The shocking depths to which some insurers will stoop
From a colleague :
I did see a rather ruthless preexisting condition denial today.
A [bleeped] y/o male came to see me as a new pt. He had a plate and screws put in his jaw 9 years ago after a mugging and jaw fracture. He developed a non-healing fistula in the floor of his mouth from infected hardware. [Major Insurer], with whom he’s been insured for 5 years denied a removal proceedure for infected hardware several years ago and again this year. The guy has been living with a hole in the floor of his mouth for 5+ years. Going to work every day, not living off welfare. Two screws have spontaneously come out of the hole along with pus. Several more screws remain along with a metal plate. The company keeps taking his premium but won’t cover the main health issue that he has.
B
I hear stories like this almost every day.
This is wrong.
We can do better.
