Family feels scammed after birth isn't covered by hospital indemnity insurance

Family feels scammed after birth isn't covered by hospital indemnity insurance

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Health Sciences, Social Studies, Biology

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The Heil family of Centennial experienced several firsts, including the birth of their son. They enrolled in MetLife's Hospital Indemnity Insurance, expecting coverage for their hospital stay. However, their claim was denied due to a pre-existing condition, as pregnancy was considered a sickness under the policy. Despite filing a complaint, the denial was upheld. Expert Govind Prasad explains the latitude of such plans and advises checking if a plan is covered under the Affordable Care Act. He suggests consulting HR and reading the fine print. The Colorado Consumer Health Initiative may offer additional support.

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5 questions

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1.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

What significant event did the Heil family celebrate during the holiday season?

Their wedding anniversary

The birth of their son Hayne

A family reunion

A new job opportunity

2.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

Why was the Heil family's insurance claim denied by MetLife?

They did not have the correct documentation

The pregnancy was considered a pre-existing condition

The hospital stay was not covered

They submitted the claim too late

3.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

What type of insurance did the Heil family enroll in with MetLife?

Home insurance

Life insurance

Auto insurance

Hospital indemnity insurance

4.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

According to Govind Prasad, what should you check to ensure a health plan covers pre-existing conditions?

If the plan is affordable

If the plan is covered under the Affordable Care Act

If the plan has a low premium

If the plan is popular

5.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

What organization does Govind Prasad mention that might help with understanding health plans?

Health Insurance Marketplace

National Health Service

Colorado Consumer Health Initiative

American Medical Association