Results 1 to 9 of 9
  1. #1
    Legend
    Points: 174,241, Level: 100
    Level completed: 0%, Points required for next Level: 0
    Overall activity: 3.0%
    Achievements:
    SocialVeteran50000 Experience Points
    alaskaguy's Avatar
    Join Date
    Apr 2006
    Posts
    10,204
    Points
    174,241
    Level
    100
    Thumbs Up
    Received: 6
    Given: 1

    Fighting insurance companies

    Anybody unhappy with their health insurance?

    I had surgery and the insurance company is refusing to pay for the assistant surgeon.

    The costs that were allowed were from a non-network provider so they are only paying 65% of the allowed costs.


    "If the facts don't fit the theory, change the facts." Albert Einstein
    "If your worried about falling off the bike, you'd never get on" Lance Armstrong
    "Dress cute wherever you go, life is too short to blend in." Paris Hilton
    "Money is one of the greatest instruments of freedom ever invented by man." F.A. Hayek

  2. #2
    Pro
    Points: 32,778, Level: 55
    Level completed: 76%, Points required for next Level: 272
    Overall activity: 0%
    Achievements:
    SocialVeteran25000 Experience Points
    4VR4CY's Avatar
    Join Date
    Aug 2007
    Location
    Ankeny, IA
    Posts
    3,468
    Points
    32,778
    Level
    55
    Thumbs Up
    Received: 0
    Given: 0

    Re: Fighting insurance companies

    My insurance would only charge me $25 total over 9 months of pregnancy including the birth.... They wouldn't pay $800 for the birth control option I wanted. I sucked it up and paid the $750 discounted price (b/c my insurance didn't pay), but was ******.

    Babies = 10k - over 100k depending on if there are complications.
    Guaranteed no baby for 5 years = $800

    And they wonder why we think they are ***backwards!


    Last edited by C.John; 02-21-2009 at 03:11 PM.
    Just in case you didn't know... I'm a girl.

  3. #3
    All-Star
    Points: 22,637, Level: 46
    Level completed: 9%, Points required for next Level: 913
    Overall activity: 0%
    Achievements:
    Veteran10000 Experience Points
    Cybone's Avatar
    Join Date
    Apr 2006
    Location
    Denver, Colorado
    Posts
    1,055
    Points
    22,637
    Level
    46
    Thumbs Up
    Received: 2
    Given: 0

    Re: Fighting insurance companies

    I watched parts of Sicko this morning....it left me feeling ill on several levels



  4. #4
    Speechless
    Points: 391,210, Level: 100
    Level completed: 0%, Points required for next Level: 0
    Overall activity: 95.0%
    Achievements:
    SocialOverdriveVeteran50000 Experience Points
    Wesley's Avatar
    Join Date
    Apr 2006
    Location
    Omaha
    Posts
    57,079
    Points
    391,210
    Level
    100
    Thumbs Up
    Received: 310
    Given: 257

    Re: Fighting insurance companies

    Non network providers is a big deal since doctors have to sign an agreement not to charge beyond a certain amount. So I need to seek approval prior to any work for non network people. I do not understand why the assistant does not get paid.


    CFH HMagic bball season next year.
    Let my Fred's Four Horsemen ride: Georges, Hogue, Nader, and McKay.

  5. #5
    Legend
    Points: 174,241, Level: 100
    Level completed: 0%, Points required for next Level: 0
    Overall activity: 3.0%
    Achievements:
    SocialVeteran50000 Experience Points
    alaskaguy's Avatar
    Join Date
    Apr 2006
    Posts
    10,204
    Points
    174,241
    Level
    100
    Thumbs Up
    Received: 6
    Given: 1

    Re: Fighting insurance companies

    Quote Originally Posted by Wesley View Post
    Non network providers is a big deal since doctors have to sign an agreement not to charge beyond a certain amount.
    But in my particular case there were no network providers with the speciality I needed (orthopedic surgeons) within a 100 mile radius and the surgery.


    "If the facts don't fit the theory, change the facts." Albert Einstein
    "If your worried about falling off the bike, you'd never get on" Lance Armstrong
    "Dress cute wherever you go, life is too short to blend in." Paris Hilton
    "Money is one of the greatest instruments of freedom ever invented by man." F.A. Hayek

  6. #6
    Speechless
    Points: 391,210, Level: 100
    Level completed: 0%, Points required for next Level: 0
    Overall activity: 95.0%
    Achievements:
    SocialOverdriveVeteran50000 Experience Points
    Wesley's Avatar
    Join Date
    Apr 2006
    Location
    Omaha
    Posts
    57,079
    Points
    391,210
    Level
    100
    Thumbs Up
    Received: 310
    Given: 257

    Re: Fighting insurance companies

    You did receive pre approval for non network provide when you filed? Do you need to change your insurance company?


    CFH HMagic bball season next year.
    Let my Fred's Four Horsemen ride: Georges, Hogue, Nader, and McKay.

  7. #7
    Addict
    Points: 65,805, Level: 79
    Level completed: 60%, Points required for next Level: 645
    Overall activity: 20.0%
    Achievements:
    Veteran50000 Experience Points
    erikbj's Avatar
    Join Date
    Aug 2006
    Location
    hiawatha, ia
    Posts
    5,116
    Points
    65,805
    Level
    79
    Thumbs Up
    Received: 142
    Given: 37

    Re: Fighting insurance companies

    won't matter in a couple weeks because there will be no insurance companies left. Principal, Aegon, and Hartford all about to go under in the next week or two. AIG is haning on by government assistance.



  8. #8
    Legend
    Points: 174,241, Level: 100
    Level completed: 0%, Points required for next Level: 0
    Overall activity: 3.0%
    Achievements:
    SocialVeteran50000 Experience Points
    alaskaguy's Avatar
    Join Date
    Apr 2006
    Posts
    10,204
    Points
    174,241
    Level
    100
    Thumbs Up
    Received: 6
    Given: 1

    Re: Fighting insurance companies

    Quote Originally Posted by Wesley View Post
    You did receive pre approval for non network provide when you filed? Do you need to change your insurance company?
    I did not receive pre-approval for the non network provider since the surgery was considered an emergency.


    "If the facts don't fit the theory, change the facts." Albert Einstein
    "If your worried about falling off the bike, you'd never get on" Lance Armstrong
    "Dress cute wherever you go, life is too short to blend in." Paris Hilton
    "Money is one of the greatest instruments of freedom ever invented by man." F.A. Hayek

  9. #9
    Speechless
    Points: 117,821, Level: 100
    Level completed: 0%, Points required for next Level: 0
    Overall activity: 1.0%
    Achievements:
    Veteran50000 Experience Points
    ISUAlum2002's Avatar
    Join Date
    Apr 2006
    Location
    Urbandale
    Posts
    15,478
    Points
    117,821
    Level
    100
    Thumbs Up
    Received: 35
    Given: 55

    Re: Fighting insurance companies

    Quote Originally Posted by Cybone View Post
    I watched parts of Sicko this morning....it left me feeling ill on several levels
    Remember that he is a master of propaganda. You have to watch his movies....ERRRR....documentaries...with a jaundiced eye.



Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
  • Football
  • Iowa State vs. North Dakota State
  • August 30, 2014
  • 11:00 AM