Critics Say Insurance Companies Deny Medical Claims to Make Billions in Profit

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Activists say a chunk of health insurance companies's massive profits come from denying claims, something they say is a “regular business practice.”

from patients covered by Affordable Care Act marketplace plans, according to People’s Action and the Kaiser Family Foundation.one in five

“This especially affects Black and Brown people who are sold the worst insurance, and people in rural America, where you get fewer or no health care providers, or they are ‘out-of-network,’ meaning you get stuck with the bill,” Molise said in a livestream Tuesday with health care advocates, impacted patients and Sen. Bernie Sanders .

However, advocates report that people are often stuck with massive bills for medical care that is rightfully covered under their plans, forcing them to pay out-of-pocket or challenge the insurer under complicated and frustrating appeals processes handled by the company itself.

 

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