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Health Insurance
The Good! The
Good!
It's only fair! We bad mouthed the
insurance companies yesterday, so let's find the good today. We asked
you to tell us about a pleasant health insurance experience.
I have needed many braces and
medications. When I need to call the insurance company they have, for
the most part, been very nice to me. -Sue S
My total Knee Replacement in November,
2000. The only cost we had to pay out of pocket to the surgeon was
$65.00. And, they paid completely for the necessary Home Health Care
post-surgery, as well as all other medical costs and hospital stay. We
would have been in debt for the rest of our lives without this kind of
insurance. -Nanny
I have been spoiled with health
insurance, all claims being paid, on time, and anyone I have ever had to
talk to was pleasant. -Daisy
My present health insurance plan pays
the majority of the cost for Enbrel medication that I'm on and that was
a very pleasant acknowledgment. -Linda T
My company recently changed insurance
and I needed some refills,but I had not received my insurance cards. The
Human Resource department gave me the phone number of the insurance
company to call for assistance with the refills. Once I called the
insurance company the customer service rep went out of her way to make
sure I had all the information needed to get my refills without my card.
-Susan
When I went to work for present
employer, I sent in my prescription for Enbrel and they filled it, sent
me back 3 months supply for $15. As easy as that! -Bettty
When they said they would cover the
Remicade, after at first saying that they would not. -Stephanie
When I found out we had an HMO figuring
I had to go thru all those referral things again, found out with the HMO
plan we have being -open ended- I don't need referral from my family dr.
-Marena
I caught an error on hospital billing
and called the insurance. The refunded me half of the error! Way to go!
-Denise
There isn't one, I'm sorry to say
-Nancy
Try as hard as I can, I simply can not
recall a single preasant health insurance experience. -Margot
About 4 years ago, my husband was a new
employee, (less than 90 days), and I fell and broke my leg. The coverage
started on the 1st day of the month following his employment. I was
covered from that day, too. The company picked up ALL COSTS involved
with the broken leg, including any equipment (chair, commode, hospital
bed, etc) and PT for nearly a year, no questions! We were very lucky,
and we know it! -Elaine
They paid the bill without question!
-Linda B
Most pleasant was when I had surgery
several years ago. I had MedPoint, Plan A at that time. The doctor
wanted me to pay $300.00 in advance...I said, no way! Turned out, I
payed nothing at all for the surgery, hospital or surgeon! That was
indeed a pleasant experience! -Anita
called one plan when i was 45 (now 52)
when i was waiting for ok for 1 mos. in between needed p.t. for shoulder
problem........i told them it was going to cost them alot more to treat
it by delaying what was working and that i would never consider having
this ins. again......surpringly i got a call back in about 10 min with
ok for more p.t. (which did help) -maggie
can't think of any,except for coverage
of meds. -Peggy
My primary care physicians office has a
very competent and pleasant woman (Carol) who does the referrals. The
doctors on staff in this office are all very professional but, friendly
and competent. -Maureen
5/6 years ago, when both my spouse and
I were working and had good benefits. It was so easy! and cheap! -Carol
J
Starting Jan.1, we don't need a
referral to a specialist. That was nice. -Mary
When they covered my laparoscopic
surgery which diagnosed me with endometriosis. I didn't want to pay for
that myself since the anesthesiologist alone was about a $1,000. -Jen
Today I saw my primary care doctor who
I adore and she had to prescribe quite a few new prescriptions and when
I went to the drugstore they were all covered. -Lori
ALL MY EXPERIENCES HAVE BEEN PLEASANT -Joallan
All of my health insurance experiences
have been pleasant. My doctor makes referrals when needed and my
insurance covers it. -Jill
The lack of complaints from Optimum
Choice during the illness. Doctors across the country believe
Marylanders have the best available medical care in the world. We have
had access to every specialist that Hospkins has available. God bless
Johns Hopkins. -Judy
EXCEPT FOR MEDICATION ISSUE ALL
EXPERIENCES PLEASANT.THEY HAVE EXCELLENT CUSTOMER SERVICE
REPRESENTATIVES AVAILABLE 24 H0URS A DAY TO ASSIST WITH ANY QUESTIONS
-Virginia
My insurance does pay for my Remicade
infusions. Once I reach my yearly deductable, they cover all costs of
the infusion, which is really nice. -Michael
Not necessarily "pleasant"
but satisfied that my expenses are currently covered. -Janice
In 1998 I had a TIA and was transported
by ambulance over 40 miles. Insurance picked up all the bill. An MRI in
November of 2001 ran around $1300 and my part was $15. -Bob
I had a representative help me ge my
prescription filled when the (merck) would not refill it because it was
too soon -June
I had Pacificare SecureHorizons for
last couple of years and I had a bad year this past year for surgeries(4
abdominal in 9 months)This ins used to cover everything with only a
$7.00 copay...and I bet I had 20 CT SCans too.BUt then this yr they have
raised copay for outpatient surgery to $150. 00 up front ,overnight in
hospital is $300.00 up front....doubled price of generic drugs from $7
to$15 and no brand names..and the changes just go on and not in favor of
people on a fixed income. -Judy
When the nurse on staff finally
approved Enbrel when no one else knew what I was talking about. -KP
I have been unable to work since being
diagnosed with RA on November 21, 2001 and still I was going by the
employee pharmacy and charging to my paycheck all of my scripts so far.
So, I called Human Resources and asked how much did I need to send a
check for since I am out on Medical Leave of Absense and they said
Nothing!!! IT will be decuted the first couple of week that you are able
to return to work, so you needn't worry about that at this time. I was
very blessed to say the least. -Lynn
Getting free parking at a hospital in
addition to all the bills being covered! -Amanda
I was happy to have Enbrel covered
without any problems. -Sue K
I met my deductable and everything was
paid for 100% -Royale
Had a problem with payment on a
mammogram. The nice lady on the phone at the insurance company called me
to report that payment had been made..How thoughtful. -Anne
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