WyBlog

Patients refused treatment when government-run health care does not pay claims

Imagine that one day your oncologist turns you away because your insurance company hasn't paid a $15,000 past-due bill. Then a local surgi-center posts a sign saying that people with your insurance aren't welcome. Afterward you spend months fighting for benefits you know you're entitled to while collection agencies hound you day and night.

It's a nightmare scenario tailor-made to emphasize the need for a sweeping government overhaul of our health insurance system, isn't it?

Except that it's a government-run health plan causing all that trouble!

The Toms River NJ Board of Education is self-insured. That is, they run their own health care plan and handle all the claims internally. And they've pretty much screwed the pooch on efficiency and accountability.

Want your claim paid? Stand up in front of a school board meeting and complain. Otherwise, the check isn't in the mail. Schools Superintendent Michael J. Ritacco deflects criticism of the claims handling by saying "insurance is pretty complicated."

No shit Sherlock.

That's one reason so many of us aren't very excited about handing control over our insurance to government bureaucrats like you. That whole "complain to get your claim paid" thing won't work very well when 300 million Americans are lined up to knock on Nancy Pelosi's door.

Posted at 14:11 by Chris Wysocki   [/obamacare]   Comments | Archived | Perm Link |
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