Quote:
Originally Posted by rahl
Alot of insurance companies are trying to educate better. They have a rep from the Insurer go to a company and do a group meeting explaining their policies and proper place to go for treatment, this is a step in the right direction. I know it seems easy to say make insurance easier and less complex but it's not that easy, and it's not done intentionally, of course I'm in the industry so I guess I may take for granted how hard it is. It's like the financial market, I don't understand stocks and such at all, I've taken CE courses on it but I just don't get it, Insurance I do. Also I stated this in one of the threads but if your having trouble with the insurance company either go to your HR director or contact your insurance broker yourself. It's in the best interest of the broker to make sure your claim is paid because it's his account and he wants repeat business when it comes time for your companies renewal
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I don't see how you can make the claim that it's not done intentionally. Maybe to your knowledge or in your company it's not but the company I dealt with was doing it intentionally. One of their reps flat out told me so... "the more of these we successfully deny the larger our bonus." How is that not intentional?
As for contacting your HR rep. that didn't work for me. They just referred me back to the insurance company, the same one dicking me around. I tried to find a broker, a VP of sales, a customer service manager... anyone who'd listen to reason. None of that got me out of a seriously uncomfortable ramming feeling sans reach around.
I finally started getting somewhere when I filed a complaint with the State of Oregon Insurance Board (think they might be a "division" now.) Though even that didn't stop me from having to get an attorney. He wrote three letters and filed one motion, they caved. Suddenly they were in fact responsible for the unpaid claims.
I often wonder how many people out there don't have the means to hire an attorney... and what happens to them.
---------- Post added at 12:14 PM ---------- Previous post was at 12:09 PM ----------
Quote:
Originally Posted by powerclown
"Keep your laws off my body" has been a rallying cry of liberals, and the pro-choice movement in particular, for decades. The concept is that medical procedures are so intensely personal that government, regardless of its intent, should not be involved in the decisions.
Yet when it comes to the Democrats' health care plans, liberal supporters of keeping the law off their bodies now are saying, "put your laws all over my body." Government will make medical decisions not only as to the womb, but every other body part; and not just that, government policies as to which procedures and medicines are cost-effective will decide life and death. Imagine what will happen if/when a pro-life, evangelical fundamentalist ever gets into power. Corporations (and their ideologies) will be in charge of your body.
Are we able to think beyond today? Do we really want the government all over our bodies just because we like the current President and Congress? Then be prepared to live with the consequences when you have a President and Congress you don't like.
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I lived with the consequences of having a President and congress I didn't like for a solid eight years.
I don't see how any of this will have the government "all over" anyone's body. I never hear my parents complain about that with medicaid. I know Vet's who get VA care, never hear them make this compliant either.