Showing posts with label denying health insurance claims. Show all posts
Showing posts with label denying health insurance claims. Show all posts

Tuesday, September 7, 2010

NO CHANGE: Big Insurance

18 September 

Aetna granted 19% increase

Aetna gets OK to hike rates on individual health policies in California
The increase will average 19% and will take effect Oct. 1 along with double-digit hikes by Anthem Blue Cross, Blue Shield of California and Health Net that also had been reviewed by the Department of Insurance.

United Health is promoted by AARP and owned in a major part by Big PhRMA Novartis.

California regulators seek up to $10 billion in fines from PacifiCare

The health insurer violated state law nearly 1 million times from 2006 to 2008 after it was bought by UnitedHealth Group, the Department of Insurance says.

by Duke Helfand

California regulators are seeking fines of up to $10 billion from health insurer PacifiCare over allegations that it repeatedly mismanaged medical claims, lost thousands of patient documents, failed to pay doctors what they were owed and ignored calls to fix the problems.

In court filings and other documents, the California Department of Insurance says PacifiCare violated state law nearly 1 million times from 2006 to 2008 after it was purchased by UnitedHealth Group Inc., the nation's largest health insurance company by revenue.

Regulators say the companies broke promises to maintain smooth operations for 130,000 of PacifiCare's customers, resulting in what insurance regulators nationwide believe is the largest fine ever sought against a U.S. health insurer.

Wednesday, April 28, 2010

Another Health Reform Bill Conundrum

As I understand it, hidden deep inside the 2700 or more pages of the recently passed health bill is a small detail I think my readers should know.

As you may know the issue of pre-existing conditions was a major PR focus in the efforts to ram this bill through Congress, and get the citizenry to think they were really getting something.

What's missing is this tiny detail I fell upon in the past day or so about exactly what happens to one of the Big Insurance carriers that will be allowed in the "pool" to sell you something that will continue to give their CEO at least $13 million a year in salary without perks.

And you might end up not getting your claims paid if you happen to have one of these items, obscure and otherwise, deemed "pre-existing" by insurance profiteers.

It just so happens that whomever has been writing this bill, and of late it always seems that industry is writing the legislation, they sure seem to favor industry over Joe or Jane Citizen.

The slap on the hand for denying coverage for "pre-existing" is a paltry $100 a day. To Big Insurance the $100 a day fine doesn't even measure up to pocket change.

In the interim, you or a loved one could die.

Don't you think it might be a good idea to start taking back responsibility for your health?

See also "health care problem is far from solved"