I just got a rejection letter for my PET scan from MedSolutions, a company I've never heard of which is apparently affiliated with my insurance company (Aetna, via Starmark, a wholly-owned subsidiary of Trustmark Life Insurance). I'm in the process of moving to UCSF Cancer Center for my treatment, since they're one of the best cancer treatment centers in the country. If I'm lucky, they'll have more pull with the insurers than I have and I won't have to sue the bastards.
The part that really burns me is that I have the means and ability to fight for the treatment that my doctors think is best. What happens to the people that don't have the knowledge, the means, and the ability to question and to fight?
Why do we still have these for-profit middlemen in the insurance business?*
I'm absolutely gobsmacked... "heath"... "insurance"... it's as if those words have no actual meaning or definition. I'm hoping UCSF can smooth the path for you significantly. XOXOXOX
ReplyDeleteWe fight the same battles constantly with Judy's Medicare replacement plan and my employer provided insurances. It is a full time job battling proper coding and coverage. The stress just makes recovery more difficult. Good luck on both fronts.
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