Get Gephardt
KUTV.com | Stories - Woman Pre-Approved For Surgery, But Insurance Company Won't Pay
Tuesday, July 16 2013, 10:59 PM 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

Fighting Facebook Fraud
Cost of Business Goes Up and Kraft Recalls Mislabeled Wieners
Good Question: Why Do Winners Of The Masters Get Green Jackets?
Michael's Security Breach Update, Coffee Production Being Threatened and General Mills' Forced Arbitration
National Mortgage Settlement Payments Delayed to Thousands
GM Dodges Recall Responsibility, Returns On Rented Property and Employee Rest Tied To Dishonesty
Fine Print Reveals a Company is Behind Tax Lien Notices
Computer Scam Alert, Congress Weighs In On E-Cigs and Beef at an All-Time High
Good question: What's the figure eight printed on globes?
Amazon Offers Employees $5,000 to Quit, Most Common I.R.S. Mistakes and Flyers in February Arrive Late
Chimney Sweep Folds with Consumer's Deposit
Heartland Virus Threat, I.R.S. Fields Your Calls and the Big Mac Budget Demonstration
XP Support Gone. What Now?
"Or your money back" Offer not Honored
Get Gephardt: Man Lands in Collections Despite Fully Paid Utility Bills
Good Question: How Were the Aquarium Fish Safely Moved?
GM Wins Crash Test Honors, FTC Cracks Down On Weight-loss Claims and CVS In Hot Water
Two Utah Men Brought Up On Tax Fraud Charges
Home Automation Failures Frustrate Customer
Yahoo Increases Email Security, SLC Marathon Set For April and Microsoft Introduces Its Siri
Wendover Casino Blocks Handicapped Stalls for Promotional Giveaway
New Scam Alert, Chrysler Recall and Amazon Joins the TV Market
Good Question: How do Taxpayers avoid being audited by the IRS?
If the IRS is Unresponsive, Try the Taxpayer Advocate
Mudslide Scammer Alert, Nissan Recall and New Trader Joe's Location in Salt Lake County
Insurance Mix Up Keeps Woman From Lifesaving Meds
E-Book Refund, College Tuition Increases and Unclaimed Tax Returns
Billing Bundle Bungled
Flood Insurance Increases, IRS Cash Crunch and Possible Apple & Comcast Partnership
Good Question: How is the Moment Spring Starts Determined?
Defiance May Soon Pay Off for Couple Fined Over Negative Comments
PS4 Announces VR Headset, Google Makes Smartwatches and 2010 Tax Returns Still Available
GM Spokesperson: Loaners, Rentals Available to 1.6 Million Drivers Impacted by Recall
Google Wins Viacom Lawsuit, Walmart Wants Used Games and Microsoft's Stock Surges
Fake IRS Auditors Attempt to Rip Off Taxpayers
Retailers Asked to Stop Selling Tobacco, NYC Requires Sick Time and New Expiration Date Labels
Good Question: Are E-Cigarette Commercials Legal?
Low Utah Unemployment Rate, Graco Recall Expanded and High Tax Return Average
ACA Marketplace Confusion Leaves Adults Signed Up for Pediatric Dental Care
Target Continues Damage Control, Staples Closing Locations and Facebook Blocks Gun Advertisements
Popular Provo Road-Race Organizer Stiffs Winners
Gov. Gets Wiretap Bill from Sprint, Guns Are Selling Well and F.T.C. Cracks Down
Fur Coat Storage Company Vanishes with Several Expensive Coats
Utah Benefits From Reopening Parks, RadioShack Closing Locations, EPA Regulations and Potential ATM Hacking
Semi-Pro Football Players Question the Disappearance of League Fees
Drought Affects Grocery Prices, Free Checking Disappears and Bill Gates On Top Again
Good Question: "How Do Search Engines Determine Search Result Orders?"
Airlines Cut Bereavement Fares, Internet Usage Goes Mobile and Wells Fargo Cuts Jobs
Stolen Debit Card Used at Target.com Days after Victim Shops at Target
Delta Changes Frequent Fliers Program, Sprint in Trouble over Nude Pictures and Min Wage Battle Continues
California Scheme Leaves Utahn, National Hispanics out Hundreds
Target Breach TimeLine, Facebook Email Says Goodbye and House Prices on the Rise
Lifetime Warranty Abruptly Cancelled
Taco Bell Breakfast, Disney Resort Price Increase and New Alumni Tracking Software
Man Injured At Amusement Park Awaits Damages
Credit Restored for Consumer Fined for Negative Online Review
Postal Service Issues, Hot Pocket Recall and Netflix vs. Verizon
Ex-Federal Worker: Someone Forged My Official Gov. Documents
Alarm Customer Moves But Cannot Cancel Service
Improving Medication Information, Groupon Deal and I.R.S. Tax Update
Advertise with us!

 

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

Advertise with us!