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Originally Posted by Jermyn Davidson
Nope. The 13 year old girl who died in California debunks your myth that there are "several paths open" for recourse when your insurance company denies you a life saving surgery.
Apparently, this family did not have medical insurance at all.
If so, the Healthcare Reform Act is supposed to help people without insurance so that they have insurance.
Maybe Indiana hasn't been able to or haven't allowed the "changes" to happen at the state level that would benefit this family.
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JD - I have personal experience at working with private insurance companies on denials. It is not a fun process but you will eventually win almost 100% of the time.
I have a situation right now, with someone who works for my company, that is this way. He was diagnosed 3 years ago with cancer and given 6 months.
His treatment has been stopped at least 3-4 times because insurance said that it was non-effective. He has had very good success working with his patient advocate to get these resumed, every time.
Private insurance companies do not want to go to court on these issues, so they will eventually cave. Unless every medical expert you can find agrees with them.
There is not not same recourse with the government.