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I recently had Mr 3 year old in for surgery to get grommets done and the cost was $2,300 and my health fund told me it was pre existing and they would not cover any of this so we had to put it all on credit i disputed it as i knew it was NOT pre existing after many arguments of them trying to weasel out of paying nearly a month later we have had a win and they will cover some as they now have determined it not pre existing normally im one just to sit back and say oh well, so it pays to stand your ground with them!!!


Posted anonymously, 29th October 2014


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  • It sure does pay to stand your ground and argue the point. A second opinion is handy too, especially when you think you’re right! You go girl!

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  • Oh god, what a shock to your bank balance. But we’re fully prepared to do whatever it takes to keep our kids safe and healthy and give them the best life possible. I hope your bill is quickly paid off xxx

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  • Gives me hope that my health insurance will come good on a tonsil claim.

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  • glad they paid that, ouch!

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  • How crappy is that. My daughter had to have her tonsils and adnoids out last year and I was so lucky my health find covered everything I didn’t even have to pay excess for the hospital stay.

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  • Also; make sure you have copies of all terms and conditions and policies.

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  • Congratulations and good on you for standing firm.

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  • Well done on standing your ground – you definitely need to try and get what you are due.

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  • That’s fantastic news well done for not giving up.

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  • Good on you for sticking to your guns I have many times with many companies and it’s always paid off just don’t give in and let them get away with it, imagine how many people r getting ripped off its not fair.

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  • I will remember your story ass in ever stand up for myself and usually just accept what I’m being told. You’re right, it DOES pay to speak up.

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  • Good on you! Insurance companies are so very dodgy!

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  • Well done, persistence is the key, sometimes they only only give in to make you go away even when they are in the wrong. They should do the right thing in the first place but don’t always do.

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  • What a wonderful story …well done …and good on you for standing your ground and digging your heels in.
    A lovely out come. :-)

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  • Good on you! I hate how big companies try to take advantage of the little people!

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  • It can be tough battling health funds. They are happy to take our money but just not too happy paying out.

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  • Good for you. Thanks for sharing, we might all be a little more brave now to battle with the BIG guys.

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  • Well done! It sure does pay to speak up. The more of us that do the less big insurance companies will get away with putting the dollar before their clients.

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  • good for you. it sure does pay to speak up

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  • Good on you, we all pay enough for private health.


    • It’s crazy the amount it costs…sometimes I wonder if it’s ever worth it!

    Reply

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