Insurance Scams
@insurancescams.bsky.social
Sharing stories of #InsuranceScams and misconduct and putting insurance companies on blast to help folks get timely, affordable, and quality healthcare. Problems with preauthorizations or claims being denied? Tag/DM with stories for amplification.
Reposted by Insurance Scams
Three UnitedHealth-owned insurance companies must pay over $165 million for engaging in widespread deceptive conduct that misled thousands of consumers into unknowingly buying extra health insurance.
www.reuters.com/legal/govern...
www.reuters.com/legal/govern...
UnitedHealth units ordered to collectively pay $165 million for misleading Massachusetts consumers
Three UnitedHealth-owned insurance companies collectively must pay over $165 million for engaging in widespread deceptive conduct that misled thousands of consumers in Massachusetts into unknowingly buying supplemental health insurance, a state court judge has ruled.
www.reuters.com
January 10, 2025 at 4:01 PM
Three UnitedHealth-owned insurance companies must pay over $165 million for engaging in widespread deceptive conduct that misled thousands of consumers into unknowingly buying extra health insurance.
www.reuters.com/legal/govern...
www.reuters.com/legal/govern...
@regenceutah.bsky.social, why are you denying standard of care cancer treatment?
January 9, 2025 at 6:16 PM
@regenceutah.bsky.social, why are you denying standard of care cancer treatment?
Really @bcbs?!
January 8, 2025 at 10:59 AM
Really @bcbs?!
Reposted by Insurance Scams
Health insurers limit coverage of prosthetic limbs, questioning their medical necessity.
Advocates say it is discrimination and are arguing for insurance fairness.
abcnews.go.com/Health/healt...
Advocates say it is discrimination and are arguing for insurance fairness.
abcnews.go.com/Health/healt...
Health insurers limit coverage of prosthetic limbs, questioning their medical necessity
Health insurers are limiting coverage of prosthetic limbs, questioning their medical necessity. Advocates say it is discrimination.
abcnews.go.com
January 7, 2025 at 3:17 AM
Health insurers limit coverage of prosthetic limbs, questioning their medical necessity.
Advocates say it is discrimination and are arguing for insurance fairness.
abcnews.go.com/Health/healt...
Advocates say it is discrimination and are arguing for insurance fairness.
abcnews.go.com/Health/healt...
Reposted by Insurance Scams
A quick thread on my insurance drives people crazy🧵
1. I have an upcoming procedure. My hospital was supposed to get a pre-auth from my insurance.
1. I have an upcoming procedure. My hospital was supposed to get a pre-auth from my insurance.
January 6, 2025 at 11:14 PM
A quick thread on my insurance drives people crazy🧵
1. I have an upcoming procedure. My hospital was supposed to get a pre-auth from my insurance.
1. I have an upcoming procedure. My hospital was supposed to get a pre-auth from my insurance.
Reposted by Insurance Scams
Everyone needs to read this. As a former hospital social worker, even I did not know about outsourcing pre-auths. Makes sense now given how many patients we had to fight for to receive life saving treatments. We often would have have the same tests done over and over, refax things, appeal, etc. 1/12
Our seventh most-read story of this year: When companies like Aetna or UnitedHealthcare want to rein in costs, they turn to EviCore, whose business model depends on turning down payments for care recommended by doctors for their patients.
Read more (published October) ⬇️
Read more (published October) ⬇️
Inside the Company Helping America’s Biggest Health Insurers Deny Coverage for Treatments
When companies like Aetna or UnitedHealthcare want to rein in costs, they turn to EviCore, whose business model depends on turning down payments for care recommended by doctors for their patients.
propub.li
December 29, 2024 at 5:29 PM
Everyone needs to read this. As a former hospital social worker, even I did not know about outsourcing pre-auths. Makes sense now given how many patients we had to fight for to receive life saving treatments. We often would have have the same tests done over and over, refax things, appeal, etc. 1/12
Reposted by Insurance Scams
Family member has an appointment for an infusion scheduled every 6 months. Appointment is Thursday. Got a call from infusion site that there's no pre auth for medicine from insurance. We have a letter from October saying it's approved from insurance and confirmed that it is pre approved till 2099.
January 1, 2025 at 1:09 AM
Family member has an appointment for an infusion scheduled every 6 months. Appointment is Thursday. Got a call from infusion site that there's no pre auth for medicine from insurance. We have a letter from October saying it's approved from insurance and confirmed that it is pre approved till 2099.
Reposted by Insurance Scams
Sigh. Wife needs a Shunt for hydrocephalus that became an issue that has not improved on its own in September after a rough COVID-19 infection. Insurance has denied the pre-auth so we’re now appealing the denial. We purposely have a PPO to lower the risk of medical procedure denial, still an issue.
January 4, 2025 at 8:56 PM
Sigh. Wife needs a Shunt for hydrocephalus that became an issue that has not improved on its own in September after a rough COVID-19 infection. Insurance has denied the pre-auth so we’re now appealing the denial. We purposely have a PPO to lower the risk of medical procedure denial, still an issue.
Reposted by Insurance Scams
Happy New Year! This year all Medicare plans will include a $2,000 cap on what you pay out-of-pocket for prescription drugs covered by your plan. This is thanks to the Inflation Reduction Act. Pass it on
January 1, 2025 at 4:51 PM
Happy New Year! This year all Medicare plans will include a $2,000 cap on what you pay out-of-pocket for prescription drugs covered by your plan. This is thanks to the Inflation Reduction Act. Pass it on
Reposted by Insurance Scams
Just got a message that contract negotiations fell apart and my health insurer will no longer cover the doctors I had starting today. What a cool health care system we've got.
January 1, 2025 at 6:36 PM
Just got a message that contract negotiations fell apart and my health insurer will no longer cover the doctors I had starting today. What a cool health care system we've got.
Reposted by Insurance Scams
“Though there is no way to know how often coverage gets cut off mid-treatment, ProPublica has found scores of lawsuits over the past decade in which judges have sharply criticized insurance companies for citing a patient’s improvement to deny mental health coverage.”
Her Mental Health Treatment Was Helping. That’s Why Insurance Cut Off Her Coverage.
Providers, patients and even some federal judges say progress-based insurance denials harm patients at key moments of mental health treatment.
www.propublica.org
December 31, 2024 at 2:30 PM
“Though there is no way to know how often coverage gets cut off mid-treatment, ProPublica has found scores of lawsuits over the past decade in which judges have sharply criticized insurance companies for citing a patient’s improvement to deny mental health coverage.”
Reposted by Insurance Scams
Our seventh most-read story of this year: When companies like Aetna or UnitedHealthcare want to rein in costs, they turn to EviCore, whose business model depends on turning down payments for care recommended by doctors for their patients.
Read more (published October) ⬇️
Read more (published October) ⬇️
Inside the Company Helping America’s Biggest Health Insurers Deny Coverage for Treatments
When companies like Aetna or UnitedHealthcare want to rein in costs, they turn to EviCore, whose business model depends on turning down payments for care recommended by doctors for their patients.
propub.li
December 29, 2024 at 1:00 AM
Our seventh most-read story of this year: When companies like Aetna or UnitedHealthcare want to rein in costs, they turn to EviCore, whose business model depends on turning down payments for care recommended by doctors for their patients.
Read more (published October) ⬇️
Read more (published October) ⬇️
Reposted by Insurance Scams
My dr's office called to lmk that my ins co denied a script my dr wrote. I asked about a chance w an appeal? She said no but asked if I could work out a monthly payment plan to purchase the meds. I was like I already have a monthly plan to purchase medications-IT'S CALLED INSURANCE PREMIUMS! 🙄
December 30, 2024 at 8:41 PM
My dr's office called to lmk that my ins co denied a script my dr wrote. I asked about a chance w an appeal? She said no but asked if I could work out a monthly payment plan to purchase the meds. I was like I already have a monthly plan to purchase medications-IT'S CALLED INSURANCE PREMIUMS! 🙄
Reposted by Insurance Scams
I can get my inhaler bc my insurance denied it. Doc says no substitute
My dr's office called to lmk that my ins co denied a script my dr wrote. I asked about a chance w an appeal? She said no but asked if I could work out a monthly payment plan to purchase the meds. I was like I already have a monthly plan to purchase medications-IT'S CALLED INSURANCE PREMIUMS! 🙄
December 30, 2024 at 10:41 PM
I can get my inhaler bc my insurance denied it. Doc says no substitute
Reposted by Insurance Scams
My insurance didn't want to cover the inhaler my doctor prescribed, and nobody carries the one they do cover. I've spent a week transferring my script to pharmacies who say they have it, but don't. Did I mention I need this med to BREATHE?!? Why do companies decide health care? 🤦
December 30, 2024 at 10:41 PM
My insurance didn't want to cover the inhaler my doctor prescribed, and nobody carries the one they do cover. I've spent a week transferring my script to pharmacies who say they have it, but don't. Did I mention I need this med to BREATHE?!? Why do companies decide health care? 🤦
Reposted by Insurance Scams
“A study published last year in JAMA Network, a publication of the Journal of the American Medical Association, found that 22% of cancer patients did not receive the care their doctors prescribed because of authorization delays or outright denials.”
Health insurers are increasingly interfering in care, an NBC News investigation has found.
Doctors say the stakes are highest in cancer care, when delays can be the difference between life and death.
Doctors say the stakes are highest in cancer care, when delays can be the difference between life and death.
'Would he have lived?' When insurance companies deny cancer care to patients
Health insurers are increasingly interfering in care, an NBC News investigation found. Doctors say the stakes are highest in cancer care, when delays can be the difference between life and death.
www.nbcnews.com
December 27, 2024 at 4:40 PM
“A study published last year in JAMA Network, a publication of the Journal of the American Medical Association, found that 22% of cancer patients did not receive the care their doctors prescribed because of authorization delays or outright denials.”
Reposted by Insurance Scams
"Over the past several years, I’ve been denied care many times, including a scan requested by a doctor that likely would have caught my cancer at an earlier stage before it spread."
#priorAuthorization has harmed millions in the US. Violence is not the answer. Policy reform is.
#priorAuthorization has harmed millions in the US. Violence is not the answer. Policy reform is.
I have Stage IV cancer: Celebrating a killer won’t save lives like mine. Here’s what will | Opinion
I’m a 48-year-old lung cancer patient with a folder full of my own denial letters to show for it.
www.nj.com
December 17, 2024 at 7:59 PM
"Over the past several years, I’ve been denied care many times, including a scan requested by a doctor that likely would have caught my cancer at an earlier stage before it spread."
#priorAuthorization has harmed millions in the US. Violence is not the answer. Policy reform is.
#priorAuthorization has harmed millions in the US. Violence is not the answer. Policy reform is.
Anthem BCBS is excluding Memorial Sloan Kettering Cancer Center from coverage. This is unconscionable, and especially so when the announcement comes just weeks after open enrollment for 2025 closed.
www.mskcc.org/insurance-as...
www.mskcc.org/insurance-as...
Updates: MSK - Anthem Blue Cross Insurance Contract Negotiations
Stay updated with the latest on the MSK and Anthem Blue Cross insurance negotiations to keep Memorial Sloan Kettering Cancer Center as an in-network provider.
www.mskcc.org
December 18, 2024 at 8:55 PM
Anthem BCBS is excluding Memorial Sloan Kettering Cancer Center from coverage. This is unconscionable, and especially so when the announcement comes just weeks after open enrollment for 2025 closed.
www.mskcc.org/insurance-as...
www.mskcc.org/insurance-as...
Reposted by Insurance Scams
Want a specific example of the death by a thousand cuts that is #PriorAuthorization?
Here is an example from yesterday in clinic
A short 🧵
I get a note in my inbox that a patient of mine was denied inhaled budesonide for their asthma
1/
Here is an example from yesterday in clinic
A short 🧵
I get a note in my inbox that a patient of mine was denied inhaled budesonide for their asthma
1/
December 11, 2024 at 11:40 AM
Want a specific example of the death by a thousand cuts that is #PriorAuthorization?
Here is an example from yesterday in clinic
A short 🧵
I get a note in my inbox that a patient of mine was denied inhaled budesonide for their asthma
1/
Here is an example from yesterday in clinic
A short 🧵
I get a note in my inbox that a patient of mine was denied inhaled budesonide for their asthma
1/
Reposted by Insurance Scams
UnitedHealthcare has now twice denied our doctor’s pre-approval request for the weekly ultrasounds my wife needs to monitor her high-risk pregnancy.
These insurance companies should not exist. We need single-payer.
These insurance companies should not exist. We need single-payer.
December 8, 2024 at 6:03 AM
UnitedHealthcare has now twice denied our doctor’s pre-approval request for the weekly ultrasounds my wife needs to monitor her high-risk pregnancy.
These insurance companies should not exist. We need single-payer.
These insurance companies should not exist. We need single-payer.
Good. But this should never have been a decision in the first instance.
December 5, 2024 at 10:59 PM
Good. But this should never have been a decision in the first instance.
#AXA tried to force a patient in a coma with a severe brain injury to fly internationally AMA or lose insurance coverage. It shouldn’t have had to take a viral tweet to get them to reverse course.
Axa threatened to cancel cover for Briton with brain injuries in US, says daughter
Axa threatened to cancel cover for Briton with brain injuries in US, says daughter
Company said Jane Rubens, in a coma after being hit by vehicle on holiday, must be repatriated this week, against advice of neurologists
The daughter of a woman who suffered brain injuries while on holiday in the US say they were told by her insurer that…
www.theguardian.com
December 5, 2024 at 2:16 AM
#AXA tried to force a patient in a coma with a severe brain injury to fly internationally AMA or lose insurance coverage. It shouldn’t have had to take a viral tweet to get them to reverse course.
This is unconscionable act of prioritizing profits over patient safety #anthem #bcbs #insurancescams
They know the outrage will be limited and things will blow over. As long as profits keep rising, all is well.
We’ve had examples like this over and over and over, but the system propagates itself. There’s too much money in it. The time for incremental change is long gone.
Revolution.
We’ve had examples like this over and over and over, but the system propagates itself. There’s too much money in it. The time for incremental change is long gone.
Revolution.
December 5, 2024 at 2:11 AM
This is unconscionable act of prioritizing profits over patient safety #anthem #bcbs #insurancescams