Another day, another instance of insurance malfeasance. Patient with moderate to severe pulmonary hypertension was denied continued coverage for CPAP that they have been on for years because they "don't have any pulmonary or cardiac comorbidities."
Like what.
Like what.
Comments
When an insurance company rejects a claim for a missing diagnosis and that diagnosis a has been provided the Insurance company shall be fined:
2) 1,000,000 second offense
3) Third offense $1,000,000 fine and 1 year in prison for the CEO for each count.
Bet it never happens again
Fortunately, they did cover the BiPAP for severe apnea, but supply company charged insurance $650 per month for a year to rent a $1200 machine. Criminal
It's been around for 10 years, and there's no more CPAP machine.
* Sleep test required
* Visual inspection of airway
Unitedhealthcare paid for my husband. High blood pressure is his only condition.
🖕🏼🖕🏼🖕🏼 insurance carrier!
Don’t even get me started. I can go on for hours with silly & stupid examples of battling carriers for med necessity services reimbursement. 😑🤬
Because sounds like it.
https://youtu.be/V7dg8vRDM68?feature=shared
The only names I can think of that are public record are in their SEC proxy declarations, which I think are the Board and the chief officers.
They don’t realize we pay premiums, then have to meet deductible, and then still have a 20-50% co-pay after meeting deductible of (usually)1500-5000 a year
JFC.