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🤔"Ya Think Everything Is Covered" "and Then When Something Happens They Don't Cover Anything " TRUTH!! Insurance policies and coverage😡 81 yr-old Woman Faces 18k Lien Due to Allstate Insurance Not Covering Her Water Damage A plumbing failure severely damaged Daurham's Markham home, displacing her for six months. Allstate...

20,797 görüntüleme • 1 ay önce •via X (Twitter)

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American Surgeon shows the actual letter from UnitedHealthcare DENYING a patient in emergency condition from receiving care “This is a woman who was in the emergency room with pulmonary embolisms” “I think we all knew this would happen. I had another patient come in and share with me that UnitedHealthcare denied her inpatient's day. So this is a patient who had shortness of breath and some chest pain, and she just knew that something wasn't right in her body. She had a family history of blood clots and she'd had a deep flap surgery a couple of weeks ago. She went to the hospital and they saw her and they found that she had a life threatening condition known as pulmonary embolisms. So she was admitted to the hospital and taken care of really well by the doctors there. And they ordered all the right things. After a couple of days, she was discharged. She got a letter from UnitedHealthcare explaining that they didn't agree with the level of her care and that they would not cover it. So I'm gonna share some of the language of that letter with you, and I want you to know that my patient that we talked about previously who had her surgery denied had almost exactly the same letter shared. So there's some troubling things in this letter. I think this term is really interesting. United is saying they reviewed the request for inpatient admission. So let's all just pause and consider that. This is a woman who was in the emergency room with pulmonary embolisms, and the doctor wasn't really requesting anything. They were saying this patient needs to be in the hospital. But an insurance company sees this as a request, and that's part of this prior auth environment that we're living in. So I think it's important as patients and as physicians to just acknowledge that this is our reality now. Someone can think that there's a good medical decision for you and can write orders and wanna do the right thing for you, but your insurance company is seeing that as a request and deciding whether or not they wanna do it. One of the criteria that this insurance company used to decide whether or not to accept or deny this request was whether it's medically necessary. And it's so interesting that we're letting insurance companies and the doctors who work for insurance companies determine what's medically necessary and not just the doctor in front of the patient in the emergency room. So this is a really bold statement from UnitedHealthcare for my patient. They say you did not have to be admitted as an inpatient to the hospital for this care. I think we all need to just reflect on that. An insurance company is telling a patient and her doctor that they disagree with the plan of care to keep that patient safe. I know that this is boiling down to whether it's an inpatient admission or an observation admission, and that's really about money. But what I wanna point out to you is they're making medical decisions. This insurance company is actually weighing in and disagreeing with a doctor who made a medical decision to admit this patient for her safety. So this specific sentence, when a doctor or facility treats a patient above the recommended level of care, we cannot cover it. What the heck? That's what we do. We go above and beyond as physicians. It's clear that insurance companies don't, and they're actually saying it here.”

Wall Street Apes

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Step 1: Get clocked doing 97 mph. Step 2: Admit your insurance check bounced. Step 3: Threaten the cop while playing the "veteran card." ​This might be the gold standard for how not to handle a traffic stop. The chaotic breakdown: ​A Georgia State Patrol trooper pulls over Mrs. McNair for driving 97 mph in a 70 mph zone. When asked for paperwork, she admits she does not have valid auto insurance, explaining that her insurance company supposedly returned her check. ​The trooper explains that he cannot legally just let her drive away without insurance in case something happens. Trying to avoid towing her vehicle, he offers her a choice: either get insured right then and there over the phone/online, or the car will have to be towed. Instead of taking the opportunity to resolve the insurance issue, Mrs. McNair gives the trooper an attitude. The trooper walks back to his squad car to consult with another officer. He reports that the interaction is going downhill, noting that he spotted a half-filled, missing bottle of tequila in her car and smelled what he suspected to be an illegal substance. When the trooper returns to the vehicle to remove her from the car—now dealing with a suspected DUI/contraband situation alongside the lack of insurance—the situation completely self-destructs. Mrs. McNair panics and refuses to exit. ​The trooper opens her door and attempts to pull her out. She clings desperately to the steering wheel, screaming for help. Backup arrives, and multiple troopers forcefully pull her from the vehicle, wrestling her onto the highway shoulder as she flails and tucks her arms to avoid being handcuffed. Once the officers finally overpower her and place her in handcuffs, her defiance continues. As she is being marched over and put into the back of the squad car, she repeatedly threatens the trooper and loudly claims she is a military veteran, explicitly stating she will use her veteran status in her favor to get out of the situation. ​Ultimately, she is booked on charges of speeding, driving without insurance, three counts of resisting arrest, and obstruction.

✨️Serenitee♡Sam✨️

23,900 görüntüleme • 4 ay önce