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Hospitals unable to verify Obamacare insurace (Updated with new stories)
Posted on 1/3/14 at 8:08 am
Posted on 1/3/14 at 8:08 am
This is exactly what everyone has predicted with all of the delays and changes to the legislation... Way to go team obamacare, way to go
quote:
Hospital staff in Northern Virginia are turning away sick people on a frigid Thursday morning because they can't determine whether their Obamacare insurance plans are in effect.
Patients in a close-in DC suburb who think they've signed up for new insurance plans are struggling to show their December enrollments are in force, and health care administrators aren't taking their word for it.
In place of quick service and painless billing, these Virginians are now facing the threat of sticker-shock that comes with bills they can't afford.
'They had no idea if my insurance was active or not!' a coughing Maria Galvez told MailOnline outside the Inova Healthplex facility in the town of Springfield.
She was leaving the building without getting a needed chest x-ray.
'The people in there told me that since I didn't have an insurance card, I would be billed for the whole cost of the x-ray,' Galvez said, her young daughter in tow. 'It's not fair – you know, I signed up last week like I was supposed to.'
The x-ray's cost, she was told, would likely be more than $500.
LINK
Even more good news...
quote:
CHICAGO (AP) — The new year brought relief to some Illinois patients newly insured under the nation’s health care law. Others still weren’t sure whether they were covered, despite their best efforts to navigate the often-balky new system.
The major benefits of President Barack Obama’s health care overhaul took effect Wednesday, the first day of 2014. By Thursday, the first business day of the new insurance system, it became clear that snags in the rollout of the Affordable Care Act still remained.
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.”
Venetos, a Chicago digestive system specialist, described “tremendous uncertainty and anxiety” among patients calling his office recently. Some thought they’d signed up for coverage but hadn’t received insurance cards yet. Others had insurance policies that were canceled and weren’t sure if their coverage had been reinstated after Gov. Pat Quinn decided to allow one-year extensions of canceled plans.
Venetos said he has decided to take a risk and provide care for these patients, at least until there’s less confusion about coverage.
“We feel it’s the right thing to do,” Venetos said. “We may end up stuck holding the bag and not getting paid on these claims.”
This post was edited on 1/3/14 at 10:08 am
Posted on 1/3/14 at 8:11 am to Lsut81
Oh, and then theres this....
LINK
quote:
The number of people seeking to use their new ObamaCare coverage for the first time is expected to spike next week.
Representatives from healthcare companies, trade groups, and the Obama administration told The Hill that many who obtained new coverage under the law are using this week to learn about their plans and set up preliminary appointments.
They’re expected to turn out in force at the nation’s clinics and hospitals as early as next Monday.
“We are anticipating a surge in activity beginning next week,” said Markeisha Marshall, a spokesperson for Walgreens, the country’s largest pharmacy.
“We haven’t seen many issues, but it’s early,” said Kevin Schweers of the National Community Pharmacists Association.
“We’re predicting Monday will be a better arbiter [for how the law is holding up], so that’s something we’re keeping an eye on,” Schweers added. “We’ve asked our members to let us know about their experiences.”
The administration and healthcare groups have been bracing for the latest test of the law after enrollment deadline delays and processing errors at HealthCare.Gov created an administrative nightmare for insurers.
Two worries are paramount.
The first is that a sizable number of consumers who show up at the doctor’s office will discover that they don’t have the insurance they thought they purchased.
A second is that people have enrolled in ObamaCare, but have to make a payment. Some will discover they don’t have the insurance they thought they purchased as a result .
LINK
Posted on 1/3/14 at 8:49 am to Lsut81
Dumb bitch has a $5000 deductible, so she was going to pay the $500 anyway. People don't understand insurance. they think it's FREE!!!
Posted on 1/3/14 at 8:49 am to Lsut81
quote:
'It's not fair – you know, I signed up last week like I was supposed to.'
The x-ray's cost, she was told, would likely be more than $500.
And THIS is the fricking issue... All of these people who just now decided to get insurance are going to use it for high cost procedures without paying ANYTHING into the system.
Posted on 1/3/14 at 8:55 am to Lsut81
Does this qualify as hope, or change?
Posted on 1/3/14 at 8:59 am to Lsut81
When will we see stories of people walking into hospitals and doctors offices, thinking that Obamacare is free healthcare for all and that they just walk in and get their treatment at no cost and no signing up?
Posted on 1/3/14 at 9:46 am to Lsut81
How dare these impudent sub-human pigs question Der Fuhrer?
This post was edited on 1/3/14 at 9:47 am
Posted on 1/3/14 at 10:01 am to Lsut81
quote:
'The people in there told me that since I didn't have an insurance card, I would be billed for the whole cost of the x-ray,'
Seems like there would be a way around this.
Posted on 1/3/14 at 10:02 am to Lsut81
Just for the record...
My practice has had absolutely no contact or initial negotiations regarding any fee schedules for exchange bought plans. None of the major payors, who all have plans on the exchange, have even attempted to get us in network.
And I am the largest provider of my specialty in this suburb of Houston.
If a patient came to my office with any plan they got on the exchange, my docs couldn't see them.
My practice has had absolutely no contact or initial negotiations regarding any fee schedules for exchange bought plans. None of the major payors, who all have plans on the exchange, have even attempted to get us in network.
And I am the largest provider of my specialty in this suburb of Houston.
If a patient came to my office with any plan they got on the exchange, my docs couldn't see them.
Posted on 1/3/14 at 10:20 am to Lsut81
Wow look - a hospital billing department cant figure out who owes what to who. This has never happened before (don't fricking get me started on Ochsner).
Posted on 1/3/14 at 10:24 am to Lsut81
We goin forward bitches get on the bus or GTFO
Posted on 1/3/14 at 11:12 am to Lsut81
More from Kate Holly, the freelance yoga instructor...
From the original article.. the comments below...
Did you vote for Obama? Twice? Then congratulations, because you *did* build this!
This Robert Stacy McCain quote sums it up: "If you volunteer to be somebody's doormat, you forfeit the right to complain about the footprints on your back."
I would ask to remain anonymous, too, if my plan was to fund my family's healthcare by sponging off of my tax-paying neighbors. I truly hope the kid stays healthy, but I have not one drop of sympathy for the deadbeat mom.
SocraticGadfly > JohnBreland
• 13 hours ago
A working mom is a "deadbeat"? Wingnuts reach a new low.
Let's see... she hasn't bothered to get covered in twelve years of adulthood. Never the less, she and hubby decided to bring a newborn into the world instead of protecting against pregnancy. She doesn't work, and though her husband's insurance will cover them they're not willing to make the economic choices that allow them to pay for her coverage - available though it is. (And probably at a much lower rate than most of us individual buyers face).
If there' a wingnut here it's you, SG. Common sense (remember that?) dictates that one prioritize in adulthood lest your neighbors have to carry your load. If that sounds painfully familiar, perhaps you're another deadbeat and could help out by carrying your own weight instead of foisting it upon your fellows.
Oh wow, schadenfreude. The chickens are headed home to roost young liberals. If only 50% of the population had warned you that ACA was going to be trouble. Did the Portland liberals really believe that they were going to be on the receiving end of this redistribution?! The gov already has your votes, they don't need to buy anything from you. Now it will be interesting to see how many of these young idealists have their lives ruined by liberalism, and STILL continue to blindly follow. My guess.... 99%.
Gee,,,, make the ultimate sacrifice and give the kid up for adoption? (Too barbaric) Get a real job? (Too confining- Nancy told me I was now free to be an artiste') Give up the Volvo with the $535 monthly payment? Move to a less expensive place? Learn to live within their means? Gee, adulthood is full of tough choices.
Well she hasn't given up on others paying for her health care per her comment, ""I guess I'm hoping that I will find out there's a way around this," she said, "but I don't know yet."
Ha! Obamacare was great when she though someone was going to pay her bills, but now that she found out she's going to be paying the tab for other people, it's suddenly not good.
As I have said on numerous occasions, which obviously needs to be said again and again and again: TANSTAAFL, stupid
Wake up darling, you were lied to. Now get a real job to pay for your Obamacare
Freelance Yoga instructor... Husband works for a Non-Profit... Isn't feeling good about yourself enough? She's prayed to the Obama Altar looking for answers to her self imposed plight and found her Messiah isn't all he seemed. Do us all a favor. Stop breeding until you can pay for your healthcare. You wanted it.
LINK
From the original article.. the comments below...
Did you vote for Obama? Twice? Then congratulations, because you *did* build this!
This Robert Stacy McCain quote sums it up: "If you volunteer to be somebody's doormat, you forfeit the right to complain about the footprints on your back."
I would ask to remain anonymous, too, if my plan was to fund my family's healthcare by sponging off of my tax-paying neighbors. I truly hope the kid stays healthy, but I have not one drop of sympathy for the deadbeat mom.
SocraticGadfly > JohnBreland
• 13 hours ago
A working mom is a "deadbeat"? Wingnuts reach a new low.
Let's see... she hasn't bothered to get covered in twelve years of adulthood. Never the less, she and hubby decided to bring a newborn into the world instead of protecting against pregnancy. She doesn't work, and though her husband's insurance will cover them they're not willing to make the economic choices that allow them to pay for her coverage - available though it is. (And probably at a much lower rate than most of us individual buyers face).
If there' a wingnut here it's you, SG. Common sense (remember that?) dictates that one prioritize in adulthood lest your neighbors have to carry your load. If that sounds painfully familiar, perhaps you're another deadbeat and could help out by carrying your own weight instead of foisting it upon your fellows.
Oh wow, schadenfreude. The chickens are headed home to roost young liberals. If only 50% of the population had warned you that ACA was going to be trouble. Did the Portland liberals really believe that they were going to be on the receiving end of this redistribution?! The gov already has your votes, they don't need to buy anything from you. Now it will be interesting to see how many of these young idealists have their lives ruined by liberalism, and STILL continue to blindly follow. My guess.... 99%.
Gee,,,, make the ultimate sacrifice and give the kid up for adoption? (Too barbaric) Get a real job? (Too confining- Nancy told me I was now free to be an artiste') Give up the Volvo with the $535 monthly payment? Move to a less expensive place? Learn to live within their means? Gee, adulthood is full of tough choices.
Well she hasn't given up on others paying for her health care per her comment, ""I guess I'm hoping that I will find out there's a way around this," she said, "but I don't know yet."
Ha! Obamacare was great when she though someone was going to pay her bills, but now that she found out she's going to be paying the tab for other people, it's suddenly not good.
As I have said on numerous occasions, which obviously needs to be said again and again and again: TANSTAAFL, stupid
Wake up darling, you were lied to. Now get a real job to pay for your Obamacare
Freelance Yoga instructor... Husband works for a Non-Profit... Isn't feeling good about yourself enough? She's prayed to the Obama Altar looking for answers to her self imposed plight and found her Messiah isn't all he seemed. Do us all a favor. Stop breeding until you can pay for your healthcare. You wanted it.
LINK
Posted on 1/3/14 at 11:50 am to Lsut81
And Obama doesn't care. He's vacationing in Hawaii on the tax payers dime for 17 days. Beaches, golf, snorkeling, fine restaurants...must be nice. Yet, he will "never rest" until utopia is achieved. <--to you Obama.
Posted on 1/4/14 at 1:01 pm to Lsut81
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