- Report: #354305
Complaint Review: Conseco Insurance Company - Carmel Indiana
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Conseco Insurance Company
11825 N. Pennsylvania Street Carmel, 46082 Indiana, U.S.A.
Phone:
800-541-2254
Web:
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Conseco Insurance Company The "CON" in conseco is so appropriate! After 17 years I file a claim, They give me grief!! Carmel Indiana
I have carried a cancer,icu, and cvu for 17 years with first Capital American then with Conseco after they took over C.A.. In July of 2002, my husband suffered a heart attack, and was taken to Northern Michigan Hospital in Petoskey ,Mi.49770. He was treated for 3 days in the Cvu and released. I filed all the necessary paperwork Conseco requested and was issued a check for 2 days. No problem!
Since September of 2007 until july of 2008 my husband has been in the same Hospital 13 times. He has had 10 major surgeries, of which two of them he was'nt expected to live through. The last major surgery lasted 141/2 hours and he recieved 22 units of blood!!!!!
As a result of these hospital stays 3 of them were spent in icu and cvu. Now this is where it gets interesting. This policy pays $250.00 per day, plus other charges of drs. visits, medication, certain procedures, blood, etc. The first stay was from 3/19/08-4/10/08. 1 day was spent in icu, 8 days in cvu. next visit on 4/29/08 total of 3 days in cvu. Next visit again in cvu on 5/21/08 total of two days. I recieved a check for $265.00 dated 6/28/08. for the last stay of 5/21/08. Same Hospital, same units, billing clearly shows cvu stays. How can they justify doing this. Is this not " FRAUD?" Similar case in Texas!
Julaine
gaylord, Michigan
U.S.A.
Since September of 2007 until july of 2008 my husband has been in the same Hospital 13 times. He has had 10 major surgeries, of which two of them he was'nt expected to live through. The last major surgery lasted 141/2 hours and he recieved 22 units of blood!!!!!
As a result of these hospital stays 3 of them were spent in icu and cvu. Now this is where it gets interesting. This policy pays $250.00 per day, plus other charges of drs. visits, medication, certain procedures, blood, etc. The first stay was from 3/19/08-4/10/08. 1 day was spent in icu, 8 days in cvu. next visit on 4/29/08 total of 3 days in cvu. Next visit again in cvu on 5/21/08 total of two days. I recieved a check for $265.00 dated 6/28/08. for the last stay of 5/21/08. Same Hospital, same units, billing clearly shows cvu stays. How can they justify doing this. Is this not " FRAUD?" Similar case in Texas!
Julaine
gaylord, Michigan
U.S.A.
4 Updates & Rebuttals
Mrpicture
Spring Arbor,Michigan,
U.S.A.
I may be able to help you...
#2UPDATE Employee
Tue, March 24, 2009
I am an agent in Spring Arbor, Michigan. You may or may not be entitled to other monies, because you state: As a result of these hospital stays 3 of them were spent in icu and cvu. Now this is where it gets interesting. This policy pays $250.00 per day, plus other charges of drs. visits, medication, certain procedures, blood, etc. The first stay was from 3/19/08-4/10/08. 1 day was spent in icu, 8 days in cvu. next visit on 4/29/08 total of 3 days in cvu. Next visit again in cvu on 5/21/08 total of two days. I recieved a check for $265.00 dated 6/28/08. for the last stay of 5/21/08. Same Hospital, same units, billing clearly shows cvu stays. How can they justify doing this. Is this not ' FRAUD?' Your ICU policy does NOT pay dr visits, meds, procedures, etc. It ONLY pays for: $250/day icu stay AFTER the first day (starts on the 2nd day of confinement) a benefit for blood a benefit for ambulance Your CANCER policy pays a benefit (not ALL costs--this is a supplement, not major medical, plan) for dr visits, meds, certain procedures, etc. If you want to call Conseco customer service at 1-800-541-2254 and ask for the phone number of the agent in Spring Arbor, Michigan (agent #63549) I will be glad to review your situation with the company and try to help you. We have to work fast because state law says you have 1 year to file claims--conseco will ususally extend that by 90 days if you ask. Steve Bohne
Mrpicture
Spring Arbor,Michigan,
U.S.A.
I may be able to help you...
#3UPDATE Employee
Tue, March 24, 2009
I am an agent in Spring Arbor, Michigan. You may or may not be entitled to other monies, because you state: As a result of these hospital stays 3 of them were spent in icu and cvu. Now this is where it gets interesting. This policy pays $250.00 per day, plus other charges of drs. visits, medication, certain procedures, blood, etc. The first stay was from 3/19/08-4/10/08. 1 day was spent in icu, 8 days in cvu. next visit on 4/29/08 total of 3 days in cvu. Next visit again in cvu on 5/21/08 total of two days. I recieved a check for $265.00 dated 6/28/08. for the last stay of 5/21/08. Same Hospital, same units, billing clearly shows cvu stays. How can they justify doing this. Is this not ' FRAUD?' Your ICU policy does NOT pay dr visits, meds, procedures, etc. It ONLY pays for: $250/day icu stay AFTER the first day (starts on the 2nd day of confinement) a benefit for blood a benefit for ambulance Your CANCER policy pays a benefit (not ALL costs--this is a supplement, not major medical, plan) for dr visits, meds, certain procedures, etc. If you want to call Conseco customer service at 1-800-541-2254 and ask for the phone number of the agent in Spring Arbor, Michigan (agent #63549) I will be glad to review your situation with the company and try to help you. We have to work fast because state law says you have 1 year to file claims--conseco will ususally extend that by 90 days if you ask. Steve Bohne
Mrpicture
Spring Arbor,Michigan,
U.S.A.
I may be able to help you...
#4UPDATE Employee
Tue, March 24, 2009
I am an agent in Spring Arbor, Michigan. You may or may not be entitled to other monies, because you state: As a result of these hospital stays 3 of them were spent in icu and cvu. Now this is where it gets interesting. This policy pays $250.00 per day, plus other charges of drs. visits, medication, certain procedures, blood, etc. The first stay was from 3/19/08-4/10/08. 1 day was spent in icu, 8 days in cvu. next visit on 4/29/08 total of 3 days in cvu. Next visit again in cvu on 5/21/08 total of two days. I recieved a check for $265.00 dated 6/28/08. for the last stay of 5/21/08. Same Hospital, same units, billing clearly shows cvu stays. How can they justify doing this. Is this not ' FRAUD?' Your ICU policy does NOT pay dr visits, meds, procedures, etc. It ONLY pays for: $250/day icu stay AFTER the first day (starts on the 2nd day of confinement) a benefit for blood a benefit for ambulance Your CANCER policy pays a benefit (not ALL costs--this is a supplement, not major medical, plan) for dr visits, meds, certain procedures, etc. If you want to call Conseco customer service at 1-800-541-2254 and ask for the phone number of the agent in Spring Arbor, Michigan (agent #63549) I will be glad to review your situation with the company and try to help you. We have to work fast because state law says you have 1 year to file claims--conseco will ususally extend that by 90 days if you ask. Steve Bohne
Mrpicture
Spring Arbor,Michigan,
U.S.A.
I may be able to help you...
#5UPDATE Employee
Tue, March 24, 2009
I am an agent in Spring Arbor, Michigan. You may or may not be entitled to other monies, because you state: As a result of these hospital stays 3 of them were spent in icu and cvu. Now this is where it gets interesting. This policy pays $250.00 per day, plus other charges of drs. visits, medication, certain procedures, blood, etc. The first stay was from 3/19/08-4/10/08. 1 day was spent in icu, 8 days in cvu. next visit on 4/29/08 total of 3 days in cvu. Next visit again in cvu on 5/21/08 total of two days. I recieved a check for $265.00 dated 6/28/08. for the last stay of 5/21/08. Same Hospital, same units, billing clearly shows cvu stays. How can they justify doing this. Is this not ' FRAUD?' Your ICU policy does NOT pay dr visits, meds, procedures, etc. It ONLY pays for: $250/day icu stay AFTER the first day (starts on the 2nd day of confinement) a benefit for blood a benefit for ambulance Your CANCER policy pays a benefit (not ALL costs--this is a supplement, not major medical, plan) for dr visits, meds, certain procedures, etc. If you want to call Conseco customer service at 1-800-541-2254 and ask for the phone number of the agent in Spring Arbor, Michigan (agent #63549) I will be glad to review your situation with the company and try to help you. We have to work fast because state law says you have 1 year to file claims--conseco will ususally extend that by 90 days if you ask. Steve Bohne
