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California consumers say duped by Blue Shield´s limited Obamacare plans
Reuters ^ | 5/15/14 | Terry Baynes

Posted on 05/15/2014 7:57:06 PM PDT by Nachum

Consumers who purchased new health plans from Blue Shield of California have sued the insurer, claiming they were misled into thinking the insurance would cover their desired doctors and hospitals. In their complaint filed in California state court on Wednesday, San Francisco residents John Harrington and Alex Talon accused Blue Shield of misrepresenting that their plans, sold on California´s health exchange, would cover the full provider network advertised on the company´s website. They sued on behalf of a class of people who had purchased so-called "preferred provider organization" plans from the insurer only to realize that the doctor and hospital

(Excerpt) Read more at news.yahoo.com ...


TOPICS: News/Current Events; US: California
KEYWORDS: abortion; blueshield; california; consumers; deathpanels; duped; obamacare; zerocare

1 posted on 05/15/2014 7:57:07 PM PDT by Nachum
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To: Nachum

You voted for it.


2 posted on 05/15/2014 7:57:27 PM PDT by struggle
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To: Jet Jaguar; NorwegianViking; ExTexasRedhead; HollyB; FromLori; EricTheRed_VocalMinority; ...

The list, Ping

Let me know if you would like to be on or off the ping list

http://www.nachumlist.com/


3 posted on 05/15/2014 7:57:54 PM PDT by Nachum (Obamacare: It's. The. Flaw.)
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To: Nachum

California voted for Obama in both elections. But I do feel sorry for the Californians who voted against Obama - this is not their fault.


4 posted on 05/15/2014 7:59:32 PM PDT by grundle
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To: Nachum

They voted for it and mocked those who tried to warn them...all they saw was a golden ticket and a Chocolate factory.


5 posted on 05/15/2014 8:00:08 PM PDT by SZonian (Throwing our allegiances to political parties in the long run gave away our liberty.)
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To: Nachum

If you want to keep your doctor, you’re a racist.


6 posted on 05/15/2014 8:00:53 PM PDT by glock rocks (If you like your health plan, you're a racist !)
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To: struggle

I’m sure they voted for Nancy Pelosi, too. hee hee


7 posted on 05/15/2014 8:05:42 PM PDT by VerySadAmerican
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To: Nachum

If there is ANY word that describes the average California voter, it is “dupe”.


8 posted on 05/15/2014 8:06:48 PM PDT by bkopto (Free men are not equal. Equal men are not free.)
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To: struggle

California, my heart has no blood left to bleed. You reap what you sow. Now leave town—but where will you go stupid fools?


9 posted on 05/15/2014 8:08:03 PM PDT by Fungi
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To: Nachum

Three Classes:

1. Fascists companies bribing by lobby.

2. Government workers and benefactors.

3. Everyone else exploited by #1 and #2.


10 posted on 05/15/2014 8:11:01 PM PDT by Varsity Flight (Extortion-Care is the Government Work-Camp: Arbeitsziehungslager)
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To: Nachum

When they purchased the plans, what part of “Preferred Provider Organization” did they not understand? PPO means that benefit payments are restricted to only approved doctors or hospitals.


11 posted on 05/15/2014 8:11:31 PM PDT by kalee
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To: Nachum

We warned them, and they didn’t listen.


12 posted on 05/15/2014 8:16:02 PM PDT by Republican Wildcat
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To: Nachum
They sued on behalf of a class of people who had purchased so-called "preferred provider organization" plans from the insurer only to realize that the doctor and hospital networks for their plans were limited.

Only to realize? LOL - that's what "PPO" plan is by very definition. If doctors and hospitals don't want to participate according to the terms and be part of the PPO, they don't have to.

13 posted on 05/15/2014 8:18:12 PM PDT by Republican Wildcat
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To: grundle
California voted for Obama in both elections. But I do feel sorry for the Californians who voted against Obama - this is not their fault.

No, it's not their fault as you said. I have family there and they did NOT vote for Obama. Those who say so are asswipes.

14 posted on 05/15/2014 8:18:13 PM PDT by scripter
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To: Nachum

Ruh Roh !!! And no Scooby Snacks ???

15 posted on 05/15/2014 8:22:03 PM PDT by Lmo56 (If ya wanna run with the big dawgs - ya gotta learn to piss in the tall grass ...)
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To: kalee
When they purchased the plans, what part of “Preferred Provider Organization” did they not understand? PPO means that benefit payments are restricted to only approved doctors or hospitals.

Frequently PPO plan networks contain a lot of doctors. If the insurance company misrepresented which doctors would be available under the Obamacare plan, then the complainants may have a case.

16 posted on 05/15/2014 8:24:42 PM PDT by wideminded
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To: Nachum

Like Gomer Pyle said all the time: “Surprise, surprise surprise!” There will be many more surprises for those low info voters.


17 posted on 05/15/2014 8:31:42 PM PDT by sheikdetailfeather (Yuri Bezmenov (KGB Defector) - "Kick The Communists Out of Your Govt. & Don't Accept Their Goodies.")
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To: Nachum

oops . . .


18 posted on 05/15/2014 8:51:47 PM PDT by Jeff Chandler (Hillary may have brain damage, but what difference does it make?)
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To: Nachum

All of the plans would have been vetted and approved by the state. All of the plans had to be ACA compliant.


19 posted on 05/15/2014 9:04:02 PM PDT by ltc8k6
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To: kalee

I think they are accusing Blue Shield of misrepresenting the preferred doctors who were on the plan. I read this earlier. It is called bait and switch. These docs were listed as on the plan even though they had not agreed to sign contracts. Used to be highly illegal in the California insurance industry. I used to be part of it for many years.


20 posted on 05/15/2014 9:10:02 PM PDT by tinamina (.)
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To: ltc8k6
All of the plans would have been vetted and approved by the state. All of the plans had to be ACA compliant.

Oh yes. The plans and carriers have been micromanaged to the nth degree.

21 posted on 05/15/2014 9:27:41 PM PDT by Nachum (Obamacare: It's. The. Flaw.)
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To: scripter

“No, it’s not their fault as you said. I have family there and they did NOT vote for Obama.”

Even if that is granted, they shouldn’t be complaining to the rest of the country about Kalofornia’s choice...


22 posted on 05/15/2014 9:30:53 PM PDT by babygene ( .)
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To: babygene

I’m not tracking you. Who shouldn’t be complaining?


23 posted on 05/15/2014 9:33:06 PM PDT by scripter
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To: Nachum
Californians are enraged to discover that there is no such thing as a free lunch and that politicians may be less than truthful when they make promises.

We are transitioning from 6 years of an Obama “free s**t” fueled by almost tripling the national debt in that time frame to the emerging “ who is going to s**t the money” economy where there simply is no longer enough willing lenders to support the spending spree.

Times a comin’ where pulling the unicorn horn crank lever on magic EBT recharge machine no longer re fills the EBT card with money from Obama’s stash.

24 posted on 05/15/2014 9:34:43 PM PDT by rdcbn
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To: tinamina

“I think they are accusing Blue Shield of misrepresenting the preferred doctors who were on the plan.”

Nobody knew the details (including Blue Shield) until they read it. It was already passed at that point.


25 posted on 05/15/2014 9:35:31 PM PDT by babygene ( .)
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To: scripter

“Who shouldn’t be complaining?”

The people in the states that supported this nonsense.


26 posted on 05/15/2014 9:39:03 PM PDT by babygene ( .)
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To: Fungi; Jim Robinson
California, my heart has no blood left to bleed. You reap what you sow. Now leave town—but where will you go stupid fools?

Tell that to the owner of this website. He lives in Fresno, California.

27 posted on 05/15/2014 9:52:40 PM PDT by Carry_Okie (Islam offers us three choices: Defeat them utterly, die, or surrender to a life of slavery.)
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To: Carry_Okie

I know Jim lives in Fresno. If you really believe this was meant for him, you are part of the problem.


28 posted on 05/15/2014 9:56:08 PM PDT by Fungi
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To: rdcbn
Times a comin’ where pulling the unicorn horn crank lever on magic EBT recharge machine no longer re fills the EBT card with money from Obama’s stash.

Why not? They can print and borrow the whole thing.

29 posted on 05/15/2014 10:03:22 PM PDT by steve86 (Acerbic by nature not nurture)
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To: babygene

To me that doesn’t make any sense. The people who support this are not complaining and most likely voted for it. The people who are out-numbered in California, are complaining and didn’t vote for it are NOT to blame.


30 posted on 05/15/2014 10:15:51 PM PDT by scripter
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To: Fungi
I know Jim lives in Fresno. If you really believe this was meant for him, you are part of the problem.

Exactly.

31 posted on 05/15/2014 10:17:12 PM PDT by scripter
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To: scripter
Merci beaucoup.
32 posted on 05/15/2014 10:26:05 PM PDT by Fungi
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To: Fungi
I know Jim lives in Fresno. If you really believe this was meant for him, you are part of the problem.

Of course your blanket slander of every other California FReeper wasn't meant for Jim Robinson. What a flaming coward you make. Just go ahead and slam every conservative in the State with the guts to fight on the front lines. From Duncan Hunter to Tom McClintock, there are solid conservatives in Congress upon whom you witlessly depend, but just cut them loose too.

Defeatism like that will doom you wherever you flee.

33 posted on 05/15/2014 10:29:48 PM PDT by Carry_Okie (Islam offers us three choices: Defeat them utterly, die, or surrender to a life of slavery.)
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To: Fungi

To all everywhere who voted for LIBs/DIMs...eat your **** sammich!


34 posted on 05/15/2014 10:33:29 PM PDT by ogen hal (First amendment or reeducation camp)
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To: babygene

When enrollment began for the Covered California plans, Blue Shield published a list of doctors and hospitals who were supposedly participating in the new plan. Many of these doctors never signed a contract to be part of the plan and Blue Shield published their names anyway, in effect lying to consumers.
Oh, Doc X is on this plan! I will sign up then. Woops. after I pay my premium I discover Doc X never was nor intended to be a preferred provider in that plan.


35 posted on 05/15/2014 10:41:10 PM PDT by tinamina (.)
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To: Carry_Okie

Talk sense to a fool and he calls you foolish.
Euripides

‘Nuff said.


36 posted on 05/15/2014 10:51:57 PM PDT by Fungi
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To: Nachum

Welcome to Obamacare, Obama voters!


37 posted on 05/16/2014 2:30:52 AM PDT by Timber Rattler (Just say NO! to RINOS and the GOP-E)
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To: struggle

Anyone with Obamacare is going to be lucky to get any doctor...


38 posted on 05/16/2014 3:54:46 AM PDT by GOPJ (Obama - when will you tell radical muslims to stop clinging to their guns & religion?)
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To: Nachum
Tells you a lot about kalifornia: everywhere else that company is known as Blue CROSS Blue Shield.

No crosses allowed in fascist kalifornia!

39 posted on 05/16/2014 4:02:54 AM PDT by cb
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To: tinamina

“Many of these doctors never signed a contract to be part of the plan and Blue Shield published their names anyway, in effect lying to consumers.”

I doubt that that is true. That would involve fraud and the majority of policy buyers, even those that had never had to use the plan could sue in small clams court for a refund.

More likely, they just made bad assumptions because the rules kept changing.


40 posted on 05/16/2014 4:38:48 PM PDT by babygene ( .)
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To: babygene

http://www.allgov.com/usa/ca/news/top-stories/doc-shock-why-cant-covered-california-provide-accurate-physician-and-hospital-lists-140210?news=852395


41 posted on 05/16/2014 11:51:14 PM PDT by tinamina (.)
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