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September 3, 2009

Health Insurance Denial Rates

A California Nurses Association/National Nurses Organizing Committee study concluded:

Claims denial rates by leading California insurers, first six months of 2009:

• PacifiCare -- 39.6 percent
• Cigna -- 32.7 percent
• HealthNet -- 30 percent
• Kaiser Permanente -- 28.3 percent
• Blue Cross -- 27.9 percent
• Aetna -- 6.4 percent

So in California you have a roughly 30 percent chance of being turned down for medical coverage -- regardless of whether or not it will save your life.

It's almost as though there are panels (motivated by profit) deciding whether you live or die. I think there's a shorter phrase to describe this. Hmm. What could it be?


Filed under: Healthcare

Posted By Bob Cesca | September 3, 2009 5:21 PM

Comments

Ah, yes! That would be the "Death Panels" Of course we've been telling those idiots for weeks that it's happening but, do they listen to us? All that's left now is to identify the number of denials under Medicaid? (snark)

Posted by: roxsteady [TypeKey Profile Page] at September 3, 2009 5:56 PM

Back in the good ol' days, when I actually had health care insurance through Anthem BCBS, they'd send me statements after my providers billed them. They would call them "Explanation of Benefits".

After a while I started calling them "Explanation of Why We're Not Gonna Pay This Bill"

Posted by: Eric [TypeKey Profile Page] at September 3, 2009 6:13 PM

Disgusting! Denials under Medicare? There's a reason most of the anti-reform crowd in these town halls is old and white.

Posted by: jjasonham [TypeKey Profile Page] at September 3, 2009 6:13 PM

Exactly. One of the townhall lunatics needs to tell me why private insurance companies are so great. Why are they defending the insurers' "rights" to bill extravagantly then deny payment or even coverage, when there's the chance they could have lifetime affordable, portable, health care?

And even if the reform bill passes, the insurers will come up with a new set of policies (because they're so co-operative) where they promise not to drop you or refuse you for pre-existing conditions, and even let you keep it wherever you go... it'll be called the Nev-R-Pay policy, where you can pay inflated rates for all those privileges, but whenever you make a claim, they send you a card that when you open it, makes that "wah-woh" muted trombone sound and nothing else.

Posted by: Mather Z [TypeKey Profile Page] at September 3, 2009 7:05 PM

Anyone know the figures for denial of insurance to people applying based upon pre-existing condition?

Posted by: EGB [TypeKey Profile Page] at September 4, 2009 9:38 AM



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