Insurance Denied your Claim, Now What?
The main objective for insurance companies is to make money. Insurance companies are no different than any other business with shareholders. They exist to maximize profits. I don't begrudge insurance companies for trying to make money, again, that's their business. But, an Insurance Denied your Claim, and that's an extreme burden. I like to know where everyone's loyalties lie, so next time you watch a cute ad with a cool jingle, it is important to remember the insurance's priority. It is best to remember what comes first. Don't be tricked by a charming spokesperson with a catchy jingle. An insurance company can't survive if it pays out more in benefits than it collects in premiums.
Can Insurance Limit my Medical Treatment
Due to the realities discussed above, an insurance company may try to limit your medical treatment. However, they are not in charge of your medical treatment. Your physician is in charge of your treatment plan. You should know that an insurance company cannot prevent you from receiving treatment. Any insurance that attempts to get between you and your treating physician is acting inappropriately.
Insurance Denied Your Claim
Remember that insurance can't prevent treatment but they can decline to pay for it. The insurance may claim that a particular procedure is not covered by the insurance policy. This can occur with your own insurance as well as a claim submitted to an insurance of an at fault third party. The insurance may argue that the procedure was unnecessary to provide you with the best potential recovery, which often appears in the form of "experimental treatment".
Options for Pursuing my Denied Insurance Claim
You have several options if the insurance denies your claim. The best results will likely come through the pursuit of a personal injury lawsuit. The second option is to present your case through arbitration or something similar. The least effective way would be to appeal the denial internally through the insurance company. Remember, your priority is to receive reimbursement for your medical treatment. An insurance companies priority is to make money, and they make less money the more they give to you.
If you were injured by someone else's poor judgment, then it is probably best to pursue a personal injury lawsuit. You may be able to receive compensation from the at fault party and relief some of the burden caused by your injuries. I know many of you don't like the idea of pursuing a lawsuit, but in reality it is the most peaceful way of resolving disputes and allocating the societal burden of your injuries to the responsible party. Thank you for reading this article, if you'd like to read more, I suggest reading my latest post on Settlements.