Insurance claims for OHSS

antgdelw

New Member
Hi,
my wife was diagnose with severe OHSS after her egg retrieval and had to be hospitalised for 4days. Initially when we were told that she'll be hospitalised, I called her insurance agent to verify if indeed her stay will be covered. she's insured under Great Eastern Total Health Platinium and Supreme Health Plan - P Plus. The agent had told us hospitalisation will be covered.

anyway 2 months after she was discharged, we were shocked to receive a letter from GE that her hospitalisation will not be covered! basically just slapped us with the clause saying not covered under fertility treatment. anybody here experience this before and is there any way we can appeal?
 
Hi,
my wife was diagnose with severe OHSS after her egg retrieval and had to be hospitalised for 4days. Initially when we were told that she'll be hospitalised, I called her insurance agent to verify if indeed her stay will be covered. she's insured under Great Eastern Total Health Platinium and Supreme Health Plan - P Plus. The agent had told us hospitalisation will be covered.

anyway 2 months after she was discharged, we were shocked to receive a letter from GE that her hospitalisation will not be covered! basically just slapped us with the clause saying not covered under fertility treatment. anybody here experience this before and is there any way we can appeal?
Oops. Ur doctor might have indicated diagnosis or in the medical report as Fertility Complication related. And this is a straight no-no across all insurance co. Mine was fortunate because dr put it as Hyperstimulated Ovarian. Which is a more generic Gynaecology problem (hope no insurance co. Down here)
 

Back
Top