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wifes medical bills?
my wife has like 35 grand in unpaid medical bills our health insurance is from my employer can i be heald responsablefor these bills and have my wages garnished etc
3 Answers
- heyteachLv 61 decade agoFavorite Answer
Probably.
How does she have $35K with the health insurance? In other words, on what basis did they deny her coverage? Did you go through an appeals process? Insurers love to deny legit claims hoping people aren't up to going through appeals.
Read Linda Peeno, MD's confession to basically letting the expensive die when she was able to deny legit claims in the insurance industry:
http://www.thenationalcoalition.org/DrPeenotestimo...
Read this, again, just part of the article, about the unmitigated greed of United Health Care and know they're not alone:
"While growing into a colossus, UnitedHealth has repeatedly failed to perform its basic job of paying medical bills. UnitedHealth, which covers 70 million Americans, has been sanctioned in nine states for paying claims slowly; shortchanging doctors, hospitals, or patients; or poorly handling complaints and appeals.
One Nebraska woman complained to state regulators that UnitedHealth's computers had incorrectly rejected claims related to her son's surgery six times.
At one point, UnitedHealth owed Dr. George Schroedinger, an orthopedic surgeon, $600,000. He and his clinic sued UnitedHealth of the Midwest in 2004.
Deciding for the clinic, U.S. District Judge Stephen Limbaugh of Missouri declared that the company's claims processing systems were "flawed in many ways, denying, reducing, and improperly processing claims on a regular basis. And despite innumerable requests, United was unwilling to remedy the underlying errors in its systems" (Star-Tribune Dec. 12, 2007).
Payment troubles continued after the verdict, and Dr. Schroedinger filed a second lawsuit. "These people can never get it right, which says to me that they just plain lie," he said in an interview.
Failure to pay isn't the only complaint. The insurer also gives incorrect information on which physicians are in its network, creating enormous problems for physicians' staff.
The AMA said that no other insurer has prompted as many complaints as UnitedHealth about abusive and unfair payment practices. AMA officials have met with UnitedHealth executives 16 times since 2000, with little to show for it.
"They have always got a new plan to fix it," said Dr. William G. Plested III, past president of the AMA. But "nothing ever happens."
It seems to us that this case is just the tip of the insurance iceberg. More and more stories are appearing daily in the news media about how insurance company are instructing employees their jobs are to deny claims and/or delay payments.
With such a high percentage of medical premiums and other costs going to the legal profession, to maintain compliance with endless government rules/regulations and being hoarded by the insurance companies and executives — is it any wonder medical costs are increasing so dramatically?
It's time to take a closer look at the medical insurance companies.
UnitedHealth Group is not the first medical insurance company to rob patients, hospitals and clinics to pay obscene salaries to their executives.
It's a modern day robbing patients to pay pimps.
Michael Arnold Glueck, M.D., comments on medical-legal issues and is a visiting fellow in economics and citizenship at the International Trade Education Foundation of the Washington International Trade Council.
Robert J. Cihak, M.D., is a senior fellow and board member of the Discovery Institute and a past president of the Association of American Physicians and Surgeons.
http://www.newsmax.com/medicine_men/medical_insura...
Furthermore:
"the vast majority of health insurance policies are through for-profit stock companies. They are in the process of “shedding lives” as some term it when “undesirable” customers are lost through various means, including raising premiums and co-pays and decreasing benefits (Britt, “Health insurers getting bigger cut of medical dollars,” 15 October 2004, investors.com). That same Investors Business Daily article from 2004 noted the example of Anthem, another insurance company. They said the top five executives (not just the CEO) received an average of an 817 percent increase in compensation between 2000 and 2003. The CEO, for example, had his compensation go from $2.5 million to $25 million during that time period. About $21 million of that was in stock payouts, the article noted.
A 2006 article, “U.S. Health Insurance: More Market Domination, More CEO Compensation”
(hcrenewal.blogspot.com) notes that in 56 percent of 294 metropolitan areas one insurer “controls more than half the business in health maintenance organization and preferred provider networks underwriting." In addition to having the most enrollees, they also are the biggest purchasers of health care and set the price and coverage terms. “’The results is double-digit premium increases from 2001 and 2004—peaking with a 13.9 percent jump in 2003—soaring well above inflation and wages increases.’" Where is all that money going? The article quotes a Wall Street Journal article looking at the compensation of the CEO of UnitedHealth Group. His salary and bonus is $8 million annually. He has benefits such as the use of a private jet. He has stock-option fortunes worth $1.6 billion."
--Save America, Save the World by Cassandra Nathan pp. 127-128
Then there are the predatory lenders moving in:
http://www.businessweek.com/bwdaily/dnflash/conten...
More than half of all bankruptcies in the US are over medical bills AND most of those folks have insurance (see http://www.consumeraffairs.com/news04/2005/bankrup... for just one story on that FACT).
It's not because your health insurance is through your employer that you can be held liable--this is your wife. That's the key. So yes, if they decide to pursue you, you're on the hook in all likelihood.
You really need to check on the denials--the EOBs are supposed to explain why the claim was denied and sometimes it's that that provider didn't code it right; sometimes it's the greed of the insurer; sometimes it's one of those bogus caps that people do NOT know about in their policies--a lot of YA answers come from people claiming if they had cancer they'd only be out of pocket $3K at most. They clearly do NOT understand their policies because none of them out there have any such guarantee.
The deck is stacked in favor of the large insurers, so you've probably got a battle on your hands, but you better fight it.
Good luck.
- Anonymous1 decade ago
I can tell you from personal experience that some insurance companies automatically deny claims the first time around. You need to file again. If denied, appeal. If appeal is denied, get a lawyer.
- 1 decade ago
I didn't read why your Ins. didn't cover the bill, but I can tell you that because you are married that ALL assets and liability our joint...