Kim
Mineola,#2Consumer Comment
Sun, January 18, 2009
I signed up for a policy with the National Congress of Employers last May, 2008. I am currently paying $399.50/month for coverage for myself and my now 15 month-old daughter. I was just notified by my pediatrician that NONE of her vaccinations have been covered since my policy has commenced with NCE as of May 2008. The pediatrician too, is now just receiving word from the insurance company that they are denying all claims from May 2008, and not covering any of her vaccinations. My pediatrician informed me that if they had known that the first 1 or 2 claims for vaccinations would have been denied in a more timely manner, I could have applied for the Vaccine for Children's Program, which is offered by NYS, that allows for underinsured children to receive their necessary innoculations. Now it is too late since the doctor has already given her the shots, and I must pay for the fees out of pocket; approximately $300. This plan also only covers "1 annual visit" for a child. An infant up until 2 years of age visits the doctor monthly, bi-monthly, and then every 3 months! How could an insurance company only allow ONE yearly visit for a baby??? I am paying $400 a month out of my pocket, and I am barely covered. The insurance company is very hard to reach, and only gives you the run-around. I just emailed my broker, and I am hoping to get some sort of response. However, I am sure they are going to tell me that vaccines are just plain "not covered", and I will be liable for the charges. Help!