MetLife

Met-Life lied to my face. They know I don't have the money for these constant visits, but they don't care

Reviewed by Doyle D. on May 17th 2016   Verified Policyholder
I have been employed for 20+ years at Goodyear w/Met-Life as the LTD carrier. In Aug 2014 I went down with my knees unable to support my weight-degenerative failure + Osgood Schlatters disease (soft tibia bone). Was advised by several Doctors to try knee replacement w/high risk of failure due to weight and condition. I replaced one knee 08-2014 and the second 01-2015 and worked through re-hab. I tried to return to work on 07-2015 hoping pain would subside and knees would be normal. Instead, pain worsened and I had to go into pain management to include use of Morphine to quell pain. Multiple times Met-Life denied the claim or failed to approve the claim stating my doctors were not sending information. I checked with Doctors and they had been all along. To include one day when I stood there and watched them fax info off and receive an acknowledgement of receipt. Met-Life lied to my face saying they still hadn’t received it until I said I had watched it. Every month or every other month I have received a letter (since going back out on LTD in Nov 2015) stating the claim was going to be denied for different reasons. The latest letter says that as of 06-25-2016 Met-Life will no longer approve LTD benefits because I should be able to work now. Despite my doctors having provided them with the Goodyear standard work tolerance report indicating I should not work. I can’t walk without assistance, wheel chair etc, I can hardly stand and am currently on morphine to the extent I cannot work or focus long on much of anything without napping. I believe that Met-life systemically engages in these tactics knowing that I do not have money for these constant doctors visits and it is more than just an inconvenience it’s actually painful to go out constantly. I need help…
Reply
Sent on May 17th 2016 by Attorney Gregory Dell

Doyle, please contact our office with a copy of your denial letter so we can discuss your rights and options available in appealing the denial. MetLife only provides one level of administrative appeal so it is imperative that your appeal be as strong as possible.