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MRSAdvocate
June 1, 2011
nonpayment
All consumers out there, beware of the insurance you sign up for! We all know insurance companies are making more of a prescense these days. They are dictating medical care and putting Practices out of business. I have been in the medical field for 15 years now. My frustrations with insurance companies have grown throughout the years, from a business perspective and from a personal perspective. My grandmother had survived for 10 years with Mutiple Myleoma cancer, until the day Medicare Prescription D program came about. Suddenly the drug that had been keeping her alive wasn't covered and they wanted to change it, but the doc says no way! Who makes the call? Not the doctor nor the patient! Unless my grandparents living off of social security could figure out a way to come up with the money. From a business perspective, I have worked first hand on thousands of consumers medical bills who are on Medicare Advantage plans. They do not pay like Medicare does! Please everyone take that statment and run with it. You have copays, deductibles, and noncovered items ( a lot of them). I am currently working on a bill for a Power Wheelchair for and Medical Company. Wellcare keyed in the diagnosis code wrong into the system and denied the claim. They have continuously denied this claim for invalid reasons. It seems deliberate to me and after reading all of the complaints about Wellcare it falls right into line. They misinform me by directed me to no end resources. This not only affects the provider but the patient as well. This is happening a hundered different times with thousands of DME providers. It is such an injustice to those who need this service. Those people are disabled, terminally ill, elderly, amputees, etc. Its such a sad place we live in that this can happen. Insurance companies are putting these places out of business. The places that give wheelchairs to ones that can't walk becuase they decide its not medical necessity enough to have it. Having had your legs cut off, I don't know what could be more medically necessary. What kind of healthcare plan will be designed to change this? Are you out there Obama?
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