Our insurance company just wrote to us that the life saving medication our 9-year-old daughter needs to live is rejected because they decided—CONTRARY TO HER DOCTOR—that it is "Not Medically Necessary."
Her meds costs ~$200K/year. Insurance industry raked in $88 BILLION in profits last year.
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Her meds costs ~$200K/year. Insurance industry raked in $88 BILLION in profits last year.
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Comments
I am disgusted & beyond outraged. Posting full details soon on this injustice & how my wife Ayesha & I are fighting back—because I know other parents are also experiencing this: https://www.qasimrashid.com/subscribe
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Ask for the records showing why they denied!
90% of appeals are granted if properly filed!
Yes I got 90% of my claims paid ! Plus I didn’t quit fighting!
Best wishes and good luck, Qasim
This is torture and abuse.
So sorry 😞
#FreeLuigi
Except now it’s ballooning at an existential rate.
American healthcare is a nightmare for all but the VERY VERY rich (who can afford to throw away millions a year in private healthcare costs.)
I assume you have read your policy contract. Have you followed the appeals process?
It’s always been profits over people.🤬
Separating the two help me to take insurance companies out of the way of getting care.
Imagine going to your local car dealer and they annoyed you so wrote to the manufacturer expecting a new car.
And NO I am not equating a little girl's life to a car.
(you could practically hear the alarm bells inside his head as he caught himself)
“…cess in making these determinations!”
I would probably not be in the US if I had any kind of health issues to deal with. Maybe relocating can safe your child if all else fails?
Wishing you the best and hope you find a solution. 🙏
Insurance companies are emboldened to do many more outrageous immoral denials without consequences now that a monster is back in the WH.
If internal appeal doesn’t work, ask for external review. You can also contact /1
#SinglePayer #MedicareForAll
https://www.globalpharmacyplus.com/
Insurance not = to companies making medicine. Talk to company, compounding pharmacy maybe.
In 🇨🇦, I cannot even fathom having a life-saving medication being denied. 😥😥😥💔
Wishing and praying for the best in your fight…pls keep us all updated.
even though it might feel like justice in the short term.
https://www.techtarget.com/revcyclemanagement/feature/Breaking-down-claim-denial-rates-by-healthcare-payer
Document everything, every call, letter, name & certification of who you spoke with, etc. This seems to work the best for folks in my disability circles.
They are actively working to kill us now; while lining their own pockets.
The greed of these people is beyond belief.
Let’s all roar #enoughisenough and bring these greedy monsters down.
When you appeal, be sure to ask what is the specialty of the doctor who decided it wasn’t medically necessary. The vast majority of the time their specialty is wildly unrelated. Like a dermatologist deciding meds for patient w/brain cancer.
https://www.nationalgroundgame.com/
People should know, no one will know how you feel if you don't take action, petitions speak a language all politicians understand.
https://www.impeachtrumpagain.org/?nvep&hmac&emci=b7ec0ad0-49d7-ef11-88d0-0022482a9d92&emdi=ea000000-0000-0000-0000-000000000001&ceid#action
Tell the DNC how you feel
https://democrats.org/contact-us/
We need to keep a list of who and why
Who is next?
Me? My child?
I am sooooo sorry
I have a nephew who lives in Fiji where they don’t have good hospitals, who is there now being treated for leukaemia.
$US10,000
Maybe reach out to your reply to see if they know of any resources.
Other countries does it differently.
Here no one can pay more than 4735 Danish kroner or 666US$ for medication.
Also we can pick up any prescription medicine in any pharmacy.
Press photo to see the whole schedule.
No insurance company involvement.
She used to laugh about rejecting claims. I think it was her way of exorcising demons bc she was really unhappy with the world
https://www.patientadvocate.org/explore-our-resources/insurance-denials-appeals/where-to-start-if-insurance-has-denied-your-service-and-will-not-pay/
https://www.nccn.org/guidelines/category_1
You can also request the “medically necessary guidelines” from the insurance company. They should be available online but are often difficult to find.
I did that and sent it snail mail.
Within 10 days, I had a response reversing their denial.
I did add, "I could send a copy to news agencies who would salivate to have this, but am hopeful we can work this out."
Good luck. 🙏
I find it terrifying that you are a lawyer and they are playing games like this? How can insurance companies have personhood and do something like this and not go to jail?
Wish you the best
“WTF is wrong with you people!”
I'll write a letter on your behalf -- would be nice if thousands of us would do so.
Happening to many who need medical care support to live
https://www.goodrx.com/conditions/organ-transplant/drugs
And then check out Mark Cuban's online drug store
https://www.costplusdrugs.com
But fight this. Fight it all day every day. Luigi may have been on to something. #JustSaying
I had them for 2 years.
$100/mo
They paid $15 on a $1600 bill
I dropped them the following month.
But I paid them $2400 for 2 years, and this is what I got.
Were it Not for White Supremacy, America Would Have Single-payer Healthcare
https://hartmannreport.com/p/were-it-not-for-white-supremacy-america-d21
All they do is just deny and hope the person dies before they win on appeals.
They don't care.
https://pmc.ncbi.nlm.nih.gov/articles/PMC7987811/
Yes.
I'm a pro at this, sadly.
Everything gets denied.
Many GOPs And Their Rich US Oligarchs Have “Stock In Private Healthcare Companies” —Americans With Gov. Healthcare Reduces Their Profits! This Also Why Trump/GOP “Ended Price Cap On Medications” !!
So disgusting.
Insurance+Pharmaceutical Companies= A Corrupt System
They're responsible to their patients not to these grifting predators! I mean, wtf happened to the Hippocratic Oath?
Collectively, they have such power to end this.
I'm waiting for my cancer meds to end because some rando will reject them. My mood:
It needs to change soon or it will be overthrown in a less than pleasant way. Luigi was just the canary on the coal mine.
Totally fuckin nuts.
The truth is that things are just the way both of these corrupt parties want them.
If enough see that, we can start doing something about this.
Hound them until they pay.
I’ve been in health care 4 decades… it’s a big fkn game to them- they kill people & count their money with sadistic glee.
Fight it hard!
If no why make it for these clerks that help kill?
One, two, three..."
How can we help you?
Ex: United Healthcare's decisions are 98% artificial intelligence decided
Don’t accept no …
Additionally, not everyone was manipulated into voting for Trump or the billionaires ransacking our government, but unfortunately, we’re all paying for it. Maybe they should fix their hearts.
I put you on the list for my next Boost Pack!
IF YOU WANT OUT LET ME KNOW, otherwise, next week,
you'll be in my Pack 18!
Block All Bad Guys, Keep Bluesky Clear!
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Roles were reversed by buying favors & lobbyist corporations R the people🙈🙉🙊
and the people are entities🤬💔☹️🫣🤐🤨🤮😭 = ☠️
president musk called us the "parasite class." that's all we are to the Oligarch Billionaire class;parasites that live in the shit they grow their money in.
Let’s admit it folks-America is broken.
“Unbridled” free market capitalism has destroyed America. In the end, it cannibalizes itself which is where we’ve been the last ~40 years. 3/4 of Americans living check to check now with no relief in sight.
Extractive Neoliberal Capitalism cannot exist without the poverty it creates. It leaves empty husks of humanity in its wake.
I’m certain that it all must totally destruct before we can rebuild for everyone.
The greatest transfer of wealth (worldwide) has occurred in the last ~30 years, and we’re at the FIND OUT stage. #WeAreLUIGION
In most countries healthcare is a right, not a privilege. It is (partially) paid for by taxes and the government negotiates prices for medicines and procedures
Do it before Musk Felon dismantle that office too.
https://whyy.org/articles/luigi-mangione-state-federal-charges-pennsylvania-new-york/
US Health ins is for profit and dedicated to stock price ! They collect premiums then do their best to not pay !
I hope this gets resolved for your daughter and quickly !
That should just the med cost then add the home nursing to infuse.
Where does your State AG stand
Ours sued Blue Shield and won
They are complicit in this disaster!
I won’t get caught.
Our healthcare system really needs a complete overhaul.
That a businesses can overrule a doctors treatment plan for their patient is repulsive
I hope your daughter is ok-she’s another victim of the radical right doing everything they can to enrich themselves while ignoring the suffering of others