I know health insurers can be cold and callous. I know that they make bad decisions. But not all denials are evil or based on greed. The guy was in a coma for over a month and has a serious brain injury. The cost of rehab will be in the millions. UnitedHealthcare does not have a money printing machine in its basement. If they didn’t make tough decisions, your premiums would go up by 20% per year instead of 10%. Maybe this denial is a wrong decision. I don’t know the details and facts. But the knee-jerk sob story of “poor mom can’t get her disabled son medical care due to evil insurance company” is shallow clickbait.
Awful and sad, but they are called donor-cycles for a reason. Better parenting would lead to fewer sad stories I have to read.
I agree with you, and I agree with the insurance company denial. The insurer is denying the care facility that Mom is requesting because the patient’s condition is too poor. The insurer is not denying care, they are willing to cover appropriate care in SNF/acute care where PT and OT are available. Mom can rerequest IF her son improves.
Patient has a trach, a g-tube, opens one eye, moves one arm and one set of toes. He has a looooong road ahead and may never be able to eat, walk, talk, read, even watch TV. Sad story, but insurer is correct.