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Help! $40K of my $250K insurance claim was denied

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12/26/12 8:25 PM	Ignore \| Quote \| Edit \| Warn Admin \| Vote Down \| Vote Up \| Delete Post
Rear Naked Chode 208 Member Since: 11/20/12 Posts: 432	Such a bummer :( You have ignored this user.

12/26/12 8:25 PM	Ignore \| Quote \| Edit \| Warn Admin \| Vote Down \| Vote Up \| Delete Post
Don_Dada 82 Member Since: 7/15/10 Posts: 3474	. You have ignored this user.

12/26/12 8:27 PM	Ignore \| Quote \| Edit \| Warn Admin \| Vote Down \| Vote Up \| Delete Post
Chris27 520 Member Since: 10/24/11 Posts: 7373	yellow's Tap In - The fuck Dana? Its all dana's fault. You have ignored this user.

12/26/12 8:42 PM

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Conor Heun 18 The total sum of your votes up and votes down

Member Since: 2/27/06
Posts: 926

The UFC did cover the majority of the costs.

The first two surgeries where already done when they notified me about the insurance's denial of the claim.

The problem was the procedure was half done, I had hardware (screws) that needed to be removed from the right hip, and still had to repair a fracture and torn labrum on the left side.

I am only being forced to pay for the final surgery.

The irony is that the final surgery, the one I'm being asked to pay for, wasn't the PAO.

This final surgery was to remove hardware they had placed earlier (as part of the PAO), and to repair the damage to the labrum and the pelvis on my left side.

No one is disputing that the damage to the labrum and pelvis where sustained in the fight, at least not to my knowledge.

12/26/12 8:45 PM	Ignore \| Quote \| Edit \| Warn Admin \| Vote Down \| Vote Up \| Delete Post
Rear Naked Chode 208 Member Since: 11/20/12 Posts: 433	Mod should sticky this. You have ignored this user.

12/26/12 8:47 PM	Ignore \| Quote \| Edit \| Warn Admin \| Vote Down \| Vote Up \| Delete Post
Immaculata 46 Member Since: 12/14/03 Posts: 21583	I'm sorry your going through this stuff. It's very frustrating. You have ignored this user.

12/26/12 8:53 PM	Ignore \| Quote \| Edit \| Warn Admin \| Vote Down \| Vote Up \| Delete Post
kyoshi 4 Member Since: 1/9/10 Posts: 7	Hoping that the UFC will step up and do the right thing You have ignored this user.

12/26/12 8:53 PM	Ignore \| Quote \| Edit \| Warn Admin \| Vote Down \| Vote Up \| Delete Post
Brian J DSouza Member Since: 1/3/12 Posts: 270	Wow, this sounds terrible. I really hope that in addition to donating to Connor, Americans examine the Canadian healthcare system, and implement socialized health care in the US in the coming years. You have ignored this user.

12/26/12 8:59 PM	Ignore \| Quote \| Edit \| Warn Admin \| Vote Down \| Vote Up \| Delete Post
Jsteven 26 Member Since: 7/24/09 Posts: 7105	Are you only being forced to pay for the treatment of the pre existing condition, did the UFC cover all costs related to the injury sustained in the fight? Not trying to be a dick, I'm just a little confused on the details. Good luck. You have ignored this user.

12/26/12 8:59 PM	Ignore \| Quote \| Edit \| Warn Admin \| Vote Down \| Vote Up \| Delete Post
Jsteven 26 Member Since: 7/24/09 Posts: 7106	Brian J DSouza - Wow, this sounds terrible. I really hope that in addition to donating to Connor, Americans examine the Canadian healthcare system, and implement socialized health care in the US in the coming years. Fuck no You have ignored this user.

12/26/12 9:00 PM	Ignore \| Quote \| Edit \| Warn Admin \| Vote Down \| Vote Up \| Delete Post
Nitecrawler 882 Member Since: 6/3/03 Posts: 48787 Mixed Martial Arts LLC, Moderator	Wow that's terrible. TTT!!!! You have ignored this user.

12/26/12 9:02 PM	Ignore \| Quote \| Edit \| Warn Admin \| Vote Down \| Vote Up \| Delete Post
UGCTT_FryedTakayama 652 Member Since: 9/28/10 Posts: 12826	Best of luck to you Conor. Hope to see you in the UFC at 145 in the future. You have ignored this user.

12/26/12 9:09 PM	Ignore \| Quote \| Edit \| Warn Admin \| Vote Down \| Vote Up \| Delete Post
Orcus Knows MMA Better Than Goku Member Since: 8/6/08 Posts: 20519	best p of luck to u but throwing zuffa under the bus like this prolly wasnt the best move especially when u are still under contract You have ignored this user.

12/26/12 9:12 PM	Ignore \| Quote \| Edit \| Warn Admin \| Vote Down \| Vote Up \| Delete Post
warrendale 1 Member Since: 8/8/11 Posts: 93	Come on dfw he should at the very least be able to come straight to UFC. If you don't feel you need to pay anything the insurance didn't, you could still help by letting him earn you and him money by fighting in the UFC. Seems like a kick while you're down to get cut from zuffa too. You have ignored this user.

12/26/12 9:29 PM	Ignore \| Quote \| Edit \| Warn Admin \| Vote Down \| Vote Up \| Delete Post
Rear Naked Chode 208 Member Since: 11/20/12 Posts: 434	Rear Naked Chode - Mod should sticky this. . You have ignored this user.

12/26/12 9:40 PM	Ignore \| Quote \| Edit \| Warn Admin \| Vote Down \| Vote Up \| Delete Post
UGCTT_Capnsavem 1 Member Since: 12/22/04 Posts: 34905	Orcus Knows MMA Better Than Goku - best p of luck to u but throwing zuffa under the bus like this prolly wasnt the best move especially when u are still under contract he didn't, at least I didn't see it. he actually said that Zuffa covered most of the procedures, until the insurance co got wind of the PAO. it's not Zuffa. it's their insurance company. You have ignored this user.

12/26/12 9:42 PM	Ignore \| Quote \| Edit \| Warn Admin \| Vote Down \| Vote Up \| Delete Post
Lahzerous 541 Member Since: 8/9/11 Posts: 5217	Orcus Knows MMA Better Than Goku - best p of luck to u but throwing zuffa under the bus like this prolly wasnt the best move especially when u are still under contract You have ignored this user.

12/26/12 9:46 PM	Ignore \| Quote \| Edit \| Warn Admin \| Vote Down \| Vote Up \| Delete Post
MMALOGIC Member Since: 8/17/08 Posts: 7692	what's the total cost you're looking at? You have ignored this user.

12/26/12 9:57 PM

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Orcus Knows MMA Better Than Goku

Member Since: 8/6/08
Posts: 20521

UGCTT_Capnsavem -
Orcus Knows MMA Better Than Goku -
best p

of luck to u but throwing zuffa under the bus like this prolly wasnt the best move especially when u are still under contract
he didn't, at least I didn't see it. he actually said that Zuffa covered most of the procedures, until the insurance co got wind of the PAO.

it's not Zuffa. it's their insurance company.

cmon now. just read the title.

12/26/12 10:03 PM	Ignore \| Quote \| Edit \| Warn Admin \| Vote Down \| Vote Up \| Delete Post
Rear Naked Chode 208 Member Since: 11/20/12 Posts: 436	Rear Naked Chode - Rear Naked Chode - Mod should sticky this. . . You have ignored this user.

12/26/12 10:03 PM	Ignore \| Quote \| Edit \| Warn Admin \| Vote Down \| Vote Up \| Delete Post
OnlyTheStrongSurvive 294 Member Since: 1/29/11 Posts: 9761	Jsteven - Brian J DSouza - Wow, this sounds terrible. I really hope that in addition to donating to Connor, Americans examine the Canadian healthcare system, and implement socialized health care in the US in the coming years. Fuck no This, we don't need extra taxes for healthcare You have ignored this user.

12/26/12 10:19 PM	Ignore \| Quote \| Edit \| Warn Admin \| Vote Down \| Vote Up \| Delete Post
Conor Heun 18 Member Since: 2/27/06 Posts: 927	MMALOGIC - what's the total cost you're looking at? I really have no idea. So far the bills I have received are for $2,648.00 for Physical therapy which I have discontinued, and one for $37,950.00 from the hosipital, anesthesia, arterial catheterization, spinal injection, and PRP. You have ignored this user.

12/26/12 11:06 PM	Ignore \| Quote \| Edit \| Warn Admin \| Vote Down \| Vote Up \| Delete Post
irish_pride Member Since: 1/1/01 Posts: 663	I am unsure if you are able to file a occupational injury, or if they will agree that you were born with the hip dysplasia, but might be worth a chance. Get the right doctor that says it was caused by repetetive movements related to your fighting profession and who knows. Best of luck. You have ignored this user.

12/26/12 11:13 PM

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Jspec 3 The total sum of your votes up and votes down

Member Since: 8/5/09
Posts: 305

Conor Heun - The UFC did cover the majority of the costs.

The first two surgeries where already done when they notified me about the insurance's denial of the claim.

The problem was the procedure was half done, I had hardware (screws) that needed to be removed from the right hip, and still had to repair a fracture and torn labrum on the left side.

I am only being forced to pay for the final surgery.

The irony is that the final surgery, the one I'm being asked to pay for, wasn't the PAO.

This final surgery was to remove hardware they had placed earlier (as part of the PAO), and to repair the damage to the labrum and the pelvis on my left side.

No one is disputing that the damage to the labrum and pelvis where sustained in the fight, at least not to my knowledge.

Have you filed a appeal with the insurance company?? Phone Post

12/26/12 11:42 PM	Ignore \| Quote \| Edit \| Warn Admin \| Vote Down \| Vote Up \| Delete Post
California Member Since: 11/28/11 Posts: 541	subd You have ignored this user.

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