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View Full Version : What do you think? is it pre-existing?



nat278
22-04-2010, 14:49
HI,

Just thought I would pass this by all of you and get your opinions on what you think.

I have just been on the phone to my PHI company, we took out this policy on 9th March 2010 but was with another PHI for a while (not 12 months) but cancelled it and didn't transfer the continuity of cover thing as it saved us paying money to the date we changed over to new company IYKWIM (was a few hundred $ we owed) as they up'd our premium by $70pm when we moved to Victoria from WA and wasn't happy about paying so much more, hence changing to another PHI (sorry for the rant :ecomcity: )

ANYHOW, DH and I decided to cancel our current policy because we have decided to get my DH's vasectomy reversal (VR) prior to the 12 month waiting period being over and we are trying to cut costs where we can to afford the extra $$$ we will need to pay to get VR done sooner then once VR was done we would take out new policy with same company ready for if/when we have a bubba.

The lady I spoke to from the PHI was so nice when I told her what we wanted to do and why then she asked me to hold, came back and asked dates etc for the referral GP gave us to see OB etc, put me on hold again then came back and after talking to her manager she thinks that MAYBE they can cover VR using the PHI still as it is a 'grey area' regarding if needing a VR is classed as pre existing condition.

She said technically just because he had a vasectomy doesn't necessarily make needing a VR a pre existing condition and based on what the Dr's say on the forms she is sending me to weather the will class it as "pre existing" but they may be able to cover costs...

I assumed we'd have to wait the 12 months but maybe not... what do you think? maybe they are just pulling our legs to make us keep our policy a bit longer before cancelling it for a few months... hmmmmm

I hope they will cover it would save us soooooo much $$$ :yelclap::fingerscrossed:

nat278
02-06-2010, 19:13
OMG, just wanted to update on this one not that anyone replied :laughing:

Just got our PHI's reply on this issue and they have ruled that it is NOT a pre existing condition and they ARE covering his vasectomy reversal... :yelclap::yelclap:

We were honest 100% in saying we wanted it reversed to TTC more kids and they said because our decision to want more kids was made AFTER we took out PHI they will cover it! :smiliedance::smiliedance:

sweetseven
02-06-2010, 19:16
Congrats, great to hear.

fludo
02-06-2010, 21:41
Hey that's great news! Good luck with TTC!

biscotti
02-06-2010, 21:49
oh wow, good luck :baby::babydust2::wizard:

Aaliyahsmummy
02-06-2010, 21:54
Make sure you have it in writing! I got screwed over by a phi company by them assuring me that I would be covered for my surgery, only to have it done and have them change their mind. Sorry to be a downer, would just hate what happened to me to happen to you!

nat278
03-06-2010, 10:00
Make sure you have it in writing! I got screwed over by a phi company by them assuring me that I would be covered for my surgery, only to have it done and have them change their mind. Sorry to be a downer, would just hate what happened to me to happen to you!

they told me that it is being put in writing so there is no problems when time comes for operation should have it by end of the week.

Thanks everyone it makes a HUGE difference like $4000 difference OOP and not to mention nearly a year in time that we can be TTC instead of waiting....

moozle
03-06-2010, 10:10
Fantastic! Good luck!