When a Hunger Strike isn't Enough
Our health care system is full of traps for the unwary, but this one is special. Sally Gillette’s paraplegic son was covered as a dependent under her employer’s policy as long as he was in school - or if he remains largely dependent on his mother for support. But when health complications forced him to leave school, the insurer and her own employer lied to Sally and her son - and told them that he was no longer covered.
Sally buckled down to protect her son and tried everything, up to and including a hunger strike, to get the employer, the insurer and the system to take notice. Nothing changed.
Until she found JustHealth. The insurer and employer decided to reinstate the dependent coverage for the son, including the four years between the time he was dropped and their "change of heart." The insurer also agreed to repay the Medicaid program about $200,000 for care for which the insurer should have paid.