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301 Comments
- davmattucci, on 10/14/2007, -3/+216This is ***** disgusting. There's no other way to put it...
- silentarcher, on 10/10/2007, -6/+169It's funny how our health insurance companies are trying to kill us.
- The_Wallbanger, on 10/14/2007, -3/+131Somebody at Blue Cross Blue Shield is getting very creative at denying medical expenses, and for what? A $250 paycheck bonus at the end of the financial quarter!? F*ck that. Where's the humanity?
- inactive, on 10/10/2007, -5/+94Absolutely pathetic. The pain and loss a woman feels after miscarriage is awful. To be denied coverage and to put such a disgusting stamp on her loss is atrocious.
There is an upside to capitalism but this is the dark, hellish downside that reveals itself as terrorism. That's right, I said it.
Terrorism of a woman's mind, body and soul. - alricsca, on 10/10/2007, -1/+79After my partner went to our general practitioner for sudden unexplained shoulder pain that had lasted for a week, they denied the Doctor's request for a MRI because they said they did not feel it was medically justified. Now mind you the doctor and a chiropractor both said that the pain was intense and the cause was unclear. Well it has been more than two weeks now and still they refuse after several tries. What makes it worse is the doctor says she is getting tired of talking to them because she cannot understand why they are not listening to her. Who the hell do they think they are, when a doctor says not once but several times that a patient needs a diagnostic procedure they should freaking allow it. How many weeks of screaming level pain does a person need to be in. It is insane. Totally insane.
- McGuinness, on 10/10/2007, -3/+63Lets electively abort those in the picture!
- brstilson, on 10/10/2007, -6/+65Humanity? This is America! Where we entrust our health care to for-profit enterprise! It's a far superior, efficient system and you should be happy! Sure, some people slip through the cracks, but all those unneccesary deaths are WORTH it to stop communism!
- diggitydoc, on 10/10/2007, -4/+55yeah, maybe if digg.com gets on their cases, as opposed to MILLIONS OF ***** PEOPLE, then the healthcare industry will understand.
how about contacting your congressperson or senator or president or troop leader or ranking officer or ANYTHING! - funktimus, on 10/10/2007, -1/+47seems like its almost better off putting insurance money into a bank rather than payin these types of scumbags who'll spend $1000 to find ways to weasel out of ways to pay your $1000.01 claim.
- inactive, on 10/10/2007, -2/+41Yeah, anything that doesn't agree with your cozy worldview is fake right Error? Must be a very simple world for you. In the real world however, companies try to screw people over and politicians (on both sides of the aisle) are corrupt.
- mlawrence, on 10/10/2007, -1/+40I spent 4 years working for a bad faith insurance attorney, and unfortunately BCBS is known for these type of "mistakes".
- whathighlander, on 10/10/2007, -1/+39I have BCBS of Georgia. My wife and I suffered a miscarriage last year that required a D&C and another spontaneous miscarriage earlier this year. Let me tell you, this is incredibly devastating for the woman. It's no fun watching your wife cry herself to sleep every night and feeling completely helpless for her. It has been difficult for me and I didn't have the physical pain to go with it. BCBS took care of the D&C no problem and all the doctor bills associated with the second miscarriage. I thought it went to smoothly and after reading this, we probably just got lucky. I can't imagine going through this and having to fight the insurance company.
- Ajajadude, on 10/10/2007, -1/+32Normally, I'd agree, but not this time.
I've had my problems with Blue Cross denying me coverage (then turning around and sending me an offer for coverage in the mail) and I know plenty of others who've had problems with them (like everyone in the state of California).
They're a terrible company, terrible insurer, and they're all probably going to hell. - Sibertater, on 10/10/2007, -5/+34I used to work in the insurance industry and the terminology is, "Spontaneous Abortion." Not just "abortion." If they termed it an elective abortion, she can fight this claim with medical records, which is asinine and I'd complain and claim mental anguish. However, the hospital will fight the claim to get paid. In my book it's a simple misunderstanding that should be dealt with quickly, and with malice.
I know I'd kick some ass at Anthem. - FreakyD, on 10/10/2007, -1/+30That's just not cool.
- revarien, on 10/10/2007, -0/+27I wonder if they cover elective car wrecks or elective gang shootings... I guess I should check it out to see if their coverage is right for me.
Those dumb bastards. - div2n, on 10/10/2007, -1/+28The point is that insurance companies try to build as many barriers as possible to prevent paying a claim. They start with denying a claim with the hope that a person will give up there. If people do call them on it and it is clear the bill should be paid, they put the burden on the people to prove they deserve the claim. Again hoping that someone will just give up. Maybe they are too busy or whatever. The insurance companies should talk directly with the hospital to figure it out. The patient shouldn't be involved in the process.
Insurance companies (especially publicly traded ones) are in it for profit. Paying a medical claim is diametrically opposed to the whole reason they are in business. It's one thing if your car sits in a junk yard waiting to be repaired while you hassle with your car insurance company. It's another when you are fighting for your life. In some cases, death wins before issues are resolved. This is completely unacceptable.
Private industry has had their chance to get health care right. They've failed miserably. - shadowspawn, on 10/10/2007, -0/+25i'm going to be in debt for the rest of my life because of the crap BCBS pulled. I can't even afford a lawyer. So fuggit.
- SocialPoison, on 10/10/2007, -0/+24You know how people get uppity over frivolous lawsuits that shouldn't take place?
This ain't one of them. Sue that company into oblivion. - Raiu, on 10/10/2007, -0/+22It's really sad when you read articles like this and are honestly not surprised by it. Still sickened by it..
- matrox212, on 10/10/2007, -2/+22Can you be more specific and provide some kind of basis for that claim?
- Ramble, on 10/10/2007, -3/+22Well, yea. I've lived in two countries with universal healthcare (UK and Germany) and both I can go into the Doctor and get an MRI, an X-Ray if I wanted. In fact, I have.
All free of charge. - brstilson, on 10/10/2007, -0/+19They deem it "medically unneccesary" because that is simply their default judgment. Nobody decided anything, a secretary just stamped a medical director's signature on a cookie-cutter form and denied your care. This is how insurance companies operate. It's not really surprising come to think of it. They're operating for profit, not for the good of humanity.
- OswaldKenobi, on 10/10/2007, -0/+18I had Cigna for about 3 years. They declined coverage on two small dental procedures and refused to cover an MRI and an arthroscopic procedure. They never notified me that they were denying the claim. The research took months, and I ended up changing jobs, and then they refused to speak to me, because I was no longer a policyholder. Insurance companies wield far too much power in this country.
- alricsca, on 10/10/2007, -1/+18Have you ever tried this? Waited months for them to fix it with every excuse on the book to deny it again and again? Been nit picked down, dime by dime about every fee. They do this nearly every time. If this was a mistake, which I doubt, it does not excuse the rudeness or for that matter explain why when you try this so called easy correction it can take years. I know this I had an issue with a surgery myself where they refused to pay my surgeons assistant because she was not on the plan. How the hell would I have known to even ask?
BTW: You are heartless, she lost a baby. - macbookpromat, on 10/10/2007, -3/+20Another moment of I'm proud to be Canadian, brought to you in part by, some dumb ass insurance agency.
- steveguy, on 10/10/2007, -2/+19I'm going to contact my troop leader this very instant. The boys and I with our yellow sashes are going to storm Blue Cross Blue Shield.
- CalmLlama, on 10/10/2007, -0/+17Its not just them, all insurance is like that. Sue them and you will win, itll take a year and a half... but you will win and gain penalties, especially in small claims. Just file a new suit per claim that was denied. Every claim you get the max you can in small claims. I had a different insurance company call and threaten my doctors because my doctors said i was covered and refused to bill me.
- inactive, on 10/10/2007, -1/+18How do you fight something when there is NO ONE to fight?
What I mean is - most of the people who WORK at BCBS, all HAVE BCBS... and so they too face these same problems! WHO the hell do we even fight?!?! - inactive, on 10/10/2007, -5/+20I figured i bet the CEO of Kansas Blue Cross is a slimy Republican donor.
and guess what?
I am right
http://www.opensecrets.org/indivs/search_hp.asp?tx ... - Ajajadude, on 10/10/2007, -2/+17Oh, the irony!
- Ajajadude, on 10/10/2007, -2/+16Won't do much good. This health care issue with insurers has been a problem for years, you think people haven't tried to fight them?
And the biggest way of dealing with them is to have universal health coverage, which the insurers spend millions on fighting...by buying off your elected officials. - ZenMojo, on 10/10/2007, -4/+18Ah, the joys of privatized healthcare...how can anybody say this is a system that works?
- AmusedToDeath, on 10/27/2007, -0/+13I have BCBS of TN.
My wife recently had some chest and back pain which turned out to be a hiatal hernia and acid reflux. It only took $7500 worth of tests to figure that out and rule out gallbladder disease and heart problems.
BCBS denied every cent of it as a pre-existing condition. Their reason? She told her doctor she'd been in some minor pain for 3-4 months. We had been on the insurance for 3 months at the time. So we cleaned out every penny of our savings and (sadly) our little boy's savings and paid it ourselves. We were lucky in that we COULD afford to pay for it - most people couldn't.
The American health care system is ***** UP BEYOND ALL RECOGNITION. Anybody who says otherwise just hasn't had the opportunity of being screwed by them yet. - Krechet, on 10/10/2007, -0/+13I understand what you are saying about it possibly being a misunderstanding. However, this isn't like she is trying to claim a broken finger. I mean for what they said to her on the phone the CEO and the board of directors should come crawling to her on their knees and beg for her forgiveness (I mean literally). BCBS is apparently a shameless company. I hope lots of people drop them for this and those that can't let them know that if they could they would.
- alricsca, on 10/10/2007, -0/+12You are probably right, but what about when they refused the doctor over the phone several times?
- delrin500, on 10/10/2007, -3/+15Bring on socialized medicine! The police and fire department are not a for-profit industry then neither should medicine.
Flame away but I think the government would do a perfectly fine job paying doctors. Avoiding bureaucracy should be easy you research how the countries that already do this and do it right and then you apply the good solid working parts and revise the ones that are not working well for them. But politicians will do everything in their power to make you think otherwise b/c they get SOO MUCH MONEY from insurance companies that it is sickening. - theworldisflat, on 10/10/2007, -1/+13She needs to go find a lawyer ASAP. In a perfect world, we wouldn't need to sue everyone and their brother because they'd do the right thing from the get go... but the only thing modern companies understand is a summons.
- relaxeder, on 04/17/2009, -2/+14We need to do away with health insurance altogether. We are paying more than any other nation for our health coverage and are recieving in return for our investment the worst quality service of any industrialized society on the planet. The whole system is wrong, the way the money is routed to the HMOs and handled by profit-seeking health insurers. The health insurance business is an industry just like any other, and its prime interest is to save costs and deny coverage to as many people as possible.
Call your congressperson and pledge your support for H.R. 676, it is THE comprehensive plan for single-payer national health care coverage, paid for through our tax dollars and given directly to the hospitals. The very idea of health "insurance" is wrong, nobody will ever have a need for it if we can show Congress that we want this resolution passed. - EricMiIIer, on 07/10/2009, -1/+12My wife and I just had a miscarriage 4 weeks ago with our first child. If this happened to me I dont know what I would do, but rest assured someone would hear it.
- milkmage, on 10/10/2007, -1/+12READ THE ***** ARTICLE:
On, Sep, 21 2007 I received a statement for BCBS that they were denying all of the claim. I called them and asked why they were denying the entire claim, and was told by Jane, "We do not cover ELECTIVE abortions. If you chose to terminate your pregnancy for non-health threatening reasons, BCBS will not cover it." WTF!!!??? I asked her, "Are you saying that my records state that I had an ELECTIVE abortion, in an ER at 12 o'clock in the morning?" It was then, I think it clicked in Jane's mind what she was dealing with and told me how sorry she was. I lost my cool and even started crying. I had a miscarriage not an abortion, and being treated in such a condescending way by BCBS really ticked me off. Thinking what an incredibly huge screw up, BCBS will be right on it trying to fix this, well you would be wrong. I was told to call the hospital and have them fax over my records stating I didn't have an elective abortion. Who the heck can get an elective abortion in a busy ER at 12am, anyway? - Ajajadude, on 10/10/2007, -1/+12Blue Cross of Cali has had this habit of telling people they'll cover a procedure, only to turn around and drop that person while refusing to pay. Not only is the patient SOL, but so are the doctors and facilities. Apparently, (as of several months back) the doctors, facilities, and patients are planning to come together and sue Blue Cross over it. I think the state is looking in on it, too. I haven't seen too much about this lately.
- alexforcefive, on 10/10/2007, -0/+11I called them and asked why they were denying the entire claim, and was told by Jane, "We do not cover ELECTIVE abortions. If you chose to terminate your pregnancy for non-health threatening reasons, BCBS will not cover it." WTF!!!??? I asked her, "Are you saying that my records state that I had an ELECTIVE abortion, in an ER at 12 o'clock in the morning?" It was then, I think it clicked in Jane's mind what she was dealing with and told me how sorry she was.
No, it's because she already filed the records and they still called it an abortion so they could weasel out of paying - NecroSexy, on 10/10/2007, -4/+14John Stossel: The baby was gonna die anyway.
- InfiniteNothing, on 10/10/2007, -0/+10A lawyer might take it on contingency. (Means you don't pay until you win)
- cloudyprison, on 10/10/2007, -1/+10Hear that? It's the sound of the sarcasm rocketing over your head at Mach 5.....
- inactive, on 10/10/2007, -1/+10Performed with coat hangers!
- aliengoods, on 10/10/2007, -2/+10One of the best lines in Sicko:
"You didn't slip through a crack. Someone made the crack, then swept you into it." - BillyB0b, on 10/10/2007, -0/+8That's my health insurance company...at least I am no alone. They rejected my 3 day old son's neonatal transport to a regional hospital NICU so he wouldn't die as a transport using a non-participating provider. Come to find out they have no participating neonatal transports, they wanted to use a normal ambulance. I love them so much....I am so screwed!
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