Report Med. Mutual of Ohio

I everyone *****ads will immediately call the Ohio Insurance Dept. and report Medical Mutual Of Ohio. I applied for the surgery in February and didn't all my info in until April. Med. Mutual didn't make a decision on my case until June, which is when they denied me. I immediately appealed and i was approved on July 11th. The problem is that they did a revision on July 1st to only pay $10,000 for surgery. I beleive they purposefully held my case up and denied me to put over the deadline. And furthermore they did not inform any body who was pending approval that a new revision was forth coming so to let them make whatever changes. IF ANYBODY IS HAVE MEDICAL MUTUAL OF INSURANCE AND WANT THE SURGERY CALL THE OHIO DEPARTMENT OF INSURANCE AND ISSUE A COMPLAINT. If they hear from enough of us they it will make a difference.

Hello Keith- I thought your plan was not included in the cap? Did they spring it on you at the last minute? I am still waiting on a answer from them about what in the hell is going on... why some plans dont have the cap etc etc. I am all for calling and complaining about them... do you have the number? Also I have been writing to some of the senators that are on the commitee for this sb41 bill that they have in legislation right now. I think if we all stand up for ourselves that we can make a difference. ;) Shelly

Hi Keith, I was informed Monday that there is a $10,000 cap!! I had everything in the first of April to the doctor, they didn't send it to the ins company till the middle of May. I was approved within a few days. I have a surgery date for Sept. 8th and the appt for all the pre-ops. My question was, since I was approved before July 1st, why it didn't grandfather in? I'm all for complaining about this. My surgery is now off. Jean

Keith, I also have Medical Mutual of Ohio - haven't found out yet if this applies to my plan - I understand it might not apply to all plans. I'm just in the process of applying so I'm sure I'm screwed if this is the case with my plan. Is the $10,000 for everything, doctor, hospital, pre-op tests, etc.? What if there are complications and you end up being in the hospital for a month? They still only cover $10,000? What's the reason for limiting the amount? We caused the problem? With that thought they shouldn't cover lung cancer if the person smoked, or accident victioms who were at fault or not wearing seatbelts, etc. etc., etc.