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Meowmee

(6,473 posts)

31. Believe it or not insurers do deny valid claims

Sat Dec 7, 2024, 07:46 PM

Dec 7

And those often do not get overturned on appeal…some doctors cheat, the vast majority don’t.

Example- my ins which I pay a fortune for was allowed to deny a HUGE hospital stay bill. The hospital appealed it which was denied. In the end because I had a potential lawsuit against them the h didn’t bill me and they absorbed the cost.

I told them that I would have to sue if they tried to bill me so they absorbed it but now I wish I had sued them anyway, because there was gross negligence that caused me permanent damage.

The insurance got away with it, that could easily have bankrupted me and caused serious financial harm if the hospital had not absorbed it.

At the time I was recovering from life-threatening events, which never should’ve happened, all due to negligence on the part of my doctors and the hospital, and I was too exhausted to deal with it.

Insurers make medical decisions every day, based not on any knowledge they have of medicine, but on protecting their assets and higher profits.

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How many news stories have you seen about someone denied a claim [View all] edhopper Dec 6 OP

How many times does it happen to the people that can least afford it? OAITW r.2.0 Dec 6 #1

Last week I posted a statement on how Medicare is much better than Advantage vapor2 Dec 6 #2

The list of complaints to any medical insurance company except Medicare is monumental. rich7862 Dec 6 #3

Denied Medical Claims rich7862 Dec 6 #4

so why was Mary Lou Retton's story reported fairly extensively? thebigidea Dec 6 #7

It's a man bites dog thing. Almost literally. Klarkashton Dec 6 #5

how many clicks do you think such stories get vs a story like this? thebigidea Dec 6 #6

Trying to find that shooters denied claim at UHC... Omnipresent Dec 6 #8

Or on Mars ... moonscape Dec 7 #23

I'd say a majority of Americans have had negative or extremely negative experiences with health insurance companies dalton99a Dec 6 #9

Yes LeftInTX Dec 6 #10

True. I've had negative experiences with just about every company that impacts my life, utilities, internet Silent Type Dec 6 #13

I post on some health care sites on Reddit. Numerous people post about their denial. Some are legitimate, others are Silent Type Dec 6 #11

This might be ONE way Kaiser is better as an HMO for Medicare Part C. Sparkly Dec 7 #14

I had Kaiser when I worked for one company. I liked it. They really pushed preventive care, colonoscopies, etc. Silent Type Dec 7 #15

We the people decide those who advocate for a national system, the Dems have shunned those who have run on that platform cliffside Dec 7 #17

When did we as a country become so pathetic? ck4829 Dec 7 #21

Have you called your reps and told them to get it done, even if it ain't perfect? Silent Type Dec 7 #22

"When and how?" ck4829 Dec 7 #24

All the reps have malaise Dec 7 #27

Good point. Sounds like we should vote them out in mid-terms if they won't cooperate. Silent Type Dec 7 #28

So it's your job to defend the crap advantage insurance? questionseverything Dec 7 #25

Believe it or not insurers do deny valid claims Meowmee Dec 7 #31

Here. Not dying. Running for their lives question everything Dec 6 #12

That's the problem, advantage sucks up their premiums questionseverything Dec 7 #26

From experience with UNH ... cliffside Dec 7 #16

Very few Meowmee Dec 7 #18

Exceedingly few Mike 03 Dec 7 #19

Leave the health insurance CEOs alloooone !!!/ sarc uponit7771 Dec 7 #20

Lots of them on old Twitter, and in real life;, relatively few in media lostnfound Dec 7 #29

I've noticed the media's tone-deafness in regard to the universal reaction and the reason's behind it tenderfoot Dec 7 #30