BOUNTIFUL, Utah (KUTV) - A Utah family is battling an insurance company because it won’t pay for a child’s prosthetic arm.
Nine-year-old Remy Bateman has outgrown her current prosthetic, but Select Health has twice denied her from getting an updated appendage.
They should try again. After the UHC incident, the attitude at the insurance company might have changed.
ReplyDeleteThey should insist and keep insisting. Get a consumer advocate involved. Get the nightly news involved. They'll come around, it's the standard insurance company procedure (Deny, Delay, Defend).
DeleteCall some democrats, tell them you want your child's gender changed.
ReplyDeleteThat will get attention.
Then use the money for the prosthetics.
So, technically, they're not wrong.
ReplyDeleteShe will survive as a human being w/o both appendages. It won't cause her to die.
Quality of life and other issues ARE an issue, which begs the question - what is medical insurance for?
Listen, I'm not taking the side of the insurance company, truly, they're vile, evil creatures. But this gets to the crux of the issue. What do you have/buy medical insurance for? Is it to get reduced co-pays, or catastrophic insurance. Different people want it for different reasons. If you use Doctors and such regularly, it's in your interest to pay the Vig to get the discounted rates (think Costco Wholesale Club membership ROI). If you rarely use one, but don't want to lose your house b/c you have a heart-attack, you want catastrophic insurance. The premiums and coverage are far far lower on catastrophic insurance, rightly higher the other way.
UNFORTUNATELY, the skidmark from Kenya made it so the entire country has to pay for the same services for everyone, but the insurance companies slice and dice it different ways to make you think you're not subsidizing the other people. Check your math folks, either way YOU pay 20k/year, regardless. So the people who never use the facilities end up subsidizing the folks that do use them frequently. That's what insurance pools are designed to do. Spread the risk around. The fact that it's been enacted nationally is the problem. IF it were free-market, the people making heavy use of the medical establishment wouldn't be able to pay for their insurance premiums, because it would be adjusted to reflect the cost of their use.
AKA - for the slow folks - IT'S SOCIALISM!!!!!
Yeah, it really pissed me off when I realized that it was illegal to get limited catastrophe only health insurance. I wanted to not cover cancer, diabetes, or heart attacks, since I know damned well the "health care" system doesn't have clue what to actually do about those anyway, and they're all hideously expensive as a result. (I have a family history - and family culture that created that history - of all three. But they're all easily treatable and preventable if you don't buy the 'doctors' lies.)
DeleteFuckin' feds anyway. If anyone wonders why medical care is so expensive? That's it, right there.
John G.
And one wonders why WTF happened in NYC???
ReplyDeleteWell, surprise, surprise...
ReplyDelete"SelectHealth covers gender affirming care, including surgeries, hormone therapy, and primary care."
- WDS
Every health insurance company will cover that crap due to government intervention.
DeleteHas anyone called the most senior management? Maybe t(he)y might override their current stance.
ReplyDeleteAsk them if they're planning to attend a conference in NYFC any time soon? Asking for a friend....
DeleteAnd we wonder why ordinary people are doing unordinary things. This is just one example among many others that banning corporate shyster lawyers might be an answer to some of society’s problems.
ReplyDeleteI deal with this all the time for some of the cancer patients I treat. Missing half a jaw and the the insurance company will declare that it is cosmetic because the prosthesis replaces the teeth…
ReplyDeleteAs well as half the upper jaw, without which the person cannot speak, chew or swallow liquids or solids. The teeth went along with the affected bone.
But it’s just cosmetic
Coelacanth
I have a question. If you have a child with a birth defect, does insurance actually cover a deformity you were born with?
ReplyDeleteThis is why the assassination of the CEO garners no sympathy from the general public. It's not often the left and the right agree in things, however this is one.
ReplyDelete