Heahcare CEO gunned down in New York

[aimpoint]

Are you suggest that you aren't being covered for something that you should that's in the rules? You, like me, are on a hospital plan which you seem to be getting for something of a bargain as I'm paying about the same for 3 people. Hospital plans are medical insurance for unexpected occurrences, expecting that the fund should cover the cost of treating your sons chronic condition for the price of a hospital plan premium is unrealistic and as I mentioned before, if they did the fund would be bankrupted in short order.

Nope, not saying that i should receive something, but paying that much every month and not receiving any help leaves a bitter taste in the mouth. A good friend once said, you are rich when you don’t have to pay insurance any more…

Edit: anyone prepared to study and understand their policy book is a genius

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[oafpatroll]

You have a far too idealistic view of medical aids. In theory you are correct, in practice there seem to be some very cosy relationships between all the role players.

That's gold, I've never been accused of idealism. Thank you!

You'll see that I didn't say that there isn't corruption, conniving or other dodginess. This is SA so the odds of that not existing are low to fuckall. What I'll stand by is that the overwhelming majority of people are too slack arsed to review the terms of the cover that they buy whether that be for healtcare or their car and have unrealistic expectations of what they'll get in the event of an event. in my experience the lower down the budget spectrum of cover bought the worse this tends to be.

If you have an issue with what your insurer has done wrt to a claim the respective ombuds, or just the credible threat of involving them gets things straight according to the rules which are generally crystal clear.

[oafpatroll]

Nope, not saying that i should receive something, but paying that much every month and not receiving any help leaves a bitter taste in the mouth. A good friend once said, you are rich when you don’t have to pay insurance any more…

Fair enough. I don't get a boner when my medical insurance premium hits and I don't have a child with a serious chronic condition. I wish your boy all the best with managing it, I'm sure it must be tough on all of you.

[aimpoint]

Fair enough. I don't get a boner when my medical insurance premium hits and I don't have a child with a serious chronic condition. I wish your boy all the best with managing it, I'm sure it must be tough on all of you.

Thanks, we can afford it. There are literally thousands or more in this country who don’t receive the care they need for chronic healthcare…and i feel for them.


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[MSW2]

Are you suggest that you aren't being covered for something that you should that's in the rules? You, like me, are on a hospital plan which you seem to be getting for something of a bargain as I'm paying about the same for 3 people. Hospital plans are medical insurance for unexpected occurrences, expecting that the fund should cover the cost of treating your sons chronic condition for the price of a hospital plan premium is unrealistic and as I mentioned before, if they did the fund would be bankrupted in short order.

My dad was on a fancy Discovery plan. They wanted to stop paying for his treatment while he was in hospital in a pretty bad state. For something the agreement was to cover. Long story short, an accident caused his death three years later...
And then there was the time Discovery tried to get me fired from the company I was working at because I took them on...

[FNBROWNING]

If you have an issue with what your insurer has done wrt to a claim the respective ombuds, or just the credible threat of involving them gets things straight according to the rules which are generally crystal clear.[/QUOTE]Refer to my point about cosy relationships. The term captured springs to mind.

[oafpatroll]

If you have an issue with what your insurer has done wrt to a claim the respective ombuds, or just the credible threat of involving them gets things straight according to the rules which are generally crystal clear.

Refer to my point about cosy relationships. The term captured springs to mind.[/QUOTE]

Again, I don't even pretend to suggest that there aren't irregularities but I think you'd have to concede that the average punter is way too lazy to even begin to read what they have signed up for and that at least a portion of the hate for insurers is based on unrealiazably improbable expectations of what their premiums are buying.

I have had two disputes with insurers resolved in my favour by submitting them drafts of the complaints that I would be sending to the ombud in the event of us not agreeing.

On another note, when I was doing consulting work in the insurance world SA's number one and two short term insurers at the time estimated that 30% of all claims included an element of fraud and my analysis of their claims data suggested they were right. It's not just big exec types that can be thieving scum.

[FNBROWNING]

Refer to my point about cosy relationships. The term captured springs to mind.

Again, I don't even pretend to suggest that there aren't irregularities but I think you'd have to concede that the average punter is way too lazy to even begin to read what they have signed up for and that at least a portion of the hate for insurers is based on unrealiazably improbable expectations of what their premiums are buying.I have had two disputes with insurers resolved in my favour by submitting them drafts of the complaints that I would be sending to the ombud in the event of us not agreeing. On another note, when I was doing consulting work in the insurance world SA's number one and two short term insurers at the time estimated that 30% of all claims included an element of fraud and my analysis of their claims data suggested they were right. It's not just big exec types that can be thieving scum.[/QUOTE]Did your data tell you who was submitting the fraudulent claims and why when they have clear cut evidence they prefer to do nothing about it.I again refer to cosy relationships.

[Sean Murphy]

Seems like a suspect has been arrested.

[30.06]

Luigi Mangione has been arrested