re: What’s the deal with the Blue Cross complex in BR?

Just wondering did you build a house with your bare hands in college?

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And the guards are because the company gets a lot of threats.

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I used to work in an office suite next to the IRS. Same shite. Lots of threats.

frick them! Have you fished the pond behind Pennington? It’s beautiful and loaded with bass but of course they kick you off too. So stupid you can walk around it no problem but if you want to fish it’s the end of the world.

Obama's 400% premium increase at work

My NP wife is constantly coming home complaining about insurance companies,not necessarily just BC/BS.She works for a Cardiology Clinic and insurance companies are inceasingly suddenly denying payment for medications patients are taking and doing well on.They want them to be changed to cheaper medications that in many cases patients had already tried and weren’t effective.
So then she has to write letters or call insurance company and argue with them to keep patients on their meds.
It’s a huge time suck because she has to document pts. medication history,etc.
It used to be only an occasional thing but now it’s almost daily and she is sick of it.
Then there are other issues,for example she hears a murmur and wants an echo done she has to get approval from insurance company.If EKG is abnormal,suggestive of an area of ischemia she has to get approval for a stress test and often they deny it so she has to write letter justifying her concern.
She is constantly talking about retiring which would be a shame as she loves her job and pts.and is good at it but she is way tired of dealing with insurance companies.

“This is only for us working people who can pay for private insurance”

You’re right.I asked her about this,if this was an issue for pts. on Medicare and Medicaid.She said no,only pts.on private insurance.
I was actually kinda surprised her Dr. sees Medicaid pts. as so many don’t.

BlueCross denied me an override on my Humulin insulin. I spent an hour on the phone with them yesterday. I used a little extra insulin and they would not pay for an emergency refill. Gonna cost me $1,533 tomorrow to get one 20 ml vial. Otherwise, I will go four days without insulin.

I was told that a review board would be deciding if I got an override. Apparently I did not. Do these clowns have criterion to follow in such a decision?

Sounds like BS to me. Looks like they are trying to scam a hard working dude like myself.

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I used a little extra insulin and they would not pay for an emergency refill.

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aren’t you the guy that was on here before complaining about that while not keeping up with your treatment requirements?

please go see your doctor

I have to say that BC/BS hasn't given me issues with my daughter's issues.

Now, Delta Dental? They pissed me off. But it could be worse. It really only cost me $750. Still annoying as hell.