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Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsHow AARP Shills for UnitedHealthcare
Today on TAP: Why does the supposed advocate for the elderly steer them to the industrys worst insurer?by Robert Kuttner December 11, 2024
We still dont know quite why the assassin of Brian Thompson targeted the CEO of UnitedHealthcare. But its hardly a secret that UnitedHealthcare has the worst record among all large insurers in denying necessary medical care to its subscribers.
The data confirm what far too many patients experience. In 2023, UnitedHealths denial rate of claims was 32 percent, compared to an industry average of 16 percent. Nonprofits had a far better record than for-profits.
I had assumed that UnitedHealths business model was to lowball premiums and then more than make up the profit by denying claims. But its even worse than that.
SNIP
Why on earth would consumers buy such a flawed insurance product? It helps if they are captive customers, steered to UnitedHealth by a trusted source.
That would be AARP.
https://prospect.org/blogs-and-newsletters/tap/2024-12-11-how-aarp-shills-for-unitedhealthcare/
Shameful
Hugin
(34,724 posts)There was a big brouhaha at the time. Now, largely forgotten.
JohnSJ
(96,792 posts)and it isn't just UHC. Atena and others were denying claims also.
The fact is if the basic Medicare covers it, then the supplemental will cover it.
With an advantage plan the insurance company takes over the basic Medicare coverage, and that is where the denial problems occur.
This has been going on for sometime, and because the initial upfront premium cost for an advantage plan appears to be cheaper, unless you have no health issues, it could end up costing you significantly more.
EYESORE 9001
(27,596 posts)Nah. Its all about Medicare advantage plans.
JohnSJ
(96,792 posts)over denying claims.
If one has a supplemental plan under any insurance company not just UHC, if basic Medicare covers it, then the supplemental plan will also.
Too many people are enticed by the low premiums and other coverage included with advantage plans that they don't fully understand the implications.
and to directly answer your question, AARP does not try to steer people toward Advantage plans, though ALL health insurance providers themselves try to do that. You see it on their commercials constantly when open enrollment comes due.
allegorical oracle
(3,323 posts)U. S. Treasury and are paid out to the private insurance carriers. The 2025 amount is $185/mo. per Medicare recipient. That's how the companies can afford to spend zillions on those Advantage plan commercials every Fall.
JohnSJ
(96,792 posts)Passages
(1,381 posts)And somehow, because it is a nonprofit, AARP manages to avoid income taxes on this kickback income. Despite Congresss efforts over the years to make nonprofits pay taxes on commercial income, AARP paid only about $3 million in federal income taxes on royalties of well over a billion.
JohnSJ
(96,792 posts)insurance company.
If they just sign up for a supplemental plan, they won't have that problem, because anything that basic Medicare Covers, the Supplemental will also, and this applies to all health insurance companies under medicare.
The most dangerous threat coming down the line though is if Oz takes over Medicare, all the rules can change, and it can be a disaster to anybody on Medicare.
Passages
(1,381 posts)The Medigap plans are not all affordable for many seniors, so Americans remain vulnerable on many levels.
For profit healthcare is a disaster.
JohnSJ
(96,792 posts)consumer vulnerable to the insurance company, and it isn't just UHC. Atena and others have also been accused of denial of claims.
In perspective though, for an older person, the Medicare supplemental premiums are not excessive though.
That does not mean that healthcare does not need reform in this country though, it does, and it isn't just the insurance companies.
Hospitals and Medical facilities are notorious for "padding the bill", along with other issues that need to be addressed.
Passages
(1,381 posts)Medicaid Income Eligibility Levels
https://www.nyc.gov/assets/ochia/downloads/pdf/all_populations_medicaid.pdf
Universal healthcare once and for all is our remedy. There is no sound reason not to fight for it.
An American tragedy that took place on the streets of NYC unique to our society has pulled back the rawness of what many people suffer due to a corrupt system.
I want Democrats to be the remedy.
JohnSJ
(96,792 posts)Passages
(1,381 posts)I dread January 20th.
JohnSJ
(96,792 posts)Ms. Toad
(35,598 posts)So saying "they sign up UHC" is relatively meaningless.
The UHC Medicare Supplement plans were, by far, the cheapest supplement plans available - in Nebraska 30 years ago, again in Ohio around 15 years ago when my father had the opportunity to switch, and again 2 years ago when I shopped plans in Ohio.
I didn't even look at the Medicare Advantage plans.
I've recently looked at Part D plans, and UHC is among the most expensive.
While I agree for profit healthcare is a disaster, UHC is not uniformly evil.
dalton99a
(84,772 posts)Passages
(1,381 posts)UnitedHealthcare Denies More Claims Than Other Insurers
Forbes
https://www.forbes.com Innovation
7 days ago ... UHC is perhaps the country's worst offender. When it ... But according to one of the firm's reports on insurance claim denial rates, UHC ...
Celerity
(46,696 posts)dalton99a
(84,772 posts)My neighbor signed up for it instead of a supplement. She now regrets that decision. I have seen the denials and letters written by her doctors. It's insane.
JohnSJ
(96,792 posts)a problem for supplemental plans, and the only alternative today for those in that position need to see if they qualify for Medicaid, otherwise they have no choice.
JohnSJ
(96,792 posts)Last edited Thu Dec 12, 2024, 12:40 PM - Edit history (1)
The danger is now that the sociopath is in control, things are unlikely to get better, and with Oz as head of Medicare, EVERYONE on Medicare is at risk, including those on a supplemental plan.
dalton99a
(84,772 posts)and give her a guaranteed-issue rights letter so she can buy a supplement without underwriting. Right now nobody wants to sell her a supplement because of her medical issues.
Oz is big insurance industry whore and will make everything worse