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Politics : Formerly About Advanced Micro Devices -- Ignore unavailable to you. Want to Upgrade?

To: bentway who wrote (497427)	7/22/2009 7:21:45 PM
From: i-node	Read Replies (1) \| Respond to of 1577031

Yes, it's wonderful how they are making record profits even as their number of covered, paying patients declines! They must be denying care like crazy! Amazingly efficient! Like with all other insurance people get what they agree to purchase. Some UHC policies cover just about everything. Others cover only the bare essentials. But I have appealed improperly adjudicated claims for clients and had them reverse their own decision time and again. You can make something negative out of that, but it comes across to me that if a person presents a reasonable case for the reimbursement, they will make it. In one of the instances, involving weekly claims for a full year, it was simply a matter of showing them that the treatment was the best thing for the patient. Even though they could have easily denied the claims, they chose to pay them. I get frustrated with UHC sometimes because they don't pay as much as other insurances (they pay only slightly above Medicare rates -- about 120% -- on certain policies). But overall, they do take care of business. Certainly better than any government program in existence.