My insurance denied my surgery

[Rambunctious]

My doctor just did a peer to peer and still refused . My MRI is brutal looking but they say its ok

You may need a lawyer not a doctor... and if your doctor can't convince the insurance company you need a new doctor....

 

[Rambunctious]

Insurance companies count on people not fighting them... so keep fighting... I can still hear Pelosi and Obama saying they were going to end all the mean private health insurance companies...
Guess it was just another lie....

 

[justoffal]

You may need a lawyer not a doctor... and if your doctor can't convince the insurance company you need a new doctor....

Yeah sounds to me like he's being stonewalled. I never heard of a case of Bone on Bone that wasn't worth the effort of a surgery.

 

[initforme]

Insurance companies are pure scams. You should never be denied. See how much they care about people?

 

[debbiedowner]

HMO treatments

 

[Greenbeard]

Yes. My doctor has recommended several procedures she would like for me to have but either our insurance no longer covers them for anybody--thanks to Obamacare

Unless the procedure you're talking about is an abortion, Obamacare doesn't do anything to limit your coverage.

 

[Seymour Flops]

Welcome to rationed health care!

With the advent of Obamacare, there is no such thing as “private insurance” for the middle class, anymore.

As a poster above noted, the OP’s policy would cover the full range of counseling, hormones, and surgery if the told their doctor that they were assigned the wrong gender at birth.

Those incredibly costly treatments have to be paid for somehow. The solutions the companies came up with (as predicted) is to ration healthcare for other conditions.

Under Obamacare, they have to pay for a woman wanting an addadicktome at the expense of a person with a bad back who wants to be able to pick up their grandchildren.

Priorities, Comrade!

 

[NewsVine_Mariyam]

It's the duty of insurance to cover all relevant claims. ALL claims

Although everyone I know says that the insurance company's main job is to deny coverage FIRST and then make the plan members fight them to get the coverage they signed up.

And I still cannot find anyone to explain to me why contract law does not apply to insurance companies or how they are exempt from them. Any party who enters into a contract (your insurance policy) with the INTENTION of breaching the contract by not adhering to the terms of it, for all intents & purposes invalidates it.