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I was watching an exposé of how and why coverage is denied for healthcare claims and it turns out many of the companies do not even do their own dirty work. They farm it out. The people they farm it to figured out that they get paid every time they process a claim. Denied or approved. So if they deny and then approve they get paid twice for processing the same claim.

The one that stuck out was a man had both legs amputated. His doctor prescribed a wheelchair as medical equipment. It was denied because she had not tried physical therapy first. I was unaware that physical therapy could cause legs to regrow. Truly we live in a age of marvels.

Actually the last part is true. We do live in an age of medical marvels. But we also live in a age where you may be taking something for years and suddenly your doctor has to fill out a bunch of forms about why you still "need" it. While the process is happening you will be denied your blood thinner, heart medicine, thyroid medicine or other such items while a collection of bureaucrat with no medical training decide if you actually "need" it.

The one that stuck out was a man had both legs amputated. His doctor prescribed a wheelchair as medical equipment. It was denied because she had not tried physical therapy first. I was unaware that physical therapy could cause legs to regrow. Truly we live in a age of marvels.

Sounds like something the $hot $hill$ would try.

Because SCIENCE™!

The state of medicine is truly amazing, many diagnoses can be very confusing though so fortunately we have the insurance companies to help us understand what we really need.

My physician had prescribed something for me. He was convinced that the problem would be chronic and require daily intervention.

The insurance company decided that it should only be a real problem and be fully covered under the plan in January, April, July, and October. They also explained that it shouldnt be a real problem requiring only partial coverage in February, May, August, or November. Though my physician had been right for some of those months, I shouldnt need it full time and therefor wouldnt be covered at all March, June, September, or December.

Now that all may be obvious to you, me, and the insurance company, the trick is just finding the physician that can convince the condition to follow the right schedule.