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Midwest Foot & Shoe Reviews (253)

We have reviewed [redacted]’s complaint and we are responding accordingly. [redacted] cancelled her scheduled cruise and submitted a claim to our office indicating her reason for cancellation was that she found out she was pregnant and her doctor did not want her to travel.  She further...

indicates that her pregnancy was at a higher risk due to maternal age.   Please understand that the plan [redacted] purchased does contain coverage for a trip cancellation due to a number of both medical and non-medical reasons specified in the plan.  More particularly, to plan allows for a cancellation due to a sickness, injury or death of a plan participant, traveling companion or immediate family member.   From the information [redacted] submitted, her cancellation was not related to a sickness, injury or death but rather to her discovery of her pregnancy.   As this is not a sickness, we were unable to consider her request for reimbursement on such basis.   Please note that, following our original determination, we were in contact with [redacted] who disputed our denial of her claim, stating that as her pregnancy was considered high risk, she should be eligible for payment.       However, please understand that the plan contains a specific exclusion to the eligibility for a cash reimbursement regarding a cancelation as a result of a pregnancy.   More particularly, the plan states:   Carnival will not waive their cancellation fee and provide a cash refund, should you cancel or interrupt your cruise vacation for any of the following reasons:… • a condition related to: elective abortion; use of alcohol or drugs other than as prescribed by a doctor; psychological disorders (unless hospitalization is required) or pregnancy (unless hospitalization is required);   However, we did agree to obtain [redacted]’s medical records to determine if she did indeed meet the plan qualifications for a cancellation.   We have now received these records and can confirm that there was no sickness for which [redacted] cancelled her trip.  Further, based on the medical documentation, there was no issue with her pregnancy which required her hospitalization.     While we can certainly appreciate the decision made by [redacted] and her physician to cancel the trip, a cancellation due to the concern for a potential medical issue is not covered under the plan and does not make one eligible for a cash reimbursement.     As such, we must reaffirm our original determination and no cash payment shall be forthcoming.  Please allow us to advise that upon the denial of her request for a cash reimbursement, the cruise line did provide [redacted] with a future cruise certificate for a future cruise.  In order to make use of such credit, [redacted] should feel free to contact the cruise line directly.   We trust we have provided sufficient information regarding this matter.   Should you have any additional questions, please feel free to contact our office.

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID# [redacted], and have determined that my complaint has NOT been resolved because:

[Your Answer Here]
 I emailed the company to let them know that during my stay in Indiana I was with my cousin who is a physician as well as my mother who is an RN.  If the company needs documentation from a physician, I can certainly provide a letter from my cousin the PA.  
 
 
 
In order for the Revdex.com to appropriately process your response, you MUST answer the question above.
Sincerely,
[redacted]

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID# [redacted], and have determined that my complaint has NOT been resolved because:

The explanation provided by the business is not accurate, nor was my previous request for proof of receipt of said information provided. At the time of purchase (through the Expedia website), the information provided is inconsistent with the 'fine print' the business is attempting to leverage to prove their case. Upon further investigation I see that this is a very common problem for this business, hence their horrible customer satisfaction rating on multiple sites. Since this business is unwilling to resolve this claim, other avenues will be pursued.
In order for the Revdex.com to appropriately process your response, you MUST answer the question above.
Sincerely,
[redacted]

We have reviewed [redacted] complaint and we are responding accordingly.  In his complaint [redacted] advises that he submitted his claim for medical expenses to our office pursuant to the Medical Expense Benefit contained in the Total Protection Plan (“Plan”) that he purchased for his trip in...

December and January and to date has not received payment.    Please understand that such Medical Expense benefits are excess to any primary and supplemental medical coverage the insured may have at the time of such loss.   Further, as this is a reimbursement policy, we must confirm the amounts outstanding for the care received.     I am pleased to advise that we have received the information needed to finalize [redacted] claim and payment is presently being sent to [redacted] in the amount of $1,871.75 for the emergency medical care he received in December and for which he submitted receipts to our office for reimbursement.  An additional charge noted on [redacted] claim form in the amount of $526.00 requires a copy of the bill received.   Under separate cover we have requested a copy of this from [redacted] and will further review this item once it is submitted.     We trust that this information responds to the concerns raised in [redacted] complaint.  Should you have any further questions, please feel free to contact our office.

We have reviewed [redacted]’s complaint regarding her and her late companion, [redacted]’s, claim for Trip Cancelation reimbursement.   Based on the information received, [redacted] and [redacted] cancelled their scheduled cruise due to [redacted]’s illness.  ...

However, no verification of such illness has been provided to our office to date.   Rather, [redacted] did submit a copy of [redacted]’s death certificate, confirming his death on February **, 2015.   While we do wish to express our sincere condolences to [redacted] for her loss, please allow us this opportunity to explain why additional information was required. The plan purchased provides for reimbursement in the event of a cancellation due to both specified medical and non-medical reasons.   In order to qualify for reimbursement under the plan, verification of diagnosis and treatment by a physician at the time of the cancellation of the travel plans is required.   Regrettably, the documentation submitted by [redacted] did not confirm such diagnosis and treatment at the time of the couple’s cancellation, namely on or about January **, 2015.  For this reason, we requested that [redacted] provide such verification and submit same to our office for review. While the information provided to date does not confirm [redacted]’s illness at the time of the cancellation, we have agreed to make a consideration and provide payment based on the information contained on the death certificate.   Accordingly, payment in the amount of $249.00 per person is being sent to [redacted]’s attention for both herself and [redacted]’s estate.  Please understand that this reimbursement is being made solely as a goodwill gesture and does not impinge upon any of the plan’s terms and conditions under which this claim is considered. We trust that we have adequately responded to the concerns raised in [redacted]’s complaint.  Should you have any additional questions, please feel free to contact our office.

We have reviewed [redacted]’s complaint regarding his mother, [redacted]’s, claim denial and are responding accordingly.  The plan that [redacted] purchased does indeed offer coverage for a flight cancellation in the event of receipt of a court order to appear as a witness in a legal...

matter, provided the insured individual is not a party to such legal action.     To further clarify the basis of the denial of [redacted]’s claim, the documentation submitted by [redacted] was not a court order, a subpoena, requiring her appearance as a witness in a legal matter of which she was not a party.  Rather, the letter from her attorney, which she submitted, notified  her of a meeting of her creditors in her own bankruptcy matter.   As the matter in question was her own, and not a court-ordered appearance as a witness in a matter of an unrelated individual, such reason for cancellation fell directly under a plan exclusion and we are unable to consider her request for reimbursement.   Please note that the plan in its entirety is provided prior to purchase for review.  Further, the confirmation provided to [redacted] contained a link to the plan, including the specified reasons for cancellation as well as the contact information for our office for any questions regarding the plan and notice of a 10 day right to examine the plan to determine if it meets with the insured’s needs.   We trust that we have responded to the issues raised in [redacted]’s complaint.  Should you have any additional questions, please feel free to contact our office.

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID# [redacted], and have determined that my complaint has NOT been resolved because:

I absolutely protest this email response to me--the first I have received right now, today, the [redacted]!  because it is completely false.  Yes, I had initially submitted insufficient evidence this company said, but then I sent additional documents that were NOT from the attorney but from the court.  I also sent copies to you too--so frankly I suspect you are simply covering up the fraud for your neighborhood homies.   maybe Tony Soprano told you to do so. IF New York Revdex.com is an honest consumer agency, like they are in other parts of the U.S., please follow-up.  I do not agree with your email.  This was the first I have heard ANYTHING from you--you are not telling the truth and this company is not telling the truth.  plus, my elderly widowed mother, is now recovering or trying to from Harvey.  I know I know, to New Yorkers you probably just laugh, right?Sincerely,[redacted]

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID# [redacted], and have determined that my complaint has NOT been resolved because:

Hello,I am very disheartened to see that again AON is refusing to follow the terms of their contract, and pay the claim, on a technicality.I have a chronic condition that occasionally gives me pain flare ups. when that happens, it is very painful to move, and physically go to the hospital. In those cases  I contact my doctor via email to ask for help or a new prescription. I can prove that this is how my doctor and I communicate.On 9/*/17 I contacted the doctor asking for pain management help. She prescribed  medication that my spouse picked up for me. AON is declining the claim because I physically did not see the doctor. Again, because of my condition I communicate with the doctor via email, which I always do.I am also attaching a screen shot that proves that I asked them to explain why they declined. They never got back to me, and now they claim I did not contact them.Thank you   [redacted]

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID# [redacted], and have determined that my complaint has NOT been resolved because:

As the Respondent demonstrates, they company offering so called "insurance" is a scam. All potential victims should be advised by making this communication public for the protection of the consumer population. Thank you 
 
 
 
In order for the Revdex.com to appropriately process your response, you MUST answer the question above.
Sincerely,
[redacted]

We are in receipt of [redacted]’s complaint regarding the denial of her and her boyfriend, Randy Joppie’s, claim.   In her complaint, [redacted] indicates that she cancelled for a number of different reasons.  Please note that the reason for which [redacted] submitted supporting...

documentation with her original claim submission was due to her own medical condition.  However, such condition is one that is specifically excluded under the plan purchased.  The plan contains specified exclusions which preclude such reimbursement.  One such exclusion states the following: We will not pay for any loss caused by or incurred resulting from: mental, nervous, or psychological disorders, except if hospitalized;  Based on the information received, [redacted] was suffering from a mental, nervous, or psychological disorder, but was not hospitalized for such condition.   As the condition which caused [redacted] and her boyfriend’s cancellation was specifically excluded from coverage under this plan, they were ineligible for reimbursement.   Following our denial of the claim, [redacted] contacted our office and advised that the cancellation was actually due to a different illness that she had, other than the one noted on the Attending Physician Statement from her doctor.  As such, we agreed to obtain additional medical documentation from her physician in order to confirm her examination and treatment for such other illness, thus prompting the couple’s cancellation.    We have now received [redacted]’s medical records from Dr. Ice which do not confirm a second illness for which [redacted] underwent an examination and received treatment at the time of her cancellation on February **, 2016, contrary to [redacted]’s contention.   As such, we must maintain our denial of this claim based on the medical documentation received.   We do note that [redacted] indicated in her complaint that there were several other reasons for her cancellation.   Of those, please understand that a cancellation due to either the condition of the resort at that time or any custodial issues [redacted] may have had are not specified reasons under the plan and as such we are unable to consider her claim on such basis.   [redacted] does note two remaining reasons for the cancellation noted in the complaint, one regarding her own medical issue and one regarding Mr. Joppie’s parents’ health.   Please understand that the medical documentation received thus far does not indicate that [redacted] suffered from and was examined and treated by a physician for any other condition at the time of cancellation.   If she in fact had been, we encourage [redacted] to provide us with the contact information for that treating physician and we will be happy to obtain the applicable medical records to further review the claim on that basis.   Finally, with regard to the mention of an illness of Mr. Joppie’s parents, should [redacted] wish to pursue this claim on that basis, she can have the treating physician(s) for these individuals complete the attached Attending Physician Statement and we will further review the claim on that basis.    However, until such time as additional information and documentation is submitted for our review, we must maintain our original denial of this claim.   We trust we have addressed the issues raised in [redacted]’s complaint.  Should you have additional questions, please feel free to contact our office.

We have reviewed [redacted]’s complaint regarding the processing of her claim for Trip Cancellation benefits.  We are providing our response accordingly.    We received [redacted]’s claim submission on December **, 2016.  As advised, on average it takes 7 – 10 business days for...

the review of a claim.   Shortly before receipt of this complaint on January *, 2017, 8 days after receipt of the claim submission, this claim was approved for payment.  Payment in the amount of $575.70 per person was sent to [redacted] and her husband on January *, 2017.    As payment has been provided we have closed this matter. We trust that we have sufficiently responded to the concerns contained in [redacted]’s complaint. Should you have any additional questions, please feel free to contact our office.

We have reviewed [redacted]’s complaint and we are responding accordingly. [redacted] had filed a claim with our office for Trip Cancellation reimbursement.   While the program purchased does provide a cash reimbursement in the event of a cancellation due to a number of specified...

reasons, both medical and non-medical, unfortunately, [redacted]’s reason for his cancellation was not among such specified reasons and therefore he was not eligible for a cash reimbursement.   [redacted]’s original flight was cancelled due to air traffic control issues, as per the information received from the airline.    A trip cancellation due to a flight cancellation or delay for such reason is not one of the specified reasons for cancelation under the program and therefore we were unable to provide [redacted] with his requested cash reimbursement.   Please note that the program does afford cash reimbursement if an individual is prevented from traveling due to a severe weather event en route to or at the port of embarkation within 48 hours of the scheduled departure for which the National Oceanic and Atmospheric Administration issues a Severe Weather Warning or Watch.   However, there was no such weather event occurring at that time, neither in [redacted]’s departure city nor en route to, or at, his destination, which precluded him from continuing his travel plans.  Rather, as already indicated, the cancellation of the flight on which [redacted] was booked was, as per the airline, as a result of air traffic control issues which affected that scheduled flight.    While we understand [redacted]’s disappointment with the determination made on his claim, please allow us to advise that though he was not eligible for a cash reimbursement under the terms of the program, the cruise line has provided a future cruise credit equal to 75% of the cruise fare withheld upon his cancellation.  In order to make use of these credits, [redacted] should contact the cruise line directly.   We trust this has provided clarification of the claims handling as well as an understanding that we must review each request in accordance with the terms and conditions of the specific program purchased.     Should you have any additional questions, please feel free to contact our office.

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID# [redacted], and have determined that my complaint has NOT been resolved because:

[the hospital is still sending invoices and I don't have the final amount of how much I need to pay them. and they have transferred the case to a collection agency.  ]
 
 
In order for the Revdex.com to appropriately process your response, you MUST answer the question above.
Sincerely,
[redacted]

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