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Seven Corners - Denying Claim
My mother was visiting from India and was here for 6 months. We had purchased Plan A insurance from seven corners after hearing about it from this website.
2 weeks before her departure to India, she experienced a Chest pain and we took her to the ER. They took her X-ray, ECG, CT scan etc and did not find any problem. To monitor her they admitted her to the hospital for one day and she underwent some more tests like stress test, blood tests etc. She was discharged after 24 hrs and her hospital bill(including all the tests) was about $8500.00.
The claim was filed with seven corners and after 3 months they have paid only $1300.00. They are refusing to pay for the tests as they say under Plan A for an inpatient, "Hospital Room & Board including miscellaneous" coverage is up to $1400/day. As per the insurance company the tests performed will come under the miscellaneous charges. Even though she was admitted through the ER, they will not cover any of her ER charges either.
The plan does not explicitly state what "miscellaneous" covers and they are using this as an excuse to not pay the bill.
Does anyone have similar experience with them and can you help me?
2 weeks before her departure to India, she experienced a Chest pain and we took her to the ER. They took her X-ray, ECG, CT scan etc and did not find any problem. To monitor her they admitted her to the hospital for one day and she underwent some more tests like stress test, blood tests etc. She was discharged after 24 hrs and her hospital bill(including all the tests) was about $8500.00.
The claim was filed with seven corners and after 3 months they have paid only $1300.00. They are refusing to pay for the tests as they say under Plan A for an inpatient, "Hospital Room & Board including miscellaneous" coverage is up to $1400/day. As per the insurance company the tests performed will come under the miscellaneous charges. Even though she was admitted through the ER, they will not cover any of her ER charges either.
The plan does not explicitly state what "miscellaneous" covers and they are using this as an excuse to not pay the bill.
Does anyone have similar experience with them and can you help me?
All Replies (1)
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