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Health & Medical 3 months ago

급성 복통으로 응급실에 갔는데 보험사가 비용을 거부했습니다

Anonymous (휴스턴엄마)  ·  130 views

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한밤중에 갑자기 배가 너무 아파서 응급실에 갔습니다. 검사 결과 맹장염으로 바로 수술을 받았는데, 며칠 후 보험사로부터 "응급 상황이 아니었던 것으로 판단되어 보장이 거부되었다"는 편지를 받았습니다. 수술비를 포함해 청구된 금액이 거의 2만 달러에 달하는데, 정말 응급 상황이라고 생각해서 갔던 건데 이렇게 거부당할 수 있다는 게 너무 황당합니다. 병원 측에서는 이의 신청(Appeal)을 해볼 수 있다고는 하는데 어떻게 시작해야 할지 전혀 모르겠습니다. 보험사의 보장 거부 결정에 이의를 제기해서 실제로 뒤집힌 경험 있으신 분 계신가요? 어떤 서류를 준비해야 하는지 알려주시면 감사하겠습니다.

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