Posts
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Joined
4/1/2008
Location
Sacramento, CA
US
motokid40
11/30/2010 10:46am
11/30/2010 10:46am
Edited Date/Time
9/1/2015 11:50am
After paying 450.00 a month(s) for cobra insurance, my cement masons trust fund is denying my claim and blue cross insurance claiming my injuries were 'self inflicted!' I know the game of trying to get out of paying is the norm and blue cross wants to help so for some reason my trust fund is the one denying my claim, I am appealing the decision but doesn't look good! anybody dealt with this sh!t? That is all my policy says and thats what there are hanging there hat on, will not pay self inflicted injuries, this was not self inflicted! WTH!
Try here Jim:
http://insurance.ca.gov/...provider-complaints/
There may be ERISA issues as well.
The Shop
So, you chose to board the airplane before it crashed right?
Yes
Well Sir, you caused your injuries and we do not cover self inflicted injuries.
Would they pay up differently if it were a baseball or football injury?
http://sickforprofit.com/ceos/
Unless the policy specifically excludes these activities, they are on the hook.
I have NEVER had a problem collecting for my moto injuries with Blue cross/blue shield.
Keep us infomed with how you make out Jim.
A LOT.
Take them to court.
BTW: Im not slamming all Republicans, there are plenty of good conservatives in office but there are far more bad ones looking out for the interest of big business, and not the American people ......wait till they try to privatize social security, with the amount of insider trading and fraud that alreadyt exists today on wall street can you imagin how corrupted and ruined the social security will be when profit driven firms are given control of your hard earned tax money??? There is NO WAY, not now not eva, no way that privatizing social security will benefit ANYONE except hedge fund managers and big firms on wall street. They can simply control distribution and set the rules of eligibility to make it impossible to get the money so they can keep it and make billions off of us.
Wanna see soemthing really disturbing? Google Prudential Witholding dead vetrens benefits to their widows, reading that made me sick to my stomach and the heads at prudential should be tied to a rope and drug thru america behind a diesel truck for the travesty they are creating.
The old, worn out saying: You think health care is expensive now? Wait till it's free!
Pit Row
Mentioning the trust fund, is this a union administered plan?
Has anyone ever noticed, that the greatest country on the planet is the only country who depends on these auctions and random fundraisers for injured riders? Has anyone ever stopped to think that maybe it's time to support nationalized health care?
Imagine never having to pay a bill for a severely broken leg. Or not having to worry about not being covered by insurance, because you ride a motorcycle. Or not have to worry about going bankrupt from an injury. These scenarios do happen to other people, and I've read a lot of riders on here claim that they quit riding because they can't afford insurance. Not to mention, there are some professional athletes who have been severely injured, and got completely F***ed because they couldn't get covered by insurance due to their occupation; and no fundraiser, or T-shirt company is ever going to raise enough money to get these action sports athletes out of debt.
The system does not benefit the people of America as a whole, but it does benefit a few, and I'm not talking about the people who can afford quality health care. The people that the system is benefiting are the people that spend millions of dollars each year lobbying politicians and disseminating false information to scare people away from supporting a system that is actually highly functional, along with to maintain the most profitable health care system in the world.
Both Democrats and Republicans, white collar, blue collar - it doesn't matter what color of shirt you have on - are the ones getting screwed over with this current system. Obama's "Historical health care legislation" was anything but that. Actually, it was historical in the sense that it now forces a country suffering from a recession with one of the widest wealth gaps on the planet to purchase insurance, which does nothing more but benefit the people who spent, once again, millions of dollars lobbying politicians to ensure no significant health care reform takes place.
America ranks second on total expenditure of health care of all other nations (most expensive), we have the most profitable health care system on the world, yet we have the highest preventable mortality rate. We also rank 37th in performance behind a list of countries listed in my blog on this website (too long to post, check it out).
my economics professer used to deny claim back in the 80s and he said he made killing doing it and told our class that if you get denied all you have to do is be the biggest asshole you can be and call the almost every day and eventualy they will give up.
I have BC/BS and have literally since i was born. there is very clear language in the policy that certain activities, you get hurt, they will not cover. Racing MX is one of them BUT the language clearly says competing, if you are just riding, they have to pay. Have been there and done that twice. Thats why I can and do say, I have never been hurt racing. (rolling my eyes)
scuba diving, sky diving, competitive involvement in organised motorsport including (and they list 7 or 8) motorcross and/or offroad racing, are exclusions.
if, you honestly know you are in the right per your policy, and check Cali law first, but in Okla, you can ask the hospital to sue you, and then have an attourney name your ins provider as a co-defendant. You cant sue your ins to pay (you can but its costly), but whoever you owe can sue them or you and you both can bring each other in as co-defendants.
They also don't look too hard at "Bicycle Related Injuries"
.
My Health Insurance provider is not going to go after my homeowners policy insurer.
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