Skip to comments.Insurance Providers Are Behind, Disrupting Medical Services For Patients
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 ...
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.
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.
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.
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.
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.
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.
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]
..... 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.
Plenty of “stuck on stupid” to go around here, including the author.
Had California Blue Shield for $235/month.
Obama cancelled it.
No longer available in California.
California Blue Cross for equivalent health coverage?
Try $409/month....wonderful. Just wonderful.
Thanks Obama....yum yum the Obama Sh*t Sandwich is sure good...
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?
What are Obama’s buddies, the trial lawyers, going to do when they lose one of their richest targets?
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.
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.
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.
The rules seem to be changing daily, the government was not ready but hey, lets blame those other guys
“Im 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.
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...”
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.
Where’s the part where he paid his premium?
Signing up is not paying.
Keep in mind the insurers were given seven days to do three months worth of work.
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.
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.
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.
Govt created marketplace blows. This amuses me since Obama trashed the private sector with the you didn’t build that rant.
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.
Yeah, who knows what he'd come up with.
Just go with Tom Price's HR 2300. How can you improve on that?
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!
We need Obama to save us here!
He wouldn’t lie to them, now would he?
Subsidy=Someone else pays more
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.