Democratic Underground Latest Greatest Lobby Journals Search Options Help Login
Google

Our wonderful efficient healthcare

Printer-friendly format Printer-friendly format
Printer-friendly format Email this thread to a friend
Printer-friendly format Bookmark this thread
This topic is archived.
Home » Discuss » General Discussion Donate to DU
 
wilt the stilt Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Dec-28-10 08:36 AM
Original message
Our wonderful efficient healthcare
Yesterday I called my health insurance company to inquire on some claims I paid. I of course had to pay out of pocket because the weren't in network. As usual they were declined. Three were above the "customary charges" except these were cheaper than can ever be charged as it was at a university. They just put that in as a reason. The best was yet to come. They purposely put the other charges into an old policy number and then deleted them out of the system and never informed me.
what is really ridiculous is that I used the same form and ID number for every claim. I filled it out once and then made copies and attached them to each claim. They "just" happened to put the wrong number on the claim and didn't inform me.

This is planned larceny. I spent 2 hours on the phone and was never able to talk to a manager. Just lower level people. This is our "efficient" system at work.
CROOKS
Printer Friendly | Permalink |  | Top
flamin lib Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Dec-28-10 08:54 AM
Response to Original message
1. Reasonable and customary charges
Ever wonder where that number comes from? It comes from a single actuarial company in New York State, a company formed by, paid by and staffed by the largest insurer in New York. The company was successfully sued by the state yet it remains the source for reasonable and customary charge data.
Printer Friendly | Permalink |  | Top
 
RegieRocker Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Dec-28-10 08:55 AM
Response to Original message
2. Yes and once again and I can keep saying it over and over
Edited on Tue Dec-28-10 09:27 AM by RegieRocker
WE are the problem! Those people you spoke to on the phone are selling you and the American people out for a paycheck. This is the root of the problem. Greed and corruption starts at the bottom and works it's way up. Not the other way around. This country is NOT the way it was in the beginning. Free land and everyone for themselves. We must change and change now or we will be and are sitting ducks ready to be shot.
Printer Friendly | Permalink |  | Top
 
Traveling_Home Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Dec-28-10 09:00 AM
Response to Reply #2
4. Medicare has a higher rate of denials than private insurance......

Easy google but if you can't find MANY MANY MANY articles let me know
Printer Friendly | Permalink |  | Top
 
RegieRocker Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Dec-28-10 09:08 AM
Response to Reply #4
5. The OP's health insurance is not medicare? So
why did you bring that up?
Printer Friendly | Permalink |  | Top
 
Sal Minella Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Dec-28-10 09:19 AM
Response to Reply #2
10. "Shooting ducks." That's cute. Meaningless, but cute. n/t
Printer Friendly | Permalink |  | Top
 
RegieRocker Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Dec-28-10 09:22 AM
Response to Reply #10
12. I changed it. Is that better?
Edited on Tue Dec-28-10 10:02 AM by RegieRocker
Does that help you to understand and make it easier for you?
Printer Friendly | Permalink |  | Top
 
Traveling_Home Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Dec-28-10 08:59 AM
Response to Original message
3. ...and it is especially scarey.....

when I did a 1 minute Google review and find that Medicare has an even worse rate of claims denials than "private" insurance.
Printer Friendly | Permalink |  | Top
 
RegieRocker Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Dec-28-10 09:09 AM
Response to Reply #3
7. Op's health insurance is not medicare so why did you
bring this up?
Printer Friendly | Permalink |  | Top
 
wilt the stilt Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Dec-28-10 09:18 AM
Response to Reply #3
9. Traveling Home- you are clueless
I used to buy my own insurance. I was self employed. Talk about a scam. 3 years ago I spent $25,000 out of pocket and I had the most popular plan by the blues. They just don't pay for anything. Buy you own insurance and get back to me.
Printer Friendly | Permalink |  | Top
 
RegieRocker Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Dec-28-10 09:21 AM
Response to Reply #9
11. They have some other agenda trust me.
Printer Friendly | Permalink |  | Top
 
NNN0LHI Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Dec-28-10 09:09 AM
Response to Original message
6. You are talking about dental insurance aren't you?
Printer Friendly | Permalink |  | Top
 
RegieRocker Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Dec-28-10 09:10 AM
Response to Original message
8. It amazes me how people can't stay on topic because
they have other agendas.
Printer Friendly | Permalink |  | Top
 
OneTenthofOnePercent Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Dec-28-10 09:45 AM
Response to Reply #8
13. ...the real problem is anti-2A politicians trying to force gun owners to play the insurance game too
:sarcasm:
Printer Friendly | Permalink |  | Top
 
Sal Minella Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Dec-28-10 10:12 AM
Response to Reply #13
14. . . . while trying to force women gun-owners to have abortions. n/t
Printer Friendly | Permalink |  | Top
 
OneTenthofOnePercent Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Dec-28-10 10:14 AM
Response to Reply #14
15. I heard insurance forces us to show REAL birth certificates... That's why Obama can't get coverage.
Printer Friendly | Permalink |  | Top
 
Sal Minella Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Dec-28-10 10:18 AM
Response to Reply #15
16. But I heard Muslins don't believe in birth certificates
is why Obama doesn't have one.

Makes 'em easier to become terrists.
Printer Friendly | Permalink |  | Top
 
RegieRocker Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Dec-28-10 06:18 PM
Response to Reply #8
17. I see there are a few that took the bait...lol
Edited on Tue Dec-28-10 07:07 PM by RegieRocker
Printer Friendly | Permalink |  | Top
 
Ron Green Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Dec-28-10 07:40 PM
Response to Original message
18. Medicare for All!
Printer Friendly | Permalink |  | Top
 
DU AdBot (1000+ posts) Click to send private message to this author Click to view 
this author's profile Click to add 
this author to your buddy list Click to add 
this author to your Ignore list Tue Apr 23rd 2024, 03:38 PM
Response to Original message
Advertisements [?]
 Top

Home » Discuss » General Discussion Donate to DU

Powered by DCForum+ Version 1.1 Copyright 1997-2002 DCScripts.com
Software has been extensively modified by the DU administrators


Important Notices: By participating on this discussion board, visitors agree to abide by the rules outlined on our Rules page. Messages posted on the Democratic Underground Discussion Forums are the opinions of the individuals who post them, and do not necessarily represent the opinions of Democratic Underground, LLC.

Home  |  Discussion Forums  |  Journals |  Store  |  Donate

About DU  |  Contact Us  |  Privacy Policy

Got a message for Democratic Underground? Click here to send us a message.

© 2001 - 2011 Democratic Underground, LLC