Q: Is an insurance company responsible for posting wrong information on Plan Summary document?
I received a dental service which is fully covered by my dental insurance, according to the Plan Summary document which my insurance company posted on the webpage. However, it turned out that the summary document was wrong, and it was not covered according to the full benefit document.
Is my insurance company responsible for posting wrong information on the Plan Summary document? Or isn't because it was properly stated in the full document anyway?
A: You could make the argument that they are responsible for the incorrect information. They could respond with an argument that the long version policy applies, or that their post is subject to changes, or other provisions. If the denial is substantial, there are health care attorneys who litigate denials - but it could often be less costly if the carrier will work with you toward resolution of the inconsistency. Good luck
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