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this post was submitted on 07 Feb 2025
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Luigi Mangione
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My personal favorite insurance story comes from a neurologist I know. They were trying to get a prior authorization approved for a curative hemispherectomy. For those outside the medical field, that basically boils down to removing half of someone's brain to try to cure an uncontrollable seizure disorder. This is usually limited to patients under 4 years old to maximize motor and language development, but I digress. After much arguing with the insurance representative, it was approved on the grounds that the patient only gets one.
The representative was afraid that the patient could replace him after the second operation.
If you were to get a second, would you have then one quarter brain left or non at all?
(Obviously this is a joke post)
If were to get a second, you'd work at United healthcare
Sounds like a no-brainer to me.
They seem to always authorize it multiple times for their own adjusters.
I know somebody with a little kid that needed a hemispherectomy like that.
Let me just say fuck that representative in particular. Of course, fuck their managers and executives even more.