WHY INSURANCE DENIALS?

[Guest guest]

The common thread through everyone's questions here and to me is why?

So, I am going to tell you why insurance companies are doing this.

I have been working in the insurance field for more then 15years. It

was always against the insurance companies. That's why these appeals

are so natural to me.

In the 70's Ford made a car called the Pinto. When the Pinto was

struck from the rear it tended to explode. When Ford realized this

and the lawsuits began Ford did a study, and this is a fact, with

their number crunchers, that the percentage of injury or fatality and

the money that would have to be paid was very low in comparison to

what it would cost to recall and repair all of the Pintos. So what

did ford do? They left them on the road and dealt with the lawsuits.

In this instance here, you are going to start to see studies from

" insurance companies " and their doctors that this surgery is terrible,

dangerous and in the long run doesnt work.

Why? Because they have crunched the numbers. And this I know from my

dealings with legal counsel. It is CHEAPER for them to deny you,

hope you'll walk away, stall you or whatever they can do, and pay for

medications and treatment over long term, betting that you will leave

their company or just plain pass away, whereby their money is spent

over many years, then it is for them to open the floodgates and spend

money on surgeries right now. That's the bottom line.

They know they'll lose on appeal, but most people don't appeal, they

walk away. They also know by stalling you, they can hope for changes

in the law, or you will miss a deadline to file a required appeal.

That's why, after your surgery, we all need to stay around and help

others like you great people here.

Be well.

Viscio

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