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According to the policy, claims ultimately determined to be non-emergencies will receive limited or no coverage.
Video transcript
– A large insurance company under fire today over a new policy regarding emergency room visits. As of July 1, UnitedHealthcare will be able to retroactively deny requests for emergency care. Our Brooke Katz explains how it works and why health officials are expressing strong opposition.
STEPHEN LOVE: We have a good relationship with UnitedHealthcare. They have very reasonable people. What we would like to see out of this is that they reverse this policy and do not implement it on July 1.
BROOKE KATZ: Stephen Love, President of the DFW Hospital Council, one of the voices against UnitedHealthcare’s new policy, with the company changing the way it assesses emergency visits. Claims ultimately determined to be non-emergencies will be subject to limited or no coverage. The American Hospital Association and the American College of Emergency Physicians have both expressed concern about the impact on patients.
ROBERT HANCOCK: And our biggest concern with all of this is that people are starting to guess whether they should go to the emergency room when they have chest pain. They can say, well, maybe I shouldn’t go because if they can’t find anything then I end up with a big bill and my insurance company won’t pay.
BROOKE KATZ: A representative from UnitedHealthcare told us that coverage would not be denied to people going to the emergency room with real emergency symptoms like chest pain. They say the move is meant to help people get the right care, saying in a written statement: “We are taking steps to make care more affordable, by encouraging people who do not have a medical emergency to seek care. seek treatment in a more appropriate setting, such as an emergency care center. “
Brooke Katz, CBS 11 News.
– The American College of Emergency Physicians has an ongoing lawsuit against Anthem for similar policies.
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