Navigating the American healthcare system can be a challenge.

And if you're listening to this, there's a good chance you fought with a health insurance

company at one point or another.

Every year, insurance companies reject millions of patient claims for everything from MRIs

and surgeries to medications and therapies, and appealing those denials can be challenging.

My husband and I are retired and had a Medicare Advantage policy through my former employer.

It worked fine until last winter when my husband needed major surgery and an extended state

in a rehab facility.

The insurer denied coverage for certain prescribed medications, approved his hospital state,

and then sent me a letter denying it.

We were required to appeal and fight for coverage, exacerbating an already stressful and

frightening time.

That was Sue in Florida.

A new investigation by ProPublica and Capital Forum smut lights the case of Christopher McNaughton

who was denied coverage for a life-changing but expensive treatment.

When his insurer found a contracted doctor had ruled the treatment wasn't necessary,

the company was thrilled.

We did get the medical review back from the gastroenterologist and he states that it's not medically

necessary treatment.

Yeah.

I knew that was coming.

How can insurers have so much control over our healthcare and what can we do to fight back?

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