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Thread: Insurer agrees to pay medical bills after Twitter showdown

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    Insurer agrees to pay medical bills after Twitter showdown

    If you can post bad things companies do, then you should post good things they do also. Of course this is just one person they are helping out of many many in the same plight as this guy but its still noteworthy.


    Guha, an Arizona State University student who is battling stage 4 colon cancer, used the social-media website Twitter to debate with the CEO of his insurance company and received an unexpected payoff: a guarantee that the insurer would pick up all of his outstanding medical bills.
    "Frankly, I'm stunned, overwhelmed and probably a little confused, too," said Guha, a doctoral student at ASU's School of Sustainability.
    After multiple surgeries and costly chemotherapy sessions, the 31-year-old Phoenix man quickly surpassed the $300,000 lifetime limit on his Aetna student-health-insurance plan with another $118,000 in medical bills left unpaid.
    Facing the prospect of medical bankruptcy, Guha launched a website, Poop Strong, and sold T-shirts and trinkets to raise money to pay for his costly chemotherapy and other medical bills. He also has used Twitter to rail against what he considers the outsized profits of Aetna and the health-insurance industry.
    To his surprise, Aetna CEO Mark T. Bertolini engaged Guha via Twitter and addressed the student's plight. The result? Aetna agreed to pay the student's medical costs despite his policy's maxed-out coverage.

    While Guha is happy that his bills will be paid, he doubts that other cancer patients who lack health insurance or have surpassed coverage limits will get the same treatment.



    Insurer agrees to pay medical bills after Twitter showdown

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    Re: Insurer agrees to pay medical bills after Twitter showdown

    I have no patience for insurance companies that try to get out of paying legitimate claims, but I'm not sure why someone who bought a plan with a lifetime limit would then complain when the limit was exceeded. Very nice of the insurance company to cover a bill they had no obligation to cover.

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    Re: Insurer agrees to pay medical bills after Twitter showdown

    Why would a plan HAVE a lifetime limit?
    Don't work out, work in.

    Never eat anything that's served in a bucket.

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    Re: Insurer agrees to pay medical bills after Twitter showdown

    To make it cheaper. If the insurance company knows there is a maximum that they'll have to pay, they can charge the customer less.

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    Re: Insurer agrees to pay medical bills after Twitter showdown

    Quote Originally Posted by lpast View Post
    If you can post bad things companies do, then you should post good things they do also. Of course this is just one person they are helping out of many many in the same plight as this guy but its still noteworthy.


    Guha, an Arizona State University student who is battling stage 4 colon cancer, used the social-media website Twitter to debate with the CEO of his insurance company and received an unexpected payoff: a guarantee that the insurer would pick up all of his outstanding medical bills.
    "Frankly, I'm stunned, overwhelmed and probably a little confused, too," said Guha, a doctoral student at ASU's School of Sustainability.
    After multiple surgeries and costly chemotherapy sessions, the 31-year-old Phoenix man quickly surpassed the $300,000 lifetime limit on his Aetna student-health-insurance plan with another $118,000 in medical bills left unpaid.
    Facing the prospect of medical bankruptcy, Guha launched a website, Poop Strong, and sold T-shirts and trinkets to raise money to pay for his costly chemotherapy and other medical bills. He also has used Twitter to rail against what he considers the outsized profits of Aetna and the health-insurance industry.
    To his surprise, Aetna CEO Mark T. Bertolini engaged Guha via Twitter and addressed the student's plight. The result? Aetna agreed to pay the student's medical costs despite his policy's maxed-out coverage.

    While Guha is happy that his bills will be paid, he doubts that other cancer patients who lack health insurance or have surpassed coverage limits will get the same treatment.



    Insurer agrees to pay medical bills after Twitter showdown
    Well, that's "really nice" of the insurance company, but that's probably the law -- right now.

    Obamacare prohibits lifetime limits (A cap on the total lifetime benefits you may get from your insurance company) on most benefits in any health plan or insurance policy issued or renewed on or after September 23, 2010. [Maggie note: I know of no health insurance plans that don't renew yearly.] In 2014, Obamacare prohibits new plans and existing group plans from imposing annual dollar limits (a cap on the benefits your insurance company will pay in a year) on the amount of coverage an individual may receive.
    The devil whispered in my ear, "You cannot withstand the storm." I whispered back, "I am ​the storm."

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    Re: Insurer agrees to pay medical bills after Twitter showdown

    Quote Originally Posted by Manc Skipper View Post
    Why would a plan HAVE a lifetime limit?

    Because in our modern advanced country, we still have backwards unethical business models.

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    Re: Insurer agrees to pay medical bills after Twitter showdown

    Quote Originally Posted by hazlnut View Post
    Because in our modern advanced country, we still have backwards unethical business models.
    No, its called math.
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    Re: Insurer agrees to pay medical bills after Twitter showdown

    Quote Originally Posted by Manc Skipper View Post
    Why would a plan HAVE a lifetime limit?
    To prevent a small group of those insured from bankrupting the whole pool.
    “Tyranny is defined as that which is legal for the government but illegal for the citizenry.”
    ― Thomas Jefferson

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    Re: Insurer agrees to pay medical bills after Twitter showdown

    Quote Originally Posted by francois60 View Post
    To make it cheaper. If the insurance company knows there is a maximum that they'll have to pay, they can charge the customer less.
    Insurance companies all have an (unofficial) poicy of repeatedly denying legitimate claims and offering bonuses to staff that do. In fact, for all practical purposes, medical insurance in the US is totally useless because of that fact.

    A law needs to be passed that allows patients to sue insurers and force those insurers to pay the legal costs of the suit to the patient when losing.

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    Re: Insurer agrees to pay medical bills after Twitter showdown

    Quote Originally Posted by francois60 View Post
    To make it cheaper. If the insurance company knows there is a maximum that they'll have to pay, they can charge the customer less.
    That's an oversimplification. One has to add the denial of legitimate claims to the mathematical model.

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