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Report: #657636

Complaint Review: Colonial life - columbia South Carolina

  • Submitted:
  • Updated:
  • Reported By: Gizmical — little river South Carolina U.S.A.
  • Author Confirmed What's this?
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  • Colonial life po box 100195 columbia, South Carolina United States of America

Colonial life short term disability denied after 2 partial mastectomies columbia , South Carolina

*Consumer Comment: ok

*Author of original report: Re: June

*Consumer Comment: Trying to split hairs.

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I signed for insurance on June5, 2010 through work. The policy became effective july1, 2010 I saw my physician on june 14 with right breast tenderness. I was sent for mammogram and ultra sound on June 18, 2010. I returnt to my doctor on June 24. I was told he was not a breast specialist and was referred to a specialist surgeon appointment July 9, 2010. The specialist told me I had cyst but nothing to worry about to follow up with a mammo in a year. He said the pain was not my breast but was shoulder and upper arm and set me up with a consult with an Orthopedic surgeon. I felt something was wrong and set up an appointment with another specialist who is head over a cancer center. I saw him on July 14 and was told I had severe fibroid disease in both breast and needed 2 partial mastectomies. He set my surgery up as urgent and surgery was performed July 22, 2010. Now Colonial says because I had a mammo in June. I am not eligible for payment. Even though all the doctors I saw in before July 1st had totally misdiagnosed the health issue. I would not advise anyone to seek insurance with these leeches. They take your money with no intentions on even paying any claim. I could have listened and waited a year and had to have 2 total mastectomies or even worse had it spread further. They don't care about their clients except to take your money and if something happens they don't care because they don't intend to pay. This is a company whose name I knew and thats why I accepted the insurance, people beware it's not worth the high premiums to have them deny you.

This report was posted on Ripoff Report on 11/02/2010 10:11 AM and is a permanent record located here: https://www.ripoffreport.com/reports/colonial-life/columbia-south-carolina-/colonial-life-short-term-disability-denied-after-2-partial-mastectomies-columbia-south-657636. The posting time indicated is Arizona local time. Arizona does not observe daylight savings so the post time may be Mountain or Pacific depending on the time of year. Ripoff Report has an exclusive license to this report. It may not be copied without the written permission of Ripoff Report. READ: Foreign websites steal our content

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REBUTTALS & REPLIES:
1Author
2Consumer
0Employee/Owner

#3 Consumer Comment

ok

AUTHOR: Stacey - (U.S.A.)

POSTED: Tuesday, November 02, 2010

The insurance company does not get your medical records - they get a coded sheet with the services that were charged.  Your policy became effective in July therefore they will not pay.  They may see this a pre-existing condition (I am just taking a stab here).


I have the same problems with my insurance not paying for things they STATE they pay for. File an appeal and see where that goes.

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#2 Author of original report

Re: June

AUTHOR: Gizmical - (U.S.A.)

POSTED: Tuesday, November 02, 2010

I was officially diagnosed in July not June. I was told in June that everything was fine to follow up in a year as normal. In July was when I was told I had severe disease not June. As far as getting paid yes it bites...but that's the way the cards fall. That is the point that I am trying to get across. The company isn't going to pay thats the way it is. The company however needs to read medical records more accurate as the doctors are trying to correct the issues with them and say then it should pay.

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#1 Consumer Comment

Trying to split hairs.

AUTHOR: Flynrider - (USA)

POSTED: Tuesday, November 02, 2010

  Your post is pretty clear that you had this issue before the effective date of the insurance policy (7/1).   That it was misdiagnosed in June doesn't make it go away and become a totally new condition in July.    I understand that you'd like to get paid, but that's not how insurance works.

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