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  1. #1
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    Default health insurance

    Hello, I submit an information ofmy girl-friend, maybe it is important for some of you:

    "Attention to all who are insured with the insurance MONUMENTAL.
    Check instantly whether you really have an insurance coverage.
    Unfortunately I have had a terrible experience. On Friday I went to pay regularly my health insurance but the nice lady in the office in Puerto Plata told to me that this is not possible. My question: 'why? The answer: 'You arenot registered anymore'. She wanted to see my insurance card and called the main office. There I was told that I havnít paid for more than one year. Fortunately, I was able to submit my payment receipts. Then I went to the main office, hopeful that the matter would be resolved with showing all my payment documents.
    But nothing happend, go on dreaming. The answer was, they need to check where the money is, and as long as that is not cleared up, I would not have insurance and cannot pay. Notice: I have documents with the orginal heading of monumental and stamps that I paid. But it doesnít matter that I really paid, the money is gone and he insurance too, super.
    Today I got only the information, in case the nice employee from monumental brings the money I would be
    insured again and could go on with paying. hahahah the joke of the year.
    Not that the insurance will do something.
    If you have this insurance > better you control, whether you are actually insured or if the nice staff took your
    money for anything else > because that is your problem and not the problem of the insurance company.
    really nice behaviour, isn't it?"

  2. #2
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    Default

    So you didn't have any medical claims during that year that someone was stealing your payments? If you would have had claims they would have been denied. Can't you just reinstate the plan and have health insurance going forward?

  3. #3
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    This is one for the legal forum. You do have recourse especially if you have the paid receipts, at minimum you can threaten to bring suit to the Monumental Office. Visit the local fiscal for a consult, it won't cost you anything but time.

    Any other posters have a suggestion ?


    Regards,

    PJT

  4. #4
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    I think first you have to wait at least 2 weeks, and keep safe your payments with the stamp, if they dont give you answer tell them that you will go to Superintendencia de Seguros in Santo Domingo and will make a complain to Monumental.

  5. #5
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    Default

    Thank's for your answers up to now. As it is not my case (my girl friend has this problems) I will ask her
    in the early afternoon for more details. Now she is at work.

  6. #6
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    Quote Originally Posted by ctrob View Post
    So you didn't have any medical claims during that year that someone was stealing your payments? If you would have had claims they would have been denied. Can't you just reinstate the plan and have health insurance going forward?
    Just now I spoke by phone with my girlfriend. She didn't have medical claims during that year.

    Reinstating the plan just would be possible in case the girl in the "collecting-office" will bring now all the money she collected from my girlfriend and didn't forward to the
    headquarter of Monumental, as my friend was told.

  7. #7
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    I can't believe they would hold your gf responsible for the thievery of one of their own employees or brokers. I mean she has the receives and that should be good enough.

    Anyway, why she don't just sign with another health insurance, Monumental seems not that much of a good choice after hearing this story...

  8. #8
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    Another thing, if she is working and you are under her medical insuance as Union Libre that is the same as a husband you dont need to pay nothing, they just have to add you under her policy, and its Human Resouce department that can do that. If this is the casa then she has to go to nearest DIDA office and explain the case, if is like that monumental will have to give you back all the money you paid.

  9. #9
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    Quote Originally Posted by caribmike View Post
    I can't believe they would hold your gf responsible for the thievery of one of their own employees or brokers. I mean she has the receives and that should be good enough.

    Anyway, why she don't just sign with another health insurance, Monumental seems not that much of a good choice after hearing this story...
    Caribikmike, meanwhile I've heard that this happend in case of other insurance companies as well.
    Depends from the INTERMEDIARIOS, this agencies, offices, where you pay regularly. Some of them didn't forward the money, the insurance didn't know from this.
    P. example, I pay here in Cabarete to a lady in such an Intermediario. Up to now no problems.
    But I am visiting regulary the Doc here, in case there would be no insurance coverage this would be known inmediately.

  10. #10
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    Thank's for you tips, Riva_31. I am german lady and have my own insurance.
    But I will keep in mind your tip in case any friends are in the situation.

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