Friday, January 9, 2009

Blue Shield to restore coverage for dropped Californians - Los Angeles Times

Blue Shield to restore coverage for dropped Californians - Los Angeles Times:

"In an attempt to settle investigations prompted by articles in The Times, the insurer agrees to reissue plans to almost 700 Californians and reimburse them for expenses that would have been covered.
By Lisa Girion [January 7, 2009 ]

"Blue Shield has agreed to reissue medical coverage to nearly 700 Californians whose policies were canceled after they got sick and to make changes in the way it handles insurance bought by individuals, officials said Tuesday.

"Blue Shield of California's Life & Health Insurance Co. also agreed to reimburse consumers whose coverage was canceled for medical expenses they paid out of pocket."
...
"Most of the state's health insurers remain mired in litigation over the practice that has led to the cancellation of thousands of policies of sick patients, as well as financial losses for them, physicians and hospitals. In addition, Los Angeles City Atty. Rocky Delgadillo has sued Anthem Blue Cross, Blue Shield and Health Net, accusing all three of improperly dropping customers."
...
"When the state's charges were initially filed, Ross called them "grossly unfair." Blue Shield and other insurers have maintained that state law allows them to review a patient's old medical records after they get sick and rescind coverage if it finds something the policyholder failed to disclose on his application -- whether intentionally or by mistake.

"Consumer advocates and lawyers have accused Blue Shield and other insurers of using purposefully confusing applications designed to trick people into making mistakes that can later be used against them and of failing to properly vet the applications before issuing coverage."

God bless the American Businessman! Or woman. (Sorry, Loretta!)

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