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Insurance Providers Are Behind, Disrupting Medical Services For Patients
KION ^ | Jan 06, 2014 | Jacqueline Tualla

Posted on 01/06/2014 6:00:22 PM PST by artichokegrower

SALINAS, Calif. -

Outrage over the new health care exchange. New patients are being turned away from getting their doctors' visits covered by their insurance five days now after the deadline. It's just the latest issue stemming from the Affordable Care Act and patients on the Central Coast are taking a hit.

(Excerpt) Read more at kionrightnow.com ...


TOPICS: Culture/Society
KEYWORDS: 0carenightmare; insurancecos; obamacare; obamacareenrollment

Salinas small business owner Brian Shaw said he'd been waiting on the Jan. 1 start date to finally see a doctor, since he recently injured himself. Now he's stuck with medical bills, waiting for Anthem Blue Cross to come through for him.

"So, finally, Jan. 1 comes along. Bam. I think I'm in and so I called my provider and said, 'I'm in. Let's get this thing fixed.' And they said, 'I'm sorry. We don't find you in the system,'" Shaw said.

It wasn't that easy, even though Shaw did what he was supposed to do. Like other Californians, he signed up for health care online through Covered California back in September.

"They said, 'OK. You're in. Wait to hear back from your insurance company,'" he said.

Months go by. He waits. Calls. Gets hung up on.

No insurance card from Anthem Blue Cross. Nothing.


What a charlie foxtrot.

1 posted on 01/06/2014 6:00:22 PM PST by artichokegrower
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To: artichokegrower

So they are blaming the Insurance companies what a shocker.


2 posted on 01/06/2014 6:02:25 PM PST by funfan
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To: funfan
So they are blaming the Insurance companies what a shocker.

But of course. It couldn't possibly be the government's fault now, could it? Good little leftists in the media would never allow that thought to be broadcast.

3 posted on 01/06/2014 6:06:28 PM PST by Bob
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To: artichokegrower

Hmmmm ..... I wonder what his deductible is? He’s not Medicaid so he has to pay ‘something’. He may not be a happy camper even after he gets his insurance card.


4 posted on 01/06/2014 6:07:05 PM PST by MissMagnolia (You see, truth always resides wherever brave men still have ammunition. I pick truth. (John Ransom))
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To: artichokegrower

Blue Cross has been a nightmare with it. For whatever reason it seems they have no clue that there’d be more people calling in. I can’t sign up with the info they gave me on their website. Hold times are 2 hours or more, but most of the time it’ll just disconnect you after 90 minutes so I gave up on that.

I finally got an invoice so I could pay by mail. But now I’m hearing pharmacies are having problems getting you verified too with BCBS. They really REALLY blew it.


5 posted on 01/06/2014 6:09:14 PM PST by Monty22002
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To: Bob

Also the man assumes the Insurance will pay for his treatment. Unless he has the Gold plan he will have to pay for a lot of the services he is getting until he satisies his deductible unless he is getting it all subsidized but if he is a small business owner than I doubt that.


6 posted on 01/06/2014 6:09:22 PM PST by funfan
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To: artichokegrower

The insurance companies bought into this, and they have their share of blame. Now, however with the dictator changing the rules day by day, it’s like they are being punched in the stomach, then kicked in the ass over and over. The head honchos are expecting a bailout, the government doesn’t give a $hit and like always the grunts are being over worked.


7 posted on 01/06/2014 6:09:59 PM PST by ImJustAnotherOkie (zerogottago)
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To: artichokegrower
You mean to tell me that these providers with a gun at their back being forced to prop up "Obamacare" don't trust the Federal Government enough to just treat everyone and wait to get reimbursed ?

imagine that !!!! After all the Federal Government has done for them all these years !!!!! (driving them to raise rates in order to cover medicaid and indigent treatment) [/sarcasm]

8 posted on 01/06/2014 6:10:11 PM PST by KTM rider
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To: artichokegrower
"Insurance Providers Are Behind, Disrupting Medical Services For Patients..."

..... Of course the supporters of the fanciful ACA don't realize that the ACA instantly inserts an endless governmental bureaucracy between the Health Insurance provider and the patient which will create a wonderful new game that we will all have to play in order to receive treatments or surgeries.

9 posted on 01/06/2014 6:11:35 PM PST by R_Kangel ( "A Nation of Sheep ..... Will Beget ..... a Nation Ruled by Wolves.")
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To: artichokegrower

Plenty of “stuck on stupid” to go around here, including the author.


10 posted on 01/06/2014 6:13:58 PM PST by Lurker (Violence is rarely the answer. But when it is it is the only answer.)
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To: Monty22002

Had California Blue Shield for $235/month.
Obama cancelled it.
No longer available in California.
California Blue Cross for equivalent health coverage?
How much?

Try $409/month....wonderful. Just wonderful.

Thanks Obama....yum yum the Obama Sh*t Sandwich is sure good...


11 posted on 01/06/2014 6:15:13 PM PST by OldArmy52 (The question is not whether Obama ever lies, but whether he ever tells the truth.)
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To: artichokegrower
And single payer will supposedly fix this? No. This is just a ruse to make every doctor or health provider a slave of the state. 200 years, the time has run its course and the country is headed for moral and political corruption, and the leftist media is leading rhe way. Truth? What truth? We are doomed unless we rise up.
12 posted on 01/06/2014 6:15:57 PM PST by Fungi
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To: artichokegrower; All

Over at DU they’re crowing about how good 0bamacare is, and some posters are reporting how they got care and didn’t have to pay as much as they used to for it. Surely those delusional cry babies aren’t wrong, now are they?


13 posted on 01/06/2014 6:16:49 PM PST by Hardastarboard (The question of our age is whether a majority of Americans can and will vote us all into slavery.)
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To: artichokegrower

What are Obama’s buddies, the trial lawyers, going to do when they lose one of their richest targets?


14 posted on 01/06/2014 6:18:35 PM PST by gusopol3
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To: OldArmy52

I was paying $525 for a lousy cobra plan with humana. Haven’t been able to find a job since, and cobra was running out anyway. Without subsidy the gold BCBS which is better was $425. I got a $225 subsidy so for me it worked out. I know for a lot it won’t, but I did get lucky with it.


15 posted on 01/06/2014 6:18:53 PM PST by Monty22002
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To: artichokegrower

I don’t think the BIG insurance boys are going to make the “killing” they thought they were going to make from Barry’s ObamaCare scheme.


16 posted on 01/06/2014 6:19:08 PM PST by FlingWingFlyer (If you like your ObamaCare, you can keep your ObamaCare. I'll pass. PERIOD!)
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To: Monty22002

I spend most of my day on the phone with insurance carriers trying to get benefit info for my doctor clients. Yes, the waits are long and yes, they know a lot of people are calling in. But to protect themselves legally, they have to give benefit information that no doctor office needs this time of year including out-of-pocket and 3 minutes of disclaimer information. Who cares - it’s January 6. All we need for regular benefits is the deductible and co-pay. So there is a lot of blame to go around - the legal profession, Obamacare, and the insurance carriers.

None of the system was designed by people who have actually worked in a doctor’s office so we have all this unnecessary garbage and that is from Obamacare on down. Starting with HIPAA it all needs to be thrown out.


17 posted on 01/06/2014 6:25:27 PM PST by Grams A (The Sun will rise in the East in the morning and God is still on his throne.)
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To: funfan

The rules seem to be changing daily, the government was not ready but hey, lets blame those other guys


18 posted on 01/06/2014 6:26:32 PM PST by GeronL (Extra Large Cheesy Over-Stuffed Hobbit)
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To: Monty22002

“I’m hearing pharmacies are having problems getting you verified too with BCBS...”

Its not specific to BCBS. There are so many new plans that no one has ever seen before, and its impossible to guess who the proper processor is to submit a claim to. Normal years with normal turnover are hard enough to navigate through on Jan 1. This year is a super special kind of CF, and its only a warm-up for next Jan 1, when 100+ million peeps have new ins after the emp mandate kicks in.


19 posted on 01/06/2014 6:49:03 PM PST by ToastedHead
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To: artichokegrower

Apparently Jacqui didn’t get her WH issued template for ObieCare stories, which starts with “Another remarkable success for our esteemed leader’s Health Care plan...”


20 posted on 01/06/2014 6:55:46 PM PST by ArmstedFragg (hoaxy dopey changey)
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To: artichokegrower

BTW: the waiver Shaw had to sign has been the norm for years, providers routinely get patients who haven’t hit their deductable. From the looks of it, he’ll be one of them.


21 posted on 01/06/2014 7:01:00 PM PST by ArmstedFragg (hoaxy dopey changey)
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To: artichokegrower

Where’s the part where he paid his premium?

Signing up is not paying.


22 posted on 01/06/2014 7:01:53 PM PST by DB
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To: Monty22002

Keep in mind the insurers were given seven days to do three months worth of work.


23 posted on 01/06/2014 7:03:38 PM PST by ArmstedFragg (hoaxy dopey changey)
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To: ArmstedFragg

Obamacare is like an amoeba.
It changes form every day.

How any insurance co. can deal with that is beyond me.

Of course the IRS hired 15,000 attorneys and accountants for their part.


24 posted on 01/06/2014 7:06:36 PM PST by nascarnation (I'm hiring Jack Palladino to investigate Baraq's golf scores.)
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To: Hardastarboard

If they were paying the cash price and the physician charged them the contract rate, they’d have paid less. In most cases, the physician bills at the full rate, then the insurance company reduces it to the contract rate. It’s too soon for that to have happened. At this moment, I’d suspect most of those folks are either ignorant of the system or administration shills.


25 posted on 01/06/2014 7:10:35 PM PST by ArmstedFragg (hoaxy dopey changey)
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To: Hardastarboard

The DUers who make just enough to be above the Medicaid cutoff and are therefore getting full subsidies are, in some cases, getting policies for a few bucks a month. I’m sure they think it’s akin to the second coming.


26 posted on 01/06/2014 7:20:45 PM PST by ArmstedFragg (hoaxy dopey changey)
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To: artichokegrower

Govt created marketplace blows. This amuses me since Obama trashed the private sector with the you didn’t build that rant.


27 posted on 01/06/2014 7:26:17 PM PST by RginTN
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To: artichokegrower

This is totally unfair to the people who are now paying so much more than they used to. It is torture to the insurance companies and the end users both with its continual complications and changes—nightmare stuff. But worse than that: it is criminal to abuse the sick this way.

I have an idea. Let’s do it over, but not with these circus clowns in charge. Elect Cruz and Trump, and let Trump design the new plan.


28 posted on 01/06/2014 7:35:08 PM PST by firebrand
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To: firebrand
let Trump design the new plan.

Yeah, who knows what he'd come up with.

Just go with Tom Price's HR 2300. How can you improve on that?

29 posted on 01/06/2014 7:49:28 PM PST by ROCKLOBSTER (Celebrate "Republicans Freed the Slaves" Month.)
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To: RginTN

I agree. I’m also tickled that the gullible insurance companies that went along to get along “are totally surprised” that Obama is now blaming them!


30 posted on 01/06/2014 8:27:59 PM PST by Graewoulf (Democrats' Obamacare Socialist Health Insur. Tax violates U.S. Constitution AND Anti-Trust Law.)
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To: artichokegrower

Oh no!
We need Obama to save us here!


31 posted on 01/06/2014 8:32:38 PM PST by right way right (What's it gonna take? (guillotines?))
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To: FlingWingFlyer

He wouldn’t lie to them, now would he?


32 posted on 01/06/2014 9:43:42 PM PST by TribalPrincess2U (0bama's agenda¬óDivide and conquer seems to be working.)
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To: artichokegrower

Subsidy=Someone else pays more


33 posted on 01/06/2014 9:56:22 PM PST by cp124 (Government is value subtracted.)
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To: ArmstedFragg

I visit there regularly (kind of like knowing where a snake’s nest is and keeping an eye on it). From all the howling they do you’d think they’re all poverty stricken and living on rice and beans. Just my general impression.


34 posted on 01/07/2014 5:13:21 AM PST by Hardastarboard (The question of our age is whether a majority of Americans can and will vote us all into slavery.)
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