SI
SI
discoversearch

We've detected that you're using an ad content blocking browser plug-in or feature. Ads provide a critical source of revenue to the continued operation of Silicon Investor.  We ask that you disable ad blocking while on Silicon Investor in the best interests of our community.  If you are not using an ad blocker but are still receiving this message, make sure your browser's tracking protection is set to the 'standard' level.
Politics : A US National Health Care System? -- Ignore unavailable to you. Want to Upgrade?


To: John Koligman who wrote (3501)12/26/2007 7:44:32 PM
From: Lane3  Read Replies (1) | Respond to of 42652
 
I'm glad y'all had such a good chuckle. But you haven't refuted my point. You suggest that insurance companies routinely try to avoid paying what they are contracted to pay. If that is common to insurance companies across the board, then it's reasonable to assume that the companies will definitely not pay on things they are not contracted to pay, such as experimental treatment. So you can discern that simply by reading the contract, like I said.

FWIW, my insurance has never declined to pay what was expected of them. I'm a pretty heavy user so you'd think I would have had at least one bad experience by now were it so routine.

As for the doctors' staffs, they have my sympathy. It must be terribly difficult to keep track of who pays for what and how to code it. And I'm sure, if the procedure is iffy, it is time consuming to call ahead to get pre-approved. I think the process really stinks. That level of expertise shouldn't be needed by doctors' offices to simply do business. But if you picked up, amid the laughter, a legitimate example of refusal to pay, I'd like to hear it. I do not personally know of any. I know that with my father he fussed about some charges that didn't get paid, but when I researched them in the policy, the insurance company was right. My dad just thought that he shouldn't have to pay, which is not the same thing as them being contracted to pay.