The other day my nephew posed a question on facebook "What is the matter with teenager's brains?" He has a teenager. I didn't think it necessary to ask what was the problem. I'm sure any parent of a teen has come across it no matter what took place. I just pointed out that over the last couple of years it has been published by the medical population that the brain is not completely developed until after the teenage years are over. The section left undone is the part that helps with reasoning and common sense. That little fact has answered a billion "Why would you do that?" or "What were you thinking?" inquiries from mystified parents.
Now what does this have to do with the insurance industry you ask? Well we all know that this industry has been screwed up for years and it has only gotten worse but it is really hard to live without it. President Obama has set one of his priorities to revamp the health care industry in this country. It is a very difficult and complex undertaking but it has to be done. Too many citizens have no insurance and avoid care because they can't afford it. We have all heard or experienced the nightmares. This week I have come across one of the solutions to this problem. An easy solution.
President Obama, just have someone go to each and every insurance company and check the age of their employees. They must hire nothing but teenagers because there is no common sense or reasoning being used there, especially in the claims department.
Why would you authorize payment of $1,200.00 for anesthesia for cataract surgery on 12/16 for the right eye with no questions asked, no hesitation and on 2/03 refuse $350.00 only paying $37.50 for the left eye. Same surgeon, same clinic, different anesthesiologist. They claim the second was out of net-work. Like we think to ask is that guy in network as we are laying on a table getting a needle poked in your arm. No common sense used here. Now we have wasted so many hundreds of $$$ paying all of these unnecessary people to investigate and check into and send out incorrect bills and sign stupid contract when all they had to do was use a little common sense. Must be teens working there.
I asked the gal, the fourth person I talked to this a.m, why would you pay $1,200.00 versus $350.00 for the same 2 minute procedure. Of course her reply had something to do with contracts signed etc.,etc again making no common sense, so I asked why sign those contracts when so much money could be saved. Again no common sense answer. We now have been sent to the resolution center and in 10 business days I will get the verdict. Again all it would have taken was a little common sense.
President Obama, fire the teens and get them jobs at McDonalds and Burger King.
The Literal Child
3 years ago
3 comments:
Very good commentary today.
Let me know if you get this
Insurance - bah! What a pain in the rear!
They make perfect sense if you think about it. Their job is to make money. The less they pay out the more they make so it is in their best interest to do whatever they can to attract customers with great looking offers but hide all the loopholes and crap in the fine print when that customer has a claim so they don't have to pay out.
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