I see that you're obviously not one of them, but for all the people who love their "private" insurance delivered by a publicly traded company: is their priority your health or shareholder value?

I think the answer to this problem is an extremely complicated one, but the first step in my opinion would be to not allow your health to be balanced against shareholders' desire for profits.

In your case, the biopsy is reasonable, but in its desire to make money, Humana declines to reimburse your biopsy. They then give everybody involved a bunch of hoops to jump through hoping you'll find it not worth your time and just pay it out of pocket. Shareholders rejoice.

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Posted by BluegrassBelle

RIP Hefty Lefty - 1981-2019

Member since Nov 2010

99477 posts

Posted on 7/14/22 at 11:30 am to Wiener

quote:
I see that you're obviously not one of them, but for all the people who love their "private" insurance delivered by a publicly traded company: is their priority your health or shareholder value?

I think the answer to this problem is an extremely complicated one, but the first step in my opinion would be to not allow your health to be balanced against shareholders' desire for profits.

In your case, the biopsy is reasonable, but in its desire to make money, Humana declines to reimburse your biopsy. They then give everybody involved a bunch of hoops to jump through hoping you'll find it not worth your time and just pay it out of pocket. Shareholders rejoice.

Agreed.

And I'm currently challenging it for that reason.

I also work as someone who is paid via insurance and know how much of a pain in the arse they can be to try to NOT reimburse providers as well. I'm currently fighting both Anthem and Humana for reimbursement for clients that they deny for absolutely no valid reason at all.

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