Since our launch in 2013, we’ve heard all kinds of health insurance nightmares from clients. Truthbomb: not all health insurance providers have your best interests at heart.
That’s why we’ve compiled this checklist – so you can decide if your health insurance is the best option for you. If you recognize any of the points below, you may want to re-evaluate from where you get your health insurance. Maybe we can help point you in the right direction! Give us a call – let’s talk.
Note: we are not health insurance providers, nor do we receive kickbacks or incentives on any recommendations. We are simply therapists who deeply respect our clients and want the very best for you – because your story, is our story; we’re here to help.
How to tell if your Wall Street health insurance is cringe-worthy:
- They act like the are a soup kitchen dealing with scarce resources, when they pay their top execs millions.
- They turn payment and authorizations into aa game of scavenger hunt or Where’s Waldo. Then they act like you should be grateful for what they should have been doing all along.
- They data mine under the guise of “care management.” I honestly don’t even think that the CMs realize they are data mining.
- They lose claims and authorizations, so you have to submit these forms all over again.
- They deny a claim because the person is not covered, when they are.
- They put profits over people.
- They destroy claims that are legitimately filed, to protect the patient’s privacy, when these claims should have been processed. So you have to file all over again.
- Outsourced customer service.
- Transferred calls–multiple times, along with long hold times.
- Red tape that creates barriers to services and payment.
- They freeze reimbursement rates for 15 years or longer at the same time that they increase premiums.
- They increase deductibles, co-pays and coinsurance.
- They claim services are unlimited, then restrict service codes and numbers of services.
- They misrepresent their benefits, then refuse to honor what they told you.
- They increase restrictions in service codes and number of services.
- They pit providers and patients against each other by denying claims then putting the burden on the provider to fix this.
- They scapegoat the provider.
- They demand excessively long and intrusive phone conversations with clients and providers.
- They include their own case management in the required clinical share of their budget.
- Predatory marketing practices with vulnerable populations, particularly the elderly.
- Diverting large shares of their resources into advertising and other marketing strategies.
- They engage in deceptive marketing tactics, telling people they will be better off, when the truth is that it will end up costing the client more in the long run.
