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Oxford denying coverage for important medical procedures.

Submitted 2008-09-01

Defendant: Oxford Insurance (deceptive practices)

During a routine check up at OB/GYN, two lumps were found on my breast. I was referred for mammography and x-rays, which confirmed the masses. The doctor and radiologist recommended an MRI of the breast to find out more before doing a breast biopsy, which can be very painful. Oxford denied the coverage because "it was not medically necessary". It was appealed by the doctor and myself, and still denied. I have to now come up with $2000 to cover this expense, all because Oxford states "its not medically necessary".

-- New Jersey


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