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I understand your frustration, but by your own account she did not qualify in November. You can't blame Hancock when you state that she only needed help with 1 of 6 ADLs.
You have just refiled last week. There has been no decision reached yet. I fail to see where Hancock has done anything wrong. In fact, they seem to be of help to you in requesting that a claim be filed, even though everyone knew that it would denied, but it was done in order to establish a timeframe.
On advice of others, not JH to file claim in November..frustration is not with November outcome...
If, as you claim that 2 or 3 ADLs are now the issue, it's more than likely she will now qualify for benefits.
You state that your frustration is due to mistakes made by Hancock. Yet your original post claimed that Hancock was trying to screw you by denying a legitimate claim, which does not appear to be case. And, it's a far cry from your posted title of "John Hancock Long Term Care is a Scam!"
Where did I say "screwed" in my original posts...maybe you should reread.
The frustration is that at the time of original claim, and denial we spoke with JH at length and followup process....and we were told that the 2nd time through would be much simpler and easier process.....and that is not the case. from calling to start claim again, to the intake process twice this time due to JH employee errors, to answers given to us by JH employees that upon further inquiries are incorrect. Now we are chasing additional paperwork that they already have and said we didnt need.....so the scam to me is that when people buy these policies, the insurance companies make it seem like they will be there to help you when needed, and in my recent experience i dont believe that to be the case...would the better title have been "John Hancock denies LTC to terminally ill client" that would also be accurate.
I'm not an attorney, but I don't believe you're going to find a lawyer on the planet that will sue a company for a "mistake".
who said anything about suiing?
Again I see where you're coming from and I understand your frustratioin but personally, I don't see an issue here, and I certainly don't see Hancock "stonewalling" your relative's claim.
Just my opinion.............
I understand the 6 Activities of Daily Living and the need to qualify for 2 of 6....and also understand that terminal illness in itself is not a qualifying event.
If you understand this, then what was the "scam" ?
From the intake people at hancock to the independent contractors used to evaluate the insured, to having received incorrect information on multiple occasions from John Hancock employees, you can say what you like, but the ACTUAL experience we have had with John Hancock is terrible.
What was the incorrect information from the employees?
It seems like this is the "deny until they die" claims process.
Makes me recall the son of a Genworth LTC policy holder who had nothing but bad things to say about Genworth and LTC in general. He was so upset that the insurance company would not do anything for them....as "he had to do all the grocery shopping, since they took her car away...... and he had to pay all the bills, and do all the work around her house....and he was over there all the time to help". Of course she was perfectly able to handle all her ADL's and was cognitively fine, but the insurance company was "bad" because she was not eligible for any benefit and she paid all this money. Obviously, he just didn't like being inconvenienced.
It did not matter what you said to this person......as he would NEVER buy LTC insurance, because it was a "complete waste of money".
Can't help everyone.