Jan
28
Insurance denied claims, stating pre-existing condition. But it’s NOT! How do I appeal/fight back?
Filed Under Law & Ethics | 3 Comments
Alexandria T asked:
I went in for an urgent care visit back in October bc I had a UTI. My insurance co refuses to pay the bill, stating that its a pre-existing condition. I.e., I had one less than a year ago and was prescribed antibiotics for it.
I went in for an urgent care visit back in October bc I had a UTI. My insurance co refuses to pay the bill, stating that its a pre-existing condition. I.e., I had one less than a year ago and was prescribed antibiotics for it.
However, an infection IS NOT pre-existing unless it is chronic. Furthermore, the UTI in October is technically a NEW infection, as the previous one was treated and “cured” with antibiotics. Hence, the infection cannot be termed pre-existing as it is neither the same infection from before (though yes, the same type – both UTIs) nor is it a chronic condition.
Is there anything I can do to appeal aside from sending a doctor’s note in my favor? I cannot afford to seek out a lawyer for this unfortunately. What can I seek on my own? Any legal cases I can review? Any other documents or letters I could write to help my case?
Thank you in advance 
Leo
Jan
21
Need legal advice. what would you do?
Filed Under Law & Ethics | 2 Comments
Jason B asked:
The other day i got a phone call from a family member saying that someone was threatening them. They wanted me to come over there, so i went, as i knocked on there door, i realized i was set up, since the person was drunk and messed up out of there head on crazy drugs. They came out after me, and i had to defend myself, we got on the ground fighting and i started getting chocked by them and i started to see stars. So me being scared half to death, i started beating the crap out of them in the face until he let me go. I have been trained self defense by a Sergeant in the military a little bit that’s family. So any way. I got loose and ran about 200 yards away and called the law and told them i was being attacked and that i saw the other guy grab a gun and fire a single shot at me as i was running away, well the other person saw me calling the law and they called them also saying i was the attacker. then went out and busted my car window out and took my keys so i couldn’t leave. The bad thing is that i have a hand gun carry permit and carry a .45 on me. I have never ever been in trouble never been accused of anything, well the other person has a bad rep, and been arrested countless time for fighting and etc. When i was talking to dispatch i told them i was carrying a concealed weapon, that it wasn’t used, but would if i started getting shot at again. anyway I was arrested for aggravated assault, since i hurt him so bad, broke a few bones in his face. but not for me carrying a weapon. But it was self defense. He got arrested for more things than i did, since they searched his house and found stuff. Well my lawyer is wanting me to plead guilty for simple assault and take pre trial diversion and 11-29 probation. the thing is if i do that i will loose my carry permit and have a record. I believe i can fight the aggravated assault charge and beat it due to his very bad record, and me being a pretty respected person. But if i have to start going to court, i will have to miss a few days college and if i start missing i will get kicked out due to it being government paid. So im in a predicament. what should i do. Plead guilty to simple assault on 1 court date, and be done with it. or fight it in court and take the chance on winning or loosing, but loosing my schooling. I just don’t know what to do? Any legal advice would be help-full.
The other guys blood content was 4x the legal limit. He hadnt been takeing his crazy medicine and he’s bipolar. He takes steroids for his back, and hydorcodone 7.5s. He aslo takes Zanex’s for his nerv’s. He had all them mixed at the time of the fight. sorry for the spelling
Adeline
The other day i got a phone call from a family member saying that someone was threatening them. They wanted me to come over there, so i went, as i knocked on there door, i realized i was set up, since the person was drunk and messed up out of there head on crazy drugs. They came out after me, and i had to defend myself, we got on the ground fighting and i started getting chocked by them and i started to see stars. So me being scared half to death, i started beating the crap out of them in the face until he let me go. I have been trained self defense by a Sergeant in the military a little bit that’s family. So any way. I got loose and ran about 200 yards away and called the law and told them i was being attacked and that i saw the other guy grab a gun and fire a single shot at me as i was running away, well the other person saw me calling the law and they called them also saying i was the attacker. then went out and busted my car window out and took my keys so i couldn’t leave. The bad thing is that i have a hand gun carry permit and carry a .45 on me. I have never ever been in trouble never been accused of anything, well the other person has a bad rep, and been arrested countless time for fighting and etc. When i was talking to dispatch i told them i was carrying a concealed weapon, that it wasn’t used, but would if i started getting shot at again. anyway I was arrested for aggravated assault, since i hurt him so bad, broke a few bones in his face. but not for me carrying a weapon. But it was self defense. He got arrested for more things than i did, since they searched his house and found stuff. Well my lawyer is wanting me to plead guilty for simple assault and take pre trial diversion and 11-29 probation. the thing is if i do that i will loose my carry permit and have a record. I believe i can fight the aggravated assault charge and beat it due to his very bad record, and me being a pretty respected person. But if i have to start going to court, i will have to miss a few days college and if i start missing i will get kicked out due to it being government paid. So im in a predicament. what should i do. Plead guilty to simple assault on 1 court date, and be done with it. or fight it in court and take the chance on winning or loosing, but loosing my schooling. I just don’t know what to do? Any legal advice would be help-full.
The other guys blood content was 4x the legal limit. He hadnt been takeing his crazy medicine and he’s bipolar. He takes steroids for his back, and hydorcodone 7.5s. He aslo takes Zanex’s for his nerv’s. He had all them mixed at the time of the fight. sorry for the spelling
Adeline
Jan
20
Musical Buff asked:
About a year ago, I went to the hospital with chest pains and thought that I was covered by my insurance company. Well, since it was a pre-existing condition (was never directly linked to my heart disease) my insurance wouldn’t pay for it. The hopital bill was a little over 9000 dollars. 6 months ago they started to take 25 percent of my wifes paycheck. We’ve paid over 3000 dollars. Now they are going to garnish BOTH of our checks, cutting our monthly income in half. We cannot live on half of our monthly income… We can barely pay for the essentials with half of our income (gas, electric, etc.) Is it legal for them to take HALF of our income? I just dont understand why they feel the need to take so much when we have been paying and its not getting snubbed. Thank you for your time…
Love
About a year ago, I went to the hospital with chest pains and thought that I was covered by my insurance company. Well, since it was a pre-existing condition (was never directly linked to my heart disease) my insurance wouldn’t pay for it. The hopital bill was a little over 9000 dollars. 6 months ago they started to take 25 percent of my wifes paycheck. We’ve paid over 3000 dollars. Now they are going to garnish BOTH of our checks, cutting our monthly income in half. We cannot live on half of our monthly income… We can barely pay for the essentials with half of our income (gas, electric, etc.) Is it legal for them to take HALF of our income? I just dont understand why they feel the need to take so much when we have been paying and its not getting snubbed. Thank you for your time…
Love
Jan
20
What is the easiest procedure after I have exhausted all appeal options in my state on a civil judgment?
Filed Under Law & Ethics | 2 Comments
badabingbail@sbcglobal.net asked:
Very brief explination. I own a bonding company. I posted a pre-trail only bond for a defendnat. He pled guilty and was sentenced to 9 years in prison. The judge let him go home for 30 days before reporting to the prison. Missouri law says that when he is sentenced he is to imm. be taken into custody. I appealed and the appeals court denied my appeal saying it was legal, even though Missouri law says different. I need to get this decsion reversed in federal court, perhaps through a writ of certori, but what other than judicial desretion or judical activism do I argue. My problem is my attorny is my best friend and he is in uncharted territory. My wife and I have five kids and we really cant afford to pay this $100,000 judgment just becasue a judge and his buddies think it is ok to do what they did, even though it is in clear conflict with state law and the bond was marked clearly as Pre-trial a stay of execution would be a psot-trial matter. Please Help!
Jacinto
Very brief explination. I own a bonding company. I posted a pre-trail only bond for a defendnat. He pled guilty and was sentenced to 9 years in prison. The judge let him go home for 30 days before reporting to the prison. Missouri law says that when he is sentenced he is to imm. be taken into custody. I appealed and the appeals court denied my appeal saying it was legal, even though Missouri law says different. I need to get this decsion reversed in federal court, perhaps through a writ of certori, but what other than judicial desretion or judical activism do I argue. My problem is my attorny is my best friend and he is in uncharted territory. My wife and I have five kids and we really cant afford to pay this $100,000 judgment just becasue a judge and his buddies think it is ok to do what they did, even though it is in clear conflict with state law and the bond was marked clearly as Pre-trial a stay of execution would be a psot-trial matter. Please Help!
Jacinto