Alera Group was the benefits broker for an employer that was working with two affiliated health insurance companies, “Company A” and “Company B”; to provide health coverage for their employees. One day, an Alera Group claims manager received a frantic phone call from a member who had just been informed that Company B denied the insurance claim for a life-saving organ transplant surgery that she was scheduled to undergo in four days. The surgery cost well over $200,000, meaning the member would have to go into a crippling amount of debt to receive the operation.
Alera Group was able to secure a check to cover the transplant expenses within two days, ensuring that the member was able to receive the life-saving operation as scheduled. Download the full story above to learn more about how Alera Group became this member’s advocate when insurance companies fall short.