Obamacare Is Causing Insurers To Delay Surgeries Patients Need

[GURPS]

Obamacare Is Causing Insurers To Delay Surgeries Patients Need


Republicans can begin to fix this problem. Reform can be pro-market without being pro-business. That is, policy improvements can be pro-patient without fueling the insurance oligopoly.

The actual pre-authorization process is cumbersome. After a surgeon and his or her patient decide on a treatment plan, the insurance company must pre-approve the treatment or it won’t pay for it. If the insurance company won’t pay for the procedure, the patient likely won’t have surgery.

The very involvement of an insurance company in the actual health-care decisions of a patient and doctor should cause great pause. The most vital element of our entire health-care apparatus is the patient-physician relationship. To the surgeon, it’s sacrosanct. Insurance companies are trying to disrupt this for financial benefit.

The concept might be mildly tolerated if the pre-authorization process were grounded in patient related data and outcomes. It is largely not. It’s a fiscal instrument.

 

[musiclady]

I have insurance through my husband's job. Obamacare has affected all insurances. Last year I went to a specialist. He determined I need surgery to remove my tonsils, uvula, and adenoids. I received a letter from the insurance company that said (paraphrased), "We have determined that this surgery is necessary. However, we don't think this will improve you're quality of life, so the surgery is denied. You also cannot visit this doctor again for 3 months." I offered to pay the doctors office in cash to do the surgery anyway and they refused. I was told that if we did it as a cash patient and there were complications, the insurance would not pay for any of that either.

Also, in June 2016, the Doctor's office appealed that decision. As of today, it is still in review with the insurance company.

 

[GURPS]

"We have determined that this surgery is necessary. However, we don't think this will improve you're quality of life, so the surgery is denied.

Lovely ....

if anyone has any questions about SINGLE PAYER, just look at the VA as proof of how Gov. run Health Care in this countries Works