Tipline Investigation: 101 year old fights with insurance company to stay in her home

SANTA BARBARA, Calif. – One of many hardest battlegrounds within the combat in opposition to COVD-19 has performed out at senior dwelling amenities. Outbreaks can sweep by way of killing dozens of residents. But, for a lot of seniors they’re at residence the place they really feel secure. So, think about the tough scenario they’d face if their insurance coverage firm cancelled their long run care protection in the midst of the pandemic beneath questionable circumstances.

Betty Meyer simply turned 101 years outdated. She’s been dwelling on the Samarkand Retirement Neighborhood in Santa Barbara for about 10 years. In June, TransAmerica Insurance coverage despatched Meyer a letter explaining it carried out an evaluation and decided she not met the ‘eligibility requirement’ and subsequently TransAmerica was terminating her Lengthy Time period Care protection, the month-to-month profit that permits her to dwell at Samarkand.

“They didn’t say it was a phone interview, they stated they despatched someone for an in-person interview. And in Might, as a result of COVID-19 pandemic Samarkand, the whole facility was on lockdown. No person may get in. I haven’t been in a position to see my mom since March,” stated Ann Meyer, Betty’s daughter, who wished to know extra about that evaluation.

The precise wording within the letter reads, ‘An onsite evaluation accomplished on Might 8, 2020 by an unbiased care coordination agency L-T-C-G signifies that you’re unbiased with all of the actions of day by day dwelling.’ The letter additionally states she scored 10 out of 10 in cognitive testing and primarily based on different elements, TransAmerica gave Meyer simply two weeks discover that it was ending her protection. 

“As soon as she was cancelled from her insurance coverage it despatched her for a loop and he or she’s completely depressed and scared, frightened,” stated Ann Meyer.

She stated her mom wants around-the-clock help, one thing Ann can’t present due to her job and since she lives upstairs. Ann additionally stated that Samarkand tried to assist by submitting appeals on her mom’s behalf, however that didn’t work, so she referred to as the NewsChannel three Tipline.

The NewsChannel began wanting into it and we wished solutions to some apparent questions. How did Betty qualify for protection nearly ten years in the past, however now at 101 she doesn’t qualify? Additionally, we wished to know extra about this ‘onsite’ evaluation. How did somebody get into Samarkand to evaluate Betty Meyer when nobody was allowed inside the power on account of COVID-19 well being restrictions? We contacted Transamerica and L-T-C-G, the corporate that supposedly carried out that ‘onsite’ evaluation. Each declined to speak about Betty’s evaluation or why they did it in the midst of a pandemic.

“However they clearly know the timing of this,” stated C.J. Ward “Oh, they need to, one, whoever they quote, unquote despatched to satisfy my mom couldn’t get in,” stated Meyer.

To make issues worse, Ann Meyer stated TransAmerica began billing her mom about $5,700 a month. The total quantity for her care at Samarkand.

“They circled and at the moment are billing her. We’ve reduce you off and now we’re going to invoice you,” stated Meyer.

That’s when NewsChannel three bought concerned and began calling round attempting to get solutions. TransAmerica Life Insurance coverage didn’t return our calls, however an organization spokesman did ship us an electronic mail that reads, “Thanks for contacting us. As a result of buyer confidentiality, we’re unable to supply info to you, however we’ve reached out to our buyer instantly to handle their concern.”

Transamerica did contact Betty Meyer and reversed its choice to terminate her protection. She will get to remain at Samarkand the place she needs to be.

“Because you contacted them, she was reinstated together with her insurance coverage and so they truly even paid her for the month that they had cancelled and so she bought all of that again. She’s again on monitor in a position to keep at Samarkand. It’s great. We simply can’t thanks sufficient. We love you and adore you,” stated Meyer.

Ann Meyer stated she spoke with officers at Samarkand and there’s no indication that anybody from the insurance coverage firm or LTCG went inside the power for the evaluation in Might.

The NewsChannel contacted LTCG to get a remark for this story, however our emails and telephone calls weren’t returned.

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— to keyt.com

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