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Denial of Claim

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Unicare Health Insurance

My wife was had insurance through Unicare. She had a pre-existing condition waiver on treatment for asthma. She went to the doctore for diagnosistreatment of a UTI. While she was there, the doctor refilled her prescription for her asthma inhaler. Unicare refused to cover the diagnosis or treatment of the UTI, because the prescription for her inhaler was written on the same visit; which, according to Unicare, means that the UTI was diagnosed and treated as part of an asthma treatment. We have contacted Unicare three times, and everyone that we have talked to has repeated what is written above about why the claim was denied. The doctor who treated my wife and wrote the prescription sent a letter to Unicare stating that the treatment and diagnosis of the UTI had nothing to do with the inhaler prescription, and Unicare has refused to change their position.


Author:
Michael from Lubbock, TX
Updated:
2/2/2006 2:35:20 PM
Created:
2/2/2006 2:35:20 PM
Occurred In:
Lubbock, Texas
On Internet?:
Yes
Nationwide?:
Yes

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