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FORMER Health Insurance Executive Explains HOW Companies POCKET BILLIONS Through ' RESCISSION '

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Segami Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Sep-15-09 04:01 PM
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FORMER Health Insurance Executive Explains HOW Companies POCKET BILLIONS Through ' RESCISSION '
Source: ThinkProgress

Yesterday, ThinkProgress talked with Wendell Potter, Cigna Health Care’s former Communication Director, about a common and widespread practice among insurance companies called “rescission.” As the former Cigna executive explains, rescission is the insurance industry practice of finding reasons — even reasons as flimsy as typos on your enrollment form — to cancel your coverage when you get sick. According to Potter, insurance companies are saving billions by rescinding coverage from Americans who purchase individual insurance:



POTTER: If they determine that you might have left out something that they consider pertinent on your application and might have indicated that you would have had some illness or might get an illness down the road, and you’ve been getting treatment and submitting claims to your insurance company, they will go back and look at that application and they will often rescind or cancel your policy even if you’ve been paying your premiums on-time, every month, for years. You will be left holding the bag with the responsibility of paying all of your medical care when insurance companies do this. They’ve been doing it for many years and saving billions of dollars as a result of this.



The Washington Post recently highlighted other examples of rescission:



Woman Lost Her Home Because Coverage Was Canceled For Condition She Didn’t Have. “For Teresa Dietrich, it was fibroids. The Northern California real estate agent was left to pay $19,000 after Blue Cross said she did not disclose a diagnosis of the benign uterine tumors. But Dietrich said the doctor who had written ‘fibroids’ on her medical record never mentioned his suspicions to her. The bills destroyed her credit and cost her her home – and, in a comically cruel twist, the surgery proved the doctor was wrong. ‘They said I had a condition I didn’t even have,’ Dietrich said. ‘And they canceled me.’”


Woman Saddled With $25,000 Debt For Not Disclosing Condition She Didn’t Know She Had. “The untimely disappearance of Sally Marrari’s medical coverage goes a long way toward explaining why insurance companies are cast as the villain in the health-care reform drama. ‘They said I never mentioned I had a back problem,’ said Marrari, 52, whose coverage with Blue Cross was abruptly canceled in 2006 after a thyroid disorder, fluid in the heart and lupus were diagnosed. That left the Los Angeles woman with $25,000 in medical bills and the stigma of the company’s claim that she had committed fraud by not listing on a health questionnaire ‘preexisting conditions’ Marrari said she did not know she had.’”


Woman Denied Coverage For Gall Bladder Surgery Because Of Husband’s High Cholesterol. Washington Post: “In a pending case, Blue Shield searched in vain for an inconsistency in the health records of the wife of a dairy farmer after she filed a claim for emergency gallbladder surgery, according to attorneys for the family. Turning to her husband’s questionnaire, the company discovered he had not mentioned his high cholesterol and dropped them both. Blue Shield officials said they would not comment on a pending case.”




Rescission is widespread – an investigation by the House Subcommittee on Oversight and Investigations found that three insurance companies alone (WellPoint, UnitedHealth and Assurant) cancelled more than 20,000 policies in the last five years.



.Watch this:

Read more: http://www.democraticunderground.com/discuss/duboard.php?az=latest_threads



Its all about bottom line profits, NOTHING about real health care for the people and republicans shills are goose-stepping every inch of the way on behalf of their corporate masters.
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No Elephants Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Sep-15-09 04:10 PM
Response to Original message
1. Someone should sky write this info all across the US, put up billboards, drop pamphlets from planes-
whatever it takes to make sure everyone in the US gets it.
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Skidmore Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Sep-15-09 06:55 PM
Response to Reply #1
7. Here.
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RobinA Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Sep-15-09 04:24 PM
Response to Original message
2. Not To Mention
what they used to call (maybe still do) "administrative cost savings," whereby they deny claims based on such things as "we lost the paperwork," typos, paperwork lacking obvious info that they have, like birth date, and whatever other BS they can trump up. Sure, you can eventually get the claim through, but I'm sure a significant percentage of people who fall victim to this scam just pay up to avoid the hassle of fighting with the insurance company. My rule for dealing with insurance - go to the mat on every single issue. If you are right you will win more than you lose. Keep copies and records of everything and send them document X even if you already sent it to them ten times. In my experience they will receive document X, which they HAVE to have to pay the claim for Z procedure, pay some claimants and then suddenly "lose" document X, causing them to cease paying the remaining claimants for procedure Z, claiming that they can't pay because they never got document X.
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Cleita Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Sep-15-09 04:35 PM
Response to Original message
3. K&R
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DemReadingDU Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Sep-15-09 04:46 PM
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4. Here is the linkThinkProgress
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Segami Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Sep-15-09 06:51 PM
Response to Reply #4
6. Thanks DemReadingDU
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wroberts189 Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Sep-15-09 05:04 PM
Response to Original message
5. "20,000 policies in the last five years" THIS IS MADNESS! nt knr
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Old Hob Donating Member (296 posts) Send PM | Profile | Ignore Tue Sep-15-09 07:16 PM
Response to Original message
8. "Insurance companies screw consumers" and in othe news, the sun rose yet again today.
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sicksicksick_N_tired Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Sep-15-09 07:33 PM
Response to Original message
9. ALL insurance companies do that, which leads me to ask whether,....
,...insurance companies, all of which profit off human ill/disaster/accident, shouldn't be more scrutinized as legitimate businesses?

Seriously!!! *shrug*

Auto insurance is legally required to operate a vehicle in most states. I know for a fact that there are people cast into poverty because they can NOT afford "minimum" insurance rates.

People are dying because they can't afford health insurance. People are impoverished because they can't afford insurance to cover transportation to a job.

No shit!!!

Let's talk about home insurance and how 'rescission' works there,...or life insurance! My husband's former wife carried life insurance for 31 years and, AFTER she died of cancer, they 'rescinded' because she didn't report some obscure bullshit!!! I guarantee she and my husband paid way more on that $25 policy than what it paid out: $0000.0000!!!

Now, I hear, Wall Street financiers are creating a NEW way to make money,...some weird 'taking a chance on life expectancy' of a person?

I am wondering the value of "insurance" to a citizen and whether those companies should be severely scrutinized? :shrug:
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democracy1st Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Sep-15-09 08:41 PM
Response to Original message
10. K & R
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Orwellian_Ghost Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Sep-15-09 09:00 PM
Response to Original message
11. K&R
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