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-   -   Recent Health Insurance news (https://www.talkofthevillages.com/forums/villages-florida-non-villages-discussion-93/recent-health-insurance-news-354956/)

Bridget Staunton 12-06-2024 07:47 AM

Torch’s: I just said that to my hubby yesterday, insurance companies should not be allowed be so profitable, obviously because they deny some claims they should pay

Nordhagen 12-06-2024 07:49 AM

Health care
 
Quote:

Originally Posted by OrangeBlossomBaby (Post 2391118)
We can't afford regular Medicare, plus a supplemental, or Medigap or whatever. Advantage covers more than regular Medicare, almost always at the same price as regular Medicare (which is deducted from our Social Security checks).

With original Medicare A there's a $1676 deductible, before it starts to pay.

For Part B, there's the $174/month premium out of your social security check, and a $240 deductible before it starts to pay. And then, it'll only pay 80% of costs for covered services, you pay the other 20%.

You also have to pay 20% of *MOST* (not all) approved inpatient hospital doctors services not covered by Medicare A.

You pay co-pays for doctor visits beyond the mandatory preventative coverage (which might or might not still exist next year).

Neither A nor B cover prescription medicines, you'd have to get part D, and pay the premium for that, to get coverage (which is really just reduced cost for most drugs, 0 cost if you can get mail-order).

If you want all those co-pays to be covered, you ALSO have to get Medigap, to pay for the deductibles and co-insurances/co-pays. Medigap has its own premium costs.

So you can pay - double what Social Security checks take out ($174/month) to get the same coverage that Medicare Advantage covers, or you can pay just the $174/month to get that coverage.

The problem isn't with the plan. The problem is with the entire system. Basic medical care should be 100% covered, no premiums, no co-pays, no co-insurance, no deductible, for EVERYONE in this country. Citizens or non-citizens, legal or not legal. Prisoners get better health care than some people in this country right now. That's just not right.

Yearly checkup, vaccines, antibiotics to treat infection, yearly labs/bloodwork, wound care, prostate exam, mammography, colonoscopy, yearly skin check, twice-yearly dental cleaning or perio maintenance and yearly x-rays, a vision and hearing test every year. This should ALL be covered by the taxpayer dollar.

Once you get all THAT covered - then people can be required to decide which ADDITIONAL services they want with insurance (or not). It shouldn't be competitive. Companies shouldn't be profiting off the gamble that someone will be healthy, and the patient betting on being sick. ALL health care should be non-prof. Not charitable - but non-prof. There's a difference between giving something away, and not making bank on profits.

You do realize our country is 36 Trillion in debt don’t you?

CarlR33 12-06-2024 07:53 AM

Quote:

Originally Posted by CoachKandSportsguy (Post 2391099)
so a reword of my initial point of corporate greed, but you didn't really answer the question on how you you jumped to my supporting murder, does it?

It’s how I read it on a first read, IMO. Condolences to the family.

msilagy 12-06-2024 07:57 AM

UHC net profit last year was $260 Billion - the 4 biggest pharmaceutical co's was $210 B. Check it out if you are skeptical!

Rainger99 12-06-2024 08:04 AM

I don’t the insurance companies or even the government can pay for everything.

Some drugs cost millions of dollars!

The most expensive drugs in the US

Bridget Staunton 12-06-2024 08:09 AM

I am sorry for his family too, the ones left behind are the ones that suffer especially if there are kids involved

Rainger99 12-06-2024 08:37 AM

Excellent article on how UHC denies claims

Inside UnitedHealth’s Effort to Deny Coverage for a Patient’s Care — ProPublica

OrangeBlossomBaby 12-06-2024 08:46 AM

Quote:

Originally Posted by Nordhagen (Post 2391188)
You do realize our country is 36 Trillion in debt don’t you?

What does that have to do with anything? Medicare is paid for through payroll tax. It's paid for by people who work, not by the government. They oversee the program, but they don't pay for your health care.

FredMitchell 12-06-2024 10:53 AM

Quote:

Originally Posted by msilagy (Post 2391194)
UHC net profit last year was $260 Billion - the 4 biggest pharmaceutical co's was $210 B. Check it out if you are skeptical!

I did. All you need to do is look at their 10K. It shows only $29B before taxes. When you are off by nearly a factor of ten it should cause you to think and research. 260 billion profit would be on the order of 10,000 per capita in the US. That should be a red flag that something is wrong!

See page 28 for major details.

Very curious to know where you got the number that you posted.

CybrSage 12-06-2024 11:00 AM

One way to fix it is to make health care centers give written estimates before doing work, like every other industry does. This way we can shop around.
Price vs quality, etc, like every other industry. Competition breds higher quality with lower prices

Cuervo 12-06-2024 11:11 AM

We constantly hear about cooperate greed. That is way the American system works. It could be food, medical, oil, it doesn’t matter. A company reaches a point where its main goal is to increase its profits, so they hire a CEO whose main job is to do just that. As profits increase and the company because larger, stronger the executives and the CEO are financially reward and so are the investors. Some of these same investors who want the company to charge whatever they can extract from the consumer will be the first to complain when they reach the register to pay an outrage price on a product that they are not invest in. It’s almost comical, but that is the way this system works. Now the government cannot afford to pick up the tab for those that are less fortunate, but what they can do is enforce controls on over charging. Especially when it comes to pharmaceutical, there are drugs that are manufactured in this country that are shipped and sold for much less in other countries. To me that is an issue that the government can address.

ElDiabloJoe 12-06-2024 11:33 AM

Quote:

Originally Posted by Aces4 (Post 2391042)
That "corporate greed" of which you speak is the stock market. The stock market has created a huge "something for nothing" premise and health care is only part of it all.

I can see the frustration of watching a loved one suffer while their medical treatments are denied by insurance. The "corporate greed," and the irony of this, is that he was actually there to speak at a seminar laying out their record year of nearly half-a-billion dollars of profit.

So yes, that record profit "corporate greed" comes from taking in more money than one is paying out. Guess which is easiest to control? Paying out aka denying valid claims.

So, while I am a capitalist, I understand the demonization of certain industries that are just rackets - like insurance, propane, and cable television.

jimjamuser 12-06-2024 12:04 PM

Quote:

Originally Posted by CoachKandSportsguy (Post 2390940)
UHC Insurance CEO got murdered outside his Hilton Hotel this morning. Shot in the back and then several times while on the ground, by a person on a city bike, using a silencer. A video has been released.

His wife said he had been getting threats, and she wasn't clear, but said it might have to do with "lack of coverage."

He was going to his company's investor day

People getting pretty irritated at UHC with the highest denial rate in the industry.
Somebody probably lost a loved one and possibly got bankrupted. .

And in other health insurance news recently, Blue Cross Blue Shield of several states said that they will not completely pay for anesthesiologists services during surgery over a certain length of time

Anthem Blue Cross Blue Shield Won’t Pay for the Complete Duration of Anesthesia for Patients’ Surgical Procedures

Gotta make those profit numbers for the company's stock option plans!
barf

Insurance companies seem to "run the world" in the US. They have too much power, but I don't know how that could be changed? The US SHOULD adopt National Health Care like Canada and the REST of the free world. In 1960 Doctors determined the direction of the Health Care World. Today the Doctors are "under the thumb" of the health care EXECUTIVES.
........It is NOT too surprising that some young MALE could feel that they were personally wronged by UHC so badly that they went ROGUE over some personal incident.
.......Medical Insurance Executives make a lot of money, but part of their pay is basically DANGER PAY because their system is designed to DENY payments and will obviously make many in the general public ANGRY. Thousands of people may be ANGRY at insurance companies and it only takes ONE of them to go temporarily INSANE and use a gun. And remember, we in the US of A have a fondness for GUNS, which are everywhere available.

jimjamuser 12-06-2024 12:11 PM

Quote:

Originally Posted by CoachKandSportsguy (Post 2390940)
UHC Insurance CEO got murdered outside his Hilton Hotel this morning. Shot in the back and then several times while on the ground, by a person on a city bike, using a silencer. A video has been released.

His wife said he had been getting threats, and she wasn't clear, but said it might have to do with "lack of coverage."

He was going to his company's investor day

People getting pretty irritated at UHC with the highest denial rate in the industry.
Somebody probably lost a loved one and possibly got bankrupted. .

And in other health insurance news recently, Blue Cross Blue Shield of several states said that they will not completely pay for anesthesiologists services during surgery over a certain length of time

Anthem Blue Cross Blue Shield Won’t Pay for the Complete Duration of Anesthesia for Patients’ Surgical Procedures

Gotta make those profit numbers for the company's stock option plans!
barf

A very good post to start an important discussion about the weaknesses and the greed inherent in the US Health Care system. And the violence and anger that can push back against that system.

Aces4 12-06-2024 12:16 PM

Quote:

Originally Posted by jimjamuser (Post 2391296)
Insurance companies seem to "run the world" in the US. They have too much power, but I don't know how that could be changed? The US SHOULD adopt National Health Care like Canada and the REST of the free world. In 1960 Doctors determined the direction of the Health Care World. Today the Doctors are "under the thumb" of the health care EXECUTIVES.
........It is NOT too surprising that some young MALE could feel that they were personally wronged by UHC so badly that they went ROGUE over some personal incident.
.......Medical Insurance Executives make a lot of money, but part of their pay is basically DANGER PAY because their system is designed to DENY payments and will obviously make many in the general public ANGRY. Thousands of people may be ANGRY at insurance companies and it only takes ONE of them to go temporarily INSANE and use a gun. And remember, we in the US of A have a fondness for GUNS, which are everywhere available.

Yeah, that poor young male who was so nicely dressed, could afford a sophisticated gun and a ticket from Atlanta to NYC. And he looked so depressed while laughing/smiling buying a coffee prior to killing a man. Poor baby.... Suffering never looked so good.

You can have Canada' national insurance, no thank you. Want to reduce medical expenses tremendously? Provide healthcare ONLY to US citizens or those with the cash to pay. Period.


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