Well known health influencer explains how to fight back health insurance denials in United States.

  • explains (in simyle terms) how insurance companies work.
  • shows basic steps to create a solid appeal.
  • recommends some online tools (AI based) to craft the appeals.
  • vorpuni@tarte.nuage-libre.fr
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    2 days ago

    Every workplace accident I’ve had has been denied at first due to technicalities. In France, touted as the great communist system where you pay nothing (which is of course wrong).

    • Buffalox@lemmy.world
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      1 day ago

      In the workplace you hopefully had help from your union. Americans rarely have that luxury.
      Also it’s only in USA that France might be considered communist, because that’s completely moronic extreme right propaganda, since France has a free market economy like the rest of EU.
      At least in EU insurance is under better regulation than in USA, but it still sucks to have to make insurance claims, that the insurance company has every interest in rejecting.

      • vorpuni@tarte.nuage-libre.fr
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        5 hours ago

        Unions at least know good lawyers but it wasn’t necessary at all, the first denial was just to waste my time. Sadly union membership in France is becoming insignificant so they’re not as good as they once were.

        And I was saying France is “communist” in jest.

        The regulation is all right in France but insurance definitely has some very favourable laws (many delays for notifying them are quite short to the point where with shortages of GPs you have to waste everyone’s time at the ER if you really need to be off work).