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Old 05-18-2011, 12:54 PM
 
48,502 posts, read 96,838,702 times
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Because with mandated coverage it often means less coverage of needs for the pool. Insurance is always about cost verus coveage. When a pool cannot actually have coverage management to get what the pool decides but has to cover mandated coverage they may not get the most for the cost.Then often such large pools require dedcution to cover the large sifeerence it pools wants with the same cost.Tke for example the mediacre trustees reportthat in 2012 unless chnaged that medicare will pay 30% of the average that private inurance pays for the same coded illness. What does that signify to you on treatment options?I certainly don't think they are goig to get the latest procedure at the top facilties;do you?
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Old 05-18-2011, 12:55 PM
 
Location: Long Island
32,816 posts, read 19,478,139 times
Reputation: 9618
Quote:
Originally Posted by JazzyTallGuy View Post
Not true!

If you have a serious illness and the insurance company denies coverage IT IS TOTALLY UP TO THE THE HEALTCARE PROVIDER IF YOU CAN GET TREATMENT.

FOR EXPENSIVE TREATMENTS, PROCEDURE AND THERAPIES THAT OFTEN MEANS NO PAYMENT NO CARE!
duh

and that is the way it should be

you RECIEVE a SERVICE..you pay for the SERVICE RENDERED


why do liberals not understand personal responsibility
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Old 05-18-2011, 01:00 PM
 
Location: Unperson Everyman Land
38,643 posts, read 26,371,773 times
Reputation: 12648
Quote:
Originally Posted by JazzyTallGuy View Post
Because the insurance companies didn't tell them to!

Every state regulates health insurance. If you believe you have been wrongly denied the benefits you paid for, you can take your case to the state regulator. If you would like to sue your insurer in civil court, you may do that as well. If government refuses to cover your treatment, you're just screwed. Their word is final. That is why it's a death panel.
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Old 05-18-2011, 01:10 PM
 
Location: Phoenix, AZ
7,184 posts, read 4,765,371 times
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Quote:
Originally Posted by momonkey View Post
Every state regulates health insurance. If you believe you have been wrongly denied the benefits you paid for, you can take your case to the state regulator. If you would like to sue your insurer in civil court, you may do that as well. If government refuses to cover your treatment, you're just screwed. Their word is final. That is why it's a death panel.

True, provided you are still alive.
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Old 05-18-2011, 01:37 PM
 
Location: Old Town Alexandria
14,492 posts, read 26,591,034 times
Reputation: 8971
LOS ANGELES - The family of a 17-year-old leukemia patient said yesterday it would sue Cigna Corp. over her death, asserting the health insurance company's initial refusal to pay for a liver transplant contributed to her death.

more stories like this
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Report: Boy who refused transfusion dies
"They took my daughter away from me," said Nataline Sarkisyan's father, Krikor, with tears in his eyes at a news conference at his lawyer's office.

The Philadelphia-based insurer had initially refused to pay for the procedure, saying it was experimental. The company reversed the decision Thursday as about 150 nurses and community members rallied outside of its office in Glendale in suburban Los Angeles. Nataline died just hours later.

The insurer "maliciously killed" Nataline because it did not want to bear the expense of her transplant and aftercare, said family lawyer Mark Geragos. He did not say when or in what court he would file the civil lawsuit.



Quit with the talking points on "personal responsibility". The courts are backlogged with civil cases like the above. Sad for the family. The insurnace company NOT the provider is casusing denial of claims. Doctors dont sit there with a damn calculator. lol.
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Old 05-18-2011, 01:43 PM
 
10,854 posts, read 9,299,972 times
Reputation: 3122
Quote:
Originally Posted by workingclasshero View Post
duh

and that is the way it should be

you RECIEVE a SERVICE..you pay for the SERVICE RENDERED


why do liberals not understand personal responsibility
Why do Conservatives believe it's perfectly acceptable for health insurance companies to delay or deny medicare that ending up resulting a person DYING all in the name of PROFIT?

There is no way that a private health insurance health care system can EVER have the patients best interest at heart because for them PROFITS will always mean more than the best interest of the patient.
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Old 05-18-2011, 01:45 PM
 
Location: Long Island
32,816 posts, read 19,478,139 times
Reputation: 9618
Quote:
Originally Posted by dreamofmonterey View Post
[font=Arial]LOS ANGELES - The family of a 17-year-old leukemia patient said yesterday it would sue Cigna Corp. over her death, asserting the health insurance company's initial refusal to pay for a liver transplant contributed to her death.

more stories like this
China shuts down leukemia drug maker
MGI Pharma hits new high on Eisai buyout
Seattle Genetics starts cancer trial
Cancer death rates tumble for children
Report: Boy who refused transfusion dies
"They took my daughter away from me," said Nataline Sarkisyan's father, Krikor, with tears in his eyes at a news conference at his lawyer's office.

The Philadelphia-based insurer had initially refused to pay for the procedure, saying it was experimental. The company reversed the decision Thursday as about 150 nurses and community members rallied outside of its office in Glendale in suburban Los Angeles. Nataline died just hours later.

The insurer "maliciously killed" Nataline because it did not want to bear the expense of her transplant and aftercare, said family lawyer Mark Geragos. He did not say when or in what court he would file the civil lawsuit.

Quit with the talking points on "personal responsibility". The courts are backlogged with civil cases like the above. Sad for the family. The insurnace company NOT the provider is casusing denial of claims. Doctors dont sit there with a damn calculator. lol.
yes the insurance is denying the CLAIMS..or the PAYMENT

but they are NOT denying the service

FACTS are its "your body", your health, your BILL..pay the damn bill and quit being a leach on society

why do liberals think everyone else BUT THEM should pay for THEIR service, their BILL

Last edited by workingclasshero; 05-18-2011 at 01:56 PM..
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Old 05-18-2011, 01:49 PM
 
Location: Long Island
32,816 posts, read 19,478,139 times
Reputation: 9618
Quote:
Originally Posted by JazzyTallGuy View Post
Why do Conservatives believe it's perfectly acceptable for health insurance companies to delay or deny medicare that ending up resulting a person DYING all in the name of PROFIT?

There is no way that a private health insurance health care system can EVER have the patients best interest at heart because for them PROFITS will always mean more than the best interest of the patient.
There is no way that a private health insurance health care system can EVER have the patients best interest at heart because for them PROFITS will always mean more than the best interest of the patient...and that is EXACTLY the same as the government..because while its not 'profit' it is still COSTS
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Old 05-18-2011, 01:55 PM
 
35,309 posts, read 52,292,554 times
Reputation: 30999
Quote:
Originally Posted by workingclasshero View Post

but at least with private insurance I can try to fight them, or change carriers...you cant fight city hall though (ie the government)
With a government universal healthcare plan your covered,end of story
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Old 05-18-2011, 01:56 PM
 
3,566 posts, read 3,732,646 times
Reputation: 1364
Quote:
Originally Posted by Majin View Post
topic
First of all an insurance company can't deny treatment. They can refuse to pay for a certain treatment. But that's altogether a different matter.

Obama's death panels, on the other hand, will deny treatment. They will prescribe a one-size-fits-all course of treatment which medical providers will have to adopt if they want to be paid. As in England they will measure your life expectancy against the cost of a prescribed treatment and if they find that the cost outweighs the benefit too bad for you.
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