The Journal. A Life-or-Death Insurance Denial
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May 14, 2025 Navigating the labyrinth of health insurance can be a life-or-death struggle. One family's battle against a denied liver transplant illustrates the emotional chaos sparked by insurance hurdles. They face immense challenges as they tackle the appeals process, revealing the frustrating reality of the claims system. Amid despair, determination shines through, leading them on a path of relentless advocacy. This story sheds light on the broader implications of insurance practices and the emotional toll on families fighting for crucial medical care.
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Ed's Life-or-Death Insurance Denial
- Ed Stratton's liver failed after battling colorectal cancer, needing a transplant.
- Anthem Blue Cross denied the transplant coverage, risking his life until an appeal succeeded.
High Insurance Claim Denials
- Nearly 19% of in-network health insurance claims get denied every year.
- Few patients appeal, leaving many treatments unpaid despite their need.
Insurers Prioritize Cost Over Individuals
- Insurers aim to control health care costs by denying some treatments.
- This process often prioritizes cost control over individual patient needs.