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  3. My wife is on the phone with #UnitedHealthcare because a surgery she had scheduled for Tuesday next week was denied by the insurance company.

My wife is on the phone with #UnitedHealthcare because a surgery she had scheduled for Tuesday next week was denied by the insurance company.

Scheduled Pinned Locked Moved General Medicine
unitedhealthcarushealthcareprivateinsurancmedicalcaremedicine
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  • Brad RosenheimB Brad Rosenheim

    My wife is on the phone with #UnitedHealthcare because a surgery she had scheduled for Tuesday next week was denied by the insurance company. The woman who is speaking to her has informed her that there is a nursing support call that is free of charge if my wife needs to discuss the emotions of getting this claim denied and to plan future care. It is such bollocks. USians generally hate our healthcare plans and these companies. Imagine facing surgery and being told that they won't pay for it, but they will pay for a nurse to call you and console you about their decision. Absolutely horrific.

    Oh, and I pay over $3,000 per year for this level of health insurance for my family.

    #USHealthcare
    #PrivateInsurance
    #MedicalCare
    #medicine
    #surgery
    #healthcare
    #insurance

    Jeri DanskyJ This user is from outside of this forum
    Jeri DanskyJ This user is from outside of this forum
    Jeri Dansky
    wrote last edited by
    #26

    @Brad_Rosenheim This is atrocious. I'm so sorry for what you and your wife are going through.

    1 Reply Last reply
    0
    • Brad RosenheimB Brad Rosenheim

      My wife is on the phone with #UnitedHealthcare because a surgery she had scheduled for Tuesday next week was denied by the insurance company. The woman who is speaking to her has informed her that there is a nursing support call that is free of charge if my wife needs to discuss the emotions of getting this claim denied and to plan future care. It is such bollocks. USians generally hate our healthcare plans and these companies. Imagine facing surgery and being told that they won't pay for it, but they will pay for a nurse to call you and console you about their decision. Absolutely horrific.

      Oh, and I pay over $3,000 per year for this level of health insurance for my family.

      #USHealthcare
      #PrivateInsurance
      #MedicalCare
      #medicine
      #surgery
      #healthcare
      #insurance

      Norcal Gma 2N This user is from outside of this forum
      Norcal Gma 2N This user is from outside of this forum
      Norcal Gma 2
      wrote last edited by
      #27

      @Brad_Rosenheim
      I am so sorry.
      I am fighting for surgery for my husband too.

      Brad RosenheimB 1 Reply Last reply
      0
      • Norcal Gma 2N Norcal Gma 2

        @Brad_Rosenheim
        I am so sorry.
        I am fighting for surgery for my husband too.

        Brad RosenheimB This user is from outside of this forum
        Brad RosenheimB This user is from outside of this forum
        Brad Rosenheim
        wrote last edited by
        #28

        @NorcalGma2 Sorry to hear that. I had read your post about Summer reacting to your husband's voice when he called home, but did not realize that the hold up was insurance. We are hoping they cover it for him! For my wife, it seems like a long battle with insurance ahead. They had a conference with her doctor on Friday afternoon and they have decided to still deny it. The doctor has never seen this and has done hundreds of these surgeries.

        Norcal Gma 2N 1 Reply Last reply
        0
        • Brad RosenheimB Brad Rosenheim

          @NorcalGma2 Sorry to hear that. I had read your post about Summer reacting to your husband's voice when he called home, but did not realize that the hold up was insurance. We are hoping they cover it for him! For my wife, it seems like a long battle with insurance ahead. They had a conference with her doctor on Friday afternoon and they have decided to still deny it. The doctor has never seen this and has done hundreds of these surgeries.

          Norcal Gma 2N This user is from outside of this forum
          Norcal Gma 2N This user is from outside of this forum
          Norcal Gma 2
          wrote last edited by
          #29

          @Brad_Rosenheim
          It's not insurance but similar. He is covered by the VA which doesn't cover the surgeon he needs. They would send him to another doctor, who isn't familiar with him, at another hospital. Until we get everyone on the same page we can't get him transferred. We have to get his infection under control here at our local hospital too. I am doing everything I can to advocate for the best surgical options for him.
          This is all beyond stressful and doesn't need to be so difficult.
          I wish you all well in getting a better outcome from your insurance.

          Brad RosenheimB Come On Giant Asteroid!V 2 Replies Last reply
          0
          • Norcal Gma 2N Norcal Gma 2

            @Brad_Rosenheim
            It's not insurance but similar. He is covered by the VA which doesn't cover the surgeon he needs. They would send him to another doctor, who isn't familiar with him, at another hospital. Until we get everyone on the same page we can't get him transferred. We have to get his infection under control here at our local hospital too. I am doing everything I can to advocate for the best surgical options for him.
            This is all beyond stressful and doesn't need to be so difficult.
            I wish you all well in getting a better outcome from your insurance.

            Brad RosenheimB This user is from outside of this forum
            Brad RosenheimB This user is from outside of this forum
            Brad Rosenheim
            wrote last edited by
            #30

            @NorcalGma2 Our fingers are crossed for both of you that the stars align and everything works out. Best of outcomes to him, and to you (and Summer).

            1 Reply Last reply
            0
            • Brad RosenheimB Brad Rosenheim

              My wife is on the phone with #UnitedHealthcare because a surgery she had scheduled for Tuesday next week was denied by the insurance company. The woman who is speaking to her has informed her that there is a nursing support call that is free of charge if my wife needs to discuss the emotions of getting this claim denied and to plan future care. It is such bollocks. USians generally hate our healthcare plans and these companies. Imagine facing surgery and being told that they won't pay for it, but they will pay for a nurse to call you and console you about their decision. Absolutely horrific.

              Oh, and I pay over $3,000 per year for this level of health insurance for my family.

              #USHealthcare
              #PrivateInsurance
              #MedicalCare
              #medicine
              #surgery
              #healthcare
              #insurance

              PrimoP This user is from outside of this forum
              PrimoP This user is from outside of this forum
              Primo
              wrote last edited by
              #31

              @Brad_Rosenheim is the consolation nurse also available for people related to murdered healthcare denial CEOs?

              1 Reply Last reply
              0
              • Brad RosenheimB Brad Rosenheim

                My wife is on the phone with #UnitedHealthcare because a surgery she had scheduled for Tuesday next week was denied by the insurance company. The woman who is speaking to her has informed her that there is a nursing support call that is free of charge if my wife needs to discuss the emotions of getting this claim denied and to plan future care. It is such bollocks. USians generally hate our healthcare plans and these companies. Imagine facing surgery and being told that they won't pay for it, but they will pay for a nurse to call you and console you about their decision. Absolutely horrific.

                Oh, and I pay over $3,000 per year for this level of health insurance for my family.

                #USHealthcare
                #PrivateInsurance
                #MedicalCare
                #medicine
                #surgery
                #healthcare
                #insurance

                diana 🏳️‍⚧️🦋🌱D This user is from outside of this forum
                diana 🏳️‍⚧️🦋🌱D This user is from outside of this forum
                diana 🏳️‍⚧️🦋🌱
                wrote last edited by
                #32

                @Brad_Rosenheim

                I knew a sociopath that worked for UHC. That person would brag in detail about denying claims over the phone and how they dropped the voice a few octaves to fake being their own supervisor.

                The only recourse that I know is to find a patient advocate with experience in the medical care field that will effectively do the legal work to get your coverage approved.

                MissConstrueM 1 Reply Last reply
                0
                • Norcal Gma 2N Norcal Gma 2

                  @Brad_Rosenheim
                  It's not insurance but similar. He is covered by the VA which doesn't cover the surgeon he needs. They would send him to another doctor, who isn't familiar with him, at another hospital. Until we get everyone on the same page we can't get him transferred. We have to get his infection under control here at our local hospital too. I am doing everything I can to advocate for the best surgical options for him.
                  This is all beyond stressful and doesn't need to be so difficult.
                  I wish you all well in getting a better outcome from your insurance.

                  Come On Giant Asteroid!V This user is from outside of this forum
                  Come On Giant Asteroid!V This user is from outside of this forum
                  Come On Giant Asteroid!
                  wrote last edited by
                  #33

                  @NorcalGma2 @Brad_Rosenheim

                  Hang in there. We’re all pulling for you from afar. ❤️

                  1 Reply Last reply
                  0
                  • diana 🏳️‍⚧️🦋🌱D diana 🏳️‍⚧️🦋🌱

                    @Brad_Rosenheim

                    I knew a sociopath that worked for UHC. That person would brag in detail about denying claims over the phone and how they dropped the voice a few octaves to fake being their own supervisor.

                    The only recourse that I know is to find a patient advocate with experience in the medical care field that will effectively do the legal work to get your coverage approved.

                    MissConstrueM This user is from outside of this forum
                    MissConstrueM This user is from outside of this forum
                    MissConstrue
                    wrote last edited by
                    #34

                    @dianea @Brad_Rosenheim

                    Patient Advocate Foundation (PAF): A national nonprofit providing free case management for patients with insurance denials, coverage disputes, or large medical debts, particularly those with chronic conditions.

                    Hospital-Based Advocates: Ask for a patient representative, social worker, or financial counselor at the hospital where you receive care; these services are often free but limited to that facility.

                    For comprehensive, undivided loyalty, search directories like the National Association of Healthcare Advocacy (NAHAC) or the Alliance of Professional Health Advocates. These professionals may charge hourly fees or contingency rates.

                    Check your Medicare Advantage plan or employer’s Employee Assistance Program (EAP) for included care coordination or case management services.

                    1 Reply Last reply
                    0
                    • Brad RosenheimB Brad Rosenheim

                      @IncHulk Exactly. We are paying dearly for a product that is absolute shit.

                      MissConstrueM This user is from outside of this forum
                      MissConstrueM This user is from outside of this forum
                      MissConstrue
                      wrote last edited by
                      #35

                      @Brad_Rosenheim @IncHulk

                      Our premiums are 1500 a month, AND we have a $6,000 per person deductible, with a family max of 12k out of pocket.

                      It’s obscene.

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                      0

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