U. S. Healthcare Sucks '
Jun 16, 2009 2:47:37 GMT
Post by traveler63 on Jun 16, 2009 2:47:37 GMT
Ok, this probably should be in the Free Clinic. But it is also a rant.
On my soapbox!!!! Do you U. S. posters, know that there is only one company that most insurance companies use to determine what is a prevailing charge or reasonable and customary. Do you know that the company that they use is owned by United Health Care called Ingenix? That this company has been investigated by the New York Attorney General? That reasonable and customary can change from city to city, so what my insurance company considers reasonable and customary for Tucson say for a sleep study can be more or less expensive down the road in Phoenix?
How can anyone determine how to fix the healthcare system or what will work, if we don't even know exactly what the real costs are before we even begin?
Secondly, what about pre-existing conditions??? When I early retired I was working and opted for COBRA to bridge to an individual policy until 65. At this time it also covered Kirk. Well, he had a heart event in 2007. So, yep, he had pre -existing before COBRA ran out, and I started to research way before the COBRA would expire. I know that this will be yelling but: NO INSURANCE COMPANY IN ARIZONA WOULD EVEN TALK TO US!!. I have a condition called ITP, which is autoimmune and not one doctor can determine why I have a low platelet count. So, we were forced into a HIPAA Act of 1994, which basically says to Insurance Companies, they must give us medical insurance, they can just charge anything they want, raise the rates any time they want, and I can't get out of of it to even go to a lower HIPAA policy from another carrier. No such thing, so I am stuck for another 2 years. In 2008 premiums and copays for us were over $18,000 and the return, i. e. payment from the company after deductible, Why a whopping $1,000. Kirk turned 65 in late 2008, so he is out of th policy. I am one of only 79 in the state that has this policy.
So, sorry, but hopefully you U. S. citizens will pay attention to what is going on so that in the haste to do something this year, we don't have something far worse that we already have.
I don't care if you don't agree with me. my opinion is we need something that will hammer the insurance companies to be more competitive, and if a public system supported by government as one of the options then so be it and it better have some language about pre-existing conditions, cause there are a lot of us out there that do have health problems. Just remember, the insurance company wouldn't even rider my pre-existing out, they wouldn't even talk to me.
Worse is all of the people losing their jobs, can't afford the COBRA and then there are all of the uninsured that someone has to pay for.
Our senators and representatives have the best healthcare coverage our tax dollars can buy I WANT WHAT THEY HAVE!!!!!
Off the Soap Box !!!!
On my soapbox!!!! Do you U. S. posters, know that there is only one company that most insurance companies use to determine what is a prevailing charge or reasonable and customary. Do you know that the company that they use is owned by United Health Care called Ingenix? That this company has been investigated by the New York Attorney General? That reasonable and customary can change from city to city, so what my insurance company considers reasonable and customary for Tucson say for a sleep study can be more or less expensive down the road in Phoenix?
How can anyone determine how to fix the healthcare system or what will work, if we don't even know exactly what the real costs are before we even begin?
Secondly, what about pre-existing conditions??? When I early retired I was working and opted for COBRA to bridge to an individual policy until 65. At this time it also covered Kirk. Well, he had a heart event in 2007. So, yep, he had pre -existing before COBRA ran out, and I started to research way before the COBRA would expire. I know that this will be yelling but: NO INSURANCE COMPANY IN ARIZONA WOULD EVEN TALK TO US!!. I have a condition called ITP, which is autoimmune and not one doctor can determine why I have a low platelet count. So, we were forced into a HIPAA Act of 1994, which basically says to Insurance Companies, they must give us medical insurance, they can just charge anything they want, raise the rates any time they want, and I can't get out of of it to even go to a lower HIPAA policy from another carrier. No such thing, so I am stuck for another 2 years. In 2008 premiums and copays for us were over $18,000 and the return, i. e. payment from the company after deductible, Why a whopping $1,000. Kirk turned 65 in late 2008, so he is out of th policy. I am one of only 79 in the state that has this policy.
So, sorry, but hopefully you U. S. citizens will pay attention to what is going on so that in the haste to do something this year, we don't have something far worse that we already have.
I don't care if you don't agree with me. my opinion is we need something that will hammer the insurance companies to be more competitive, and if a public system supported by government as one of the options then so be it and it better have some language about pre-existing conditions, cause there are a lot of us out there that do have health problems. Just remember, the insurance company wouldn't even rider my pre-existing out, they wouldn't even talk to me.
Worse is all of the people losing their jobs, can't afford the COBRA and then there are all of the uninsured that someone has to pay for.
Our senators and representatives have the best healthcare coverage our tax dollars can buy I WANT WHAT THEY HAVE!!!!!
Off the Soap Box !!!!