Curmudgeon wrote:alfadriver wrote:I'm the one who bitched about BCBS of SC (one of those so-called non profits) holding a HUGE surplus while denying claims for my daughter's asthma meds claiming her eligibility had ended. Which was complete bullE36 M3 because they had been accepting my money for a year and a half. When it comes down to a tug of war between my kid's health and the shareholders, the shareholders can go berkeley themselves. EDIT: These are the same shiny happy people who finally paid for her meds after I raised hell and wrote a blistering letter to the local newspaper. I then change employers, get another policy with the same company and coverage of her asthma is denied for six months as a 'preexisting condition'. Yeah, I've heard all the arguments for that. They are bullE36 M3 designed to maximize profit at the expense of the policy holder and all I have to say is: if the ACA was good for one thing it was getting rid of that goddamn preexisting condition thing.Bobzilla wrote: yeS! Let's grow the gov't even MORE! That will fix it. I've never seen a gov't agency completely overstep it's bounds, come in at 4 times the cost and fix absolutely nothing before. Look, you want complete gov't oversight, move to Europe. LEave us the berkeley alone.So you are ok with a healthcare company denying you some basic service so that they shareholders profit more? We are not talkign about an OEM radiator, but giving you the most up to date heart opreartion.
I am shocked, SHOCKED that BCBS treated you like that. Oh, wait, no I'm not because that is how they treated ME. I paid my premiums for six years and when I finally needed to get patched back up they fought me on every single charge. I had to resubmit doctors bills multiple times, or have them re-coded so they wouldn't be rejected. I went to their approved doctors every single time but I guess it didn't matter.
I swear I was going to reach through the phone and punch the next person who said the words "usual and customary" to me. For those who don't know that is the amount that an insurance companies feels it should pay for a procedure, which may be WAY different from what you are charged. The difference between the two is now your problem. So now you have to call the doctor and get them to re-code the bill to something that the insurance company will pay or lower the price. Sometimes the doctor just re-submits the same bill which is now magically accepted, where the original bill was not. It was a good thing I was on medical leave for two months relearning to walk or else I'd never been able to deal with the stupidity of the whole billing situation.
Then when it was all over is when the threatening phone calls came in asking when I was going to pay them back. This was not some debt collection agency, the phone was answered by BCBS staff. The "bills" were mailed from BCBS but nowhere on them was there a due date, just a long statement of services and a huge number at the bottom in bold. Screw BCBS.