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  1. #1
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    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
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  2. #2
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    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
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    Re: Fighting insurance companies

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



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    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.


    Let Prohm's Posse Ride: Georges, Georgios, 3sus, Hallice, Deonte, Dustin, Abdel, Monte, Matt, and McKaT.

  5. #5
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    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
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  6. #6
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    Re: Fighting insurance companies

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


    Let Prohm's Posse Ride: Georges, Georgios, 3sus, Hallice, Deonte, Dustin, Abdel, Monte, Matt, and McKaT.

  7. #7
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    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
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    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
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    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.



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