
Nideichi of Houston, TX on May 20, 2011
First, I will start by saying I signed up with Conseco Insurance on April 9, 2010. My payroll deduction date started on May 1, 2010. Payment mode is monthly, and my Health rates is Individual+child(ren). My plan states that if I get hurt off the job, I will receive $2,000 a month for up to 12 months as long as I am out disabled and could not work. I paid $32.00 a month.
On March 22,2011, I was in a car accident. I went to the emergency room by ambulance, was admitted, x-rayed treated, given medications, and released on March 23, 2011. I took my claims packet to my Doctor and Physical Therapist and they filled out the accidental claim forms and faxed them to Conseco on April 1,2011. And from April 6,2011 up to present, I have been on a non-stop merry-go-round with this company trying to get my benefits. I have spoken to over 10 different individuals including 2 supervisors in regards as to how my case is being handled.
It took them a month to tell me I needed to send in an itemized bill from the Doctor and the Therapist to get paid for the ambulance and physical therapy. They also informed me that I was not current with my payments, which was due to a problem with payroll on my job. So I sent in 2 additional monthly payments that updated my payment until April first. Well, April has come and gone. It is now the middle of May and they are still jerking me around.
The only thing they have paid me is the $150.00 for the ambulance and $240.00 for the 8 sessions of physical therapy. When I called and asked when was I going to start receiving my benefits, they replied that I need to send in a different accidental claim form. I sent in the accidental claim forms that was in my claims packet which was sent to me when I signed up. So now its a different form. I asked them why didn't they send those forms instead of the ones that they sent. So I had them fax the forms to my Physical Therapist's office and had my Doctor fill out the papers again. Now, I'm waiting on them to arrive.
Now, the other thing is my husband and I was in the accident together and he has his own policy with Conseco. He turned in the same paper work and he is going through with no problems. For example, he faxed in his bill from the emergency room then they have processed and sent him a check for $500.00. Well, I faxed in my bill from the emergency room exactly how he did his besides the name and the pharmacy. Then they told me I have to get an itemized bill from the emergency room. I don't understand why everyone I have spoken with, that has filed a claim with Conseco, say they have never had to send in an itemized bill for emergency room. They just sent in the bill. Since then, I have sent in 2 additional payments of $32 each just so that I will be covered up through June 1st.
Every time I send in something that they request, it takes 10 calendar days for them to review it. Once they finish reviewing one thing, they turn around and ask for something else, so that's another 10 calendar days and so on and so forth. Today is May 20,2011 and I've been waiting 2 months to get my monthly benefits. By the time they send me my first check it will be June and I have a feeling that instead of sending $6,000, which will be the amount owed at that time, they will only send $2,000 and I will be going through this whole process again.
I'm at a point where once I'm done with this claim and I'm able to go back to work I will be dropping the policy with Conseco. It's been nothing but stress and headaches to deal with them. It's like they don't care that you can't work when you're depending on your benefits from them, then they jerk you around while your bills and mortgage and everything is piling up. I told them the utilities in my house will soon be cut and I will be homeless soon if I don't make a payment. But do they care? All they say is "I'm sorry to hear that", then they continue to play games. I'm fed up with their nonsense. What can I do about this?