Is Health Insurance A Scam?

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Anyone who says health insurance in this country isnt a scam is getting money from that scam.

scenepunk
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If your doctor tells you that you need this potentially life saving procedure or diagnosis, but your insurance company denies it, then your doctor is not the one in charge of your health.

HellowThar
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My insurance denied my adult tonsillectomy because I hadn’t had strep throat enough times. I had a STAPH infection that wouldn’t go away.

The doctor that denied it was a gynecologist and was basically following the guidelines set by the insurance company.

I was sitting in the exam room listening to my doctor absolutely lose their $hit on the phone with the insurance doctor. After reaming the insurance doctor out for not even being qualified to make that call they got the surgery approved. “You are questioning me?” “You are second guessing my opinion?” “What medical school did you go to?” It got ugly.

After my tonsillectomy I felt better than I had ever felt in my entire life. And I thank that doctor for standing up to the insurance company every time I see them.

Thank goodness I had a doctor that was willing to fight my insurance company. But it shouldn’t have had to happen.

butterbeanqueen
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My mother was the business office manager of a small hospital for most of my life. She argued with insurance companies - a lot. I've heard this stuff so much. This doctor nailed it.

mikegoodwin
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"The objective of the insurance company is not to pay."

Once you recognize this as both a patient and a physician, everything about the medical insurance industry will begin to make sense.

errol
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Kinda crazy how insurance companies, who don't have any degree in medicine, are able to decide what is best for a patient.

DildoSchwaggins
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Agree. My eyes were opened when I worked in medical billing. By the way, not just Health Insurance, a lot of other insurances run the same way. They will do anything not to pay.

i_heart_dollhouses
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Amen! This exact behavior from insurance companies cost. My father-in-law is life and a lot of pain. Good grief, the audacity of insurance companies thinking they know more than the doctor and what the patient needs.🤦🏻‍♀️ I personally started paying cash to get the proper health treatment I need.

cdcdogs
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Every insurance company has an entire floor of employees dedicated to making sure you as a customer don't get your bills paid, and don't get the care you need.

snowleopard
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I’m a neurologist and I am now convinced health insurance is the biggest scam. This is the first time I hear another physician verbalize this on YouTube. It’s the bane of my existence

izabelle
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At the small chain community pharmacy I worked at, they have a person just for billing the insurance. It is a full time job just to serve less than 1000 patients.

It is insane how difficult it is to get insurance to pay.

ghosthin
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Unreal the level of corruption . If he being a doctor orders a test or meds it's not up to the insurance to say what his parents need.

thebigomn
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The best part is he's arguing with someone at the insurance company without a medical degree

infernoarmor
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“But again the objective of the insurance company is not to pay”

And that right there is why it's a scam.

alicat
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I worked in patient financial assistance at an oncology clinic. It’s usually support staff doing the initial work and calling for the prior auth. Doctors come in if a peer to peer review is requested by the insurance company. Which means a doctor of any kind talks with the oncologist about treatment plans for a cancer patient. It’s ridiculous.

beccastyver
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Her last line is really important. Insurance companies literally make their money by denying care.

elainebelzDetroit
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He is correct. It's disgusting. I had an insurance company deny a patient's right to go home and die. After arguing with them for over an hour I hung up. They later called me back and told me after they thought about it they decided that they were going to let that patient go home. Patients rights are being controlled by insurance company personnel who may or may not be having a bad day.

marymccarty
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About 30 years ago I realized that I needed to learn to be my own wellness primary care provider. It was very clear that overworked doctors and insurance designed not to pay for services meant stress on top of stress.

Your best choice is to learn how the body works, learn how to communicate with your body and learn how to manage day to day wellness yourself.

madeleinegrayson
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Former medical transcriptionist here. Doctors are also completing their own medical records now too, making them the most expensive clerk in the system. Your medical records are now less accurate than they used to be.

aedsell
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Amen!! I’m a nurse. I miss being “just a nurse”. Now I’m a coder, insurance rep, biller, secretary, hostess, pharmacist, referral specialist, etc….the list continues to grow.

suejohnson