Wednesday, September 23, 2009

Protect that profit!

Protect the insurance companies (and their well-deserved executive pay)!

This is great!

Personally, I have had claims denied by insurance companies because the doctor and hospital "were out of network" despite them paying claims to the exact same doctor and hospital weeks earlier. Result: the claims were paid, but only after a handful of calls, most of the time spent on hold, and a mass amount of frustration. I'm sure that is just a drop in the bucket in terms of insurance company troubles. My Dad has a max out of pocket of $2000 and with his diagnosis this year and all of the subsequent appointments, medications, consultations, referrals, etc., he has exceeded the max. Of course he is the one to bring it to Kaiser's attention. It makes me wonder how many sick people with no effective means of record keeping and/or the capacity to deal with the insurance companies end up paying waaaaaay beyond their max. And then there is the whole issue of my Mom getting health insurance after my Dad is gone. Huge premium & partial coverage is what we're looking at.

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