Aetna refused to pay for a visit of a child with a probable goiter and strong family history who needed diagnostic lab tests—they do not accept rule-outs. Last week Oxford levied a $50 deductible and $25 co-pay for the most efficacious eardrop we have in our armamentarium; Reason? This drop, containing an antibiotic and a steroid was not available generically; they were forcing me to use a plain ear drop – not what the doctor ordered! Mental Health Parity; Let the HMO's Be Damned!
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Wal-Mart Stores, Inc., the world's largest retailer, is in favor of President Obama's initiative—to mandate that large employers offer health insurance to workers and their families. But, isn't this is the same company who is accused of "mistreating employees and not offering adequate healthcare coverage"? Why would they endorse reform? Follow the $$$$