Michael Moore's Latest Target: Your HMO

[MTK]

Originally Posted by jsarno

Are you serious? You think the insurance companies are completely honest? You must either work for an insurance company, or are nieve. There have been plenty of documentations over the years of this. While I do not have numbers, I won't even search for them cause my comment is common knowledge.

I am sorry that sounds rude. After proof reading it, I thought it sounded rude. That is not my intent. I am just trying to point out that it's common knowledge.

I've worked for several insurance companies and I haven't seen any instances of the company outright improperly denying claims. Are there guilty insurance companies out there? Sure, but the same goes for everyone that's a part of the system. Doctors, lawyers, and claimants themselves are part of the problem at times as well. I don't think one part of the system can be pinpointed as being the sole problem.

[jsarno]

Originally Posted by Mattyk72

I've worked for several insurance companies and I haven't seen any instances of the company outright improperly denying claims. Are there guilty insurance companies out there? Sure, but the same goes for everyone that's a part of the system. Doctors, lawyers, and claimants themselves are part of the problem at times as well. I don't think one part of the system can be pinpointed as being the sole problem.

had you been paying attention, I did say those others are to blame as well. I just believe the insurance companies to be the bigger problem. Now of course, you could always argue that it's the insurance predators that excentuate the issues, that would be a valid one.

I'm glad you have not seen any insurance companies outright improperly denying claims. I have seen it. In fact I believe they made a movie out of it too. I've been trying to remember the name, but can't recall right now. I'm glad you guys experiences of insurance companies are positive.

[Lady Brave]

Originally Posted by jsarno

I'm glad you have not seen any insurance companies outright improperly denying claims. I have seen it. In fact I believe they made a movie out of it too. I've been trying to remember the name, but can't recall right now. I'm glad you guys experiences of insurance companies are positive.

The Rainmaker?

[MTK]

Originally Posted by jsarno

had you been paying attention, I did say those others are to blame as well. I just believe the insurance companies to be the bigger problem. Now of course, you could always argue that it's the insurance predators that excentuate the issues, that would be a valid one.

I'm glad you have not seen any insurance companies outright improperly denying claims. I have seen it. In fact I believe they made a movie out of it too. I've been trying to remember the name, but can't recall right now. I'm glad you guys experiences of insurance companies are positive.

I hope you've got some better sources than just a movie.

[JoeRedskin]

Originally Posted by Mattyk72

I hope you've got some better sources than just a movie.

Matty - I work in insurance regulation. My agency (who shall remain nameless but is a state agency that regulates insurance in a state on the eastern sea coast probably in close proximity - or surrounding - the city in which I reside) has issued many orders against insurers who have improperly and intentionally denied claims. I will say it is not the common practice and does not occur with great regularity. It does, however, occur on both the large scale and small scale and either as an anomaly or through a systematic business plan.

What is common is for insurers to look for ways to deny coverage and interpret any gray area against the claimant. Most times it is simply not feasable for consumers to fight the denial of a $500 claim that falls into those gray coverage areas.

[hooskins]

Originally Posted by JoeRedskin

Matty - I work in insurance regulation. My agency (who shall remain nameless but is a state agency that regulates insurance in a state on the eastern sea coast probably in close proximity - or surrounding - the city in which I reside) has issued many orders against insurers who have improperly and intentionally denied claims. I will say it is not the common practice and does not occur with great regularity. It does, however, occur on both the large scale and small scale and either as an anomaly or through a systematic business plan.

What is common is for insurers to look for ways to deny coverage and interpret any gray area against the claimant. Most times it is simply not feasable for consumers to fight the denial of a $500 claim that falls into those gray coverage areas.

Seems like his source is a bit more legitimate than just a movie...