECK IT OUT AND WE WOULD HEAR BACK IN 2 WEEKS. WE RECEIVED A LETTER DATED 02/19/2016 SAYING THAT THE CLAIM IS TOO OLD NOW FOR APPEAL OR RECONSIDERATION FOR THE $46,514.35 FOR THIS CLAIM.

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