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Biggest Health Insurer (UnitedHealthCare) Plans to Deny ER Bills if it Doubts you Had an Emergency!

Posted By: RumorMail
Date: Sunday, 13-Jun-2021 11:58:06
www.rumormill.news/174613

What’s the point of paying for health insurance if you’re expected to be your own doctor in a potential medical emergency situation?

Never forget that the LARGEST body of lobbyists, in D.C., are Insurance lobbyists. Organized (extortion) crime just changed names ....

Lynda

****

Biggest health insurer plans to deny ER bills if it doubts you had an emergency

UnitedHealthcare delayed the policy’s rollout, but experts worry about chilling effect.

Doctors and hospitals are condemning plans by UnitedHealthcare—the country’s largest health insurance company—to retroactively deny emergency medical care coverage to members if UHC decides the reason for the emergency medical care wasn’t actually an emergency.

In the future, if one of UHC’s 70 million members submits a claim for an emergency department visit, UHC will carefully review what health problems led to the visit, the “intensity of diagnostic services performed” at the emergency department (ED), and some context for the visit, like the member’s underlying health conditions and outside circumstances. If UHC decides the medical situation didn’t constitute an emergency, it will provide “no coverage or limited coverage,” depending on the member’s specific insurance plan.

Emergency medical doctors and hospitals were quick to rebuke the plan. They say it sets a dangerous precedent of requiring patients to assess their own medical problems before seeking emergency care, which could end up delaying or preventing critical and even lifesaving treatment.

The policy was initially set to take effect July 1. But in an email to Ars Thursday, UHC now says it is delaying the rollout amid the criticism—at least until the end of the pandemic.

“Based on feedback from our provider partners and discussions with medical societies, we have decided to delay the implementation of our emergency department policy until at least the end of the national public health emergency period,” a UHC representative told Ars in an email. “We will use this time to continue to educate consumers, customers, and providers on the new policy and help ensure that people visit an appropriate site of service for non-emergency care needs.”

Impossible prognosis


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