A dying agents warning ‼️

[somarco]

as the appeal process moves on, so does the cancer growth.

Talked to a lady a few years ago with spinal stenosis and a lot of pain. Orthhopod filed the PA 4x before the carrier approved the MRI.

Then they denied the surgery PA. Two or 3 more appeals and finally approved her for surgery.

All of this delayed treatment for 8 months.

Stenosis isn't life threatening but when it progresses to the point of needing surgery the patient really does not want to wait any longer and neither does the provider.

 

[Ron Van D]

I just talked with someone who had an appeal that went on and on. Her cancer grew to Stage 4 by time it was approved.

 

[somarco]

an appeal that went on and on. Her cancer grew to Stage 4 by time it was approved.

And there you go . . .

Wonder what agents say when their clients tell them about delayed/denied care?

Oh wait, so many agents never hear these complaints. Wonder why?

 

[Fisher]

If they bribe you to sell it and they bribe the client to enroll in it, is it really in the client's best interest?

I am MS/MA agnostic as far as my book goes, but this is a damn interesting take on the matter.