Blue Cross Sucks!
Monday, July 14th, 2008
Susan
Susan
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.
Why have I been paying these premiums through payroll deduction for the last 9 years if when I need the insurance it is cancelled is this legal?
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.
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.
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:
Disenchanted Patient
We signed our infant son up with Blue Cross for his health insurance. When he was about six months old we took him to a specialist to look at his eye. Upon receiving the bill, they retroactively cancelled his coverage for all the well-baby checkups gone to up to that point: they actually received a refund from his health care provider. Their excuse was a technicality, that we had failed to disclose a pre-existing condition which had nothing to do with his eye; and my wife was able, after months of wrangling, to prove to them that she had in fact disclosed all the relevant information. They reinstated our coverage at a higher premium, but never reimbursed the doctor. Furthermore they refused to pay the specialist, saying the issue with his eye was also a pre-existing condition. Skipping the more pressing question of “what good is health insurance that doesn’t cover a baby’s pre-existing condition” we proceeded directly to the fine print terms of our agreement with them, which specified that a pre-existing condition is anything that had been diagnosed or treated prior to the effective start date of the coverage. His eye had never been examined, diagnosed, or treated until we took him to the specialist. They don’t care, we have to pay the specialist out of pocket. In the end, we have been paying them nearly a hundred dollars a month for more than a year, and they have paid out a net of nearly zero dollars, effectively stealing from our doctor and from us. I believe they have committed fraud and I am looking into the option of taking them to court.