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re: How many of you have truly been screwed over by an insurance company?

Posted on 12/10/24 at 11:24 pm to
Posted by TDsngumbo
Member since Oct 2011
50809 posts
Posted on 12/10/24 at 11:24 pm to
I had to file a lawsuit against United Healthcare and Childrens Hospital once because of shady insurance and billing department handlings. After a year of fighting with them both, they both magically fell in line as soon as the papers were served.

Funny how that works.

I work in insurance and have been in this industry almost exclusively since 2010. I’ve sold every single type of insurance policy you can think of. It’s my livelihood, it pays the bills and gives me the ability to live a pretty decent life. I’m not wealthy but my family and I have no wants that go unfulfilled. That said, I believe the health insurance industry is hands down the shadiest sector of insurance.
Posted by ThatMakesSense
Fort Lauderdale
Member since Aug 2015
15281 posts
Posted on 12/10/24 at 11:27 pm to
quote:

I’ve sold every single type of insurance policy you can think of.


Have you insured a weiner? Legit, a cock?
Posted by TDsngumbo
Member since Oct 2011
50809 posts
Posted on 12/10/24 at 11:29 pm to
I’ve insured a hotdog stand and a chicken farm so yes.
Posted by ThatMakesSense
Fort Lauderdale
Member since Aug 2015
15281 posts
Posted on 12/10/24 at 11:32 pm to
quote:

I’ve insured a hotdog stand


That’s my retirement plan. Mow rough at a golf course/hot dog cart on the beach.

Where I live currently, south Florida…touristy…i feel there are avenues against being a brick and mortar, but what the hell….i could sell hot dogs to the tourist like crack.
Posted by TDsngumbo
Member since Oct 2011
50809 posts
Posted on 12/10/24 at 11:35 pm to
Ladies love a man who knows how to work his wiener.
Posted by dnm3305
Member since Feb 2009
16092 posts
Posted on 12/10/24 at 11:48 pm to
Motorcycle accident, 2020. I totaled my bike but only dislocated my ankle. An ambulance took me to the ER.

They reset my ankle, I refused all medications on ambulance and in ER.

One CT Scan, one X-Ray on my sternum.

I walked out the hospital that evening on crutches, didn’t even stay a single night.

$29,000 with insurance just to the hospital (Oschner, Lafayette) and still had to pay for ambulance ride ($1800). I refiled multiple times assuming a mistake had been made. They adjusted and came back at $25,000 lol. I have been fighting the last few years and have paid it down to 11k. Finally told them to frick off about 6 months ago. They turned me into collections and I told them to frick off as well.
Posted by Bill Parker?
Member since Jan 2013
5410 posts
Posted on 12/11/24 at 12:00 am to
Carried homeowners insurance for 30 years. No claims. Very high deductible.

Lightning strike, hail storm and wind storm over 3 year period. 2 claims, began to process 3rd claim and was told by agent that they'll cancel my policy. Then I'll be searching for a policy with 3 attempted claims in 3 years, and I'd be screwed.

Never add up how much you've paid to insurance companies over an extended period of time for numerous policies vs payout. It'll turn you into a sky screamer.
Posted by TJG210
New Orleans
Member since Aug 2006
29426 posts
Posted on 12/11/24 at 1:37 am to
quote:

I do them because there’s a need and I enjoy them far more than for the pay.


So you’re the assman….
Posted by tigersbb
Member since Oct 2012
12974 posts
Posted on 12/11/24 at 2:29 am to
quote:

The insurance banks on some percentage of cases being not worth the ordering physician’s time, so they can get away with denying the care because they offered appeal if thought to be inappropriate and the resource wasn’t used. That percentage that they don’t have to pay for (or delay payment for) is worth a lot of money to them.


You may have some legit complaints. But some of this might stem from some of your colleagues doing underhanded things or patients saving premium dollars which they regret when the coverage is limited. Its easy to get the chorus of negativity toward insurance companies and it feeds on itself. So when a claim is denied in whole or in part people are conditioned to blast the insurer.
Posted by Hopeful Doc
Member since Sep 2010
15388 posts
Posted on 12/11/24 at 7:05 am to
quote:

So when a claim is denied in whole or in part people are conditioned to blast the insurer.




Fair. Maybe it’s not justified


Posted by gdzgft28
Member since Nov 2015
943 posts
Posted on 12/11/24 at 7:13 am to
If that graph was close to accurate you might have a point.
Posted by Jameson2954
Member since Mar 2022
868 posts
Posted on 12/11/24 at 7:19 am to
$27k out of pocket for a new roof that was obviously damaged. State Farm is compete shite.
Posted by el Gaucho
He/They
Member since Dec 2010
59236 posts
Posted on 12/11/24 at 7:30 am to
I’ve only been screwed over by insurance

It’s messed up that the law forces people who want to be productive to have insurance to participate in society

If you die trespassing on my land you shouldn’t be able to sue me. If you hit my car you shouldn’t be able to sue me. Also I don’t need health insurance I go to the gym but they penalize you for not having it
Posted by artompkins
Orange Beach, Al
Member since May 2010
6372 posts
Posted on 12/11/24 at 7:47 am to
Luckily this worked out in my favor but it easily could have gone the other way. In 2001 I had a fully restored, complete and numbers matching 1969 Dodge Daytona stolen from me. I did not make an insurance claim right away due to a tracker on the car. I got it back in the same condition so no harm, no foul and no claim. This car was insured by a separate company that specialized in classic cars on its own policy. My other insurance company that had my home and everything else fed exed us a check a year later after someone getting a copy of the police report. A month later they sent a notice for me to turn the car in since a claim had been paid. Their position was that since it was owned by me it was covered. I had to get a lawyer and fight them. I never cashed the check, which was for about 1/100th of what it was actually insured for, and it took for ever and us filing suit to fix. In the end someone in the local office admitted to the judge that a company exec wanted the car for himself and had the local office come up with all this BS. They settled with us pretty quick when all this came out.
Posted by BottomlandBrew
Member since Aug 2010
29916 posts
Posted on 12/11/24 at 7:47 am to
My car was parked in a marked parking spot when a drunk driver hit it. Busted up the back and snapped the subframe, rendering the car unable to move. Insurance would only pay for the cosmetic stuff. Said the subframe issue was not the fault of the wreck and had to have been broken before the wreck. Offered me $1200 when the fix was closer to $10k. It took months of time and not an insignificant amount of my money to finally get them to agree to the subframe issue.
Posted by LSUfan4444
Member since Mar 2004
57081 posts
Posted on 12/11/24 at 7:56 am to
How many times is that graph going to be posted and the person posting it thinks they just dropped the mic.
Posted by gdzgft28
Member since Nov 2015
943 posts
Posted on 12/11/24 at 8:05 am to
Those posters are useful idiots. An ignorant and misinformed public is how we got Obamacare foisted upon us.
Posted by N2cars
Member since Feb 2008
39673 posts
Posted on 12/11/24 at 8:08 am to
Which insurance company is this?

If that guy is still employed this is amazing.
Posted by Hopeful Doc
Member since Sep 2010
15388 posts
Posted on 12/11/24 at 8:10 am to
quote:

If that graph was close to accurate you might have a point.



It’s certainly within the realm of error for my office’s finances regarding companies on the list we are in network with. Same for the 2-3 buddies I’ve got into the nitty gritty with.
Posted by gdzgft28
Member since Nov 2015
943 posts
Posted on 12/11/24 at 8:20 am to
quote:

It’s certainly within the realm of error for my office’s finances regarding companies on the list we are in network with. Same for the 2-3 buddies I’ve got into the nitty gritty with.


You’re lying.

The graph is from acute care claims for the ACA policies for two states in a sinlge year.

It’s literally not possible for an insurance company to deny a 1/3 of its claims.

Just curious would you prefer single payer??
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