United Health Care denied 32% of claims in 2022...

[MRDAWG]

Not a reason to kill a guy. However, Congress should investigate why other companies deny between 20% and 7%. Real Medicare hasn't denied any of my wife's many , many large claims for years.

 

[Georgia Jim]

Not a reason to kill a guy. However, Congress should investigate why other companies deny between 20% and 7%. Real Medicare hasn't denied any of my wife's many , many large claims for years.

Standard Medicare will not...they just write checks. Medicare Advantage you have the same issues as regular medical insurance. Just try and get skill nursing care under Med.Advantage. It is Managed Care...

 

[washdog]

Standard Medicare will not...they just write checks. Medicare Advantage you have the same issues as regular medical insurance. Just try and get skill nursing care under Med.Advantage. It is Managed Care...

I nave medicare and united supplement and I have been pretty happy had it for 13 years and have had major surgeries

 

[TivoliDawg]

Not a reason to kill a guy. However, Congress should investigate why other companies deny between 20% and 7%. Real Medicare hasn't denied any of my wife's many , many large claims for years.

Regular Medicare doesn’t really deny claims. They pay everything up front and investigate legitimacy years later. In exchange for this up front payment, they pay doctors about 30% less than a private payor. Also because of this structure, about 25%-30% of charges to Medicare are illegitimate.

Whereas private insurance companies pre-certify things up front and then pay.

There are ALREADY LAWS AND RULES in place to enforce how insurance companies operate. Our regulators do not enforce them.

And yes, UHC is more aggressive in their denials than anyone else. They suck

 

[3 Pete]

Claim denials aren’t a problem in prison. He should worry about parole denials.

 

[ugaboz]

wonder why all the denials?
oh I know

 

[Georgia Jim]

I nave medicare and united supplement and I have been pretty happy had it for 13 years and have had major surgeries

Probably the way to go if you can afford it...you maintain more control with regular Medicare and a Supplement.

 

[Georgia Jim]

wonder why all the denials?
oh I know

Why they call it Managed Care....managing the care provided and the costs...

 

[Georgia Jim]

Regular Medicare doesn’t really deny claims. They pay everything up front and investigate legitimacy years later. In exchange for this up front payment, they pay doctors about 30% less than a private payor. Also because of this structure, about 25%-30% of charges to Medicare are illegitimate.

Whereas private insurance companies pre-certify things up front and then pay.

There are ALREADY LAWS AND RULES in place to enforce how insurance companies operate. Our regulators do not enforce them.

And yes, UHC is more aggressive in their denials than anyone else. They suck

The fraud is staggering....they are tracking it better than the did a few years ago. Pres. Puddin Head just pardoned one who bilked the system for millions 🙄

 

[ugaboz]

Why they call it Managed Care....managing the care provided and the costs...

folks without insurance are driving the cost
free health care for all lol

 

[MRDAWG]

I nave medicare and united supplement and I have been pretty happy had it for 13 years and have had major surgeries

United Supplement pays the rest of the bill Medicare doesn't pay. Medicare supplements don't get a chance to deny a claim. Medicare Advantage allows claim denial since it is private insurance.

 

[Georgia Jim]

folks without insurance are driving the cost
free health care for all lol

Yep...cost shifting began many years ago

United Supplement pays the rest of the bill Medicare doesn't pay. Medicare supplements don't get a chance to deny a claim. Medicare Advantage allows claim denial since it is private insurance.

Yep....Medicare with PPO or HMO contract...MANAGED Care....