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Doctorís Office Spends 2 Hours On Hold With Health Insurer For Patientís Surgery Authorization
ap/cbs ^ | january 3, 2014

Posted on 01/03/2014 8:56:32 AM PST by lowbridge

On the plus side, the law’s protections mean consumers can no longer be denied coverage if they’re in poor health. New limits on how much insured patients must pay for care will mean fewer bankruptcies after catastrophic illnesses. Insurance plans must offer a minimum level of essential benefits, and care such as flu shots and mammograms will be fully covered without cost to patients.

But early problems with the federal HealthCare.gov website led many people to wait until last week to sign up, and insurers are still processing enrollment forms.

Paperwork problems almost delayed suburban Chicago resident Sheri Zajcew’s scheduled surgery Thursday, but Dr. John Venetos decided to operate without a routine go-ahead from the insurance company. That was after Venetos’ office manager spent two hours on hold with the insurer Thursday, trying to get an answer about whether the patient needed prior authorization for the surgery. The office manager finally gave up.

“I’m not a happy camper,” said Nate Zajcew, the patient’s husband. The couple signed up for a Blue Cross Blue Shield bronze plan through the federal HealthCare.gov site on Dec. 16. “I understand it’s just a matter of paperwork and yesterday was a holiday. I can be an SOB, too, at times, but since they’re going on with the procedure, it’s OK.”

(Excerpt) Read more at washington.cbslocal.com ...


TOPICS: Culture/Society; News/Current Events
KEYWORDS: obamacare
A graphic I made a couple years ago or so predicting this sort of thing:


1 posted on 01/03/2014 8:56:33 AM PST by lowbridge
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To: lowbridge
Behind the scenes at the call center...


2 posted on 01/03/2014 9:03:11 AM PST by LostInBayport (When there are more people riding in the cart than there are pulling it, the cart stops moving...)
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To: LostInBayport

2 hours?

Wait till people wait 6 hours to see a doctor

Years for treatment

This will look like the mayo clinic

Geeze there is no foresight


3 posted on 01/03/2014 9:07:45 AM PST by stanne
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To: lowbridge
Doctors office: "This is Dr. Smith's office and we are prepping a patient for an appendectomy, is patient XXXXXX with SSN 123-45-6789 insured and approved?"

Healthcare exchange: One moment while I pull that up.

click....click...click

Healthcare exchange: I'm sorry, we show that that patient is a registered Republican, has recently filled out an ATF Form 4473, and gave money to a pro-life group. Your request is denied. The only approved medication for this individual is cyanide capsules".

4 posted on 01/03/2014 9:10:45 AM PST by DCBryan1 (No realli, moose bytes can be quite nasti!!)
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To: lowbridge

And then the solution will be government health care. The only people who want government health care are those who’ve never had it.


5 posted on 01/03/2014 9:12:00 AM PST by blueunicorn6 ("A crack shot and a good dancer")
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To: lowbridge
The couple signed up for a Blue Cross Blue Shield bronze plan through the federal HealthCare.gov site on Dec. 16.

Wait til they see the deductible.

6 posted on 01/03/2014 9:15:50 AM PST by Gamecock (Celebrating 20,000 posts of dubious quality.)
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To: lowbridge; mickie; flaglady47; pax_et_bonum
Just wait till you need an old, familiar standby prescription. I was in the pharmacy yesterday. I learned my scrip went up from 44 bucks to $186 !

To add insult to injury, my Medicare/Humana drug insurance doesn't cover the cost AT ALL starting January 1, 2014. So, therefore, this medicine, previously under coverage, is now ELIMINATED from coverage.

All of ObamaCare's sly little tricks will become evident every day now across the fruited plain. My pharmacist said don't blame me, blame Obama. Little does he know I'm an educated freeper......

Leni

7 posted on 01/03/2014 9:19:36 AM PST by MinuteGal
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To: MinuteGal

Yep. Even those of us with private group insurance plans will soon be affected by FUBOCare.

Fortunately for me my group Blue Cross Blue Shield coverage did not go up and my plan is excellent. But how long can my provider last when most of his patients are with FUBOCare and he doesn’t get paid by Obama?

And with FUBO effing up 1/6 of the nations economy with Socialized Medicine, how long do you think the private plan insureres will last?


8 posted on 01/03/2014 9:29:11 AM PST by Responsibility2nd (NO LIBS. This Means Liberals and (L)libertarians! Same Thing. NO LIBS!!)
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To: lowbridge

Does it really take 2 hours to look up party affiliation in the voter registry?


9 posted on 01/03/2014 9:30:37 AM PST by Rebelbase (Tagline: optional, printed after your name on post)
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To: lowbridge
The plan all along was to get us by the nads and control our every move.

Liberty for the tyrant but not for thee.

10 posted on 01/03/2014 9:35:17 AM PST by Slyfox (We want our pre-existing HEALTH INSURANCE back!)
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To: lowbridge

. “I understand it’s just a matter of paperwork and yesterday was a holiday. I can be an SOB, too, at times, but since they’re going on with the procedure, it’s OK.”

He says, until he gets the bill he will be on the hook for....


11 posted on 01/03/2014 9:38:44 AM PST by Kozak ("Send them back your fierce defiance! Stamp upon the cursed alliance! To arms, to arms in Dixie!)
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To: DCBryan1

Would that be potassium or methyl cyanide?


12 posted on 01/03/2014 9:39:53 AM PST by CH3CN (Gone Galt 05/25/13)
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To: Responsibility2nd

Same here but I doubt it will last long. Maybe this year, until November. After that? Who knows?

I just hope the situation gets increasingly worse and the mess is ended by November or soon after.

That is not the worst of it though. When the real cost of this obamacare monster becomes fully manifest discretionary spending will CRASH. People will cower in fear of the unknown costs of health care. No change like this can hit a society without a huge reaction. No system can absorb this much change so fast.


13 posted on 01/03/2014 9:41:35 AM PST by Sequoyah101
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To: lowbridge

“Went down to see the VA Man.
He said, ‘Son, don’t you understand?’”

“I was born in the USA!
I was born in the USA!
I’m a long-gone Daddy in the USA!”


14 posted on 01/03/2014 9:49:34 AM PST by blueunicorn6 ("A crack shot and a good dancer")
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To: Rebelbase

You nailed it.


15 posted on 01/03/2014 9:58:15 AM PST by usconservative (When The Ballot Box No Longer Counts, The Ammunition Box Does. (What's In Your Ammo Box?))
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To: lowbridge

since they bought a bronze plan (*maybe) their deductible will probably have tp pay for the surgery anyway, with no insurance payment

seems like supplemental health insurance these days is gonna be VISA with a high line of credit


16 posted on 01/03/2014 10:02:06 AM PST by silverleaf (Age takes a toll: Please have exact change)
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To: Slyfox

“The plan all along was to get us by the nads and control our every move.

Liberty for the tyrant but not for thee. “

BINGO!

Just like HillaryCare before, this is a naked attempt to control the people by controlling access to the health system.

Better start reading in the ‘alternate medicine’ section of the library before they pull the books....


17 posted on 01/03/2014 10:16:43 AM PST by ASOC (What are you doing now that Mexico has become OUR Chechnya?)
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To: lowbridge

If you are seeking authorization to remove a spleen, press 2 now.

If you are seeking authorization to remove a gall bladder, press 3 now.

If you are seeking...


18 posted on 01/03/2014 10:34:43 AM PST by Buckeye McFrog
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To: LostInBayport

In the Old Days, people used to deride doctors by saying never to make an appointment for Wednesday afternoons because that was the day doctors played golf.

Now that we have a global disaster called Obamacare that seeks to deny as many people as possible even basic medical needs, doctors are forced to call the White House for permission to provide health care, only to learn that the Man is...playing golf.


19 posted on 01/03/2014 11:20:21 AM PST by DPMD
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To: lowbridge

When I had surgery last year, I spent 2 hours the week before with a PA proving that I was healthy enough to have surgery, LOL.


20 posted on 01/03/2014 11:22:11 AM PST by nascarnation (I'm hiring Jack Palladino to investigate Baraq's golf scores.)
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To: lowbridge

Obamacars’s going to kill a lot of citizens. Luckily for Obama the New York Times will do it’s best to bury the story ...


21 posted on 01/03/2014 11:56:51 AM PST by GOPJ ("Remember who the real enemy is... ")
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