Posts Tagged ‘blue cross’

BC BS

Monday, July 14th, 2008

I work in Crystal Lake Illinois, and have been in good health all my life until recently. I have a collapsed valve in a major vein in my left leg that causes a great amount of blood not to circulate feeding oxygen and warmth to that leg after a couple hours of work the leg begins to numb and with the loss of feeling I continually lock up my knee and sprain my ankle while trying to do my job as a carpenter. For some reason , even though they verbally finally approved to cover the surgery its been over three weeks of hobbling around and missing out on a lot of overtime that I sorely need to work. This is also hurting my bosses business by me not being there. Why are our bosses paying all those extravigant insurance premiums when they don’t take care of you when you need it???     Pain, infections, lack of sleep, lack of income—-Thanks Blue Cross! Maybe I can get my company to switch!   Miserable in Lindenhurst.

Blue Cross BS

Monday, July 14th, 2008

My husband and I just dropped our insurance coverage with Blue Cross Blue Shield of Illinois. We were paying high premiums as we are self-insured and never really getting any benefit. The only thing I ever got was letter after letter saying they were trying to dig up more information on my medical history and couldn’t process claims until they got all the information they needed. What this really seemed to be was a witch hunt trying to find any reason to disqualify a claim. Recently, they sent one saying they were waiting on information from a physician (an OB/GYN) who I saw AFTER the treatment date — treatment for asthma by the way — and AFTER I had already canceled my policy. When I called to notify of them, they said “we are doing a complete medical history”. I told them it seemed the information from this doctor was none of their business as it wasn’t HISTORY it was something that happened in the FUTURE … after the treatment in question. They didn’t care. They do this every time I submit a claim and to date, I don’t think they’ve had to pay for anything because my deductibles are so darn high. So why bother?


Gail

Blue Cross Sucks!

Monday, July 14th, 2008
After (14) years of continuous payments I was late and Blue Cross cancelled my insurance.  They had actually processed a payment but said it was a clerical error.


 

I had a business that closed after 12 years because our product became obsolete. When this happened my partner files bankruptcy and I had tens of thousands to pay. The financial pressure was horrible with bill collectors calling day and night. I was juggling what I could and got sick. I went to a shrink because I was suffering who diagnosed from panic syndrome from the stress. B of A threatened to take my house and I paid them 32,500. some borrowed. I was becoming so ill I went to a doctor who found I had Hepatitis C, which they think was contracted from a 1990, mastectomy for Breast Cancer. Then my Mom was diagnosed with Nesothelioma and I went to NY to help her. I thought she would pay my Blue Cross premium on-time but she was so sick and angry and had loaned me 10K to pay BofA. I had to stay and help her and not pressure her as she was so sick.


 

When I got back to CA I sold a $2500. tread mill for $650. and sent the money to Blue Cross which they cashed. I was sooo relieved and thought everything was OK.  Then they send me a refund check. Yes, I had already received a cancellation letter waiting for me in LA.


 

Over the years I had asked Blue Cross if I could change to an agent who was a personal friend. They said only if I dropped my policy and reapplied… what if I had done that, then I would have been without insurance at an earlier date, and at their own phone customer service persons suggestion. Had I been able to change to this agent he would have suggested a less expensive plan and this would have been avoided. He is someone I know and may have even covered me until I paid.


 

I filed a complaint with the CA insurance board who spent several months deciding in Blue Cross’ favor. I wrote to Gov. Arnold who not surprisingly referred it to the insurance grievance board and re-iterated their decision. I contacted several lawyers and said, I did business with this company for (14) years, “HOW CAN I BE HIGH AND DRY”, what other industry would treat a good customer with such disdain, ever lawyer said sorry, nothing you can do.


 

I reapplied to Blue Cross who would not accept me stating a history of:


 

breast cancer; hepatitis C, and Panic syndrome.


 

They sent me info to apply for CA high-risk insurance which costs a fortune, takes many months to get coverage and only lasts 36 months with a low ceiling on coverage.


 

I have been in such a panic since this happened I have not been able to look for work but own a home with equity. I have no money and don’t know how I can afford the $665. a month premiums for the high risk insurance. Had I not been sick with Hep C which causes confusion and depression I may have been able to cope better and not missed the payment. I just had thousands in bills and left in a panic to help Mom.


 

So, the very illnesses they state for being uninsurable, the panic syndrome kept me from being able to cope with my bills. I asked a lawyer What happens when someone is too sick to make the payment on-time — as I was? and he said, “you better get someone else to or you are out-of-luck. ” This makes no sense. If you are too sick to pay they get to drop you??? I’m thinking of bailing out of the United States and moving to another country. I just can’t take it and worry about my lack of health insurance day and night. It keeps me awake and in a panic constantly. I can’t believe that Blue Cross gets special treatment from the government and they are the ones that manage the high-risk plan, where they get the payments and gov’t subsidies plus I’m sure fees for general management of the program.

 

BLUE CROSS SUCKS!!!!

 

What can I do to help fight them?

 

Any ideas of open group plans I can join to get affordable coverage.

 

Thank you and best wishes,


Susan

Blue Cross

Monday, July 14th, 2008

My wife and her employer had paid into Cigna disability policy for at least 10 years. She had worked for the company for 20 years. The company discharged my wife saying she was to disabled to work. So she filed a claim with Cigna insurance company in June of 2004. After several appeals and denials. It is now May 13, 2005 she is still fighting with the company to get what is due her. She was given Social Security disability. But the insurance company still refuses to pay. Saying they do not base there decision on Social Security determination. The the United states of America says she is disabled but Cigna insurance company says she is not. In the last year we have had to apply for Welfare benefits dodged I forgot how many shut off notices. An now there is real danger of our car being repossessed! Maybe its time the fraud by insurance companies is address in addition to people trying to defraud insurance companies.

Blue Cross

Monday, July 14th, 2008
hello, my name is janet and i am writing on behalf of my mother and father. My father had a stroke 14 years ago and they put him on preventative meds, then about 6 months ago he had another one. It has put him in the permanant disability factor. The insurance company is trying to cancel the policy plus not honor the long-term and permanent disability clause. they are calling it a pre-existing condition. There have been 3 doctors to state, that it wasn’t in the same place and the doctors are stating that it is NOT a pre-existing condition. I need to find a website or sample letter of dispute to file to the insurance company.
If anyone has any information or url websites, please email me at the above address. thank you for you time and effort in this matter.
Sincerely,
Janet Shaw

Blue Cross Sucks

Monday, July 14th, 2008
I live on an island that has two clinics. At one of those clinics a doctor has been practicing for several years and has developed a reputation for mis-diagnosis. One of his employees who recently suffered a broken fibula was told that it was not a weight bearing bone and could walk on it while it healed.
 

 This clinic has received “Outstanding Care” awards, some including publicly disclosed monetary awards, from Group Health, Regence Blue Shield and Community Health Plan of Washington. The doctor broke away from the once only clinic here to start his own non-profit clinic (which an attorney friend told me was a way for the doctors to pay themselves a bigger salary) and has received awards I never heard mention of while he was at the other clinic. My question is: If the insurance companies are giving out these monetary awards to clinics, are those clinics intentionally and willfully downplaying or flat-out misdiagnosing patients in order to avoid further treatment and cost to the insurance companies. Something’s fishy when insurance companies are giving their money away.

BC

Monday, July 14th, 2008

I worked for a “blue brand”  for over 3 years, and I can tell ya folks, they are out to get your money, BUT, they are not out to get it in big chunks, they are going to nickle-and-dime you to the poorhouse. They use and anachronistic computer system from the late 60’s (sics) and just the crappiest system of management that would make Enron execs seem like angels. They can send their daily “feel good” mailers, but can they lower your costs? Answer: NO. They pay their employees crap, they cover crap, they overcharge employers and cheat providers. You have to call customer service for every little thing, and it will still be screwed up. If you have this shitty insurance it’s better to quit your job and find someplace that does not use this insurance company. If you have the misfortune of having a contract with a “blue-brand” as a provider, it’s better to get out-of-network rates than have to deal with the constant f-ups. If it’s not screwed up now, it will be. I spent 3 years of my life telling them how to improve their systems so it won’t mess up peoples benefits well over half the time, I got put on warning for not being a “team player.” Just remember it’s not the person answering the phone’s fault, it’s the billionaires who are “stake holders” in this gigantic stinking turd.

Blue Cross

Monday, July 14th, 2008
Thanks to the grand blue plan, I have discovered that I have a friend: the North Carolina Department of Insurance.

 

The saga started 3 years ago when my twins were born via C-section.  The anesthesiologists at my local hospital, which was on the “Blue approved” list, had banned together and decided that they would no longer be included “in the network.”  Luckily for me, I had out of network coverage as well, so even when the doctor’s office sent a letter and $1000 bill, I figured I was okay.

 

Fast forward to over a year, and least 6 attempts to file, and about 12 phone calls to the blue plan later.  The blue plan evidently has decided that it won’t pay bills to out of network doctors, so they just kept rejecting the claims (alternating reasons of wrong claim code and invalid dosing code.)  At this point they are also routinely rejecting claims from my out of network bloodwork lab and an out of network pathologist.

 

Enter MY HERO:  NC DOI.  I read about them in a article about consumer complaints against the blue plan.  They have a handy-dandy online complaint form, and within just 2 weeks of sending in all of my supporting rejection notices, the blue plan coughed up the money.  Of course, they weasled by saying that it was their Pennsylvania office (total untruth), but at least they finally paid up.


 

I’m about to contact NC DOI again about the blue plans systematic bungling of ALL of my claims from last year.


 

I LOVE YOU NC DOI!

BCBS

Monday, July 14th, 2008
I am a self-employed male that was foolish enough to use A B C B S as my health insurance provider. I was paying about $90 a month for catastrophic coverage. I think health ins. is BS, but after fracturing my clavicle and being treated like a pariah at the hospital (I’m assuming they thought since I didn’t have ins., that I couldn’t pay), I figured I better get it so that doctors would treat me like a human being. I gave B C my hard-earned money for over two years w/o incident (of course I never filed a claim either) when, all of a sudden, they cancelled my policy for no apparent reason. I’m a healthy guy. Don’t have any health problems or history of them so this surprised me. After contacting the company numerous times without ever finding out exactly why they were cancelling my policy, I contacted the state health ins. division. It turns out that
B C invented a child for me. Apparently after I (a male) had given birth to this child, I had neglected to pay for: 1. co-payment of charges for said miracle birth and 2. increased coverage rate due to the addition of my new baby. The state ins. division allowed B C   to get away with this preposterous means of taking my money and running and did absolutely nothing to punish B C or prevent them from doing the same sort of thing to someone who is far less fortunate than I.

The lesson I learned from all this is that health insurance is wothless and a waste of money if you have to pay for it yourself. If you get sick or injured, go to the emergency room and lie about your identity because the doctors don’t care about your health either. The health “care” industry is America is just that- an industry. And like all other industries, they care about one thing above all else:


To Whom It May Concern: 

        
        I am an African-American who is HIV positive, who has been doing Hemo-diaylsis for about eight months. My problem is that I’m being deprived of services of a clinic or facility, because I’m not liked, or my personality is sturdy. However, I don’t think it’s aggressive, I think my personality is assertive. Meaning that I will not be allowed to be treated with contempt or stereotypical biases. I was kicked out of Davita in Thornton, for taking the bandages off my needles, in which I just thought I was helping out, but I was automatically rejected from the facility, and I begged for forgiveness, and asked for another chance and they said no, I would no longer be allowed to dialysis at the clinic. Not knowing what to do I looked on the internet and found Fresenius. Meanwhile, I was receiving my dialysis through the emergency room, at sanatorium such as, St. Josephs, Presbyterian St. Lukes and Rose. In all these hospitals, they all went by the Potassium level in order to get me dialyzed, meaning if it was low, the hospital would not give you dialysis for that day, resulting in you coming back, sicker, due to the hospital’s protocol. Plus, I have to wait five to six hours in order to get dialyzed, but you have to get a room so the hospital will get paid. I personally think this is ridiculous. If I come to a facility every week to get dialyzed you would think that they find a way or a clinic for me to attend to, but that is not the case instead they give me a lecture about how I need to find a treatment center and when I explain I’ve been listed as a ‘trouble maker’ and way to opinionated. So clinics will not take me, as a result, I get dialysis from the hospitals, if a clinic would take me and treat me “well” I’ll be more than glad to attend a clinic, but most clinics are way to aggressive and just plain have no compassion for clients as well as employees. Plus, if you have a grievance with a unit it will and can be used against you, how do you think I got the label trouble maker?
        Fresenius was a nice facility, but the employees were to busy singing and dancing to really be concerned with the patients. Plus, the Program Manager, Linda  was always insidious when dealing with me. If I asked her to wash her hands she would, become cynical and explain she did wash her hands, yet I see a blue ink mark on her hand and she became red in the face. Also, she decided one day she was going to put the needles in my arm, so of course in a clinic I had no choice and I allowed her to put the needles in my arm. Well, as a result of Linda not paying attention and laughing with her fellow employee’s she infiltrated my arm. So as a result, I couldn’t dialysis that day or for the next coming week. So of course I made a grievance, because I felt that it was done on purpose and not done in a professional manner. After, making the complaint against the program manager I was labeled a trouble maker. Everyday I came to dialysis I was given new regulations and new obligations which if I think about it, that were small irrelevant rules, just to put her at ease, I abided to this simplistic request. However, it just seemed the more I followed this rules, the  more she disrespected me or even worst give me a lecture, on my personality, that I was “angry” and I would constantly explain I wasn’t angry. However, I think because I listened to rap music, I was considered to be “angry”. So I would be asked every visit to talk to Linda in the facility to be talked to about my persona. Plus, she told me I could do three hours and I would be fine, then after all the rules she gave me she said ‘legally’ she can not allow me to do three hours, which at the same time I was signing a release form explaining that I was aware I was doing three hours. So as a result, of the strain I left the facility, thinking I rather go through the hospital then go through this facility. So I left and not thinking I would return. Yet, I get a call two days after the episode and the social worker is trying to persuade me back into the facility.

 

        At present, I go through the emergency of the hospital in order to get dialysis, I realize it’s expensive and time consuming and more than 91% of African-Americans who dialysis supposedly go through the emergency of the hospital to get dialyzed. In which I think is another racist form to oppress Black Americans. So in going to hospital they as well give me a hard time, they want me to get a chronic unit, but the problem is, no unit will take me, so my options with treatment is limited. Yet, the control, or the illusion is the control is in the chronic units, yet these units are unsanitary, the technicians are abrasive, rude, rough, Kurt, confrontational. What’s even more fascinating is I’m the man who is HIV positive dealing with E.S.R.D. (Kidney Failure). There is no compassion or empathy for us as clients, and I’m most definitely not the only one who has problems with units in Colorado. Many others have ‘major’ problems with facilities, but don’t say anything, because it most definitely will be used against you, in either treatment, or how that technician treats you. Even the way the doctor treats you. So one who is a patient must be ‘passive’ and silent and to express that the needles in your arm hurt in anyway makes the technician feel scared or makes them nervous. Also, many of the technicians ill inform patients, resulting in confusion on the patient’s part. Also, the discrimination in units is rapid and swift although African-Americans make up a large percentage of Kidney failure, you rarely see any African-Americans if one in a chronic unit.
        For Instance, as stated before I go through the hospital’s emergency room to get dialysis. Anyway, I met a young African-American women, whom was a patient at Davita in Littleton, they kicked her out as well with no warning no write up no protocol what’s so ever, and as a result for six months she’s been going through the emergency three times a week. Although, she said she didn’t mind, I really felt her pain, due to the fact I was in the same position, and her doctor is Mrs. Susan Babcock, who is nice but really doesn’t have any pull to get an individual into a clinic. She’s just a primary doctor who writes out prescriptions to patients, but to have her wait six months for a unit means Mrs. Babcock can’t really do anything if a unit decides they will or won’t allow you to get treatment. Finally, when I go the hospital’s they sometimes will not dialysis me because me blood work is good. For example, if my potassium is 6 or above they will dialysis me, even if my creatinine level is high and my BUN is high they still will not dialysis me. I think that is so “dumb’ if I’ve been coming to the hospital every week with the same diagnose then I should be able to get dialysis without lecture or confrontation. Plus, for the hospital to get paid with dialysis I have to get a room so the hospital will get paid this is, foolish to me because as soon as I get dialysis I feel good, and I don’t need a room, I only ‘need’ a room when I’m sick, really sick. Lastly, the hospital can be o.k. without the lectures of trying to get another unit, when no unit in Colorado will take me, for I’m non-compliant which means I’m too much of a trouble maker, to much into the details.
                Signed,

                        Disenchanted Patient

BC

Monday, July 14th, 2008
Hello,
We have BC Ca as our health insurance.  Although we pay $10,000 a year for this great coverage, we have never had to use it until recently.  Our son was diagnosed with many serious and dangerous mental disorders.  He has been deemed the next “Jeffrey Dahmer” by many medical professionals.  At age 15 he tried to rape me (his biological) mother.  He has recently been committed to a mental hospital and his estimated length of stay is one to two years.  He has informed his Doctors that he wants to murder me and his father!  The doctor promises not to release our son because he is a “threat to society and is extremely homicidal”.  Here is the problem.  BC Dr. Paul, constantly states that our son is not ill and we should pick our son up and welcome him lovingly back into our home!  He went so far as stating that the “sexual incident of son upon mother is not considered sexual assault”.  He also stated that “the parents are the problem”.  Unbelievable!  We have contacted the Ca DOI and the physicians there have reviewed all of the medical records and progress notes.  Ca DOI has ordered BC to reverse their decision and to cover our son’s stay at the mental hospital ­ great huh?  One problem though ­ to this day 9/10/07, Dr. Paul at BC continues to undermine Ca DOI’s decision and still states that he will do everything in his power to get our son released into our custody!  We have been told by our insurance broker that Dr. Paul at BC has lost an extremely large bonus because of this.  No wonder Dr. Paul at BC is fighting so hard to release our son!  This is a true story and is still happening as we speak.  My husband and I have spent hundreds of hours speaking with dozens of professionals and are constantly fighting this appeals process.  On top of having to deal with my son attempting to rape me and wanting to murder me, I have Dr. Paul at BC constant harassment and belittlement!  Will it ever end?  No, not until our son is released and murders us.

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