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‘Approved or denied’: Health care providers say insurers too often deny care for profit

Writer: Tex PatientsTex Patients

Insurers say they help lower patient costs by helping people avoid unnecessary or inappropriate health services.


Amanda Watson was diagnosed with breast cancer three weeks after having an emergency cesarean section to deliver her second son. Her test results showed she had one of the most aggressive forms of breast cancer, with a high recurrence rate and low survival rate.


The following six months of chemotherapy treatments included five hospitalizations, the loss of her hair, and the inability to care for herself or her children.


To make a gut-wrenching situation worse, her insurance company denied coverage for treatment multiple times, leading to delays in her care. 


Her denials included one for a certain chemotherapy and another for a medical device to remove excess fluid retained after her mastectomy.


 
 
 

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Paid for by the Texas Coalition for Patients

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