Re:An ER visit, a $12,000 bill – and a health insurer that w...
by gricardo99 on Monday January 29, 2018 @03:26PM
(#16260360)
That's exactly right.
Their coverage is not based on the insurance policy they sold you. It's based on what they can get away with and make the most profit.
I don't think it's a coincidence that the largest medical bill I had to pay for a hospitalization was likewise initially denied and then caught-up in bureaucratic hell for several months before they finally paid. I honestly thought I was going to have to hire a lawyer to fight them. But somehow, probably based on my push-back, their calculation eventually favored paying-up.
They make things difficult and confusing for people on purpose. They deny perfectly legitimate procedures on purpose.
Their coverage is not based on the insurance policy they sold you. It's based on what they can get away with and make the most profit.
I don't think it's a coincidence that the largest medical bill I had to pay for a hospitalization was likewise initially denied and then caught-up in bureaucratic hell for several months before they finally paid. I honestly thought I was going to have to hire a lawyer to fight them. But somehow, probably based on my push-back, their calculation eventually favored paying-up.
They make things difficult and confusing for people on purpose. They deny perfectly legitimate procedures on purpose.