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Aug 18, 2022
4:07
:28
pm
cougfanz
All-American
Few things I hate more than insurance companies claiming observation status
So the patients get stuck with a huge bill
So many layers of evil and conflicts of interest between insurance companies, hospital corporations, administration, ect
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cougfanz
Previous username
ndfan
Bio page
cougfanz
Joined
May 15, 2011
Last login
May 2, 2024
Total posts
17,998 (1 FO)
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Messages
Author
Time
Without too many details so as not to violate hipaa I want to vent about how insurance companies kill people
Slim
Intervention Needed
8/18/22 3:48pm
🤬
Solomon Levi
8/18/22 3:50pm
Humana, right?
bluecheese
8/18/22 3:51pm
Sounds like Kaiser
BYU Grounds
8/18/22 4:14pm
Not in Utah, but yes.
specsauce
8/18/22 4:23pm
<< Deleted >>
cougfanz
8/18/22 4:38pm
Didn’t understand at first as I was thinking…IHC doesn’t accept Kaiser PPO, but I reread and understand what you’re
specsauce
8/18/22 5:37pm
Are the peer-to-peers often difficult or are they a formality?
Tokolosh
8/18/22 3:52pm
They are very time consuming, and while the insurance doctor is making money
Zoobieman
8/18/22 3:54pm
And they probably took an hour out of their day
cougarbart
8/18/22 3:54pm
About 90% of the time they’re approved for me. But it’s phone trees and
cougfanz
8/18/22 4:05pm
Very difficult, time consuming, peer doctor often a straight up jerk
Slim
8/18/22 4:08pm
They are a time consuming formality.
5150man
8/18/22 4:10pm
Annoying, time consuming, and the doctor doing it is usually an idiot or a jerk
Medute
8/18/22 4:21pm
You can almost guarantee that any doctor working for an insurance company is a yes man/ woman
BIG XII Coug
8/18/22 5:00pm
Or they hated private practice and want an easier job that pays well
D.T. Survivor
8/18/22 5:10pm
Insurance companies can go to Hell.
byuluvr
8/18/22 3:52pm
High probability……
Bluedomination
8/18/22 4:07pm
It’s funny because hospitals are trying to be insurance companies and now
cougfanz
8/18/22 4:09pm
Reminds me of when my nephew was vomiting multiple times a day, passing out, had
vagabonder
8/18/22 3:54pm
Sometimes I have to remind myself, Insurance = Contractual obligation to pay
Zoobieman
8/18/22 4:13pm
Amazing that companies selling a product we're mandated to have who charge us
vagabonder
8/18/22 4:20pm
It is very sad. . . I am seriously considering going into Direct Primary Care.
Zoobieman
8/18/22 4:35pm
So a clown was more helpful than the insurance company. Things need to change
Cougsanity
8/19/22 8:33am
Medical insurance is a cluster
kotacoug
8/18/22 4:06pm
Few things I hate more than insurance companies claiming observation status
cougfanz
8/18/22 4:07pm
Who cares what they say?! Patient is suffering. If there are negative
Six Foot Seven
8/18/22 4:09pm
Or are there additional considerations that I wouldn’t know about or appreciate?
Six Foot Seven
8/18/22 4:11pm
<< Deleted >>
cougfanz
8/18/22 4:11pm
Huh? I’m mad the insurance company wants me to either kill the patient (which I’m not going to do) or the patient will
Slim
8/18/22 4:13pm
Yeah thst sucks. At least we have bankruptcy.
EternalOptimism
8/18/22 4:48pm
The doctors will pretty much always do what’s right for the patient when it’s clear cut.
5150man
8/18/22 4:13pm
1 year ago I found out one of my best friends was experiencing kidney failure, and was maybe going to last a week or 2
jdub
8/18/22 4:13pm
I can’t get meds more than 30 days in advance because of insurance
D.T. Survivor
8/18/22 4:15pm
Not sure if you've seen these or if it's even an available drug, but Mark Cuban
Blue Golfer
8/18/22 5:00pm
Do you know if HSA can be used? I think they allow supplements so I would
D.T. Survivor
8/18/22 5:11pm
I just reviewed the FAQ page. FSA/HSA are accepted forms of payment. 👍🏻
Blue Golfer
8/18/22 5:14pm
I've said time and again to patients and colleagues alike, insurance companies
Blue Golfer
8/18/22 4:16pm
I had sudden deafness in my left ear a few years ago. The doctor said that in
Bambino
8/18/22 4:33pm
The most infuriating and stupid part about your experience is that the insurance
Blue Golfer
8/18/22 4:52pm
I agree. This is asinine. Medical necessity shows that not only should the patient be in the hospital, but basically
specsauce
8/18/22 4:23pm
This is a lesser claim but insurance companies are absolutely responsible for
Cabadapeste
8/18/22 4:25pm
Insurance and government kill innovation
D.T. Survivor
8/18/22 5:13pm
Get government out of medical insurance. Offer insurance on free market
kotacoug
8/18/22 5:31pm
That’s an interesting thought to uncouple it from employers
D.T. Survivor
8/18/22 7:46pm
I had almost the exact same story once in my career. The patient died the 4th night after the bleeding that we couldn't
doctorcoug
8/18/22 7:11pm
Have you done the "peer to peer"? I have several personal health issues where the insurance company denied at first...
Greg Kite's 'stache
8/19/22 7:58am
Simple and a few extra minutes don't describe peer to peer. Plus, imagine telling a doctor that they are an idiot for
doctorcoug
8/19/22 9:43am
Employers give physicians 15 minutes to see each patient. Within that window you
cougfanz
8/19/22 9:59am
Then people say we need socialized medicine without realizing you will have to
kotacoug
8/19/22 10:23am
Oh, I just wouldn't do it 🙂 To me, I'm basically already in that type of work
cougfanz
8/19/22 10:29am
A peer to peer requires significantly more time than 5 minutes and is universally a very painful experience. They are
Slim
8/19/22 12:21pm
All this while insurance company values keep increasing substantially. Dumb.
Bin01015
8/19/22 11:39am
My favorite recent one is a surgery I did on a patient was prior-authorized.
chrisoc13
8/19/22 12:16pm
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