Re:"Not Medically Necessary": Helping America's Health Insur...
by nradov on Wednesday May 13, 2026 @09:21PM
(#48129998)
It might seem that way to you but that legal theory hasn't succeeded in court. Feel free to try again, though. I'm not claiming that the current legal situation is a good one but any significant change will require an Act of Congress.
The overall situation is that the insurance company doesn't want to trust your doctor's judgement [0], so they insist on getting a second opinion about the care you might need to receive. That second opinion is still being performed by a licensed doctor who is supposed to be working in your interests - it's a straightforward practice of medicine the same as if you yourself were to go and seek out a second opinion.
[0] or really they want to play good cop / bad cop - remember "your" doctor themselves is essentially also an employee of the insurance company!