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Dear Attorney, POMCO health insurance company has declined

Dear Attorney, POMCO health insurance company has declined my claim from Brunswick hospital because the claim was made more than one year after I went to the hospital. This is because I had severe mental problem last year as well as the hospital sent me the bill very late. In fact, I was sent to Brunswick hospital on Mar. 16, 2015 and South Oaks hospital on Apr. 12, 2015. I didn't fully recover, so they sent me back to China on May 29, 2015. My diagnosis is Bipolar Disorder. I was very ill and had plenty of delusions last year, so I didn't have the ability to make a claim at that time. After I recovered and came back to US on Jan. 22, 2016, I got mails to say that POMCO paid my bill. But I didn't realize that is only for South Oaks hospital but not for Brunswick hospital. Brunswick hospital sent me a bill on March 2016 and I found the mail on May. Then I immediately told them to make a claim to POMCO. They made the claim on Aug. 12, 2016. But the POMCO refused to pay this money because the claim is too late. I made an appeal to them to state the reason why it is late, but they didn't change their decision. So should I pay for this money? Or should I argue with the hospital or the insurance company? Thank you very much.

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LawTalk

Attorney at Law

Juris Doctor

33,122 satisfied customers
I had a medical bill get sent to a collection agency two

I had a medical bill get sent to a collection agency two years ago when I did not have health insurance. Now I have coverage but my provider requires a $100 deposit prior to service. My account now has over $2,500 in it but they will not give it back to me even though I have no outstanding charges with them. They tell me that they will hold this money and send it to the third party collection agency when they are sure they don't need it. I have full coverage, all deductibles and out of pocket met so anything I do or have done for 3 months has been completely covered. Is this legal? Seems like theft to me as I have a payment plan with the independent collection agency.JA: What state is this in? And when did the issue begin?Customer: Wisconsin, in May 2016JA: Has anything been filed or reported?Customer: No. I've done nothing but complain to the provider's financial department.JA: Anything else you want the lawyer to know before I connect you?Customer: no

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TJ, Esq.

Juris Doctor (JD)

10,884 satisfied customers
We are planning to start a staffing agency for veterans. In

We are planning to start a staffing agency for veterans. In a nutshell, we will hire them and place them in a job queue. When hired, they will be put on company health insurance. Some of them will suffer from addiction. Our plan is to send the veterans to treatment before placing them, their completion of the program being a requisite for job placement after.We have marketing contracts with treatment facilities which pay us a flat monthly fee to refer clients to them for treatment. Any money paid to us for marketing goes directly into a bank account and will solely be used for veterans' continuing care. The company will be a L3C.

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Brandon M.

Attorney at Law

Juris Doctorate

7,900 satisfied customers
A major drug store has accumulated all my prescription

A major drug store has accumulated all my prescription history and sold it to a prescription tabulating bus. who then sells it to health insurance co. who uses pharmaceutical information to determine if the individual is a good insurance risk or not.

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NYFamilyAttorney

Licensed Attorney for 36 years

JD

972 satisfied customers
Can a person with employer provided health insurance, get in

Can a person with employer provided health insurance, get in trouble if an ex-domestic partner runs up a big health insurance bill after she moves out? The Domestic partnership agreement has not been dissolved as yet.

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LegalKnowledge

Juris Doctor

30,506 satisfied customers
I was involved in a minor moving violation, my first in 25

i was involved in a minor moving violation, my first in 25 years. no one was hurt, both parties insurances have settled. I have a court date set, trial by judge on November 8, 2016 1:30 pm in Zion, Illinois. I will be a senior citizen in January and a low income wage earner, if i am ruled against i will be forced to drop my health insurance in order to pay for my car insurance. Considering my excellent driving record, is there anything that can be done for me to have this charged dropped and exsponged from my record?JA: Because traffic laws vary from place to place, can you tell me what state this is in?Customer: IllinoisJA: Has anything been filed or reported?Customer: Yes, i received the ticket for failing to yield while changing lanes, but there are circumstances.JA: Anything else you want the lawyer to know before I connect you?Customer: considering my excellent driving record and being a senior citizen, i do not want to drop my health insurance so i can pay my car insurance. Is there ANYTHING i can do to be forgiven and have this removed from my record?

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LegalKnowledge

Juris Doctor

30,506 satisfied customers
Prior to my yearly checkup, my doctor had me do blood and

Prior to my yearly checkup, my doctor had me do blood and urine tests as usual. I saw him, and due to extremely stressful circumstances in my life right now (complete care of my elderly mother with psychosis and incontinence) and a colleague/friend moving in with us with her 2 kids, as well as a daughter with a baby on the way) he scored me for depression as he does each year and reupped my prescription for Ativan, which i've been on for years. I can get a total of 30 per month, and I use LESS THAN 5 WHOLE PILLS PER YEAR. He has called me the ideal patient, but encouraged me to make more use of the Ativan instead of using it so sparingly due to the high level of stress and the fact that i'm not able to work a normal schedule while caring for my mom.JA: Because employment law varies from place to place, can you tell me what state this is in?Customer: FloridaJA: Has anything been filed or reported?Customer: Well, although others in my household including my husband are regular marijuana smokers I have not been any of these years. I have however smoked twice in the last 2 weeks. It came up on the test and now my doctor sent me a certified letter that arrived yesterday saying he is firing me for violating a substance agreement I didn't know I had Turns out i'd signed one in 2011. I've asked for a copy of it. I've also asked that rather that scar my record as I"VE NEVER had this come up or been a smoker in the past, couldn't he just re test my urine OR suspend the Ativan rx. He's said that under Capital Health Plan, he has no choice but to report it. I did not know I was being tested for that, and in fact if I'd thought to tell him, felt he was a friend and would've come right out and mentioned it. He didn't address it in my appt. .last week (the results) but encouraged more ativan. I don't want to have to take more ativan during this time, and apparently made a huge ill timed mistake in smoking before this appt.JA: Anything else you want the lawyer to know before I connect you?Customer: I have to find a new physician (been with him 15 plus years. I want to know if I have a legal right to know what i'm being tested for at a routine appt., if I should know that tests have changed, if I should have been asked to resign that 'agreement' each year before the RX gets renewed?

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Law Educator, Esq.

Attorney At Law

Doctoral Degree

108,214 satisfied customers
This is a question regarding liability of injury on my

This is a question regarding liability of injury on my property. My adult daughter was visiting us and was bitten by a rattle snake as she walked out my front door. She was treated emergently with antivenin and released from the hospital. After six days she is not able to fully bear weight on that foot. She is a waitress and a Graduate student and living independently. The foot ankle and calf looks pretty good but also pretty bad. Like a crush injury, We are not sure when she can work again. We called our home insurance company and the claims adjuster said yes indeed she was a visitor and our 5000.00 medical coverage would be activated on her behalf. But then I started thinking of her inability to work, her rent. car payment., utilities and her tuition and I called the adjuster back and about asked about our 100,000.00 liability insurance. Would this kick in for loss wages. He said no because a snake bite is an unexpected act from nature and showed no negligence from the property owner. But I think I may have been negligent. I have scruffy thicket of Russian sage at my front door. I have been feeding the birds against my HOA request. we recently noticed mice in our yard and put out poison. Rodents attract snakes. Snakes can hide in a thicket. I live across the street from an area of open desert land. I have rocks holding down the rug on my threshold area. What advice would you give me. I think I have liability insurance to cover such thing ( my 24 yr daughter has health insurance through me) with a 1500.00 deductible. I think she should every penny of health insurance to get well. But if this were my UPS guy who had a family to feed from his wages I would still think the same. My liability insurance should kick in. How do you suggest we proceed.

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116 satisfied customers
I live in California my son is on SSI with cal-med and IHSS

I live in California my son is on SSI with cal-med and IHSS but childsuport just made a court order for my x husband to pay 200$ childsuport & insurance through his job. Will that cancel his services or med-cal insurance?

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Legalease

Attorney At Law

Doctor of Law w/ highest honors

15,044 satisfied customers
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