Posts Tagged ‘Ins’

Question by grandma j.: what does a “break in service” mean on a health ins. policy?
i have a health insurance policy & was told there was a break in service. What does that mean?

Best answer:

Answer by The Wife
That you missed a payment… for some period of time (a week, a month whatever) you were not covered.

Add your own answer in the comments!

Question by kiki_chrissy: Attn: healthcare legal experts! Need to know if there’s a law out there re: the following health ins. issue:?
Is there a law that pretty much says, “A health insurance company cannot say they cover a service, but then have exclusions that cannot be met, or such strict criteria that it is impossible for the patient to be covered under the policy.” Or, anything that clarifies that an insurance policy must not contradict itself and should be easily understood by the prescriber? If so, can you direct me to a quote or link of that law? Thanks!!!

Best answer:

Answer by sassy25
No. It is called buyer beware. These are the questions you ask prior to purchasing the policy.
Your only option is to appeal the denial of coverage.

What do you think? Answer below!

Question by rare2findd: Shall we penalize the elderly through ‘curtailing payments to hospitals and ins. cos. under Medicare, and ?
~
drug payments under Medicaid”?

(Excerpt from Yahoo News)

The $ 634 billion down payment on expanding health care coverage would come from a $ 318 billion increase over 10 years in taxes on the wealthy, defined as couples making more than $ 250,000 per year and individuals making more than $ 200,000. The tax increase would occur by reducing the benefit the wealthy get on tax deductions. As one example, taxpayers in the current top tax bracket of 35 percent would see their tax deduction for every $ 1 given to charity drop from 35 cents to 28 cents.

The other half of the money for expanding health care — $ 316 billion — would come from curtailing payments to hospitals and insurance companies under Medicare and drug payments under Medicaid.

0:07 update profiles 0:32 twitter.com 0:38 news ( healthcare reform) 4:50 intros and exits 6:17 oliver brown ( boyfriend ) i will always love you 7:11 private questions private answers 9:09 panic attack
Video Rating: 5 / 5

23 December, 2009 MSNBC
Video Rating: 5 / 5

Question by the total package: Well, it has happened: Health Ins. companies “recommending” treatment plans to cut costs, outcomes be damned?
This is exactly what the story (linked below…) in the ultra-conservative Wall Street Journal on Tuesday, February 9, 2010 is talking about: Insurance companies (in this case, UnitedHealthcare) deciding who gets what (cancer) treatment – not the doctors, and certainly not the patient.

It’s all based on what the insurance company costs are, not the health of the patient.

In the article, the insurance company sends “reports” to doctors and hospitals and “suggests methods” to “trim cancer treatment costs” – and to not necessarily follow the “medical protocol” for the type of cancer to be treated.

http://online.wsj.com/article/SB10001424…

Read it and weep. We’re already there: Insurance companies “suggesting” limited treatment plans. Insurance companies directing medical care. What if it was your mother, father, brother or sister or your husband or wife being required to take a substandard treatment regimen to save the insurance company money?

A.M. Best Places Ratings of Great Midwest Ins. Co. and National Health Insurance Co. Under Review With Negative …
OLDWICK, N.J.–(BUSINESS WIRE)–A.M. Best Co. has placed under review with negative implications the financial strength ratings (FSR) of A (Excellent) and B++ (Good) and issuer credit ratings (ICR) of “a+” and “bbb” of Great Midwest Insurance Company (Great Midwest) (Byron Center, MI) and National Health Insurance Company (National Health) (Grand Prairie, TX), respectively. The rating actions …
Read more on Business Wire

A.M. Best Places Ratings of Great Midwest Ins. Co. and National Health Insurance Co. Under Review With Negative …
A.M. Best Co. has placed under review with negative implications the financial strength ratings of A and B++ and issuer credit ratings of “a+” and “bbb” of Great Midwest Insurance Company and National Health Insurance Company , respectively.
Read more on Business Wire via Yahoo! Finance