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15-Month-Old Gavin Denied Care By His Insurer Pacific Source

by Insurance Headlines - Sep 08,2008

"My 15-month-old son Gavin was recently denied by Pacific Source insurance in Oregon due to the fact that he has recently gotten ear tubes - of all things," Nixie Krusee of Portland, Ore., writes.

"He has been fighting ear infections for the past eight months and by doctor's recommendations he had ear tubes placed in both ears. His ears are now fine, no more endless up-all-nighters, chronic pain, and antibiotics every three weeks. Everything has completely cleared up - except he was denied health insurance now because of his tubes. I thought this procedure was very common?

"They explained in my denial letter that he 'had a potential for significant future medical expenses that is outside their acceptable criteria.' I assumed tubes in his ears would be the cheaper option to save them the cost of all the doctor visits, antibiotics, and future hearing damage if he didn't get his ears fixed."

After five months, the family found one policy - an extremely expensive one - to cover little Gavin, but only after searching and arguing and only separate from their own family plan.

Sponsored by the California Nurses Association/National Nurses Organizing Committee

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© 2008 MediLexicon International Ltd

 

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