She contacted NBC10 Boston Responds after trying to get the situation resolved for 10 months.
Life's insurance company, Anthem Blue Cross and Blue Shield, denied coverage because she was out of network. She appealed and said she got documentation from the hospital that they contacted Anthem on October 8, 2021, to obtain pre-surgery authorization, but were told it wasn’t required.
"I must have filed three or four different appeals this entire time of having zero medical care. I had no follow-up appointments because no one could agree where I should go and who I should see and what I should do," said Life. I must have filed three or four different appeals this entire time of having zero medical care. I had no follow-up appointments because no one could agree where I should go and who I should see and what I should do."I spent a lot of days crying, just not believing that they wouldn't just focus on this, look at the case, look at the fact that they had said it was OK to go ahead with the surgery."“It was a last resort. I needed my medical follow-up.
In that letter Anthem said it was making an exception, “unfortunately, your provider was previously misinformed about the benefits available for you under your plan. Your plan does not include out-of-network benefits except in the case of an emergency. Due to this miscommunication, Anthem will approve the prior services.” “Our top priority is ensuring those we serve have access to healthcare.
“I cried for joy when I found out that it had finally gotten taken care of, so thank you,” says Life. “It sounds a little corny, but in a way, financially, you saved that part of my life and healthwise, because now I've got medical follow-up again. I was not getting medical care.”. We will get back to you. We are the only local station committed to answering all of your calls and emails/
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