Reply to Everyone likes to complain about health insurance costs but none of that matters if we don’t have providers!

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Reply to "Everyone likes to complain about health insurance costs but none of that matters if we don’t have providers! "

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]And totally agree that the healthcare system isn’t at up for preventative care, which is maddening for physicians. The insurance companies fight tooth and nail to pay for preventative care care and the. Again for much needed sick care. They are atrocious.[/quote]

All the preventive care stuff is covered. [/quote]

You have no idea.  Doctors spend hours on the phone every week arguing with insurance companies who fight every test and medication.[/quote]

If they are spending hours arguing about basic preventive care services then they aren’t coding things correctly. Either the doc or their coder isn’t very knowledgeable. [/quote]

Look yes sometimes providers make mistakes. But the insurance companies intentionally make the process of getting claims paid out difficult. They lie, put people on hold, delay, all with the obvious intent of trying to get people to give up.

We use a couple of out of network providers for our child who needs weekly therapy so we submit the claims ourselves. I spent hours on the phone with our insurance provider with people insisting, sending me documents, putting me on hold to "check", claiming that we were required to get prior authorization for the services. I had chosen this plan specifically because my coworker whose child has similar needs uses it and had never had any trouble getting claims paid out.

I had to make a big stink with my employer and then finally the insurance company called me to apologize. I wanted to curse at them because they had been lying to me over and over again and they knew it. I was venting about this to my physician friend and she basically said yep, they are just trying to get people to give up. These companies are psychopathic.[/quote]

This isn’t preventive care. [/quote]

Okay, see the thread about the 365 day waiting period some plans have for annual physicals. You know, so each year you have to schedule it a little bit later, sometimes more than a little bit depending on schedules. And good forking luck if your PCP retires and no PCP will take you on until you do a physical with them. Thank goodness my plan didn't have this rule because my PCP announced retirement after my October physical and I have prescriptions for two chronic health conditions that I need and need blood work monitored for.[/quote]

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