WAGS of SCI: The Podcast
WAGS of SCI: The Podcast
WAGS of SCI: The Podcast - Ep. 25 - Insurance Appeals: Who, What, Why, When.. How?!

How many of us WAGS of SCI and caregivers out there struggle with having to deal with insurance or government policies preventing their partners from getting what they need? How many of you have dealt with the disastrous effect a “NO” decision means to your life and the life of your seriously injured partner? Join hosts Brooke and Elena for a discussion about all things INSURANCE APPEALS for government programs and private insurance decisions. Believe it or not, every insurance company – public or private – have generally the same processes for appealing decisions… and we can ALL learn from truly understanding these processes.

Navigating insurance or government appeals programs can be utterly exhausting.. thankfully, you don’t have to do it in the dark. Elena and Brooke address why you should appeal any decision that you do not think is fair, how to start the process of an appeal, and what processes you should follow along the way to ensure a positive outcome for your partner.. and yourself.

Did you know that statistically in the USA, 41 Million insurance claims are denied each year, and of that ONLY 0.5% of ALL insurance denials get appealed? This is due to the fact that people do not know that it is their right to appeal a decision, and they are confused as to HOW to do this..

Did you also know that up to 88% of ALL appeals result in a reversal of a decision in favour of the client? Learn more about the public data available, and where these numbers come while the women discuss how you can empower yourself to help your partner get what he truly needs in order to live a better life.

Brooke and Elena outline their appeals experiences to date, and talk about the issues the community faces when being intimidated by companies who’s bottom line is always profit over care. You won’t want to miss this informative podcast episode!

This podcast episode is sponsored by Robyn Wishart and her team at Wishart Brain and Spine Law. Robyn specializes in Spinal Cord Injuries and is the official legal advocate for the WAGS of SCI community. Robyn and her team know the “SCI life”, and believe that you should live your LIFE, and not your claim. Robyn was the first Canadian to teach and facilitate at Harvard Law School’s Trial College, and is an experienced Consult Lawyer who works across North America. If you would like assistance from Robyn and her team, please contact her at brainandspinelaw.com and tell her the WAGS of SCI sent you.

This episode is sponsored in part by Megan Williamson, head SCI Fitness Coach at Ocean Insider Club, a “do anywhere” video fitness program for SCI specific clients! Learn more at https://oceanrehabandfitness.com and let Megan know the WAGS of SCI sent you!