Peeking Behind the Curtain at Medical Insurance Decisions

[rjoneslaw]

I just read this article " Peeking Behind the Curtain at Medical Insurance Decisions" the article made wonder how many other insurance companies have the same policies as the insurance company in the article.

link beloe

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[greaterexp]

Oh, dear! It's frightening. This is a good reminder that we must be our own advocates and not just accept a denial as final.

[jimeka]

rjoneslaw thats a very informative article, you come up with some relevant material. Here in the uk, I applied to the NHS for such a device, I was told by my authority that I didn't fit the criteria. I went to be fitted for one at the hospital but no one was qualified to fit it for me, so the device sits in a cupboard collecting dust. I went private for a gifting to see if it was any good but her in the uk the bioness was £8000. They had a cheaper version the pace that was £3500. The pace really worked but it's like buying a car. Anyway I have been in touch with Turbomed and a man is coming to my house to see if it is suitable for me. For those in the uk, it's £750 made to your own requirements. Service with a smile. Thank you 😊

[Kenu]

😮 I think this is what is happening to my wife with her denial 🤷🏼‍♂️ With my denials on pain pump, what don’t you understand about the pump “ being at end of life “ as quoted by Medtronic the manufacturer and Doctor 🤷🏼‍♂️ The insurance company said that it needs to die first, then replace 🤬🤬🤬Insurance’s 🤬🤬🤬🙏🙏🙏Ken

[Iona60]

I had a friend that worked for Humana in Florida. She said that if something is submitted after 2 denials, the third request must be reviewed by an outside form. Not sure if this is state law, but persistence may avail.