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0 pointsjrockway1y ago0 comments

A lot of insurance plans are employer-paid, meaning that the money comes out of their bank account, not the insurance company's bank account. The insurance company just takes a fee to administer the claims and keep as few bills from hitting your employer's bank account.

I remember Google denying coverage after a surgical procedure that they approved during the prior authorization period, and then running out the clock on my appeal. That's on them, no evil insurance company to blame, just my employer. And, the market decided... I don't work there anymore.

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sweetjuly1y ago· 1 in thread

Does Google actually administer the insurance plan? Usually the way it works is that they hire some traditional insurance company to administer is and then they just payout. Administering the plan themselves is very risky and has tons of compliance burden (because then Google would be a health insurance company). This means that the company doesn't have any direct control over claims, though they have substantial control over the general policy itself.

jrockwayOP1y ago

No, they had an administrator. I filed the appeal through HR, though, which was the recommended process at the time. Probably not the right process in retrospect, especially because I accepted the appeal denial at face value and just paid out of my own pocket.

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