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Home » Discuss » Archives » General Discussion (1/22-2007 thru 12/14/2010) Donate to DU
Shining Jack Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Feb-18-10 04:29 PM
Response to Original message
171. K&R
That's totally insane. :(
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  -I just got off the phone w/ Blue Cross (North Carolina) and I'm so mad I could explode. loudsue  Feb-17-10 04:14 PM   #0 
  - Sounds like a shell game.  lpbk2713   Feb-17-10 04:18 PM   #1 
  - Thanks. I'm not a surgery kind of person....put it off for way too long.  loudsue   Feb-17-10 04:22 PM   #8 
  - Daughters and I are similarly situated (husb the COVERED)  elleng   Feb-17-10 08:20 PM   #77 
  - dupe  elleng   Feb-17-10 08:20 PM   #78 
  - Dont worry you'll get a public "option". Mandate only there to ensure you have no negotiating power.  Leopolds Ghost   Feb-17-10 11:56 PM   #97 
  - No power to opt-out = consumer has no price-setting influence. Inflexible demand. Econ 101.  Leopolds Ghost   Feb-17-10 11:59 PM   #98 
  - I thought part of the plan is they could not deny coverage.  Maraya1969   Feb-18-10 01:24 AM   #102 
     - They can't. That does NOT stop them from denying claims n/t  eridani   Feb-18-10 03:19 AM   #107 
        - I don't understand why  pecwae   Feb-18-10 07:38 AM   #122 
        - Denial of claims is the same as denial of coverage.  woofless   Feb-18-10 12:55 PM   #154 
           - According to normal people logic you are correct  eridani   Feb-18-10 07:15 PM   #179 
        - or charging outrageous premiums for coverage  DrDan   Feb-18-10 01:52 PM   #156 
  - Call them back and tell them that if they don't pay for the surgery, you will sue them for  1monster   Feb-18-10 08:35 AM   #127 
  - They always do this. They precertify and then decide later whether or not they'll pay.  SharonAnn   Feb-17-10 10:18 PM   #86 
  - There is nothing random about their method  wolfgangmo   Feb-18-10 11:04 AM   #140 
  - It's not a "representative democracy" - it's an AUCTION, and you don't have the money to win.  FormerDittoHead   Feb-17-10 04:20 PM   #2 
  - That's a great idea & I hope more & more people start doing that.  loudsue   Feb-17-10 04:23 PM   #9 
  - Too bad Senator Helms is no longer in office.  DURHAM D   Feb-17-10 04:37 PM   #20 
     - In that respect, Jesse Helms was 100% for his constituents.  loudsue   Feb-17-10 04:50 PM   #34 
     - In that respect, Jesse Helms was 100% for his constituents.  AlbertCat   Feb-18-10 11:10 AM   #142 
     - that's an idea  barbtries   Feb-18-10 05:54 AM   #114 
  - Truer words have never been written  varelse   Feb-17-10 08:32 PM   #81 
  - Thanks for the link -- I'll contribute something --  defendandprotect   Feb-17-10 11:12 PM   #92 
  - I still donate, but only thru Act Blue, I only want to fund real Democrats  diane in sf   Feb-18-10 02:20 AM   #104 
  - Thank you for sharing that.  truedelphi   Feb-18-10 02:50 PM   #160 
  - What you need is a representative that works for you and not the company.  LiberalFighter   Feb-17-10 04:20 PM   #3 
  - The insurance industry wrote me off in 1987  Warpy   Feb-17-10 04:20 PM   #4 
  - Exactly, call your doctor!  Dappleganger   Feb-17-10 04:25 PM   #10 
  - They didn't say they wouldn't cover it..... they said they wouldn't  loudsue   Feb-17-10 04:53 PM   #38 
  - Thanks, Warpy. Evidently, and according to them, THEY are the ones  loudsue   Feb-17-10 04:30 PM   #17 
  - Unbelievable! So now the insurance companies are coming after federal workers benefits?!  earth mom   Feb-17-10 04:22 PM   #5 
  - "This shit has to stop"  FiveGoodMen   Feb-17-10 04:22 PM   #6 
  - Thank you. I'm already scared of someone poking around in my knee w/ a knife  loudsue   Feb-17-10 04:26 PM   #11 
  - Insurance doesn't pay for "unnecessary" surgery or services, but that rarely happens.  Lil Missy   Feb-17-10 04:22 PM   #7 
  - And they probably will pay for it...but they made sure I knew they DIDN'T HAVE TO  loudsue   Feb-17-10 04:37 PM   #19 
     - Indeed, and that's because a rep cannot guarantee anything over the phone.  Lil Missy   Feb-17-10 05:28 PM   #49 
  - Sounds like it's just standard procedure....it's pretty hard to have knee surgery be an  cbdo2007   Feb-17-10 04:26 PM   #12 
  - Can she get that in writing? Apparently not.  NoSheep   Feb-17-10 07:57 PM   #73 
  - We had to change our insurer recently. My husband is also a fed.  DevonRex   Feb-17-10 04:27 PM   #13 
  - I wish you the best with your procedure.  loudsue   Feb-17-10 04:39 PM   #21 
     - I wonder if BC is using this to frighten people out of necessary  DevonRex   Feb-17-10 04:48 PM   #30 
        - That's what I was thinking . . .  defendandprotect   Feb-17-10 11:15 PM   #93 
        - yep. it's a scare tactic intended to decrease utilization  GinaMaria   Feb-18-10 07:06 AM   #119 
  - I was talking to someone just yesterday, who used to work in HI industry  G_j   Feb-17-10 04:28 PM   #14 
  - I hope this new insurance support bill that congress is voting on doesn't make  loudsue   Feb-17-10 04:41 PM   #22 
  - Had shoulder surgery a few years back  randr   Feb-17-10 04:29 PM   #15 
  - Good grief. That's awful.  loudsue   Feb-17-10 04:56 PM   #41 
  - Came very close to doing just that!  randr   Feb-17-10 05:49 PM   #52 
  - The same thing applies to "collectors"  Mopar151   Feb-17-10 08:05 PM   #74 
  - Knee surgery is very expensive!  Quantess   Feb-17-10 04:30 PM   #16 
  - LOL. Poor them!  loudsue   Feb-17-10 04:42 PM   #25 
  - Somebody's yacht might miss a polishing.  Vinca   Feb-17-10 04:48 PM   #31 
  - And what happens if the diamond-encrusted anchor...  CoffeeCat   Feb-17-10 04:53 PM   #39 
     - Zzzactly!  loudsue   Feb-17-10 04:57 PM   #42 
  - Really you are cutting into CEO bonuses, golf outings,  704wipes   Feb-17-10 09:30 PM   #84 
  - Call the insurance commision or regulator's office in your state and explain.  Fuzz   Feb-17-10 04:36 PM   #18 
  - Nonsense. The state Department of I.nsurance will do nothing.  WillowTree   Feb-17-10 08:22 PM   #79 
  - Yup we need major policing of insurance companies before they can mandate anything.  dkf   Feb-17-10 04:41 PM   #23 
  - We first need policing of the insurance industry, so true.  loudsue   Feb-17-10 04:47 PM   #28 
  - Why do your eyes hurt? Because you've never used them before.  Richard Steele   Feb-17-10 04:42 PM   #24 
  - They want to scare you into canceling the surgery  SoCalDem   Feb-17-10 04:43 PM   #26 
  - scary  G_j   Feb-17-10 04:49 PM   # 
  - GMTA. nt  DevonRex   Feb-17-10 04:49 PM   #32 
  - These Insurance CEOs  femrap   Feb-17-10 04:46 PM   #27 
  - Call Risk Management or whoever deals with insurance at your husbands work.  Fire_Medic_Dave   Feb-17-10 04:48 PM   #29 
  - I don't even have Health Insurance  4 t 4   Feb-17-10 04:52 PM   #36 
     - Torn cartilege....can't walk.  loudsue   Feb-17-10 04:59 PM   #43 
     - I had that surgery about five yars ago.  thecrow   Feb-17-10 05:11 PM   #46 
     - Thanks crow....I'm a little nervous about it.  loudsue   Feb-17-10 06:26 PM   #57 
        - Loudsue  eecumings   Feb-17-10 10:08 PM   #85 
           - Thanks, ee.....  loudsue   Feb-18-10 03:56 PM   #162 
     - I'm surprised they haven't told you to see another Ortho.  Lance_Boyle   Feb-18-10 07:38 AM   #123 
        - It actually has been a problem for quite a while, but I re-injured it  loudsue   Feb-18-10 04:03 PM   #163 
     - I have no idea how to answer your question.  Fire_Medic_Dave   Feb-17-10 05:00 PM   #44 
        - Deleted message  Name removed   Feb-18-10 04:44 AM   #112 
           - I couldn't answer his question because it didn't make sense in response to my post.  Fire_Medic_Dave   Feb-18-10 11:42 AM   #147 
  - I Had the Same Situation Last Month  On the Road   Feb-17-10 04:49 PM   #33 
  - I had the same thing happen concerning glaucoma testing.  PassingFair   Feb-17-10 04:56 PM   #40 
  - BCBS is screwing with me too...  CoffeeCat   Feb-17-10 04:51 PM   #35 
  - I bought a re-built CPAP machine in October for $300.  loudsue   Feb-17-10 05:06 PM   #45 
     - BCBS did the same to me but with a different machine...  Dappleganger   Feb-17-10 05:55 PM   #54 
     - With my deductibles...  CoffeeCat   Feb-17-10 07:37 PM   #67 
        - Zzzactly. That's why when I told the Sleep Lab my insurance wouldn't cover  loudsue   Feb-18-10 04:06 PM   #164 
  - so sad... good luck... I think "representative gov't" has turned into representing corporations  nightrain   Feb-17-10 04:52 PM   #37 
  - They have, nightrain.  loudsue   Feb-17-10 05:20 PM   #47 
  - The hypocrisy is mind numbing.  Trillo   Feb-17-10 05:25 PM   #48 
  - Please provide a link proving your claim that the Obama plan proposes to jail  kestrel91316   Feb-17-10 05:28 PM   #50 
  - If you don't buy it you get a fine.  JoeyT   Feb-18-10 06:59 AM   #118 
     - And when was this SIGNED INTO LAW, BTW?  kestrel91316   Feb-18-10 09:55 AM   #133 
     - When was any of it signed into law?  JoeyT   Feb-18-10 10:30 AM   #138 
     - Good grief!  Pedalpower   Feb-18-10 11:12 AM   #143 
  - Meaningful healthcare reform is my line in the sand  Coyote_Bandit   Feb-17-10 05:48 PM   #51 
  - I sympathize, Coyote Bandit.  loudsue   Feb-17-10 06:36 PM   #58 
  - Thanks  Coyote_Bandit   Feb-17-10 06:55 PM   #63 
  - +10, CB.  kath   Feb-18-10 10:49 AM   #139 
  - I recenlty had surgery and went through some of the same nonsense.  Glimmer of Hope   Feb-17-10 05:50 PM   #53 
  - They are truly evil.  loudsue   Feb-17-10 06:40 PM   #59 
  - SINGLE.... PAYER.... NOW!!!!!!!!!!! ............*n/t  Yurovsky   Feb-17-10 05:56 PM   #55 
  - Obama is NOT telling you you have to buy THAT insurance.  pnwmom   Feb-17-10 06:10 PM   #56 
  - But at what cost?  loudsue   Feb-17-10 06:48 PM   #61 
  - There is not so much as a word about claims denial  eridani   Feb-18-10 04:10 AM   #108 
  - You socialist! Why do you hate America?  upi402   Feb-17-10 06:44 PM   #60 
  - Start a file if you haven't done so already, and keep track of every phone call, with names...  Hekate   Feb-17-10 06:49 PM   #62 
  - Thanks, Hekate. I appreciate the good wishes.  loudsue   Feb-18-10 04:11 PM   #166 
  - The state of Texas is trying to balance the budget on the backs of its employees  alarimer   Feb-17-10 07:11 PM   #64 
  - Oregon is a nice place to move to, but don't expect to find a job too easily.  Quantess   Feb-17-10 07:42 PM   #69 
     - I have two interviews in the next week  alarimer   Feb-17-10 11:43 PM   #95 
        - Good luck in finding work, alarimer.  loudsue   Feb-18-10 04:15 PM   #167 
  - And the rest of the industrialized countries are laughing their asses off at the  Ilsa   Feb-17-10 07:18 PM   #65 
  - Even developing countries  upi402   Feb-17-10 07:39 PM   #68 
  - Thanks, Ilsa. I just got back from my doctor's office  loudsue   Feb-18-10 04:18 PM   #168 
  - Crazy, good luck with the surgery and then the bills...  slipslidingaway   Feb-17-10 07:22 PM   #66 
  - Thank you slipslidingaway.  loudsue   Feb-18-10 04:20 PM   #169 
  - Agree 100%. Well said. [N/T]  quark219   Feb-17-10 07:43 PM   #70 
  - Thanks for sharing, loudsue.  Uncle Joe   Feb-17-10 07:46 PM   #71 
  - Be glad that they're at least this honest...  nankerphelge   Feb-17-10 07:54 PM   #72 
  - I just freaked over costs  DissedByBush   Feb-17-10 08:09 PM   #75 
  - The 'completely broke and destitute'  Boudica the Lyoness   Feb-17-10 08:15 PM   #76 
  - Welp those sons a bitches!  lonestarnot   Feb-17-10 08:27 PM   #80 
  - So sorry you're going through this  MissDeeds   Feb-17-10 08:56 PM   #82 
  - I'm so glad we don't ration healthcare in this country. Whew!!!  Captain Hilts   Feb-17-10 09:07 PM   #83 
  - do you think if it is mandatory there will be no regulation?  Hamlette   Feb-17-10 10:19 PM   #87 
  - "Will happen" is not good enough,. If regulations are not imposed now--  eridani   Feb-18-10 04:19 AM   #109 
     - honestly, do you know the history of workers compensation? social security?  Hamlette   Feb-18-10 09:45 AM   #131 
        - The Social Security analogy is bullshit  eridani   Feb-18-10 07:18 PM   #180 
           - I can't even begin to discuss this if you start out with the SS analogy is bullshit  Hamlette   Feb-18-10 10:06 PM   #181 
              - The difference is between paying a tax to the government for a public good  eridani   Feb-19-10 12:10 AM   #182 
                 - then, get a job  Hamlette   Feb-19-10 09:43 PM   #183 
                    - Can you say "non sequitur," boys and girls?  eridani   Feb-19-10 09:56 PM   #184 
                       - Can you say "I don't know what I'm talking about", boy or girl?  Hamlette   Feb-20-10 10:05 AM   #185 
                          - The real difference is between paying for a public good  eridani   Feb-20-10 12:42 PM   #186 
  - Insurance companies' first obligation is to their stockholders  Doctor_J   Feb-17-10 10:32 PM   #88 
  - Oh, just wrap a bandage around it really tight and stop complaining  Hugabear   Feb-17-10 10:48 PM   #89 
  - and put some cheese on it  SoCalDem   Feb-17-10 10:50 PM   #90 
  - They live in a glass house  Alcibiades   Feb-17-10 10:53 PM   #91 
  - A fantasy based on that picture.  wolfgangmo   Feb-18-10 11:25 AM   #144 
     - There are no stockholders  Alcibiades   Feb-18-10 06:52 PM   #178 
  - MEDICARE FOR ALL -- Everyone in, no one out -- !!  defendandprotect   Feb-17-10 11:16 PM   #94 
  - the doctor has to say that it is medically necessary and that should be it  Rosa Luxemburg   Feb-17-10 11:50 PM   #96 
  - The "post-procedure approval" game is just that. They will deny it afterwards  AllyCat   Feb-18-10 12:23 AM   #99 
  - I have private BCBS and they are screwing with me as well. We have even looked into other insurance  saracat   Feb-18-10 01:07 AM   #100 
  - 2 of my kids would LOVE to be as lucky as you.  Maru Kitteh   Feb-18-10 01:20 AM   #101 
  - Way to get loud, Sue!  Enthusiast   Feb-18-10 02:02 AM   #103 
  - I learned a bit from an insurance guy years ago  Sherman A1   Feb-18-10 03:09 AM   #105 
  - You don't go to jail.  SanchoPanza   Feb-18-10 03:18 AM   #106 
  - Been there with BCBS-FL  quaker bill   Feb-18-10 04:21 AM   #110 
  - Tell them you want a supervisor, as you're sure this is a mistake,if not you'll hold a press conf.  Liberty Belle   Feb-18-10 04:41 AM   #111 
  - That is totally absurd, and totally wrong.  spicegal   Feb-18-10 05:07 AM   #113 
  - GET IT IN WRITING!  cap   Feb-18-10 06:02 AM   #115 
  - + 330 Million  SmileyRose   Feb-18-10 06:29 AM   #116 
  - The arrogance is stunning. They're nothing but gansters.  Joanne98   Feb-18-10 06:39 AM   #117 
  - Back in 1999 I had to deal with Nylcare  hobbit709   Feb-18-10 07:29 AM   #120 
  - I had that exact conversation yesterday with Assurant  Pretty_in_CodePink   Feb-18-10 07:34 AM   #121 
  - If I had any sway with the people in this country, I would  pleah   Feb-18-10 07:51 AM   #124 
  - Try looking up their agreement  pecwae   Feb-18-10 07:52 AM   #125 
  - WAKE UP  anachro1   Feb-18-10 08:25 AM   #126 
  - Oh, I'm past going postal  azygous   Feb-18-10 09:13 AM   #128 
  - The corporations own the government.  Jim__   Feb-18-10 09:30 AM   #129 
  - In April my 'insurance' goes up 40%  niceypoo   Feb-18-10 09:37 AM   #130 
  - I stopped paying BCBSNC: call Senator Hagan  mensaladyasheville   Feb-18-10 09:52 AM   #132 
  - Thanks, Mensalady....  loudsue   Feb-18-10 04:36 PM   #172 
  - Much Cheaper Never to Pay Out  jeremyfive   Feb-18-10 10:04 AM   #134 
  - Thought you might like this: North Carolina's Blue Cross Trying to Kill Key Plank of Obama Plan  1776Forever   Feb-18-10 10:13 AM   #135 
  - Call your local paper.  uberblonde   Feb-18-10 10:25 AM   #136 
  - I just got off the phone  Drops_not_Dope   Feb-18-10 10:26 AM   #137 
  - AFTER the surgery when they "review" it to decide if it was necessary or not.  AlbertCat   Feb-18-10 11:06 AM   #141 
  - LOL! No, not cosmetic knee surgery.  loudsue   Feb-18-10 04:39 PM   #173 
  - On the other hand.  wolfgangmo   Feb-18-10 11:29 AM   #145 
  - Good grief, Wolfgangmo! I'm so sorry  loudsue   Feb-18-10 04:44 PM   #174 
  - Sounds normal for insurance companies  Bettie   Feb-18-10 11:33 AM   #146 
  - K&R n/t  Duval   Feb-18-10 11:47 AM   #148 
  - We're sending our best vibes for your surgery  duhneece   Feb-18-10 11:54 AM   #149 
  - Hello my dear friend.  loudsue   Feb-18-10 04:50 PM   #175 
  - The beurocrat that gets between you and your doctor  Lars77   Feb-18-10 11:54 AM   #150 
  - I'm blogging about this TODAY!!  PruneJuiceMedia   Feb-18-10 12:10 PM   #151 
  - Call them back and get what you need  sui generis   Feb-18-10 12:40 PM   #152 
  - Thanks generis...  loudsue   Feb-18-10 04:55 PM   #176 
  - I had the same crap with BCBS NC years ago  peaches2003   Feb-18-10 12:54 PM   #153 
  - Bullshit... All they need is the diagnostic code and procedural code . Tell you what-  MrMickeysMom   Feb-18-10 01:28 PM   #155 
  - This is what I try to tell people all the time, insurance NEVER has to pay  harun   Feb-18-10 01:56 PM   #157 
  - That suicide in Austin mentioned health care fiasco.  FunMe   Feb-18-10 02:29 PM   #158 
  - Like a recent report on "Dateline" TV stated - many Americans are convinced that they  truedelphi   Feb-18-10 02:49 PM   #159 
  - You mean you don't care for Insurance Companies Making All The Rules While You Pay and Pay?  Blackhatjack   Feb-18-10 03:10 PM   #161 
  - That truly is the name of the game now, isn't it?  loudsue   Feb-18-10 05:11 PM   #177 
  - contact your state rep and state sen, NCLEG already investigating BCBS on another matter  WillYourVoteBCounted   Feb-18-10 04:10 PM   #165 
  - Would you like to rent a small plane? n.t  Toucano   Feb-18-10 04:22 PM   #170 
  - K&R  Shining Jack   Feb-18-10 04:29 PM   #171 
 

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