ST Alpha - "Do you know what the insurance company is telling him? Like, why they won't cover it?" (Reading a Post)

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In response to "my parents' next-door neighbor is slowly dying of liver failure and Kaiser wont cover the cost to give him a liver transplant. It's frickin bs. -- nm" by Stacy

Do you know what the insurance company is telling him? Like, why they won't cover it?

Posted by Jim (aka Jim) Aug 11 '09, 06:11

I mean, we all know WHY they won't cover it...but what excuse are they giving him?

Responses:

[deleted] 18
- [deleted] 4
  - why would you want to give a liver to someone who will be dead in a short time frame anyway when you could save someone who will live for years? -- nm - Beaker Aug 11, 07:35 1
    - reading further I don;t think you meant this so nevermind. -- nm - Beaker Aug 11, 07:36
  - [deleted] 1
    - [deleted]
- Hence my question... -- nm - Jim Aug 11, 06:27 12
  - [deleted] 11
    - Ultimately...they don't want to pay out the thousands of dollars for a transplant. The reason for that could be anything... - Jim Aug 11, 06:38 4
      - exactly -- nm - Don Homer Aug 11, 06:40 3
        
        And I didn't say that right. I meant tens of thousands of dollars. -- nm - Jim Aug 11, 06:41 2
        
        Yes, though they also deny plenty of less-expensive procedures of course. -- nm - Don Homer Aug 11, 06:42 1
        
        Word. And it's up to idiots like me to make the claim forms so perfect they can't find a reason to deny. nm - Jim Aug 11, 06:45
    - it might have something to do with his age, he is in his 70's. -- nm - Stacy Aug 11, 06:37 5
      - Yeah...that'll do it. Extreme age for a procedure like this...the success rate has to be incredibly low... - Jim Aug 11, 06:40 4
        
        It's always a tough call, how much care are they entitled to when they're not going to be around very long to enjoy to benefits of it, regardless? - znufrii Aug 11, 06:44 3
        
        Is he paying his premium? - BB Aug 11, 06:58 2
        
        Unfortunately, that's not how it works. The docs would have to provide a pretty persuasive argument as to why they would do an organ - Jim Aug 11, 07:06 1
        
        I know what we have now. I'm saying what should happen. - BB Aug 11, 07:13

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Do you know what the insurance company is telling him? Like, why they won't cover it?

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