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Old 04-17-2026 | 08:11 AM
  #12211  
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Is this really an issue with UHC? Delta, which is self-insured, can set coverage limits wherever they want to.
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Old 04-17-2026 | 09:20 AM
  #12212  
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Originally Posted by Joe Bauers
Is this really an issue with UHC? Delta, which is self-insured, can set coverage limits wherever they want to.
Company likes being able to blame UHC but they cover exactly what they direct.
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Old 04-17-2026 | 10:03 AM
  #12213  
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Originally Posted by CX500T
Company likes being able to blame UHC but they cover exactly what they direct.
Although theres something yo uhc/umr being bad because umr/uhc dont pay regularily and it drives the staff crazy.

i do agree some of this is deltas fault. More than we give credit to.
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Old 04-17-2026 | 10:12 AM
  #12214  
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Originally Posted by theUpsideDown

i do agree some of this is deltas fault. More than we give credit to.
All of it is the company's fault:
1. They're self insured.
2. They hire the administrator.
3. They set the policies and coverages.

...uhc/umr is just the middleman paid to obfuscate the issue and keep the company's halo intact with employee groups and the media (think the various best places to work lists and noncon anti union koolaid) while fighting the good fight on the ground against employees at every turn to absolutely minimize healthcare costs to the company.

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Old 04-17-2026 | 10:17 AM
  #12215  
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Originally Posted by flightlessbirds
All of it is the company's fault:
1. They're self insured.
2. They hire the administrator.
3. They set the policies and coverages.

...uhc/umr is just the middleman paid to obfuscate the issue and keep the company's halo intact with employee groups and the media (think the various best places to work lists and noncon anti union koolaid) while fighting the good fight on the ground against employees at every turn to absolutely minimize healthcare costs to the company.
i do agree with you to a point. Uhc wont pay on time and thats uhc. Yes delta is doing a lot of this on purpose, but i think umr is mismanaged too.

Could be wrong though, the reason for my.opinion is just from talking to various groups. i hear the same things from places like the local doctor all the way to Mayo Clinic. the Mayo guys dont get worked hard, very normal professional interactions, and theyll take time to list it out for you. between payment, miscoding, AI interfaces saying no because theyre retarded, and no one there to take calls, something is wrong at umr/uhc that other places dont have with a similar setup.
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Old 04-17-2026 | 10:20 AM
  #12216  
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Originally Posted by Hoosier Daddy
Not sure which state you live in, but are there any laws that allow you to continue care with the doctors you've been working with at your previous rates? Some health care providers also allow you to negotiate self-pay rates that may be close to what you were paying or at least lower than Out-of Network costs.
Not here. Like I said, have a meeting with her doc and the head of patient services next week. See what we can come up with solutions wise.
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Old 04-17-2026 | 10:32 AM
  #12217  
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Also bring in Sontia G at DALPA R&I she's been a great help.
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Old 04-17-2026 | 02:17 PM
  #12218  
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I did use the search function but was unable to find it. Somebody posted a few months back the strategy how a lot of the same pilots have been getting multiple 23m7 in a month. Just put in a blanket white slip in every base for the whole month or something, does that sound right?
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Old 04-17-2026 | 02:27 PM
  #12219  
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Originally Posted by thunderbird22
I did use the search function but was unable to find it. Somebody posted a few months back the strategy how a lot of the same pilots have been getting multiple 23m7 in a month. Just put in a blanket white slip in every base for the whole month or something, does that sound right?
for OOBWS yes, for IBWS be careful to make sure your preferences are set up so you don’t accidentally get all the trips you are eligible for in PCS. IBWS are only proffers inside 2 day coverage.
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Old 04-17-2026 | 02:29 PM
  #12220  
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Originally Posted by thunderbird22
I did use the search function but was unable to find it. Somebody posted a few months back the strategy how a lot of the same pilots have been getting multiple 23m7 in a month. Just put in a blanket white slip in every base for the whole month or something, does that sound right?
If you put in a blanket WS, you are not going to like the results, as anything beyond 2-day coverage is NOT a proffer. Only OOBWS are always proffers (in addition to GS and QS)
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