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Problem Solved: Couple receives $1,200 check for chemotherapy coverage

Posted at 3:31 PM, Nov 15, 2018
and last updated 2018-11-15 15:31:44-05

WHITE LAKE, Mich. -- Pam and Robert Knoll are happy to have some money back in their pocket after depending on their health insurance provider to cover Robert's chemotherapy treatments. The Knolls said they've pled with Aflac for reimbursement for over a year.

"I wouldn’t have this check in my hand if it were not for you," Pamela said to the FOX 17 Problem Solvers.

"Yea, that's true," Robert added.

The check is for $1,200 plus interest. The couple felt they were owed the full $2,400 after paying their premiums to Aflac for over 30 years. The Knolls felt their policy covered the costs. Instead, Aflac is meeting them halfway.

“They made an exception based on, like, an over-the-counter drug. So they considered the one day that we had to go back there as an over-the-counter drug and paid us up to $100 whatever the drug was," Pamela Knoll explained.

Robert is fighting colon cancer. In 2017, he had 12 weekly treatments of in-patient chemotherapy followed by two days of outpatient chemotherapy using a pump. Aflac has agreed to cover half of the outpatient process.

Without the Problem Solvers' help, they feel they'd still be getting denied.

Robert said, “I guess it’s a shame that we just couldn’t have did it [ourselves] because we did call and ask for it, but with your call it did help.”

“Don’t give up. Be persistent. As they say, the squeaky wheel gets the grease," she added.

Knoll had reached out to the Problem Solvers after seeing the results we got for Mina Garza who had the exact same situation. In working with an appeals agent, Knoll said she learned the language in her policy differs. While she's thankful, she said she believes it should've been fully covered.