Do you think insurance companies practice medicine without a license?

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  1. BuffaloGal1960 profile image69
    BuffaloGal1960posted 12 years ago

    Do you think insurance companies practice medicine without a license?

    Has your doctor ever prescribed something for you only to be rejected by the insurance company? Who went to medical school - the doctor or the insurance carrier?  How do you feel when the doctor wants you to have something only to find your insurance won't cover it?

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  2. erorantes profile image49
    erorantesposted 12 years ago

    The best thing to do. You call the better business administration.Before you  buy  your health insurance. To see what the policy covers. Some insurance companies know the side effects of some medications, and  they do not want to take responsability for farther damage to your health.

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    1. BuffaloGal1960 profile image69
      BuffaloGal1960posted 12 years agoin reply to this

      Erorantes: That's very interesting. Thank you for answering.

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  3. kj force profile image60
    kj forceposted 11 years ago

    Being retired from Medical field...trust me very few Physicians understand the
    " policies of insurance companies", and many times depending on how a procedure is addressed can determine the pay out. Medicare and Medicaid are the most abused , as there is a set amount paid yearly, this is especially true if the Physician wants to monitor on a regular basis the effects of the prescribed meds with either lab or various diagnostics. Insurance companies have the prerogative to drop you as a customer if so desired. I feel each Clinical group/office should have  a designated person who is on top 24/7 of insurance policies , so this issue can be addressed before procedure is scheduled, so patient can make decision/arrangement for payment if necessary.
    Awesome question by the way..as many people are not aware of this issue..
    Personally as a patient I would be upset/angered by this policy or knowledge.
    Look forward to hearing other opinions.....

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    1. BuffaloGal1960 profile image69
      BuffaloGal1960posted 11 years agoin reply to this

      I value your opinion. I too was in the medical field & I know exactly what you mean.  One of the things that irritates me is if you need a specific rx & the ins won't pay for it even if you are allergic to generic & dr said brand only!  J

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