Mouwasat Hospital Refuses Insurance Coverage for an Emergency Case Admitted via Ambulance
Complaint Details
The complainant is filing a grievance against Mouwasat Hospital regarding its refusal to process an insurance claim for their child's emergency medical care. The complainant states that on an unspecified date, their child experienced a sudden medical event requiring immediate transportation by ambulance to the hospital's emergency department.
According to the complainant, their child is covered by a valid medical insurance policy from Der'a Insurance Company. However, the staff at Mouwasat Hospital allegedly refused to submit the costs of the examination and treatment to the insurance provider for coverage. The hospital's stated reason, as reported by the complainant, was that it is not part of the insurer's approved network. The complainant contends that because it was an emergency admission via ambulance, standard network policies should not have applied.
Due to this refusal and the complainant's inability to pay the expenses out-of-pocket, they were compelled to discharge their child and seek medical attention elsewhere. The complainant reports that this ordeal caused significant psychological and emotional damage, a considerable loss of time, and potential physical harm to the child. Therefore, the complainant seeks a resolution to the problem, accountability from Mouwasat Hospital, and an official apology.
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