How health care system works


Will Your Insurance Company Pay Your Hospital Bills?

It is a known fact that most insuranceall yourself. This seems highly unfair,
companies, especially the larger ones, loveespecially after you have been paying into
to deny claims and look for any and allthese insurance companies for years and years
reasons to not pay your claims or yourwith out of your paycheck deductions. You
hospital and other medical claims. Youshould be able to use this insurance that you
should be aware of this and you should takeare have already paid for, correct? But the
certain  steps  to  protect  yourself  .insurance companies, especially Blue Cross
and Blue Shield and United Health Care and
For example, a family member goes to thethe other major insurance companies insist
emergency room for a serious emergency. Thethat you pre-certify and On time or be
last thing that you are thinking of is to godenied.
to a pay phone and hold on while you listen
to recordings from your insurance company andYou, as a patient or family member or
hope that a human being answers the phone.consumer , need to protect yourself against
For most emergency rooms encounters, you orthese unfair denials. How do you do this?
the patient can be in the emergency roomThere are steps to take and other steps that
hours and even sometimes days before you allthe insurance company will not tell you
calm down and relax if the patient is stable.about. You can protect your interests. So
read my other articles and you will have the
To stop themselves from paying your claim,answers  to  your  question.
most insurance companies have enacted these
strict "pre-certification " rules, and rulesThe next article that I write will detail the
that you must call them within a certainsteps that you need to take to protect you
period of time or your claims might not beand your family from unscrupulous insurance
paid. Your doctors and hospital bills mightcompany demands and against their denials for
not be paid and then you might have to pay itpayments.



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