Which stands to reason, if the insurance companies were “always denying claims” wouldn’t the director say “something has to be done about all these denied claims”.
@ Otto, do you have a source that proves that Medicare denies more claims then insurance companies?
Back @ Allan
This isnt a popular opinon, but here is a question. Now, keep in mind I am not on the insurance company’s side or Mr. Pearl’s, but there is a question I want to ask. Because Mr. Pearl has lots of claims and obviously his insurer is losing lots of money on him, if the company is still solevent, they had to increase their rates in order to compensate for his expendatures. Now, that being said, all the OTHER clients had to pay more, or risk having the insurer go under, and then ALL of them would be without insurance.
People that see insurance companies in a negitive light should think about “what if the insurance company goes under because there are laws to prevent them from dropping you or not accpeting your policy in the first place”. Answer, if that insurance company goes under because they can not stay solvent, how many other people will lose their insurance? Also something that I thought of. If I read the article right, Ian’s law states that an insurer can’t drop you, even if you have an extreamly high claim rate. So that means any Joe Doe that has the sniffles can run to the doctor and make his insurer pay for it. Yet everyone expect insurance companies to lower their rates but pay more claims at the same time.
All that being said, I hope nothng but the best for Mr. Pearl and am glad for his victory on staying insured. I remember seeing a news report on him, and some of the things that were said about him by some people were horrible and down right cruel.
What surprises me most is people like Allan, who compete in one of the most competitive industries, do not understand that competition brings out excellence.
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Doesn’t the director rely on insurance payments to stay in business?
Which stands to reason, if the insurance companies were “always denying claims” wouldn’t the director say “something has to be done about all these denied claims”.
@ Otto, do you have a source that proves that Medicare denies more claims then insurance companies?
Back @ Allan
This isnt a popular opinon, but here is a question. Now, keep in mind I am not on the insurance company’s side or Mr. Pearl’s, but there is a question I want to ask. Because Mr. Pearl has lots of claims and obviously his insurer is losing lots of money on him, if the company is still solevent, they had to increase their rates in order to compensate for his expendatures. Now, that being said, all the OTHER clients had to pay more, or risk having the insurer go under, and then ALL of them would be without insurance.
People that see insurance companies in a negitive light should think about “what if the insurance company goes under because there are laws to prevent them from dropping you or not accpeting your policy in the first place”. Answer, if that insurance company goes under because they can not stay solvent, how many other people will lose their insurance? Also something that I thought of. If I read the article right, Ian’s law states that an insurer can’t drop you, even if you have an extreamly high claim rate. So that means any Joe Doe that has the sniffles can run to the doctor and make his insurer pay for it. Yet everyone expect insurance companies to lower their rates but pay more claims at the same time.
All that being said, I hope nothng but the best for Mr. Pearl and am glad for his victory on staying insured. I remember seeing a news report on him, and some of the things that were said about him by some people were horrible and down right cruel.
Claim denial % per Healthcare Economist 6/30/2008:
Medicare 6.9% Aetna 6.8% balance of insurers between 2.7% to 4.6%
Do you have a link?
http://healthcare-economist.com/2008/06/30/medicare-more-likely-to-deny-claims-than-commerical-health-insurers/
http://www.libertysarmy.com/2009/10/07/health-care/medicare-claim-denial-rate-nearly-double-that-of-private-insurers/
http://newsbusters.org/blogs/tom-blumer/2009/10/06/deny-guess-who-has-highest-medical-claim-rejection-rate
Thanks Otto
What surprises me most is people like Allan, who compete in one of the most competitive industries, do not understand that competition brings out excellence.
” A wise man’s heart inclines him to the right, while a fool’s heart inclines him to the left”…
A wise man would say – “Buy Travelers Stock”, a fool would say “sic the government on the Travelers”.