Once again, my prescription was denied by my insurance company

I've had this job for two years, had the same insurance all that time, been getting the same allergy prescription at the same time every month, and yet somehow they've lost my account. Again.

I'm standing there with my nose dripping and no meds so of course, I whip out my credit card and pay out of pocket. $92.00. "Don't worry," they tell me, "you can get it straightened out and resubmit the claim."


How often does this happen to you? I'm starting to think that insurance companies do this randomly and rely on the fact that some people (usually me) will forget to resubmit the claim, thus saving them a few bucks.


Am I paranoid? Do I need my :tinfoilhat:? Am I just crazy thinking those nice insurance companies would do something so terrible on purpose??


Here's an idea: every time your health insurance wrongly denies your claim, they have to pay out triple the amount.

Or better yet, get these fuckers out of the business of making profits off of our misery. :grr:

Maybe 30 days or less.

you are right. I think that many companies "lose" documents in hopes that the claims won't be re-submitted.

Kucinich is the only one that has the right idea about health care--and my doctor agrees with it! She hates the insurance companies even more than I do!

and severed my disability insurance without warning.
It took almost two months of fighting to get it back.

I haven't been the same since.

I spend at least one full day every month doing nothing but dealing with insurance issues. I can't count the number of times something has been denied, and when I call the insurance company on it, they just say, "oops, sorry, that should have been covered, we'll go ahead and pay it". They do it for one reason and one reason only: because they hope you'll just go ahead and pay it and save them some money.

You must be some sort of COMMUNIST!

on Jan1. This year, not only my RX insurance but the medical too. They got it fixed fairly quickly this time, after hourd of waiting on hold and repeating al my info numerous times. It was hell., particularly when it was lifesaving transplant medicine that was being with held. (luckily I started a week early for my refill.

seriously we should be supporting the Conyers Health Care bill which only one candidate supports (and they won't let him in debates).

Baby spent two weeks in Yale's NICU... $87k bill. Only have to pay $8k but that's still $8k more than health care should cost.

i was willing to leave without the drug and take the Rx elsewhere if they didn't fix it and put my claim in properly right then

which they did

They will resubmit it for me as soon as I get it sorted out. I just called my HR dept and told them to handle it. (And yes, they said this has been happening a lot lately)

One of the (only) nice things about working for a semi-large company.

i was just curious to know because of our experience

i hope this is fixed for you soon

Basically, I can't get sick just as when I was younger, I couldn't get into a traffic accident. :shrug:

If they view everything in short-term profit margins, then investments in computerized accounting equipment look really bad in the short-term, but such narrow-minded views neglect long-term viability and efficiency.

Makes it so much easier to lose 10,000 claims at once.

If you were a big-shot, say, a multi-million dollar hedge fund manager on Wall Street with a personal secretary or several and a high-powered attorney on retainer, your claim likely will never be lost. Hell, you'd probably be rubbing shoulders with the same people big HMO execs they run around with. Then again, I'm a cynic in terms of health insurance or auto insurance or any private insurance "racket."

how about single-payer universal coverage that includes prescriptions, vision & dental, psychiatric, and everything else...?

:P

Health care coverage should cover every part and piece of the human body.

they are the ones fucking us over, by losing my coverage.

We're a huge account and apparently this has been happening far too often.

3rd year in a row; first 2 years took over a month to straighten out. I thought I gave up trouble shooting when I retired, this year I was ready.

:dunce:

wants to remove the insurance companies (or their profits) from the health care morass