Insubuy is not paying my claims
I helped my father procure medical insurance for his travel from Insubuy and even renewed it with additional premiums to maintain continued coverage. I came to know about insubuy from TV advertisement and thought it was reliable based on BBB rating.He was admitted to the hospital after going into ER with severe and what felt like life-threatening respiratory distress. Before the episode, He was recovering from a bout of covid he got in November 2022. The cold season was slowing recovery, and he was under constant respiratory stress. He had heavy congestion due to mucus and continued cough. He was treated on couple of occasions by local doctor with antibiotics, steroids and breathing treatments. (I should note here the insurance company did not honor any claims for these doctor's office visit either. The reason for rejection on one occasion stated that weight loss or obesity reduction surgery is not covered indicating how carelessly these claims are reviewed and they are just issuing blanket denial for any claims)His condition improved briefly. But in May 2023, he had increased breathing trouble and his doctor advised him to go to ** for admission and treatment. All the unpaid medical bills and the fact that insurance company hasn't honored their side of the deal has been causing severe mental distress and anxiety. My father is retired from a simple govt employment back in his home India, He has no means of paying for all these medical expenses and that was precisely the reason I had arranged to purchase the insurance coverage before travelling to US. At the hospital various tests were performed and he was treated mainly for breathing issues. He was administered antibiotics, steroids, and periodic breathing medications. He showed signs of pneumonia and debris in his lungs. These treatments slowly improved his condition. I have submitted all hospital records to the insurance company. Given his age and risk factors several tests were performed to test for heart failure. There was no conclusive diagnosis for heart failure but moderate aortic stenosis was noted. He was not treated for his heart condition. None of the doctors at the hospital ever established a cause of breathing issues he was experiencing. None of the treatments were directed towards that either. He has not had any major treatment before admission to the Hospital. Further, after his discharge following treatment for pneumonia and breathing issues, He hasn't had any recurrence. There are multiple places in the medical records where its clear that he was being treated for respiratory infection. There was just some speculation in the ** note about heart failure. The insurance is rejecting all claims stating it is complication of a preexisting condition. As explained above that has not been clearly established In any case the policy we purchased did cover acute onset of preexisting conditions. They are making all efforts to direct the claims towards a very narrow cause of rejection related to acute onset of preexisting condition that is Chronic or congenital. This is unfair and not accurate. Please help me resolve this dispute with insurance company to honor the claims for my fathers treatments.
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