|
Replies: 12
| visibility 1
|
Oculus Spirit [97713]
TigerPulse: 100%
Posts: 64855
Joined: 7/13/02
|
health insurance company can eat a bag of #####
Jun 4, 2022, 4:54 PM
|
|
I guess having a major infection that doesn't respond to antibiotics, then having an outpatient procedure to drain the infection, then developing a high fever, and sepsis, and then being admitted to the hospital, and then having a major surgery to cut out and remove ALL the infected tissue, guess that's not medically necessary. JFC......
They denied the ER visit even. I have discharge instructions after it was drained to GO STRAIGHT TO THE ER if you get fever. Well, 103 fever and here I am. ###?
|
|
|
|
 |
110%er [9785]
TigerPulse: 100%
Posts: 5849
Joined: 8/21/02
|
I’d call Shelly Leeke
Jun 4, 2022, 5:29 PM
|
|
Or one of those others. Sounds like you have a case
|
|
|
|
|
|
Heisman Winner [135867]
TigerPulse: 100%
Posts: 41630
Joined: 8/26/07
|
For profit healthcare-
Jun 4, 2022, 5:54 PM
|
|
No pay no play
Hope you get better soon
Message was edited by: cu85tiger®
|
|
|
|
|
|
Lot o points [163012]
TigerPulse: 100%
Posts: 31933
Joined: 1/17/07
|
Our system is so stupid
Jun 4, 2022, 6:01 PM
|
|
We got to fix this crap. Coverage sucks but premiums are outrageous. Something is bad wrong and it ain't the providers.
|
|
|
|
|
|
Heisman Winner [119695]
TigerPulse: 100%
Posts: 54462
Joined: 6/24/09
|
Sounds like you’ve been hanging with FBcooch…***
Jun 4, 2022, 6:23 PM
|
|
|
|
|
|
|
|
Orange Blooded [4086]
TigerPulse: 100%
Posts: 2475
Joined: 11/30/98
|
Re: health insurance company can eat a bag of #####
Jun 4, 2022, 6:29 PM
|
|
Will the doctors office/hospital handle the appeal for you?
Did they code something wrong?
There is a time limit, like 3 months or 6 months for an appeal.
Make sure the doctors office is meeting the timeline.
|
|
|
|
|
|
Oculus Spirit [97713]
TigerPulse: 100%
Posts: 64855
Joined: 7/13/02
|
I have the ER doctors notes
Jun 4, 2022, 6:37 PM
|
|
Deemed it medically necessary, as what I had could be life threatening and the treatment would require a hospital stay and monitoring. I needed IV antibiotics, and those require constant bloodwork to make sure my kidneys don't fail. Furthermore, after admission a urologist looked at it and said it would have to be cut out asap, so surgery, within 3 hours of urologist seeing it I was in the OR being cut.
I probably had a quart or two of vancomycin, and some other antibiotics as well.
I would have thought this wouldn't even be a question, really.
|
|
|
|
|
|
CU Medallion [58411]
TigerPulse: 100%
Posts: 46322
Joined: 4/23/00
|
That's borderline criminal.***
Jun 4, 2022, 7:51 PM
|
|
|
|
|
|
|
|
All-TigerNet [13360]
TigerPulse: 100%
Posts: 9886
Joined: 1/23/06
|
Everyone knows, Self induced infections aren’t covered!
Jun 4, 2022, 6:30 PM
|
|
You can’t shove random objects in your poop shoot and expect someone else to pay for the issues that ensue.
And yes. Insurance companies are evil.
Message was edited by: elwyn07®
|
|
|
|
|
|
All-In [30827]
TigerPulse: 100%
Posts: 22873
Joined: 11/1/03
|
according to insurance companies, death is an option
Jun 4, 2022, 6:59 PM
|
|
and sometimes that's the cheaper route and you're being selfish for not taking it.
|
|
|
|
|
|
Heisman Winner [135867]
TigerPulse: 100%
Posts: 41630
Joined: 8/26/07
|
Always have your life and health insurance with the same
Jun 4, 2022, 7:03 PM
|
|
company with a huge death benefit
Give them a financial incentive to keep you alive as long as possible
|
|
|
|
|
|
Oculus Spirit [97713]
TigerPulse: 100%
Posts: 64855
Joined: 7/13/02
|
Worker's comp pays you a maximum of about $430,000
Jun 4, 2022, 7:40 PM
|
|
for death benefits. BUT, if you live and end up like Christopher Reeve or something, they can pay 5, 10, even $20 MILLION in medical care. Most expensive I've worked on was a $10 million claim. Would be $200K if the guy just died.
|
|
|
|
|
|
All-TigerNet [12161]
TigerPulse: 100%
Posts: 17894
Joined: 5/16/00
|
have a friend used to work for a major carrier
Jun 6, 2022, 9:58 AM
|
|
was told to deny for any reason, every day they hold onto that reimbursement = more money they make on that money
|
|
|
|
|
|
Replies: 12
| visibility 1
|
|
|
50
