Annie
Diamond Member
- Nov 22, 2003
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Private insurers most certainly DO have the capability of deciding what costs they will and will not pay. They use fee schedules, surgical schedules, charts detailing the average rate or charge for identical or similar services in a certain geographical area called "reasonable and customary" fees. Also, a private insurer would be quite apt to disallow an artificial limb for an 85-year old person. Buried deep in the fine print of most insurance policies (just as in those pesky credit card agreements), there can usually be found a catch-all clause ending in "...or for any reason whatsoever..."
Great! Give us some links for that, MM! Thank you!
Health Insurance Fee Schedules
or you can Google "fees and schedules used by medical profession" where you'll find a slew of articles or state guidelines.
What I thought. So how does that work out with the Obama plan? Yeah, I know, costs are held to the gov't plan, if exceed it's out of pocket, beyond deductible. Reason those plans will be dropped. On the other hand, we'll all be better off when the weak links die off, whether due to genetics, life style or age.
Soylent green come to life.