- Report: #569825
Complaint Review: cinergy health plans - 19495 Biscayne Blvd Florida
Reported By:
marge -
lodi, California, United States of America
Submitted:
Updated:
-
Author Not Confirmed
Why?
cinergy health plans
19495 Biscayne Blvd 19495 Biscayne Blvd, 33180 Florida, United States of America
Phone:
800-847-1148
Web:
cinergyhealthplans.com
Categories:
Business Rating:
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cinergy health plans unlawful denial of coverage 19495 Biscayne Blvd, Florida
(1)I signed up with Cinergy in July 2009 for an individual health policy. In October 2009, Cinergy changed underwriters and sent new id cards and a new member's manual, enumerating benefits and exclusions. In February 2010, I was diagnosed weith breast cancer. The surgeon (fee is listed as a covered benefit in a hospital, outpatient facility or in the office) chose to due the surgery in an outpatient facility adjacent to the hospital. Cinergy claims they do not cover an outpatient facility fee: although use of an outpatient facility is not mentioned in the exclusion list, cinergy maintains that it is excluded because it is not mentioned as a covered benefit or as an exclusion. I paid $2400 to the hospital for use of the outpatient facility.
(2)Cinergy Health Plans sent me a letter dated 2/5/10 and received 2/10/10, stating their intention to abandon all California consumers effective 2/15/2010. They offered no alternative coverage. Their abandoning me leaves me with a pre-existing condition that no new carrier will assume. I will need radiation and chemotherapy with no insurance coverage available.
