The system is messed up alright - I'm facing $1,000's of bills for a recent delivery and associated care for my wife. United Health Care says they won't cover us due to the fact that we're covered by another provider. Even though we're not. So, we're covered but not covered, paying premiums but not recieving benefits. We've been through 3 months of this now and the claims keep getting rejected. What happens when insurance refuses to pay based on trumped up charges? Mind you, it isn't that UHC is saying I'm not covered, it's that they're insisting that another phantom provider should be receiving and paying claims before they do.
Could you get them for breach of contract?
My insurance wouldn't cover my daughter's 24 month shots. Because she was 24 months and three weeks old when we got them. They paid for the shots, but they wouldn't cover the office visit. (Which was $150 for a three minute visit)
I am a firm believer in capitalism, but only in capitalism guided by Christian values, which is not what we have in this country now.