Another family that was scammed by MEGA because of an agent leaving out important details of their policy, like “it’s actually not really going to cover anything”, almost had their story told in the movie SiCKO. However, the story was cut from the movie.
When they were cut from the film, Hesper Main said that the production assistant they had been dealing with felt so bad that she offered to push their story to a companion piece running in “People” magazine.
The family’s story made it into the July 23 issue, with Harry Potter on the cover.
Tom Main was a self-employed electrician making about $40,000 per year who moved from Colorado to Florida.
He joined the National Association for the Self-Employed, making him eligible for health coverage. In December 2005, an agent from MEGA Life and Health Insurance Company sold them a family policy at $227 a month.
Then his son, Kenny, got sick.
When Tom Main handed over his insurance papers to the administration office he was prepared for the $5,000 deductible, but surprised when he was told the policy would not be adequate.
Kenny responded well to treatment. But Tom Main said as the bills started piling up, MEGA began denying the claims, paying “a little bit here and a little bit there.”
With $500,000 in medical bills and an insurance company that has paid out just $45,000 since their son was diagnosed 18 months ago, the Mains may face bankruptcy.
Read the whole story here.