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Freedom Healthinsurance payment refusal

Hello, On Jan.15 2010 received a backdated to Dec.31 2009 'refusal' without any signature from the Grievance Dept. The refusal to pay 70 % for a urine and stool tests and the doctor visit which I claimed. It was an out from network service which I needed being in sink, many times disabled through the 'symptons' treatment which was restricted different steroid pill and injections. Due this treatment I faced with side effect like ulcer and later on 'lupus' shown by my bloodtest. Because the treatment was hopeless getting more bad health issues I called the Freedom member services for information about outside of the network. The information permitted me to access providers out of the network with 30% coinsurance. I prepaid the above 2 tests and the doctor visit and according their letter the doctor dr. Springer didn't provided them with any correspondence. I just got the info it is not true. Besides of this I'm a 72 years old citizen who has to work because my Soc. Sec. benefit doesn't enough for monthly food. In the health situation in which I'm suffering 4 years long many times I was cripled not able to work. With the program for which I paid from my very small saving I'm getting better from day to day. To get better after 4 years suffering I needed both above tests and a doctor who is here to help and not only 'prescription machine'. The health care which Freedom provided me it was a minimum which somebody can get after paying Medicare - never used any hospital and the so called treatment was only bloodtests, 1 bone scan which I was begging for, 2 X-rays because the 1st one didn't come out right and medication cheap generic. Please help me to get back the $875 -70 % health care insurance. Thank you very much. K Dora Lerch my e-mail address: [protected]@tampabay.rr.com

Responses

  • Ce
    Certified Medical Biller Nov 24, 2010

    You have the option of leaving this Medicare Choice program and go back to regular Medicare. You can also file a complaint with the Department of Health and Human Services and your regional Centers for Medicare and Medicaid Services office. Send a copy of your grievance to the CEO of Freedom Health, Devaiah Pagidipati at P.O. Box 151137, Tampa, FL USA 33684

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