Get Gephardt
KUTV.com | Stories - Woman Pre-Approved For Surgery, But Insurance Company Won't Pay
Wednesday, April 23 2014, 09:23 AM MDT
Woman Pre-Approved For Surgery, But Insurance Company Won't Pay
By Matt Gephardt
(KUTV) In 2002, Meagan Kennedy took a nasty fall.

“I fell down the stairs carrying a load of laundry down the stairs and it dislocated my left shoulder,” she said.

Meagan was able to pop the shoulder back into place, but she says that it was not the same.

“It hurts bad,” she said.

Meagan's doctor recommended an expensive surgery to fix the shoulder. To be certain the cost would be covered by her insurance company, Meagan and her husband Michael insisted that the surgery be pre-approved by United Healthcare even getting a confirmation number.

For a year and a half after the surgery, everything seemed fine until a letter arrived from United Healthcare. It said that at some point after the surgery, the clinic where Meagan had it was deemed not to be in United Healthcare's network. United Healthcare took the money back from the clinic leaving Meagan and Michael owing more than $10,000.

“I feel like it's unfair,” Meagan said.

Meagan and Michael went through all of the various levels within the insurance company, appealing three different times. But the decision did not change. So this time they appealed all the way to the U.S. Department of Labor, which oversees certain insurance companies. The agency sent a letter to United Healthcare demanding they pay, writing, "it is unlawful to punish the participant for [united healthcare's] error." Still, United Healthcare refuses to budge.

Meagan and Michael decided to Get Gephardt.

So, this time, we called United Healthcare on Meagan and Michael's behalf, not through customer service but through their corporate communications department. United Healthcare didn't want to talk on camera but a few days later they issued a statement saying, “After, further review, it was determined that the Kennedy family was given incorrect information. Mr Kennedy will not be responsible for any of the bills received.”

And just like that, the bill United Healthcare had promised to pay in the very beginning was finally paid. It only took two years, three appeals, a letter from the feds and a call to a TV station to get it done.

If there is a lesson to be learned from all of this, it's keep diligent notes and paperwork and get a confirmation number for pre-approved procedures.

(Copyright 2013 Sinclair Broadcasting Group)

Woman Pre-Approved For Surgery, But Insurance Company Won't Pay

News Photos & Videos - Submit Your Photos Here


More Gephardt Stories

Get Gephardt: One home with two alarms
Good Question: 'What if doctors don't have your type of blood?'
Get Gephardt: Military discount tough to claim for Vet's wife
Concert refund disappears in dead account
Good question: What's with the disturbing face on the city and county building?
Headstones delayed by Ogden monument maker
Get Gephardt: Movers destroy table, refuse to cover damage
Hidden leak costs homeowner, Insurance company refuses to help
Wallet Watch: Workers taking advantage of health care plans
Lender refuses to drop PMI
Wallet Watch: Big ticket items sitting on store shelves, Twitter ads, Seaworld shares
Major retailer refuses to honor warranty claim
Wallet Watch: Treasury department takes fake bills off streets, gas prices
Good question: Has this been a smaller fire season in Utah?
Wallet Watch: e-Cigarettes
Comcast Scam Investigation
Insurance bills for out-of-network hospitals
Late mail delivery investigation
Good Question: How did running with bulls tradition begin?
FedEx fined for drug deliveries, back to school prices rise and Utah unemployment drops further
Yellow Page scammers targeted by FTC
Airline fees, Google looks at security flaws and Microsoft announces layoffs
Comcast in damage control, automaker recalls continue and Hersheys instates a price hike
Illegible finger prints stall adoption
Citigroup pays for mortgage crisis, president pushes infrastructure projects and a new Airbus
Good Question: Why does a soccer ball bend?
Disabled woman loses benefits because of prepaid funeral plans
FTC Complaint: Amazon got rich off unauthorized in-app purchases
Woman's vehicle seized by police after bogus police report
McNeil trial witness now allegedly a deceitful contractor
RSL fans towed despite paying to park
Costly colonoscopy following a man's belly ache
Good news for job hunters and celebration cost on the rise
Arizona baseball games blacked out in Utah
Gas prices hit six year high, no guns allowed in Target and Google buys Songza
FTC seeks hundreds of millions from T-Mobile for cramming
FTC: T-Mobile made millions with bogus charges
Women's football league leaves supporters hungry, for cookies
Good Question: "Can you be arrested for not paying a debt?"
Cable company stands up customer thrice
L'Oreal's deceptive advertising, GM recalls additional vehicles and new airline threats
Kleargear ordered to pay $300k to Utah couple
Supreme Court rules against internet television streaming company
What to do when winning doesn't pay
Isolation at work, home prices jump and AT&T/DirecTV merger
Bundling delay costs consumer
Airbag recalls, Americans struggle to save and pushing for paid maternity leave
Good Question: "Why do grads wear square-caps and gowns?"
Smartphone kill switch lowers theft, Google encourages girls to code and Harley Davidson goes electric
Auto-warranty company slow to give refunds in Utah, nationwide
GM recall lawsuit, fed talks interest rates and Amazon reveilles new phone
Luggage lost for more than a year
Home construction slows, Dr. Oz testifies and tech companies target home security
Good Question "What if you leave your mail in the box?"
More GM recalls, PF Chang credit issues and Priceline merges with OpenTable
Soccer hooliganing: Scams target fans
Possible gas price spike, beer makers slow the flow and Hobby Lobby's deceptive advertising practices
Glitch shows Medicaid recipient underpaid
Frequent flier changes, Amazon's aggressive negotiations and Subway strikes deal with Keurig
Lender error leaves man with huge student loans
Advertise with us!

 

Pay It Forward
Fresh Living
Family Matters
Road Trippin
Hooked On Utah

Advertise with us!