....insurance claim kena rejected after eye treatment at KTPH.......

[singsangsong]

are you sure that ALL people, ie. everyone, experienced such symptoms?

100% certain?

Yes.

It is technically certain that one will have floaters at some point of their life if you actually understand how floaters form.

The vitreous gel within our eyes degrade as we age, and shadow of such clumps of degraded gels make up the appearance of floaters. It is only a matter of time and speed on the degradation, and this is a natural process, generally little to do with vision or eye health.

Some people are more sensitive to "seeing" such floaters, while others don't notice or are not bothered by them. That is not to say that the latter group don't have floaters however.

This is a case where I have confidence if it is me and I proceed to actually dispute and appeal the claim. Also, it may be the case that certain diseases of the eye remain excluded for the policy, but it cannot be a blanket exclusion of all eye disorders.

The insurer, GE here, is just being an ass_hole here to deny the claim based on the patient (in particular, self-reported and non-doctor verified) supposedly having floaters in the past.

 

[rarenick]

Yes.
It is technically certain that one will have floaters at some point of their life if you actually understand how floaters form.
The vitreous gel within our eyes degrade as we age, and shadow of such clumps of degraded gels make up the appearance of floaters. It is only a matter of time and speed on the degradation, and this is a natural process, generally little to do with vision or eye health.
Some people are more sensitive to "seeing" such floaters, while others don't notice or are not bothered by them. That is not to say that the latter group don't have floaters however.
This is a case where I have confidence if it is me and I proceed to actually dispute and appeal the claim. Also, it may be the case that certain diseases of the eye remain excluded for the policy, but it cannot be a blanket exclusion of all eye disorders.
The insurer, GE here, is just being an ass_hole here to deny the claim based on the patient (in particular, self-reported and non-doctor verified) supposedly having floaters in the past.

It really depends on how the medical report was written.

Even the underwriters conveniently excludes certain conditions. I had to help someone write an appeal letter to overturn an exclusion. The insurance agents also won't help u, really useless bums.