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Oregon

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Boxerfan

(2,533 posts)
Sat Dec 1, 2018, 02:40 PM Dec 2018

Oregon Health Plan MAJOR problems-wrongful denial. [View all]

My wife & I have 2 children & we have been properly covered through the OHP.

We recently mailed in a renewal form including copies of income etc. I'm on disability & they had a statement for that. My wife works retail & we easily qualify.

We recieved a denial letter stating that they had not recieved anything.

Ok so I call. I stayed on hold for 165 minutes!!. This was just before Thanksgiving so I did as much baking & preparation as I could & finally spoke to a human.

They said hmmm never got the renewal. Told her when it was mailed & said I'd repeat everything just do not cut us off.

Here's where I get suspicious. They had the renewal right there they just found it what a coincidence.

But oh my there is another piece of information needed that I didin't have. She said she would try to look it up on SSDI records & verify. I also got a e-mail adress to send the document.

My wife came home & had the exact document she needed. I e-mailed a quality legible photo of the entire document.

The OHP person called that night while my wife was there. I figured she had gotten my e-mail.

Nope-she said she just couldn't find the info on SSDI and oh well she tried. I said I just e-mailed you those documents. She refused to acnowledge it and I again stated they could not go without coverage it would make my family very at risk.

I thought I had & I did do everything asked to keep the coverage.

Today my wife tried to get her prescritions filled & was denied. They have ended coverage.

So here I go again. On hold Monday for however long it takes & I am pissed beyond measure.

Any advice?

Call a TV help program? Shame them somehow?

They were obviously determined to deny my family coverage it was qualified for-I really would like some answers.

But this is just so wrong and frustrating. Windmills are easier to fight!.


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