How can we make sure that health care reform includes ending insurance companies' abuse of denying claims (millions of claim denials a year)?
My son was just refused reimbursement for $1,300 for physical therapy for a serious knee injury. His physical therapy was recommended by his doctor to prevent the need for surgery. He was told he could be covered for PT only after he had surgery. How stupid and short-sighted is that! But I bet that, if he has to have surgery , insurance will find another reason to deny the claim. Just think about it. Our insurance premiums pay for insurance staff to find excuses to deny our benefits! Multiply this problem by millions a year.
Access to affordable health insurance is a key starting point, but reform needs to include correction of these bogus claim denials and continued oversight. Universal and continuous access to a public option would also help a lot to keep private insurance honest and give people like my son a chance to vote with his feet and walk out on ripoff private insurers.
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