Regarding health insurance... This makes me mad..
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Posted By: Fumin on April 06, 2005 at 18:59:46:
My husband just turned 40 and decided to get a check up. After all, he's a bit overweight, hasn't always eaten the healthiest diet (but is making changes there of late and has lost about 30 pounds), and actually had some slight twinges in his chest a few weeks ago when he was climbing some stairs (although had shoveled snow that morning). So he went to the ER the afternoon of the chest twinge and checked out fine by EKG and exam, and made an appointment for a check up. His father had a heart attack at 51 and his grandfather had a heart attack at 51 and both died of heart attacks in their 60s, so he's got some family history going on, on top of it. The doctor ordered a 2-day rest-stress echo and they just called yesterday and said our insurance refuses to pay for it. Said it wasn't necessary. Can someone PLEASE explain to me how some clerk, or panel of "who know whos" decided what a patient needs and does not need? Are these doctors deciding this? I bet not. Seems to me they're practicing medicine without a license. Doesn't the personal physician have a slightly better idea of what a patient needs than some far away office worker? How do they get away with this?
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