Sunday, September 27, 2009
Shameless Corporation of the Week Award
Each week EverythingHealth will bestow its "Shameless Corporation of the Week Award" to a deserving health insurance company. Somehow I do not think it will be hard to find a recipient each week.
Today's award goes to: Blue Shield of California HMO.
When Rosalinda Miran-Ramirez awoke with bleeding from her left breast nipple she awakened her husband and had him drive her to the local emergency department. The doctors found a tumor that they thought was breast cancer but a biopsy later proved it to be benign.
Blue Shield denied the emergency room visit and she received the total charge from the emergency visit: $2791.00. Blue Shield reviewed the case and determined that Miran-Ramirez "reasonably should have known that an emergency did not exist." When she appealed, she was denied again and told she was not in "any acute distress."
The Shameless Award for this week goes to Blue Shield of California. Since when isn't a blood soaked shirt and a bleeding breast cause for insurance coverage?
Posted by Toni Brayer, MD at 3:41 PM