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If this is what a "cadillac" plan does, I hate to think what a regular plan will do

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AllyCat Donating Member (1000+ posts) Send PM | Profile | Ignore Fri Feb-05-10 11:13 AM
Original message
If this is what a "cadillac" plan does, I hate to think what a regular plan will do
So, we live in an old home and that automatically triggers a blood lead test for our kids. We've been doing this for about 2-2 1/2 years, because our youngest had a high level. The last check after some abatement in our home and removing some questionable toys came back below the "red flag" level as I call it of 10 so we are on the right track.

Ingenix, our insurance cos attack dog, I mean subrogation firm called and asked me if we had filed a claim with our homeowner's insurance because they are going to recommend that our insurance company not pay our most recent claims AND that we reimburse them for the previous payments they have made over the last several years for all the testing.

This coming after budget cuts with my husband's job and needing a new furnace.

We need single payer NOW!
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Phoebe Loosinhouse Donating Member (1000+ posts) Send PM | Profile | Ignore Fri Feb-05-10 11:17 AM
Response to Original message
1. I hear more and more about how the companies are going retroactively
for things they have already approved and paid for.

NOW can we get some relief? Is there no end?
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T Wolf Donating Member (1000+ posts) Send PM | Profile | Ignore Fri Feb-05-10 11:21 AM
Response to Original message
2. Stories ike yours, NOT unusual unfortunately, make me want to exact some retribution
on the people who participate in this fraud.

The corp that installs the policy cannot be touched. The gallows has been built and you cannot tear it down.

But, the individual agent or company representative or the poor schmuck who answers the phone when you try to solve the problem is also part of the problem. They are the only vulnerable point that can be targeted. Make people unwilling to risk their well-being by being the executioner and maybe the executions will stop.
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dkf Donating Member (1000+ posts) Send PM | Profile | Ignore Fri Feb-05-10 11:27 AM
Response to Original message
3. Which just goes to show how you can't trust insurance companies to play fair
What is worse is that govt must know all these shenanigans are bring pulled yet they want to force us to pay big bucks to these jokers. It is unconscionable
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sui generis Donating Member (1000+ posts) Send PM | Profile | Ignore Fri Feb-05-10 11:36 AM
Response to Original message
4. so if you break your leg skiing
they'll sue the resort?

If you get obesity related congestive heart failure they'll sue McDonalds? Or sue you for not working out?

Fabulous, and not entirely unexpected. Yes, private insurers need to be disallowed from insuring primary healthcare, and ALL of those premiums should move to public option. Let them do supplemental and elective insurance - fine, no problem.

Our health care initiative should only EVER have been public healthcare, with private insurance as the option, not the other way around.
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AllyCat Donating Member (1000+ posts) Send PM | Profile | Ignore Fri Feb-05-10 03:05 PM
Response to Reply #4
10. No, they'll make YOU do it. I ride horses too and
one of the latest things that came out was a supplemental insurance because most insurance companies considered that a "high risk" activity. Therefore, they would not pay for treatment for injuries that happened while riding a horse (or not riding it as the case might be :). Skiing, parachuting, and one other sport I can't remember now were part of this plan back in the '90s. I suspect that might still be the case, but we just don't hear of it anymore. Many people in my sport now buy a supplemental insurance to cover riding related accients.

At what point are they stopped from doing this stuff? Do we all have to sit in chairs and do nothing all day because if we got hurt, they won't pay? Everything is dangerous. Crossing the street is dangerous.
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bvar22 Donating Member (1000+ posts) Send PM | Profile | Ignore Fri Feb-05-10 12:20 PM
Response to Original message
5. The whole "Cadillac Insurance Plans" Kabuki Theater...
...was masterfully choreographed by the Insurance Corporations and their employees in the Democratic Party.

It was the initial NLP planting of the suggestion that Good Health Insurance is an excessive luxury that should NOT be available (even shameful) for the Working Class, but OK for those Americans in the Ownership Class.*

A Two Tiered system will emerge that will be based on the reduction of benefits and service for the Working Class and Poor.

The Elite Ownership Class will STILL have access to the Best Health Care in the World which will be subsidized by Americans who Work for a Living.

"A Uniquely American Solution" indeed.

"If you work hard, and pull yourself up by your bootstraps, you TOO can have "Cadillac Health Insurance" and shop on 5th Avenue. If you have to shop at WalMart, its your own damn fault!!!"


*NOTE:
If you read any of the threads supporting the "Cadillac Tax", you have already witnessed this at work on DU where Union Health Insurance was framed as "too good" and "undeserved", and needed to be downsized so that everyone would be "more equal".

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AllyCat Donating Member (1000+ posts) Send PM | Profile | Ignore Fri Feb-05-10 01:31 PM
Response to Reply #5
8. bvar, I've tangled with those idiots on numerous occasions. They are beyond logic
I've fought with my union tooth and nail to get the plan we do have, in lieu of wage increases. Now that will be taxed or, as the we-don't-see-anything-wrong-with-this-tax crowd they will simply stop offering these plans. So we are then left with the crummy insurance plan my employer wants us to take (using their clinics and facilities). I somehow doubt the insurance companies will stop offering these plans if they are such over-priced cash cows.
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bvar22 Donating Member (1000+ posts) Send PM | Profile | Ignore Fri Feb-05-10 01:55 PM
Response to Reply #8
9. I was genuinely surprised to find so many...
"Unions are bad and need to be punished so everybody can be more equal" propagandists on DU....a "Progressive" website!

I KNOW that the White House runs a "Message Discipline" program to "control" information on the Web.
And I KNOW that large corporations pay many to "Astroturf" the Internet,
but I got the impression that some of these people actually believed that nonsense.

UNIONS are directly responsible for EACH and EVERY gain the entire Working Class achieved from the 30s onward.

EVERYONE who Works for a Living OWES a debt of gratitude to UNIONS.
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spinbaby Donating Member (1000+ posts) Send PM | Profile | Ignore Fri Feb-05-10 12:55 PM
Response to Original message
6. Insurance companies do that all the time
I had a friend who fell on a porch an shattered her arm. Insurance refused to pay for it, saying the homeowners insurance of the person she was visiting should pay for it. They also refused to pay for it. She wound up having to sue her friend's homeowners insurance company to get paid medical expenses and wages while she couldn't work.

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Romulox Donating Member (1000+ posts) Send PM | Profile | Ignore Fri Feb-05-10 12:56 PM
Response to Original message
7. They'll start treating you better once the gov't FORCES you to buy from them. Promise! nt
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