[neverevergiveup]

Insurance companies often hire unqualified people to serve as ‘gatekeepers’. This sounds like a case decided by some ridiculously unqualified ‘gatekeeper’. Considering the amount of money spent on adults in the last months to year of their lives, denying coverage for a 9 month-old infant is unconscionable.

[Jaded]

Insurance companies suck. Well they do now.

5 years ago I underwent radiation for stage 1 breast cancer. I was fortunate to be eligible for APBI. (In short, one becomes a plug and play device for 5 days.) I went to MDAnderson twice a day for 5 days for radiation as opposed to once a day for 6 weeks.

The insurance pre-approved the procedure. Afterward they called it “double billing”. MDA repeatedly appealed the decision. Bottom line... UnitedHealthCare screwed MD Anderson out of 20K of negotiated fees.

[sagar]

Insurance companies are FOR PROFIT businesses.
Spending money on cancer treatment is clearly expenses. If the health insurance companies are also offering life insurance coverage, then they might sing a different tune. Until then, it is simple economics. Maximize the revenue while minimizing expenses.