3w ago

Health Insurers Limit Coverage of Prosthetic Limbs, Questioning Their Medical Necessity

kffhealthnews.org Health Insurers Limit Coverage of Prosthetic Limbs, Questioning Their Medical Necessity - KFF Health News

Advocates say it is discrimination and are arguing for “insurance fairness” on the grounds that people who have joints surgically replaced typically don’t face the same kinds of coverage challenges.

Posting to highlight the ever emerging need for more affordable, customizable prosthetics.

cross-posted from: https://lemmy.blahaj.zone/post/20500252

cross-posted from: https://lemmy.blahaj.zone/post/20497164

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3w ago

Health Insurers Limit Coverage of Prosthetic Limbs, Questioning Their Medical Necessity

kffhealthnews.org /news/article/prosthetic-limbs-private-insurance-coverage-denials-amputees/

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1 comments

This reminds me of several stories here in the UK where the DWP asked amputees applying for benefits if their condition is likely to improve (and in at least one case literally "will your limb grow back?").
One thing needs to be absolutely clear when having these conversations (and when publishing articles about them, this is a criticism of the publication, not op) - insurance employees (and benefits assessors) are not medical professionals, and do not have the qualifications to make any decisions about whether something is medically necessary or not.
They are making solely financial decisions, and couldn't give a single fuck how those impact the medical condition or wellbeing of the people they see as nothing but dollar sign shaped NPCs.