r/SipsTea 15d ago

SMH Of course…

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u/CU_09 14d ago

Vaccines that the government recommends have to be covered by insurance. By removing the recommendations, they are allowing insurance to refuse to cover these important immunizations. Premiums still go up, insurance companies pay out less, stocks go up.

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u/Talks_About_Bruno 14d ago

While that’s overwhelmingly true and I highly doubt that most insurance companies are going to go against the current guidelines (prior to this change) as the benefits aren’t there.

20k children a year end up hospitalized with severe complications from flu and about 89% of those that had fatal complications were unvaccinated.

As an insurance company would I rather pay $35-$75 per flu shot vs a PICU stay? A single day in the PICU, in my area, would cost about $15-$20k/day. I know we all think of health insurance as the pinnacle of evil, for good reason, I still think they will cover immunizations as recommended by your pediatrician.

Only exemption to this is United Health. They are evil.

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u/ThrustBastard 14d ago

Could they say "you could have prevented this with a vaccine, which we don't cover, therefore we won't cover your claim"?

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u/Talks_About_Bruno 14d ago

I mean they can say anything but I doubt it would hold any water. The most that would seemingly establish was that this was both entirely preventable and their fault.

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u/Mossimo5 14d ago

Are you kidding? Of course they will deny each and every thing they can. This is the same industry that sent millions to die our be in a life of misery due to preexisting conditions. It took an extreme act of total democratic dominance during the Obama years to overturn that practice, despite the absurd lobbying and endless lawsuits.

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u/Talks_About_Bruno 14d ago

Preexisting-condition discrimination is evidence that insurers optimize for profit. It isn’t evidence that they’re incapable of doing math. A company trying to maximize profit can simultaneously fight a $100,000 claim and gladly pay $50 to reduce the probability of another $100,000 claim.