#1

I later found out my parents went bankrupt, and my dad had to take on higher paying jobs he hated in order to pay it off.
He eventually worked himself to death - almost literally; he worked so many hours of overtime he fell asleep at the wheel and drove off the road and crashed into a tree. Worst day of my life.
He should have been enjoying his retirement by now; instead he’s been gone for years, and my mom still struggles with depression and being a widow.
America needs universal healthcare.
#2

When they're appealed they'll often eventually be approved. But the whole process moves really slow, which can be a death sentence given early treatment is critical when dealing with cancer.
**It almost seems like the insurance companies are delaying s**t on purpose, in the hopes that the patient will die before they have to pay for treatment**.
#3

I felt joy when that ceo was taken down.
Insurance is supposed to be that comforting safety net we all rely on when life throws unexpected curveballs. Whether it’s a car accident, a health emergency, or damage to your home, it’s meant to help us bounce back with less stress.
But let’s be honest—dealing with insurance isn’t always smooth sailing. From endless paperwork to denied claims, the process can leave you pulling your hair out, wondering if that “safety net” even exists.
#4

#5

They fought him and denied every single test, treatment, and prescription until it was too late and he was terminal.
#6

One significant issue is the rise in claim denials. A 2024 report by Experian Health indicates that denials have been increasing year over year, with authorization issues and incorrect information being the primary culprits.
The impact of these denials is substantial. Patients often face delays in receiving necessary treatments, leading to deteriorating health conditions. Additionally, the administrative burden of appealing denied claims can be overwhelming, both emotionally and financially.
#7

#8

Airlifted to Mayo clinic high on fentanyl for the pain.
Spent a month in hospital, came out with no colon and looking like a h*******t survivor.
Wife felt like something was wrong, went into obgyn to check on baby. No heart beat at 8 months. they induced labor.
Buried son.
Received a bill for $110k for Mayo Clinic which the insurance company denied.
Received a bill for $20k for abortion which the insurance company denied.
Spent 4 months of daily calls with hospital and insurance company fighting charges all the way down to $12k.
#9

Automation in claims processing, while streamlining operations for insurers, has introduced new challenges. A 2020 study estimated that automated processing saves U.S. insurers over $11 billion annually. However, for patients, challenging a denial can consume significant time and resources.
#10

Insurance decided that the entire stay was completely unwarranted because, according to them, it didn't seem like he was sick enough. They didn't want to cover _anything_ relating to it.
While we were eventually successful, it took years to fight. Bill was in the six figures.
#11

The first reason: she didn’t submit X-rays. Submitted X-rays, reapplied.
The second reason: she hadn’t done PT before the request. Submitted evidence that she has done PT on and off for seven years, to no improvement, reapplied.
The third reason: she needs to have X-rays done first.
This AI auto rejection cruelty is par for the course.
#12

Common reasons for claim denials include missing or inaccurate data, lack of prior authorization, and discrepancies in documentation. Policyholders are advised to meticulously review their claims and ensure all information is accurate to mitigate these issues.
#13

Even the healthiest of people must live in fear. One day you can have it all, the next, through no fault of your own, a stray strand of DNA corrupts and bang, you have cancer and not only do you have to face the fact you could die, but also become bankrupt and end up on the streets losing everything. Just because some faceless corporation says no, our shareholders prefer the money.
On a side note. If you did get cancer and your life saving treatment was denied. And you then decide to take out your frustration on a CEO of a particular faceless corporation, could you theoretically use self-defence as a legal defence? They’re the ‘head’ of the entity that decides you should die, and taking out that frustration is you trying to defend your life.
#14

"How come your blood sugar never goes down?" the doctor asked. I told him, and he shook his head, saying this was so common. He tried swapping insulin types, or increasing the dosages, but insurance said no. My A1C was like 10.
Then I ended up on Tricare, because I married someone in the military. I got Lantus, Trulicity, and BOOM, my A1C dropped to 6 in less than a year. I know the military has efficiency issues, but I pay nothing out of pocket in Tricare: no copay, no prescriptions, and no fees. It's like $58/month from my wife's pension for the both of us. I mean, socialized medicine WILL work in this country, The companies just don't want it to.
When my first wife died (the military officer was my second marriage), her insurance dropped her because she was dead. Then they sent her a $230,000 hospital bill for her last week of life because she was on a ventilator in critical care. No, I don't live in a communal property state, but they sent her to collections, and heavily implied (illegally) that I had to pay. I didn't.
Let me repeat this: they sent my dead wife to collections. Then lied that I had to pay because she was dead. Bill collectors called me, called me at work, called our son, and even MY sister. Not her sister, MY sister. I had legal notices and bills for her, in her name, coming as late as 8 years after her death. In fact, twice, she had a summons to go to court. Then a summons for arrest for failure to appear in court, however THAT sheriff had common sense and took her death certificate. He even said he was sorry for bothering me.
F*****g crazy.
#15

The human toll of claim denials is profound. Patients report increased stress, delayed medical interventions, and financial strain. In some cases, individuals have been forced to forgo necessary treatments due to insurance hurdles.
#16

#17

#18

Healthcare providers are also feeling the strain. A survey commissioned by AKASA revealed that nearly 50% of providers have seen an overall increase in their denials rate compared to the previous year, adding pressure to an already burdened system.
To navigate these challenges, it’s crucial for policyholders to be proactive. Understanding the specifics of one’s insurance policy, maintaining thorough records, and promptly addressing any issues can make a significant difference in the claims process.
#19

They wanted me to f****n raw dog chemo.
#20

Face injury, muscle damage, possible orbital bone break, possible eye injury, etc.
When I got to the hospital, I sat in the ER for over two hours because there had just been a bad multi car accident.
THEN, they didn't want to treat me because they weren't sure the insurance would cover it.
My mom worked FOR THE HOSPITAL (Admin, not medical), it was THEIR OWN insurance .
They wanted her to pay cash to cover a certain percentage, can't remember what exactly, but it was over $2000.
They didn't want a check, they wanted cash. She went across the street to the bank and got the cash.
I got treated, spent a couple days in the hospital, got out and recovered, no orbital break, no eye injury, just a bunch of stitches.
Once the insurance was filed and paid, my mom asked for her money back. They said, "you'll get a check in the mail."
NOPE. She went and literally sat on the administrator's desk until they brought her cash.
They made her pay cash before they would treat me, when I was covered by THEIR OWN INSURANCE, then they would by god pay her back in cash.
Needless to say, she quit that day.


