I just dont get insurance companys, I really dont!

[amberd910 0]

If something is not covered, not a covered benefit in the policy even, you'd think insurance wouldnt pay anything to that claim? WRONG! My primary insurance said no way for my surgery. Well, I had to submit stuff to it since it's primiary and they paid almost 85% of it! It says I owe about $4,500 but thats where my secondary insurance kicks in and covers that part (since it was approved thru secondary insurance only)! I just dont get insurance companies. Seriously. They said it's not covered under my policy and yet they paid 85% or so of the claim! After all this fighting for 1 month to get things in order for surgery (since my primary & secondary insurance both switched on 12/1 and the original insurance denied the appeal) and to find out that insurance would have paid this much to the claim (even though it's not a covered benefit and excluded from my policy), and to think if my secondary insurance did not approve the surgery I was going to go as a self-pay for $16,400! OMG what was I thinking?!?!

[Ale78 0]

Yeah it's weird huh? You know what I found hilarious? My insurance wouldn't cover seeing a nutritionist but is covers the surgery and nutritionists that come with the program.

Silly huh?:grouphug:

I am glad it worked out for you! Good luck on your journey!

~Amy