Good Samaritan lost both legs in accident, now his insurance company won’t pay for his wheelchair

Having problems with payments from insurance companies has become a common thing
nowadays. Mark Poss, 29 years old, had his both legs severed because of a drunk driver who
slammed him.
In November 2017, he was in one of Sacramento’s highways around 2:30am, when he saw a
couple who was trying to move their stranded car off the highway. He approached to give them
help, but a few moments later, a drunk driver slammed in him and the driver of the other car.
His recovery was a long journey. He is married and has two beautiful kids. Having his kids
witness him while he was learning to continue living his life as a double amputee made the
process more painful and harder.
Besides having to struggle daily with the fact that he doesn’t have legs anymore, he has to deal
with the insurance company. He has been asking for a wheel-chair, but they don’t find it
necessary for him to have it.
His two attempts of convincing the company to cover a wheelchair for him were denied. “I was
told [the first denial] wasn’t based on anything besides the way the claim was submitted,” he
told BuzzFeed News. “This was the second time I’ve gone through this process, and they denied
me again.”

“I just don’t understand how anyone could possibly contest that I need a wheelchair. Yet, here
we are,” he wrote. “Apparently the fact that I have prosthetic legs means I have no need for a
wheelchair.”
Mark is speechless by the rejection of his insurance company. He currently walks with
prosthetic legs but that is a struggle itself.
“I have to let my legs heal, which is a regular occurrence. I often have to do that because I am
not able to use my prosthetic legs all the time due to various reasons, all having to do with pain.
Sometimes there is a sore somewhere on my legs. Sometimes the muscles are too tired and
need a chance to heal. When my legs hurt, I have to take them off. If i have no wheelchair to
use, like my insurance company would have it, I would be forced to not move the rest of the
day.”
He uses a loaner wheelchair, but having his own “everyday wheelchair”, which costs only
$2,000, would greatly improve his quality of life. The insurance company clearly doesn’t think
so, as in the rejection letter they wrote that Mark’s doctor has requested a special wheelchair
which appears to exceed his needs and therefore, his coverage.

Mark and his family are frustrated and devastated. They don’t see a good thing coming as they
believe that the healthcare system is a scam. Patients shouldn’t have to work against their own
insurance to get their basic needs met.

Leave a Reply

Your email address will not be published. Required fields are marked *