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Your baby is too fat - 10/12/2009 9:57:53 AM

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Only the latest in refusals for insurance companies to deny coverage.

quote:

As if there weren't enough problems with health insurance companies: a new report reveals that insurance companies now deny coverage to babies that are above the 95th percentile for height or weight after they are born, effectively considering their size a "pre-existing condition."

http://rawstory.com/2009/10/insurer-refuses-to-cover-baby-says-hes-too-fat/

The local story

http://www.denverpost.com/ci_13530098

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RE: Your baby is too fat - 10/12/2009 10:11:03 AM

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Okthats the fifth thing Im thankful for today
that I live in Canada.
No disrespect to any of you seriously, but dealing with that kind of ridiculousness is beyond my need to tolerate.

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RE: Your baby is too fat - 10/12/2009 10:11:39 AM

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Crazy huh... and people are supposedly happy with this bs.

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Telling me to take Midol wont help your butthurt.
RIP, my demon-child 5-16-11
Duchess of Dissent 1
Dont judge me because I sin differently than you.
If you want it sugar coated, dont ask me what i think! It would violate TOS.

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RE: Your baby is too fat - 10/12/2009 10:13:32 AM

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Dude, you have to be freaking kidding me! That is completely asinine.

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RE: Your baby is too fat - 10/12/2009 10:54:02 AM

Arpig

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What Lucy said...wanders off happily humming "Oh Canada".....

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RE: Your baby is too fat - 10/12/2009 10:54:34 AM

elegantcdgoddess

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ohhh arent we all for private insurance, or do we now want Washington to tell us what doctor we will see?

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RE: Your baby is too fat - 10/12/2009 10:56:46 AM

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how the fuck does that even follow?

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RE: Your baby is too fat - 10/12/2009 11:19:43 AM

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quote:

ORIGINAL: elegantcdgoddess

ohhh arent we all for private insurance, or do we now want Washington to tell us what doctor we will see?

And doesn't your insurance company already tell you that, unless you opt for the extra cost of an out-of-network doctor?

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RE: Your baby is too fat - 10/12/2009 11:44:17 AM

Brain

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Wendell Potter and Sick For Profit on The Ed Show

http://www.youtube.com/watch?v=R62FZLJVEcw

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RE: Your baby is too fat - 10/12/2009 11:49:39 AM

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This is just one of a thousand reasons that we need to get insurance cos. out of the healthcare business.
They'll come up with even more restrictions if we let them remain!
I think that at this point I'd rather navigate a giant govt. beauracracy than try to deal with insurance cos.
The thing about insurance cos. is that it's getting to be that you never really know if you're covered until you put in a claim and they can deny it for any reason.
Or deny "part" of it costing you thousands of dollars!
They're not there to take care of you, they're there to make a profit!

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RE: Your baby is too fat - 10/12/2009 12:01:26 PM

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I've never heard of Rocky Mountain Health Plans, the company that turned down the chunky baby. But regardless, do you think you would love everything about whichever bureaucrat was put in charge of your case file if we were to go to a government monopoly on health insurance? Because eventually that is what any heavily subsidized government plane would become, essentially a monopoly administered by politicians and bureaucrats. At least with private health care we can vote with our feet...

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RE: Your baby is too fat - 10/12/2009 12:09:52 PM

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quote:

ORIGINAL: popeye1250

This is just one of a thousand reasons that we need to get insurance cos. out of the healthcare business.
They'll come up with even more restrictions if we let them remain!
I think that at this point I'd rather navigate a giant govt. beauracracy than try to deal with insurance cos.
The thing about insurance cos. is that it's getting to be that you never really know if you're covered until you put in a claim and they can deny it for any reason.
Or deny "part" of it costing you thousands of dollars!
They're not there to take care of you, they're there to make a profit!

That YouTube clip Brain posted above was interesting because my insurance is also Anthem.

I've posted before that I was admitted for observation following an accident. Anthem denied the claim, saying that I should have been treated on an out-patient basis.

I talked to the doctors involved and they wrote letters that got my claim approved.

What was interesting was all three doctors said Anthem, and most insurance companies, do things like this on a routine basis. They were confident Anthem would approve after the letters were sent.

But what happens when someone is too ill or too naive to fight the denial?

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RE: Your baby is too fat - 10/12/2009 12:13:47 PM

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The medical insurance themesong:

Fat babies got no reason;
fat babies got no reason;
fat babies got no reason to live...

Salesman of the year Randy Neumann

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RE: Your baby is too fat - 10/12/2009 12:18:48 PM

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quote:

ORIGINAL: rulemylife

But what happens when someone is too ill or too naive to fight the denial?

You're fucked!!...and that's exactly what they count on to fill their coffers.

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RE: Your baby is too fat - 10/12/2009 12:40:28 PM

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quote:

ORIGINAL: popeye1250
I think that at this point I'd rather navigate a giant govt. beauracracy than try to deal with insurance cos.

It wouldn't necessarily be a huge beauracracy, or at least not apparent as such when you're dealing with it. Systems like that are in use throughout Europe (the right leaning bits of it like Britain and Spain as well as the lefties in Scandinavia) and most of the rest of the Western world, and mostly work very well. (The NHS no longer works as well as it did before 1979, but it still works brilliantly for the dwindling funding it's received since then.) It's only these bizarre sub-libertarian arguments about any such system being the thin end of the wedge that will inevitably lead to a socialist dystopia that have stopped it ever happening in the 'States.

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RE: Your baby is too fat - 10/12/2009 12:48:31 PM

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quote:

ORIGINAL: Sanity

I've never heard of Rocky Mountain Health Plans, the company that turned down the chunky baby. But regardless, do you think you would love everything about whichever bureaucrat was put in charge of your case file if we were to go to a government monopoly on health insurance? Because eventually that is what any heavily subsidized government plane would become, essentially a monopoly administered by politicians and bureaucrats. At least with private health care we can vote with our feet...

Based on that logic, then there isn't much difference between the two. At all.

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RE: Your baby is too fat - 10/12/2009 1:40:13 PM

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quote:

ORIGINAL: Sanity

I've never heard of Rocky Mountain Health Plans, the company that turned down the chunky baby. But regardless, do you think you would love everything about whichever bureaucrat was put in charge of your case file if we were to go to a government monopoly on health insurance? Because eventually that is what any heavily subsidized government plane would become, essentially a monopoly administered by politicians and bureaucrats. At least with private health care we can vote with our feet...

I am extremely familiar with a government run health plan... medicaid. which, for the most part, if you dont mind jumping through eligability hoops, it works prtty damn well for thier receipients. Now, that is a free program to those who use it. I would not mind paying for my shar of a program that is run the same way.

_____________________________

Telling me to take Midol wont help your butthurt.
RIP, my demon-child 5-16-11
Duchess of Dissent 1
Dont judge me because I sin differently than you.
If you want it sugar coated, dont ask me what i think! It would violate TOS.

(in reply to Sanity)

RE: Your baby is too fat - 10/12/2009 1:47:26 PM

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We are going to pay for it one way or another...the question would seem to be whether or not we want a compassionate system that provides health care for all....or a dysfunctional system that enriches insurance companies and fails 40 million Americans

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RE: Your baby is too fat - 10/12/2009 1:50:26 PM

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I wouldn't mind either, as long as *I* could opt out of using it and could get private coverage and as long as a health care provider I was not required to accept it. I wouldn't mind paying for it under those terms. As long as there is another option for people who can afford it, like the difference between sending your kids to a private school vs public school.

quote:

ORIGINAL: tazzygirl

quote:

ORIGINAL: Sanity

I've never heard of Rocky Mountain Health Plans, the company that turned down the chunky baby. But regardless, do you think you would love everything about whichever bureaucrat was put in charge of your case file if we were to go to a government monopoly on health insurance? Because eventually that is what any heavily subsidized government plane would become, essentially a monopoly administered by politicians and bureaucrats. At least with private health care we can vote with our feet...

I am extremely familiar with a government run health plan... medicaid. which, for the most part, if you dont mind jumping through eligability hoops, it works prtty damn well for thier receipients. Now, that is a free program to those who use it. I would not mind paying for my shar of a program that is run the same way.

< Message edited by BeingChewsie -- 10/12/2009 1:51:16 PM >

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RE: Your baby is too fat - 10/12/2009 2:08:04 PM

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As far as i can tell, Chewsie, that was the original intention. Its all gotten so twisted and distorted. I would LOVE to see a plan that was just the basics... you know... the yearly check ups, the twice a year dental, the eye exam, ect. Beyond that, insurance kicks in. I could go into a long detail, but its a hopeless dream of mine, i suppose.

_____________________________

Telling me to take Midol wont help your butthurt.
RIP, my demon-child 5-16-11
Duchess of Dissent 1
Dont judge me because I sin differently than you.
If you want it sugar coated, dont ask me what i think! It would violate TOS.

(in reply to BeingChewsie)

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