Ok, well I know that the politics is a loaded topic, and I am not going to push my opinions on anyone. But the presidential election is something I feel compelled to be involved in. Never have I really paid as much attention to it as I have and am this year. I have been trying to do some research on the canidates to find which one I will vote for.
Here is one of my issues.....(although I am sure you will hear more eventually)
Insurance! And not that everyone in America needs to have quality health care. Yes I think it would be wonderful if everyone in America could have quality health care, but I think for starters you should be more concerned with getting the health care system to be quality! I have worked with insurance for about 6 years now, and if I could only share all of my experiences your mouth would fall to the floor. But a couple of recent ones have really bothered me.
Medicare for example. I was on the phone with them the other day for 3 hours (I kid you not) about an insurance policy on a patient. The patient says they have medicare, the EOB (explination of benefits) comes back they have an HMO of medicare, not actual medicare. I asked them to tell me what the policy is. I know they have it because they have given it to me before. She tells me I have to call an automated system to find out. After trying to even figure out the system in the end it tells me " And medicare is primary" I call back medicare and explain. She says well its not. Go through it again. IT TOOK ME 30 MIN THE FIRST TIME! I eventually get on the phone with a supervisor who tells me they can loose their job if they tell me. This has been sent down from congress, that if its available on the auto. system they can't give it to me. They have had pay cuts and they can either cut our pay (the doctors) or they cut the amount of time they are on the phone. EXCUSE ME but didn't I waist a couple of hours of rep time instead of the saying "oh, ok Robyn it is Impovement Plus insurance" I mean get real! The insurance system is very broken. I have another patient who I have been fighting his insurance since October. I have called on 9 different occasions and spoke with 9 different people, who all give me the same information. "yes we should pay for more visits, his policy states we will pay for 20 after the deductible" No one could get this processed. Then the other day I get a letter saying they applied the 20 visits to all visits which included ones that went to the patients deductible. AND THEY CAN DO THIS! No one stops them. We pay insurance companies to do what ever they want to.
This is just a few examples I have hundreds. But we need to fix what we have now before we throw all of america into it!
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2 comments:
Wow you just jumpd into a hot topic. I never have been involved in polotics. I won't be voting this year because I don't like any of the candidates running. you can just keep Bush up there as long as I'm concerned. I took a test to see who would be my best vote based on my beliefs and it told me I should vote for Obauma.(? however you spell his name) I am far from being a Democrat so that was wierd. I thought Huckabee was out of the race. Maybe that was someone else. Anyway, It is good that you have such knowledge on Insurance. I hate Insurance and have always thout it was a scam. I would get rid of it but there are excetions. Have you heard of medical tourism?
Clint said the same thing about keeping Bush. I'm going for Huckabee because I feel he is best for my beliefs and I agree with alot of his policies and I certainly don't want Hillary in the White House. You were telling me about the medical tourism the other day. Sounds interesting.
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