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When health insurance companies deny claims?

It is standard practice to stall certain claims in order to bide time. Hoping that people will either die or get tired of fighting the appeals.

Isn't this the true meaning of "Death Panels?"

Update:

gnosisquest....you were blessed with WAY too much common sense! email me.

12 Answers

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  • 1 decade ago
    Favorite Answer

    So you feel better if it was the government making the decision?

    http://abcnews.go.com/Health/Story?id=5517492&page...

    Death Drugs Cause Uproar in Oregon

    The news from Barbara Wagner's doctor was bad, but the rejection letter from her insurance company was crushing.

    Barbara Wagner

    (Paul Carter/Register-Guard)The 64-year-old Oregon woman, whose lung cancer had been in remission, learned the disease had returned and would likely kill her. Her last hope was a $4,000-a-month drug that her doctor prescribed for her, but the insurance company refused to pay.

    What the Oregon Health Plan did agree to cover, however, were drugs for a physician-assisted death. Those drugs would cost about $50.

    "It was horrible," Wagner told ABCNews.com. "I got a letter in the mail that basically said if you want to take the pills, we will help you get that from the doctor and we will stand there and watch you die. But we won't give you the medication to live."

  • Anonymous
    5 years ago

    you will desire to call your coverage employer and locate out precisely why the declare wasn't paid. What did your clarification of reward (EOB) from the insurer say? in the event that they actually rejected the declare, then they could have notified you right now. (i stumble on it atypical that to procure a bill from the dentist formerly you won the reason of reward out of your insurer...in line with threat they did no longer even acquire the declare.) it would desire to o.k. be a coding subject - medical claims are billed utilising CPT codes, and not all dentists places of work use CPT codes to bill. if it quite is so, then it is going to be a fixable problem. somebody only has to manually artwork with the claims to get them contained in the path of the gadget. Or, if there is yet another specific reason it is not being paid, which could teach you ways to be sure what to do from there additionally.

  • 1 decade ago

    Actually, if you are denied coverage by your insurance (or if they drag their feet), you can contact the insurance commissioner in your state who will advocate for you at no cost.

    You can also speak with the hospital or doctor to ask about the non-profits that work with them to pay off your bills if you're unable to cover the cost.

    So...nope. Not really. There are a lot of programs and services to help people but over 30% of people eligible never apply for help.

    We DO need reform. Allowing people to purchase insurance across state lines and getting rid of frivolous lawsuits would be a step in the right direction.

    Of course, it would be best if doctors and patients can make decisions together. The problem began with government inspired HMO's and as Einstein said "You cannot solve a problem by doing more of what caused it."

  • -RKO-
    Lv 7
    1 decade ago

    As long as there's a profit motive, insurance companies, doctors, lawyers, clinics, nursing homes and hospitals will always care more about profits than they will ever care about patients.

    If 'big insurance' is allowed to participate in a national health care program, you'll see two things happen:

    1. Premiums will go up

    2. More claims will be denied.

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  • 1 decade ago

    Blame the Individual States.

    States are the ones who make the rules insurance companies must operate under.

    There are no federal regulations covering this.

    The Democratic party has fought to keep State regulations in place.

  • Tootoy
    Lv 7
    1 decade ago

    That's the main reason we need the "public option" in Obama's health care proposal.and put a stop to all these nonsense from the insurance companies. Understand? And no, it's not at all related to death panels that the Alaskan airhead had been babbling about.

  • 1 decade ago

    Yes; and the fact there are people that would rather have the current system where insurance companies determine our fate than Doctors is proof positive that intelligence is absent among a greater number of people than anyone could have thought possible.

  • 1 decade ago

    My 57 year old mother in law died while she waited on a list to have a cancerous tumor removed from her colon. She lived in Belgium and was on the national health care.

    National health care...WHERE'S THE CARE!?!?

  • 1 decade ago

    That would be a great explanation of it. But things always get twisted when dealing with people scared of change, even if it would be good for them.

  • Daisy
    Lv 6
    1 decade ago

    yes

    Source(s): the Raimaker
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