AdvanceCare is dishonest and refuses to cover costs without contractual reason
Earlier this year, I needed sinus surgery. First, they turned it down, claiming it was a pre-existing condition without having any justification whatsoever for this claim. They provided no information on how to appeal.
I found a scan report from 1997 that contradicted AdvanceCare's baseless claim. The specialist provided further documentation to them.
They then approved most of the cost but refused to cover one of the medical acts, again without documentation or a good reason. Thankfully, the hospital decided to accept their reduced offer and go ahead, but this delay caused me two additional weeks of intense pain that made it necessary to take morphine-strength painkillers while I was waiting for AdvanceCare trying to cheat me.
This was cruel. They are hurting their insured patients instead of fulfilling their contractual obligations.
Later, they refused to pay for an ENT consultation, claiming I had had too many of them, but there is no such limit in the contract. The ENT specialist had to waste her time writing a report to them before I got paid.
Later again, they refused to pay for a second D vitamin blood test during a year, falsely claiming that it is limited to one per year. There is no such limit in the contract. Now they are ignoring my complaints.
In plain English, they cheat you over and over again.
Date of experience: 29 November 2024