R

R. White
Review of SelectHealth

3 years ago

During my first call to them a year ago, I was tol...

During my first call to them a year ago, I was told that as I was recently enrolled under my spouse's employer-medical plan, they don't have to pay any claims submitted as they are no longer considered primary insurers. I explained that my coverage was, at best, minimal due to my spouse was working overseas and that the company insuring him was overseas also. I was told that Select Health can make any decision that they want to make and I just need to accept it. For the past year, I have really struggled with getting medical care due to having little insurance coverage, even though I am under Medicare. My inclusion under my spouse's plan ended earlier this month due to policy changes beyond our control. The cause of my frustration with Select Health is this: They have received monies from my government/Medicare program during the past year, but have denied all claims submitted to them. During today's phone call, I was told that I could not dis-enroll from the plan as it is past open enrollment time. I explained that a family status change existed and that I am no longer enrolled under any other plan. I now have to wait two weeks for a form to arrive which I need to complete and return to them, including a handwritten letter stating my reason for requesting dis-enrollment and, also enclosing a copy of my spouses HR paperwork to prove the change in status before they will dis-enroll me. Until they process the completed paperwork I send to them, I will have no insurance coverage at all and they will continue to be paid monies from my government/Medicare program.

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