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Sue's complaint:
May 21, 2013

Insurance Company: Coventry Health Care
Coverage Type: Health Insurance

  • Claim Handling - Denial of Claim

Developed Shingles October 2012; United HealthCare, which I had at the time paid every claim, from primary care physician, I had at times 3 appointments per week, and the eye specialist was paid all except one claim which I failed to get prior approval.

To the problem - I now have Coventry and they are refusing to pay any of the claims - saying that Shingles was preexisting - I never had Shingles prior to October 2012. It came back or rather never really went away and is in my left eye. I am at a high risk of losing sight in my left eye and this of course concerns me as I am unable to see specialist because I have no money and virtually no insurance coverage.

Coventry claims this is pre-existing - coverage switched from UNITED HEALTHCARE to COVENTRY ON 11/01/2012.

The total of claims not being paid is now at $977.00.

Coventry is concerned that I had no medical coverage from December 1, 2010 - June 1, 2012. (I started at company I am still at on April 23, 2013.

My wish is that someone out there in the world wide web will read my story and reach out to me to help me.

I do not know what to do.

The only time I ever went without medical coverage was from December 1, 2010 - June 1, 2012. And during this time I was seen by Care Net which is a group of doctors who treat those without insurance.

The reason I was without insurance was I took time off to care for my ailing mother and had no income coming in.

Thank you all for any help that you can provide.

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