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Obamacare - ya gotta love it. Crippled child

Posted: Mar 21, 2015

I'm linking the article below, but first a comment. My better half is a coder but works half of the day getting authorizations for treatment. The clinic (3 docs) is having to consider hiring a full-time person just to do this, because it's become almost impossible to get authorization even for patients who have been on certain meds and treatment protocols for years and literally need them to stay alive or, in other cases, to have any kind of a life at all.

I wondered when Obamacare first reared its ugly head why the insurance companies were behind it, but of course I should have known. It allowed them to cancel all of their "loser" policies and institute new rules for coverage, impose higher deductibles, etc. They also saw $hundreds of billions of tax dollars flowing their way.

In short, they're getting more and they're paying out less.

One of their little tricks is to demand acres of documentation before they approve anything. They always did this, but it has become much, much worse. And to make it even worse than that, each and every insurance company has its own set of labyrinthine rules, its own special forms that have to be completed exactly to a "T", etc.

It's a nightmare.

So, when you read this article, you'll read that Anthem - which is one of the gawdawfullest worst of the bunch - says that the doctor didn't submit the required documentation, just know that the insurance companies have raised every possible obstacle you can think of to "submitting the documentation".

I hope there's a special, extra-hot place in hell for insurance companies and their executives, where alligators will, like the movie Groundhog Day, gnaw on them from their toes to their eyeballs, each and every day for eternity.

;

Blame the private insurance companies. We could have had - Medicare for all. nm

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You mean "Medicaid" (welfare) for all - ProMT

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due to Obama's food-stamp and subsidy nation.

You are 100% spot on. Several doctors in my area - refuse to have anything

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to do with Obamacare because it is nothing but the worst form of Medicaid, there are sooooo many problems with getting paid, if you can get paid at all. There are too many services, medications, procedures no longer covered. The premiums are through the roof, as are the deductibles, copays...you name it, the cost is prohibitive.

It is a complete utter mess top to bottom.

We really do not need "insurance" companies - sm

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What is their purpose except for to take 20% profit off the top? Eliminate the profit takers and unnecessary paperwork and just let the people get the healthcare they need.

Handle it just like Medicare.

Yeah, that way the doctors receive practically nothing. - That sounds like a great plan.(sm)

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Hope everyone recognizes sarcasm when they see it.

You are right! Single payer like Medicare is the answer...sm - VTMT

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but we will have to elect a democratic majority in Congress before that has a chance. Next time we hopefully will not be fooled by the republican bait and switch again.

No, the govt option was insurance designed - IMANMT2

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by the ACA people or the government (like they do any government contract) with lists of what they wanted the insurance to provide then the industry answers with the technical proposals and then after picking out the policies offered that have most of what was asked for in their "wish list" they then choose the winner by opening the cost proposals, so then the cheapest offer is chosen.. once they get the final 5 or so based on technical issues or what the insurance would do. Competition among the contractors vying for the contract gets the government the best deal .. until some Senator sitting on a committee owing a favor for a campaign contribution circumvents the open-source contracting and makes the contract a sole-source set aside for their "friends" you see that in MT.

Medicaid for all who qualify (and it's a form of insurance, too, only no premiums for the insured) was written into the ACA, but the states have refused to take advantage of it to get their people insured. Some are rethinking those decisions, now.

No, I mean Medicare for all, very different from Medicaid...sm - sm

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Basic hospital coverage for all, doctor and outpatient coverage at 80% for a set monthly fee, the option of drug coverage and supplemental coverage to cover what the 80% Medicare policy doesn't cover. If you cover yourself fully on Medicare it costs about $250-300 per month. There are no restrictions on doctors or hospitals and no referrals required. It is nowhere near "free" but excellent coverage.

OBAMACARE - bait and switch to the max - Inferior all the way

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@7

The bait and switch took place when the republicans....sm - VTMT

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convinced the democrats that they would support the ACA bill if the idea of single payer was dropped. We believed them. Unfortunately, we were duped.

Blame Obama - He's the one that refused to listen - to anything besides the tiny little

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voice rattling around the big hole of his head.

Don't blame Obama. If you read. sm - VTMT

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the entire piece, it turns out that the doctor did not file the proper paperwork in a timely fashion. Why so anxious to blame the president? Never mind; we know why.

What an excuse - anonie

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Insurance companies always have excuses. They never bother to tell the doctor that they need more information. I am telling you that this is a typical excuse insurance companies use when they deny something

..and you are blaming the wrong person. - nm

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.

Because we don't trust him? You'd be right if that's what you "know" - Abby

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Nm

Just awful - anonie

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This little boy could do wonders with a real wheelchair rather than this one he has now.

This is so ridiculous how many hoops you have to go through to get what a child needs.

I have a little cousin who has cerebral palsy. She cannot walk so far and is about 3 or 4 now I think.

I hope that we get something different.

Obama seems to want us all to be miserable so he can be happy. Isn't that just selfish of him.

I would imagine many people in this country suffer from depression due to the way the country is changing and there does not seem to be anything we can do about it and our Congress keeps letting him do ugly things that make other so miserable and unhappy as well as not affording them any quality of life or even life at all, i.e. meds they need.

OBAMA PROPERLY BLAMED - CAPS = EMPHASIS

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Obama has created a massive, chaotic, destructive, life-threatening mess with his desire to "social engineer" every aspect of our lives.

Drugs our clinic has used for 20 to 30 years, life saving for many, are now no longer covered under Obamacare. The cost for these life-sustaining drugs has shot through the roof. We have patients not taking the meds, cutting down doses, skipping days, delaying refills, simply because THEY CANNOT AFFORD WHAT OBAMACARE HAS DONE TO THEIR HEALTH AND THEIR POCKET BOOKS.

An 83-year-old we have cared for, for years, on medication for the last 25 years is no longer covered because of Obamacare, had his cost go from about $ 200 to over $1300.00 a month...the patient's question to the doctor..."what the hell I am supposed to do at 83, go get a job or die?" We all know Obama's preference.

Too many stories like this to post them all here since Obamacare passed.

Hard to believe. An 83 year old would be on Medicare. nm - VTMT

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Obviously, you are not familiar with Medicare (sm) - nm

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I think the poster meant the medications. Medicare part D does not pay for a lot of medications.

The point is, Medicare has nothing to do with Obamacare! - VTMT

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.

Most people are comletely UNAWARE of how Medicare - has been diminished because of Obamacare

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just proves to me that they have not read Obamacare, are not familiar with what Obamacare has done to Medicare and will continue to do.

OBAMACARE HAS EVERYTHING TO DO WITH MEDICARE NOW - CAPS EQUAL EMPHASIS

The lack of understanding on the board as to What Obamacare is, is frightening...and yes, I read the bill unlike most.

I am very aware of how Medicare operates. sm - VTMT

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Where will the cuts to Medicare come from?
Despite the doom and gloom tactics of some members of congress and talking heads, the cuts will come from two prime sources; (1) eliminating Medicare fraud, estimates are that this fraud cost tax payers 60 billion dollars annually and (2) a reduction in the amount of payments that are paid into Medicare Advantage programs that are offered by private insurance companies.

I do not have Medicare Advantage and nothing has changed for me.

How long have we been talking about the Medicare fraud? - What is being done?

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nm

Lots of info on line about big Medicare fraud.... - sm

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rings being broken up and prosecuted over the past few year, most on the part of fraudulent clinic or private practice doctors not recipients.

So where's the money we're saving? - Obama already spent it.

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nm

It goes into the general Medicare fund to pay - legitimate Medicare claims. nm

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DISAGREE - sm

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Medicare has been in an almost constant state of flux for most of its life.

The public has had to roll with Medicare changes for decades. Doctors have complained about and battled with Medicare since before Obama went to Harvard.

Obamacare permeates every aspect of life - Including real estate taxes

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What so many supporting Obamacare completely ignore is the far reaching grasp of what it does.

They immediately "blame" the insurance companies, who are forced to do what they are doing BECAUSE OF OBAMACARE NOW BEING LAW. If they do not comply, they face massive, massive fines and/or imprisonment (yep, that's in the law for doctors, too) for violation of Obamacare.

As part of my job duties, I have to make sure certain things are "Obamacare compliant". It is a freaking nightmare what Obamacare has done to Medicare, Medicaid. Obama does not give a flip about any American not insured...However, Illegal Aliens do not do without any services whatsoever.

Some people supporting Obamacare never wake up until they are forced to deal (or a loved one) with it through their own severe health issues and what they have to go through to get life-sustaining services. Some still refuse to wake up...more is the pity for their blindness.

This claim children were not insurable, adults were not insurable, handicapped were not insurable, is nothing but smoke and mirrors. Before Obamacare, there were over 500+ agencies to assist the poor, handicapped, challenged, disabled receive everything from medical care, cash payments, housing, food, travel assistance, in-home aide care to name just a very, very few. There was also Medicaid available.

You are wrong on so many levels. Many people with handicapped....sm - smh2

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children do not qualify for Medicaid. These parents can afford health insurance for their children but were unable to get it before and are grateful for that now. BTW, Obamacare does force the insurance companies to provide a minimum level of care, a d that is a good thing not a bad thing no matter which way you twist it.

You are 100% correct - Medicaid dictated state-by-state

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and there were 100s of federally based programs for poor, handicapped, disabled, etc., people that you mentioned. The sad part is, people refuse to acknowledge any of that simply because they want to hold Obama up as a savior to the masses regarding Obamacare...nothing could be further from the truth.

A close friend of mine, whose daughter was severely handicapped from birth, was NEVER without state/federal insurance, medical care, aide assistance, housing assistance, home care...she is now well into her 40s. This is one example.

This myth that children were "uninsurable' is simply a myth and false.

What the state did not take care, the feds did.

Also - PRIOR TO OBAMACARE

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Her daughter received a specialized, motorized wheelchair, through Medicaid and federal funding, that cost $35,000. Like I said...bogus claim by Obama and his minions that they were "uninsurable" totally false.

You think only poor people have handicapped children? - sm

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The middle class and the wealthy also have children with severe disabilities. They do not deserve to be shut out of the health insurance market. Most bankruptcies are do to health care expenses where even the average working person can lose almost everything.

MISREPRESENTING WHAT POSTER SAID - "NEVER" SAID (CAPS = EMPHASIS)

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wheelchair recipient was "poor".

Then why are we talking about Medicaid? - nm

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I, too, saw that misrepresentation. The OP clearly stated there - were several agencies offering help -

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never stated what, if anything, Medicaid took care.

Our state, as many others, has their own set of guidelines for Medicaid, which they can vote to change as the state deems necessary.

I agree that Obamacare is nothing but a power grab and a nightmare.

Because of Obamacare, children that had pre-existing....sm - VTMT

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conditions and were uninsurable cannot be refused and are now covered. It is time to stop blaming the president for the failures of the private for-profit insurance companies.

An anchor baby would have received a wheelchair - and much, much more.

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Too bad Americans are getting the shaft these days. Welcome to Obamaville.

Is there anyone out there who has ANY faith that we will be able to stand after the next two years? Sadly, my hope is fading fast.

This has nothing to do with Obama. - nm

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This has to do w/ judges - Who write law instead of upholding it

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...not to say that Hussein Obama & his cadre (not to mention AARP) have their fingerprints all over this.

Has everyrhing to do with Obama regime - and Obamacare

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the ugly truth of OBama..Deal.

Before this past year this child wod have been uninsurable. - sm

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The private insurance company is at fault here for denying the claim, not Obamacare. There is an appeals process so maybe it will come out OK in the end.

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