The Bomb Buried In Obamacare Explodes Today-Hallelujah!

[MedicalAdmin]

84. Wow. All I can say is that you really don't understand these companies. At all.

"If an insurance company denies a legitimate claim then they cut their profits."

No they don't. If they deny any claim they increase their profits. Income (premiums) - expenses ( admin plus claims paid) = less profit and bonuses and stock options and stock dividends.

Denied claim = 100% profit. Let's say that they are overturned by a judge later and have to pay out on the original claim some of the time. Then they still get to pocket that 20% admin charge. Plus the patient might die or give up in the mean time. And if they don't then the patient will only get 60 percent of that claim anyway (40% is the usual lawyer contingency fee). In the meantime they continue to either rack up premiums or the broom your ass and make you someone elses problem only now with a pre-existing condition.

Aha, you say! Preexisting conditions can noonday be denied. That is true, but the coverage and cost can be modified and there are no cost controls on that. So while the insurance company that you apply to ( in anti-trust exempt collusion with each other) has to offer you a policy, there is nothing that says it has to be even close to affordable. In my case I was offered a policy recently at 2000 per month with a 10000 deductible. This is more than I earn in a year. Waddafuckindeal.

Why donyou think they deny claims in the first place? It is the one control that they have over profit margin. Do you think they will just give that up?

And now they will be able to charge off any bills from Medical consultants against that 80% because it will be considered costs to detirmine appropriate care. The
Main reason that court cases are lost is that the insurance companies already outspend individuals on consultants and now they have a no reason not to increase that cost because every claim denied is another point of profit.