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salmannaseem07

(399 posts)
Wed May 3, 2023, 04:03 PM May 2023

US insurance system Fine for everyone?

Recently, I had a conversation with a friend who claimed that he went bankrupt because of the insurance system. I was shocked by this statement and decided to seek the expertise of ChatGPT, AI come up with results were shocking, and I combined them with animation to create an animated video with the help of AI
Based on my research insurance companies may deny coverage for a medical procedure or treatment that is deemed necessary by a doctor. This can leave individuals with significant medical bills that they cannot afford to pay, leading to bankruptcy. Additionally, insurance companies may only cover a portion of the cost of a procedure or treatment, leaving individuals with a large out-of-pocket expense.
Furthermore, insurance premiums can be expensive, especially for those with pre-existing conditions. This can be a significant financial burden, especially for those who are already struggling to make ends meet. the small animated movie is based on my understanding of the US insurance system.

Share your experience and thoughts


4 replies = new reply since forum marked as read
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US insurance system Fine for everyone? (Original Post) salmannaseem07 May 2023 OP
Obamacare got rid of the pre-existing conditions nonsense. I don't think your chatbot is up to date emulatorloo May 2023 #1
Insurance companies can no longer charge higher premiums MontanaMama May 2023 #2
If this information moniss May 2023 #3
Got it what already know 😁 salmannaseem07 May 2023 #4

emulatorloo

(46,155 posts)
1. Obamacare got rid of the pre-existing conditions nonsense. I don't think your chatbot is up to date
Wed May 3, 2023, 04:23 PM
May 2023

So I can’t rec your post. AI has been known to be inaccurate with facts. At least for the time being, Chat Gpt et cetera are not reliable.

https://www.hhs.gov/healthcare/about-the-aca/pre-existing-conditions/index.html

Pre-Existing Conditions

Health insurance companies cannot refuse coverage or charge you more just because you have a “pre-existing condition” — that is, a health problem you had before the date that new health coverage starts.

Health insurers can no longer charge more or deny coverage to you or your child because of a pre-existing health condition like asthma, diabetes, or cancer, as well as pregnancy. They cannot limit benefits for that condition either. Once you have insurance, they can't refuse to cover treatment for your pre-existing condition.

Exceptions

“Grandfathered” health plans do not have to cover pre-existing conditions.

MontanaMama

(24,752 posts)
2. Insurance companies can no longer charge higher premiums
Wed May 3, 2023, 04:50 PM
May 2023

for pre-existing conditions. The can, and do, charge higher premiums as you age. Those premiums can be ridiculously expensive. For example, I pay $2000 per month for a silver plan for my family of three. We have a $7500 per person deductible. We aren't eligible for any tax credits or subsidies for those premiums or deductibles, unfortunately.

I would add that insurance companies can deny coverage for procedures or tests recommended by their medical providers. In cases like this, where benefits are unjustly denied, filing a complaint with your state insurance commission will very often result in the insurance company paying for the procedure. I've filed many complaints over the years and have found that insurance companies will do back flips to get those complaints off the books. Consumer advocate organizations (Consumer Reports, AARP) will recommend insurance companies (or not) based on those complaints.

moniss

(9,150 posts)
3. If this information
Wed May 3, 2023, 07:14 PM
May 2023

came to you through your AI chat ( maybe the post is AI generated since it seems to be a very "mechanical" use of the language) then I would submit to you that your understanding of what has gone on with the insurance industry for decades is not very deep. Everyone who has been following the subject at all knows the information stated here. I'm not trying to be negative to the OP.

Maybe I'm a little AI wary but I do have a concern that it will end up telling us what we already know and that we know that it will end up telling us what we already know and that it knows that we know that it knows that we know that it knows. You know?

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