I suspect that my daughter and I are growing too costly and inconvenient for my health plan’s customer profile. They are genius in their tactics to exhaust me financially, emotionally and physically. The company manuals must contain strategies for this, cleverly disguised as “working together.”
It’s mysterious how information I work so hard to obtain seems to vanish into black holes. During my quest for records from a hospital that failed to help my child, I had to revisit the scene of our trauma. Despite being sent to the wrong buildings twice, I persisted and asked another orderly for help. Without breaking stride, she rattled off complicated instructions.
Yet, on top of the network status squabble, my insurance company disagreed with the triage physicians and determined that the hospitalization was “not medically necessary.” Maybe if health plan employees were with members during unspeakable ER experiences, or their company doctors thoroughly examined us, consulted expert colleagues or read our medical histories, there would be fewer catastrophic lapses in judgment. And, before dismissing our prescribed treatments, shouldn’t they at least learn to pronounce our names?
Out-of-network cost-sharing is banned for most emergency and nonemergency services. You can’t be billed for more than the in-network cost-sharing rate.
South Africa South Africa Latest News, South Africa South Africa Headlines
Similar News:You can also read news stories similar to this one that we have collected from other news sources.
Ex-CEO of Nevada-based health care company Ontrak convicted of $12.5M insider trading schemeA federal jury in Los Angeles convicted Terren Scott Peizer of one count of securities fraud and two counts of insider trading
Read more »
Ex-CEO of Nevada-based health care company Ontrak convicted of $12.5 million insider trading schemeLOS ANGELES (AP) — The former CEO and chairman of Ontrak, a publicly traded health care company based in Nevada, was found guilty Friday of a multimillion...
Read more »
Specialty health care company Bioscript’s success comes from putting patients firstBioscript has scaled to more than 100 clinics, 13 pharmacies and 1,000 employees across the country, but has not compromised its patient-focused values
Read more »