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In reply to the discussion: Elizabeth Warren Urges Crackdown on Private Medicare Advantage Insurers [View all]Backseat Driver
(4,446 posts)uses the same "insurance" jargon when talking up savings for the employer. There was no choice -- take it and provide early access to all prior medical records up front, or go without. She pays the same amount via payroll deduction as her previous insurance payroll contribution but no longer has all of the same benefits (no HSA). It's something of a start-up outfit partnered within an investment firm's portfolio of businesses. What do you think the chances are that her long-time, national, private family ,mid-size employer executive is also one of the investors in the same firm? Is this ethical or lawful? Is this sort of thing covered as a legit employer benefit under Dept of Labor's ERISA laws? This health benefits plan does no physician credentialing and does not participate in a network; it wants to participate in ALL networks, but it seems to pay claims individually per occurance under a "contract" with those providing care be that the hospital, clinic, physician, anesthetist, imaging personnel, or pharmacy/ist(s). To grow their "business," they encourage the patient who does have an ID card to take a form around to the various billing offices to accept this specific "benefit plan" that does no credentialing; EASY/PEASY...win-win for the employer--not so much for the patient-employee. She had a same-day out-patient procedure recently and claims to have been "balanced billed" for a lot of money. I've looked for reviews; we all know how that happens! No one's ever heard of this claim payor, hahahaha!
https://www.bvlp.com/portfolio/
Maybe we need to have Senator Warren investigate these rackets as well ?
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