Insurance Company Refused to Cover than Reconsidered Too Late

Welcome to 2008, hopefully your family had a better end to the year 2007 than the family of Natiline Sarkisyan. Their year ended with a funeral for their teen-aged daughter who died after her health and medical insurance company refused to pay for a liver transplant and then reconsidered. The Philadelphia-based Cigna HealthCare insurer has a history of approving coverage for over 90% of all transplants claims requested by their insured members, with over 90% of the liver transplant request being approved according to Cigna company President David Cordani in a memo addressed to employees and distributed to the media. … Continue reading

Insurance Blog Week In Review February 6-12, 2007

This week in the Insurance Blogs I have focused a bit on the Business of Insurance, including some of the Career paths insurance has to offer. Next week I will be expanding on some of interesting things a person might do with an Insurance License. I have also started a series of Blogs about shopping and quoting my own personal insurance portfolio. A project I have put off for far too long. Yesterday, we were given notice that my husbands employer is phasing out the retirement pension they offer. So, now we need to add retirement options to our personal … Continue reading

Cover Letter For Corrections to our Health Insurance Company Documentation

Dear Insurance Company: We have received the initial denial of authorization from your office. As a matter of course in our effort to advocate for the needs of our daughter we requested the copies of all documents, records and other information relevant if we wanted to file appeal for benefits. We weren’t necessarily interested in appealing the Insurance Company’s decision because our daughter is a “special needs” adoption from the foster care system and we have alternate insurance choices. Makala continues to receive the recommended care as a residential patient. We requested the documents in order to keep records of … Continue reading

Doctor to Doctor Review: Employer Provided Group Health Insurance

It’s been one thing after another since the placement of our special needs siblings for adoption in 2003. We added our children to our Employer Provided Group Health Insurance as soon as possible. In order to be sure all of their needs are met children adopted from foster care have Medicaid or State medical benefits until the age of 18 as part of the Adoption Assistance provided for special needs children. Our private employer group health insurance is seen as Primary with the Medicaid/State medical as secondary. Recently the federal government has passed laws requiring insurance companies treat mental health … Continue reading