Are you on the "autism spectrum"? And if so, what are your + and - skills?

[Pablo]

No, the insurance companies don’t want to pay. That’s how they make bank. They want to remove coverage/benefits and just say take little John/Jane off sugar. Rub some dirt on it. Pick yourself up by your bootstraps. They would prefer to avoid paying for therapy/services/treatmeants. And most won’t pick up the psychoeducational evaluation. Imagine insurance not paying for cancer screenings, x rays, blood work or any other diagnostic tests/tool. They don’t want you to know little John/Jane has an actual legit problem so they don’t have to pay for it. Also if they do have a legitimate disability, that is now to some extent a Civil Rights issue.

Well, slow down and think.

Insurance companies collecting the same or increased premiums. Paying out less. Making money.

 

[John105]

I guess that too.

Insurance companies making bank

Insurance and providers are really something. I once asked my wife, were you treated for depression and alcohol? She said, "WHATTTTTT!!!" Her doctor, I want to throw this in PC or not, who when we called to follow up, her staff didn't speak English, submitted those services as part of a physical. This isn't the only time.

My son got some charges too for therapy, and at the time Aetna (can I say that), covered 3, and then denied the 4th. I called them saying I want the other 3 denied--my logic? It's not covered, never had any services, so 1. My employer should not pay 2. I want my deductible and coinsurance back. They said you want those claims reversed? (I guess this is unusual)

But nothing ever became of the above two scenarios. Even medical practices seem to submit things and "see" if they can get anything. Because the patient is totally powerless, they know.

Today we have $0 deductible and 0% coinsurance so I probably would let it slide. But in theory, insurance fraud hurts everyone.