Health reform won't stop refusals to cover treatments, advocates warn

Are you just stupid or is it something else

CIGNA should not be sued.

they refused to pay.

they did not deny care. they denied payment.

it was the hospital, physicans, surgeons etc...that refused to do the service until they were paid...and paid a lot of money. in the tune of at least 450,000-1,000,000.

and you are angry at the insurance company?

did you know UCLA has funds to take care of this kind of thing even if the insurance company does not want to pay?

INSURANCE COMPANIES DENY PAYMENT, THEY DO NOT TAKE AWAY YOUR RIGHT OR ACCESS TO HAVE ANY SERVICES DONE.

that is why ERISA is around and needs to be around. if it is removed so will employee based healthcare...kiss all insurance good bye.

BTW this was a self funded account, cigna just administers the claims and gets a per claim fee. they do not make money on denials. they actually make less money on denials because they have to handle the same claim multiple times but are only paid for the first submission.

learn about insurance before you bitch next time

TO the prior commenter: ERISA barred a suit for denial of payment. No claim is allowed even if the denial is totally wrongful. Importantly, given the cost of care the denial of payment may be a direct cause of the failure to get care. The doctors and hospitals don't act wrongfully when they will not treat without getting paid. It is the insurance company that was the bad actor. Therefore it is fair to be angry at the insurer and angry at use of a law designed to protect employees to deny rights to employees. It is a bit disingenuous to say that insurers don't take away your right of access when access costs so much and you depend on insurers to pay for that access.