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How Insurance Companies Deny, Delay, Confuse and Refuse

The American Association for Justice has published an interesting and helpful article titled Tricks of the Trade: How Insurance Companies Deny, Delay, Confuse and Refuse. The topics include: Denying Claims, Delaying Until Death, Confusing Consumers, Abandoning the Sick, Discriminating by Credit Score, and Canceling for a Call. Here is the summary of the article and what you can do about these tactics:

READ YOUR POLICY CAREFULLY: You should know exactly what is covered and how to appeal a denial by your insurance company.

BE VERY CAREFUL FILLING OUT FORMS: Even if you make an honest mistake your insurance company may seize on that as a reason to retroactively deny your coverage.

Practical Tip

Insurance companies know that often you are in a financial squeeze.  Even if you have good health insurance, the fact that you aren’t working may make it difficult to pay co-pays and deductibles.  The insurance company knows you are getting calls from the doctors, so they take their time with your claim.

Andrew Traub

DO NOT CASH A PREMIUM REFUND CHECK: If your insurance company cancels your insurance when you make a claim, they may send you a check for premiums paid. Cashing it may act as accepting their decision.

PUT EVERYTHING IN WRITING: Calling your insurance company is likely to be a frustrating experience, and you will not be able to prove anything that a company representative tells you over the phone. Keep records of all bills and correspondence.

CONTACT YOUR STATE INSURANCE DEPARTMENT: They may be able to help you. But they will not represent you in a private matter, so if all else fails you may need to consult with an attorney.

AND MOST OF ALL, DO NOT GIVE UP: Insurance companies count on you giving up. Fight for your rights.

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