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Re: Good pdoc, bad HMO

Posted by S. Howard on November 11, 2000, at 22:09:19

In reply to Re: Good pdoc, bad HMO, posted by coral on November 11, 2000, at 18:56:48


My HMO, which I will not name but which goes by the initials HL, mailed a certified letter to my house saying that the medical records of my hospital stay had been reviewed by the grand poobah doctor of HL and according to him, I had never been mentally ill enough for hospitalization and they had no intention of paying for my hospital stay. My jaw hit the floor.
On the morning I was admitted, (1)I spent hours in the emergency room waiting for insurance authorization for admission and transport to another hospital approved by my HMO and (2)I had no desire to go to the hospital, so I was admitted involuntarily to a locked psychiatric ward by the pdoc on call. Now here was my HMO, acting as if I had walked up to the ward, with no prior approval, and knocked on the door and asked them to let me in.
It's been a couple of months since the certified letter arrived and I haven't heard anything more about it. Of course I don't have any intention of paying this hospital bill, and I plan on switching insurance companies shortly. -SGH


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poster:S. Howard thread:2520
URL: http://www.dr-bob.org/babble/social/20001031/msgs/2551.html