#insurance denials

[tomorrowusa]

Sadly, in the United States it's cheaper to take lives than to same lives.

For example...

‘No one should have to be fighting cancer and insurance at the same time’

And MAGA Republicans can hardly wait to make healthcare even more expensive and difficult than it is now...

Millions could lose health insurance to pay for Trump tax cuts

Yep, your healthcare benefits could go out the window so that MAGA Republicans can give MEGA tax breaks to overpaid insurance executives so the latter can then increase their campaign contributions to the GOP.

[whatiswhump]

CONGRATULATIONS! I AM SO HAPPY FOR YOU ✊

👏👏👏 Thank you for sharing this, now hopefully more people can see this and get the proper help they need

Thank you!!!!!!!! It feels like such a big deal!!!! Yay for insurance external reviews!

It took so much work but so worth it.

[freelyhauntedduck]

I saw a headline that read, "Police believe CEO was killed because of a grudge against the insurance company".

Yeah that narrows it down to less than 25 million.

It's also hilarious that I really haven't seen any sympathy for this guy. I mean, I don't have any either, but it's really validating to see other people say things like, "Thoughts and prayers require prior authorization".

[jay-wasreblogging]

He would first shoot him in the back and calf, atleast once.

[dreaminginthedeepsouth]

The C.E.O. of UnitedHealthcare, Brian Thompson, was murdered on the street in midtown Manhattan, on Wednesday morning, 20 minutes before sunrise. He was in town for an investors�� convention, and had worked for UnitedHealthcare for more than two decades—a company that is part of UnitedHealth Group, a health-insurance conglomerate valued at $560 billion.

The particulars of this murder are strange and remarkable: it occurred in public; the suspected shooter went to Starbucks beforehand; he got away from the scene via bicycle; he has not yet been found. But the public reaction has been even wilder, even more lawless. “I’m sorry, prior authorization is required for thoughts and prayers,” someone commented on TikTok, a response that got more than 15,000 likes. “Does he have a history of shootings? Denied coverage,” another person wrote, under an Instagram post from CNN.

To most Americans, a company like UnitedHealthcare represents less the provision of medical care than an active obstacle to receiving it, Jia Tolentino writes. UnitedHealthcare has the highest claim-denial rate of any private insurance company: at 32 per cent, it is double the industry average. “Thompson’s murder is one symptom of the American appetite for violence; his line of work is another. . . . For people who do not have money or social connections at hospitals or the ability to spend weeks at a time on the phone, a denied health-insurance claim can instantly bend the trajectory of a life toward bankruptcy and misery and death.”

“The only way to end up in a situation where a C.E.O. of a health-insurance company is reflexively viewed as a dictatorial purveyor of suffering is through a history of socially sanctioned death,” Tolentino continues. “Can the C.E.O. class drop its indifference to the suffering and death of ordinary people? Is it possible to do so while achieving record quarterly profits for your stakeholders, in perpetuity?” Read about the reaction to Thompson’s murder.

(The New Yorker)

[goldkirk]

Well!

Insurance just denied the procedure for tomorrow morning. Guess I’ll go fuck myself!

[isawthismeme]

[revolutionarywig]

me: whew thank goodness i have student insurance, it covered everything!

me receiving a bill from the hospital saying i still owe them $1000:

[oldfangirl81]

So suddenly verbal threats deserve police action? How many women have stories where cops have told them that a verbal threat isn't enough to act on? But a frustrated woman gets arrested for "threatening" an insurance company immediately. She doesn't own a gun but they still set bail for a mother of 3 at $100,000 this close to Christmas. For angry words to a wealthy insurance company.

[healingheartdogs]

Doctors visits as an AFAB person that have absolutely nothing to do with potential pregnancy and do not at all match symptoms of pregnancy be like:

Doc: "When was your last period?"

Me: "I'm currently on my period, it started (date)."

Doc: "And are you on any birth control?"

Me: "Yeah I have the nexplanon arm implant."

Doc: "And are you currently sexually active?"

Me: "Nope, haven't been for years."

~ Fifteen minutes later ~

Doc: "Well your pregnancy test (that we didn't tell you we were doing or ask your consent for) came back negative so it's not that."

No. Fucking. Duh.

[digzmania]

Aetna intentionally denied multiple pre-authorization requests for my upcoming surgery with the SOLITARY purpose of delaying it until it was too late to schedule a surgery date in 2024. I was scheduled to have the 3rd of 3 surgeries on 27 NOV 2024. My remaining Out of Pocket MAX for the 2024 year is down to $509, and Aetna wanted to be able to put more of the financial burden (Deductible and reset out of pocket ax) back onto me. My doctor submitted pre-authorization requests on 30 OCT 24, 08 NOV 24, and 12 NOV 24. Each time, Aetna came up with a new and unethical reason to deny or delay their approval. On two separate occasions, AETNA cancelled the requests internally, and outright lied as they tried to claim that my doctor's office had withdrawn the requests. Only when pressed in a three way call with Aetna and my Doctor's Scheduler on the phone did they admit that teh cancelled requests were their doing. Then they asked for a new request submission, claiming that it was not a "Denial of Service." Next, they denied service stating that my doctor and surgical center were "Out of Network." not only are both "IN NETWORK," both are considered Tier 1 Preferred by Aetna, as stated on Aetna's own website provider listing. After more than a month of phone calls, clarification requests, cancelations, re-submitted requests, transfers to various Aetna Departments, my request was finally approved on 06 dEC 2024... AFTER my originally scheduled date had past, and ONLY AFTER Aetna fully realized that it would be too late to schedule a surgery date by 31 DEC2024, at which time all deductibles and fees due from me reset all over again.

At no time were any of these delays out of a concern for my health, wellbeing, or safety. Aetna had one goal at purpose... delay, deny, depose for the purpose of saving Aetna money and costing me thousands $,$$$. I'll not even go into all of the details about denial of service for procedures already performed... like authorizing cervical fusion surgery and paying for the fusion plates, but denying payment for the screws used to fasten the plates in place...

[lasersheith]

So 7 full months after my surgery, my insurance sent me a letter that says they covered my surgery but not the 1 (one) night stay in the neuro ICU I needed right after because they deemed it "not medically necessary."

I started bleeding from the access site in my femoral artery at 3am and only survived because I was in the neuro ICU and had nurses checking on me every hour for exactly that reason. I fucking hate what we've done to healthcare in the US.

Also please don't give me advice about how to handle this, I know what I need to do, I'm just venting.

[twinkothydrake]

Genuinely hope I get fired from this job. I could quit but I want severance pay.

[witchy-fibro-hippie]

What is up with health insurance companies denying approval on things requested by my doctors on a regular basis?

I thought I was paying them to insure my health not deter it. Seems like they care more about saving themselves money than my well-being and it doesn’t make any sense.

I’m constantly battling with them for simple tests/treatments/evaluations and they usually win with a nice DENIAL of coverage.

If I could afford to switch I would in a second… extremely frustrating being stuck with a company that could care less about me.

Why become a health insurance company if you’re bottom line isn’t insuring health?

[themoldysausage]

Reblog to save a life