Something I noticed about health insurance

reply to post by Aggie Man


Thanks for this post, because it does apply. We have experienced this as well, along with Dr.'s making up a diagnosis to collect more money also, and that, like you say, may be another thread.

Here again, a patient gets a bill for an uneeded proceedure, that the insurance company pays at a discount, leaving the remaining balance to the patient that didn't need it in the first place.

Shameful!

reply to post by Blanca Rose
great thread, I have learned a lot already.

One thing I have encountered is one insurance carrier not wanting to pay anything on a claim because there was another carrier paying on the claim too.
S&F!



[edit on 20-4-2010 by butcherguy]

Originally posted by butcherguy
One thing I have encountered is one insurance carrier not wanting to pay anything on a claim because there was another carrier paying on the claim too.
S&F!

That is due to the policy language. There is a clause in every policy regarding primary and secondary coverages, concurrent coverages, pro-rata payments, etc. We can blame that one on each individual state's department of insurance, as they set the regulations and approve, with much scrutiny, the wording of the policies.

[edit on 20-4-2010 by Aggie Man]