Medicare Advantage Commercials

TW · ‎04-07-2010

Has anybody ever wondered how many Millions or even Billions of Dollars these insurance companies waste on advertising while refusing to pay Medical Claims?

ValuSkr · ‎03-15-2014

Yes, there's a lot of money to be made in the medical industry. Insurers want their share.

Effie54 · ‎09-08-2010

@TW wrote:
Has anybody ever wondered how many Millions or even Billions of Dollars these insurance companies waste on advertising while refusing to pay Medical Claims?

Definitely! We have United Healthcare and don't like it! The commercials are a bit phony.

SoonerLater · ‎06-21-2021

Advantage or supplement plan? How do you choose?????

Carmie · ‎10-25-2010

Insurance companies can't refuse to pay medical claims.

When you buy health insurance, that is a contract. By law, insurance companies must pay claims for covered services and in addition, they are not allowed to pay for services that are excluded from the contract.

If services are denied for covered services, it is normally because the claim had an error on it. Claims are processed by a computer.

If the provider puts an incorrect Date of birth, gender, diagnosis or procedure code, the claim will deny. Once the error is found and corrected, the claim will be paid.

I don't know why these crazy rumors are still out there, but they really are not true. The insurance commissioner would be on the company and their fines would put them out of business. In addition, they would be prosecuted to the fullest extent of the law.

Tinkrbl44 · ‎08-23-2010

@Carmie wrote:
Insurance companies can't refuse to pay medical claims.

When you buy health insurance, that is a contract. By law, insurance companies must pay claims for covered services and in addition, they are not allowed to pay for services that are excluded from the contract.

If services are denied for covered services, it is normally because the claim had an error on it. Claims are processed by a computer.

If the provider puts an incorrect Date of birth, gender, diagnosis or procedure code, the claim will deny. Once the error is found and corrected, the claim will be paid.

I don't know why these crazy rumors are still out there, but they really are not true. The insurance commissioner would be on the company and their fines would put them out of business. In addition, they would be prosecuted to the fullest extent of the law.

@Carmie @TW

Sometimes people try to get services not covered under their policies, but that's usually cleared up by the Service Provider, who knows they won't get paid. I guess it's possible people sign up for policies and don't fully understand them, but that's hardly fraud on the insurers' part.