Aetna targeted by doctors, medical associations in lawsuit

Jul 3, 2012 Full story: San Jose Mercury News

Thousands of doctors in California are suing the health insurance company Aetna claiming the company routinely denies patients access to out-of-network doctors even when the patient has purchased a policy giving them the right to choose providers.

Full Story
Robert Finney PhD

San Diego, CA

#1 Jul 4, 2012
Why Medically Necessary Tests and Treatments Are Not Medically Indicated?
Kaiser Permanente’s top secret health care test and treatment denial reason is stated as “NOT MEDICALLY INDICATED.” HINT: This doesn’t mean that the test and treatment is “NOT MEDICALLY NECESSARY.” Managed care patients don’t get knee/hip replacements, heart surgery, cancer therapy, and out of plan referrals, even if the tests and treatments are “MEDICALLY NECESSARY.” Kaiser’s Appeals Committee refuses to answer.
Although Kaiser may admit that your tests, treatments, surgery, drugs, and referrals, both in and out of plan, are “MEDICALLY NECESSARY,” denials based on “NOT MEDICALLY INDICATED” occur, because Kaiser doctors are unqualified, Kaiser hospitals/equipment are substandard, and Kaiser’s credo not to show patients the money.
Patients fight back on www.hmohardball.com
obama2012

Folsom, CA

#2 Jul 6, 2012
Robert Finney PhD wrote:
Why Medically Necessary Tests and Treatments Are Not Medically Indicated?
Kaiser Permanente’s top secret health care test and treatment denial reason is stated as “NOT MEDICALLY INDICATED.” HINT: This doesn’t mean that the test and treatment is “NOT MEDICALLY NECESSARY.” Managed care patients don’t get knee/hip replacements, heart surgery, cancer therapy, and out of plan referrals, even if the tests and treatments are “MEDICALLY NECESSARY.” Kaiser’s Appeals Committee refuses to answer.
Although Kaiser may admit that your tests, treatments, surgery, drugs, and referrals, both in and out of plan, are “MEDICALLY NECESSARY,” denials based on “NOT MEDICALLY INDICATED” occur, because Kaiser doctors are unqualified, Kaiser hospitals/equipment are substandard, and Kaiser’s credo not to show patients the money.
Patients fight back on www.hmohardball.com
I suppose you think that the government would do a better job?You are a dirty commie...If you don't like Kaiser then you are free to get another plan.You arent going to live forever.say hello to the death panel.You and john roberts can go screw yourself.You antibusness antamerican morons makes me sick.go to hell.you are ruining this country
Obama2012

Milpitas, CA

#3 Jul 9, 2012
I suppose you have not realized most all else is communistic in this country?? It's Obamorons that are ruining this country and even Bushites, and Clintonites. All these scum in office are pro-war, pro-debt, pro-tyranny. Wake up and smell the feces! Freya-dom of choice means CRAP when they (corporations. demopublicans, republicraps)are all screwing the people over.
billingrehab

Bryn Mawr, PA

#4 Jul 17, 2012
If the insurance companies are making money off the system why not the doctors too. They simply want their piece of the action while in the meantime the actual patients get gouged.

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