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A team of NBC News reporters dug into complex insurance systems and what's behind many denials.
What they found, through conversations with policy holders, communications with insurers and reviews of records, was startling.
Jamie Kelter Davis for NBC News
Jamie Kelter Davis for NBC News
A health insurance dispute is preventing a North Carolina man from getting a cancer drug his doctors say is necessary.
Juan Diego Reyes for NBC News
Juan Diego Reyes for NBC News
A little-known provision in the Affordable Care Act allows patients to ask state-run panels to review decisions made by health insurance providers.
Health insurers issue millions of denials every year, leaving many patients stuck in a convoluted appeals process, with little hope of meaningful policy change ahead.
Insurance denied 18-year-old Nala White’s surgery for degenerative disc disease. After NBC News reached out, it was approved the next day.
Harmon Li for NBC News
Harmon Li for NBC News
📩 Email us at CostofDenial@nbcuni.com
if you are dealing with a denial
of coverage or health, home or auto bills
that seem to be out of line.
A recent lawsuit is challenging one company, EmblemHealth, over its so-called ghost network of mental health providers.
The disputes stem from rising health care costs, with insurers and hospitals fighting more aggressively over the price of care.
Experts say it’s not uncommon for patients who need prostheses to be denied by insurance. “It’s not a matter of if, but when,” one advocate said.
Danielle Villasana for NBC News
Danielle Villasana for NBC News
A massive hack of the insurance giant set off a chain of events that has left some doctors’ practices on financial life support.
Zach Gross for NBC News
Zach Gross for NBC News
Surgeons who perform a type of spinal surgery for scoliosis, which the FDA approved in 2019, say insurance companies aren’t aligning their policies with the latest medical research.
Jimena Peck for NBC News
Jimena Peck for NBC News
An insurance company repeatedly denied a Wisconsin woman coverage for a medication her doctor prescribed to treat her multiple sclerosis, demanding she try a cheaper drug first.
Basic safety equipment should be “automatic,” doctors say, for a little girl born with a rare neurologic disorder. Insurance companies haven’t always agreed.
Jamie Kelter Davis for NBC News
Jamie Kelter Davis for NBC News
Only a handful of doctors in the U.S. perform a complex reconstruction procedure for children born with a rare condition called microtia that hinders development of the ear.
After a suicide attempt, doctors told the Benz-Bushlings their son needed residential mental health treatment. Their insurance said that level of care was “not medically necessary.”
Doctors say insurers are automatically downgrading their claims and paying less. Insurers say it’s their duty to prevent overbilling.
Daniel Lozada for NBC News
Daniel Lozada for NBC News
Cole Schmidtknecht, 22, had insurance but couldn’t afford to refill his asthma inhaler after the cost jumped from $70 to more than $500.
Martin Goebel thinks his St. Louis company could benefit from Trump’s tariffs — if he weren’t already in a costly legal battle with his insurer.
Dr. Elisabeth Potter says bankruptcy could loom if the insurance giant doesn't accept her clinic.
His doctors recommended that he start an intensive rehab program within days of his stroke.
Aurora McCausland has lipedema, a painful disorder that causes a buildup of fat in the lower body. Her doctor said surgery could fix it, but her insurance has denied coverage.
Insurance companies often refer patients to lists of providers who are unreachable or out of network or don’t accept new patients.
Stephanie Nixdorf's insurance company repeatedly declined to cover a drug to treat her arthritis. That changed after she sent an appeal letter crafted with help from AI.