I am 50years old with 30 years experience as a licensed insurance agent". So I have some experience in claims, but this is a nightmare!
My mother purchased a Cancer Policy underwritten by Mutual of Omaha/. The actual policy was called “John Wayne" Cancer policy?. I called the claims dept and asked what claim forms were needed to process a claim:. The rep informed me" Oh, we don’t use claim forms, they are too confusing, just send us all your mothers medical records and we will pay the benefits’ available” /. NOT!
After faxing over 300 documents, pathology reports, HC1500, and every document associated with her cancer:. They paid $ 65|.00 on over $ 80,000 in bills..
Now I am told I need Diagnosis codes but no one there can explain exactly what the codes are or where to get them. They give John Wayne a bad name.
The only thing worse is their customer service. Avoid Mutual of Omaha.
1291573
My mother purchased a Cancer Policy underwritten by Mutual of Omaha/. The actual policy was called “John Wayne" Cancer policy?. I called the claims dept and asked what claim forms were needed to process a claim:. The rep informed me" Oh, we don’t use claim forms, they are too confusing, just send us all your mothers medical records and we will pay the benefits’ available” /. NOT!
After faxing over 300 documents, pathology reports, HC1500, and every document associated with her cancer:. They paid $ 65|.00 on over $ 80,000 in bills..
Now I am told I need Diagnosis codes but no one there can explain exactly what the codes are or where to get them. They give John Wayne a bad name.
The only thing worse is their customer service. Avoid Mutual of Omaha.
1291573
 Comments (7) |
| 1. Written by linda on April 14, 2012 from baltimore, maryland, US how about term life do they pay death claims without no problems and delays? just asking since I am planning to get one. |
| 2. Written by carolynto on March 8, 2012 from ft. lauderdale, florida, US I am in the process of submitting paperwork for dear friend who recently had cancer surg. She has Mutual of Omaha and AFLAC policies. I got no guidance from MofO, but AFLAC couldnt have been more helpful. In fact, AFLAC let me fax in paperwork as I got it and she has already received over $13,000 from them. I just submitted to Mutual of Omaha and after reading these posts am sure my instincts may have been correct to check on other people's experiences with them. For anyone who is interested, AFLAC has been wonderful. They pay for one wellness check each year on the cancer policy. I also had a great experience with their short term disability when I was out of work for 6weeks. I had the check within days of getting out of the hospital. If you are shopping policies, they have come through for me and coworkers. |
| 3. Written by Maggie written 3/6/12javascrip on March 6, 2012 from madison, wisconsin, US When I first called in June of 2011 regarding my mom's policy, I was informed it was accidental death only. It stated John Wayne Cancer policy. She passed that June, I am still trying to deal with them. Their customer service is the worst ever and incorrect information given out. I get transferred multiple times to the same three numbers and the hold time has been extensive (30 minutes to over an hour) each time. I asked to speak with a manager, I was told I would be put in a cue and someone would get back to me within 48 to 72 hours. I had left my number before and my concerns a week and a half ago--nobody called me back. If I wasn't on medical leave right now myself, I wouldn't be able to properly follow up on this. My mom had been so sure that this would be of such benefit to us. I am glad she is not here to see our struggle with this company. |
| 4. Written by SCAM - Elder Abuse on February 23, 2012 from concord, california, US Senior family member received "renewal notice" for cancer plan, $114.60. Problem is, she never had the plan and they are trying to trick old people into paying. Very unethical company, avoid these scum. |
5. Written by MeSchelle on September 15, 2011 from reston, virginia, US I took this insurance out 3 years ago in their defense if you are an attorney it probably does pay you for what they say they will. Its just as a common person seeking some relief from the massive bills you receive for cancer you may tend to read into the policy what you hope to receive. I submitted $28,000 in hospital bills received $27.00 they paid nothing toward the actual bill. My room was $995.for 1 day like they stated they paid $60.00.when you read the payment for drugs and meds it looks like it says they pay 15%/it actually says "pays the hosp charges for drugs and meds during confinement but not to exceed 15% of the amt above" which is actually 15% of the $60.00 a day for your room = $9.00 a day for drugs. Surgical benefits are paid according to the surgeons fee only, not the price of the overall surgery. I'm still waiting for that payment.It states if 2 or more surgical procedures are performed during surgery they pay for the most expensive plus one half the amt. specified for any other procedure/surgicl. Procedures performed through 1 incision or same body opening is considered 1 surgery, I have 4 incisions cant wait to see how they handle this one! Have not yet received the anesthetic payment. Which states you receive 15% of the price they give you for the type of surgery you had. Which by the way its womens cancer insurancer and there is no listing for cervical, ovarian, or uterine cancer,the 3 most likely types of cancer a woman will get!! Am now submitting the 30 radiation billings which i am suppose to receive $25 for up to 30 treatments even though im having 50. So this truly is a minimal insurance set up to look like a great insurance but it is a complete play on words. I only purchased this insurance because it was backed by the American Legion Auxiliary which I have been a memeber of for years. Just want everyone to think twice before purchasing this insurance. It truly is not waht it seems |
| 6. Written by Chuck on August 11, 2011 from cleveland, ohio, US I started processing my wifes cancer claim in Dec. of 2010. My wife passed away on May 24th of 2011. I am still waiting for the claim to be processed. The problem is you can't get to talk with the claim adjusters. All you do is get the customer service reps whose hands are tied. IMHO the insurance board should come down hard on them. |
| 7. Written by Krissy on July 21, 2011 from albuquerque, new mexico, US Thanks so much for posting this. I was wondering how they really were. The info they send you in the mail along with the application doesn't discuss deductibles, stop loss limits, etc. like other regular insurance policies. It made me very skeptical that something wasn't right. |
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