Jump to content
w¡n9Nµ7 §£@¥€r

Blue Shield of California HMO: A bleeding breast is not an emergency

 Share

14 posts in this topic

Recommended Posts

Filed: Timeline

SAN FRANCISCO (CBS 5) ― When Daly City resident Rosalinda Miran-Ramirez woke up one morning in April to find her left breast bleeding from the nipple, she panicked. The shirt she had been sleeping in was saturated with blood. So her husband took her to the emergency room at Seton Medical Center.

...

Doctors found a tumor and initially told her she had breast cancer. A biopsy later proved that assumption false; the tumor was benign.

But Miran-Ramirez said the real shock came when her insurance company, Blue Shield of California HMO, which had initially approved the claim for the emergency room visit, reversed course and sent her a new bill three months later requiring her to pay the total charges for that visit: $2,791.00.

Why? Documents from Blue Shield indicate the company had reviewed the case and determined Miran-Ramirez "reasonably should have known that an emergency did not exist."

"I am like how can they say that it was not an emergency? Like, my breast was bleeding! I am not a clinical person but if your breast is bleeding, for me that's an emergency," she said.

So she appealed. And she was denied again This time Blue Shield told her she hadn't been in "any acute distress."

...

After CBS 5 Investigates asked Blue Shield about Miran-Ramirez' case, the company said it was reviewing the case again and has now agreed to pay all charges for the emergency room visit.

http://cbs5.com/local/insurance.claim.denied.2.1207332.html

Man is made by his belief. As he believes, so he is.

Link to comment
Share on other sites

Filed: K-1 Visa Country: Philippines
Timeline

That settles it. We should have socialized medicine.

K-1 Visa

Service Center : California Service Center

Consulate : Manila, Philippines

I-129F Sent : 2009-08-14

I-129F NOA1 : 2009-08-18

I-129F NOA2 : 2009-10-23

NVC Received : 2009-10-27

NVC Left : 2009-11-06

Consulate Received : 2009-11-12

Packet 3 Received : 2009-11-27

Interview Date : 2009-12-16

Interview Result : APPROVED

Second Interview

(If Required):

Second Interview Result:

Visa Received :

US Entry :

Marriage :

Comments :

Processing

Estimates/Stats : Your I-129f was approved in 66 days from your NOA1 date.

Your interview took 120 days from your I-129F NOA1 date.

Link to comment
Share on other sites

That's insurance companies for yah, kinda surprising because blue cross and blue shield was considered one of the good insurance policy, it comes to show you there are no good guys, it's all about the PROFIT MARGIN.

Where are the republican swho keeep crying we need to keep the status quo??

Gone but not Forgotten!

Link to comment
Share on other sites

Filed: Timeline
That's insurance companies for yah, kinda surprising because blue cross and blue shield was considered one of the good insurance policy, it comes to show you there are no good guys, it's all about the PROFIT MARGIN.

Where are the republican swho keeep crying we need to keep the status quo??

The status quo sucks!

Link to comment
Share on other sites

Filed: K-1 Visa Country: Philippines
Timeline
The husband did clipped off the the nipples with his teeth, right?

:(

Thats messed up

K-1 Visa

Service Center : California Service Center

Consulate : Manila, Philippines

I-129F Sent : 2009-08-14

I-129F NOA1 : 2009-08-18

I-129F NOA2 : 2009-10-23

NVC Received : 2009-10-27

NVC Left : 2009-11-06

Consulate Received : 2009-11-12

Packet 3 Received : 2009-11-27

Interview Date : 2009-12-16

Interview Result : APPROVED

Second Interview

(If Required):

Second Interview Result:

Visa Received :

US Entry :

Marriage :

Comments :

Processing

Estimates/Stats : Your I-129f was approved in 66 days from your NOA1 date.

Your interview took 120 days from your I-129F NOA1 date.

Link to comment
Share on other sites

I disagree. I bet it would be an emergency if it was bleeding from a knife sticking out of it.

Real love stories never have endings...

Link to comment
Share on other sites

Filed: Citizen (pnd) Country: Ireland
Timeline
SAN FRANCISCO (CBS 5) ― When Daly City resident Rosalinda Miran-Ramirez woke up one morning in April to find her left breast bleeding from the nipple, she panicked. The shirt she had been sleeping in was saturated with blood. So her husband took her to the emergency room at Seton Medical Center.

...

Doctors found a tumor and initially told her she had breast cancer. A biopsy later proved that assumption false; the tumor was benign.

But Miran-Ramirez said the real shock came when her insurance company, Blue Shield of California HMO, which had initially approved the claim for the emergency room visit, reversed course and sent her a new bill three months later requiring her to pay the total charges for that visit: $2,791.00.

Why? Documents from Blue Shield indicate the company had reviewed the case and determined Miran-Ramirez "reasonably should have known that an emergency did not exist."

"I am like how can they say that it was not an emergency? Like, my breast was bleeding! I am not a clinical person but if your breast is bleeding, for me that's an emergency," she said.

So she appealed. And she was denied again This time Blue Shield told her she hadn't been in "any acute distress."

...

After CBS 5 Investigates asked Blue Shield about Miran-Ramirez' case, the company said it was reviewing the case again and has now agreed to pay all charges for the emergency room visit.

http://cbs5.com/local/insurance.claim.denied.2.1207332.html

Insurance companies in this country are scumbags the whole lot of them! I'd sooner wait in line knowing EVERYONE else also waits in line and pays instead of this system. It's a sick and twisted, fact is private companies are in business to make money number one rule.. everything else and everyone else comes after that.

Filed N400 11/7/16

Check (CC) Cashed 11/10/16

Text/Email NOA 11/16/16

Link to comment
Share on other sites

Filed: Citizen (apr) Country: Brazil
Timeline
That settles it. We should have socialized medicine.

there's a lot of bleeding boobs around here, that's for sure.

* ~ * Charles * ~ *
 

I carry a gun because a cop is too heavy.

 

USE THE REPORT BUTTON INSTEAD OF MESSAGING A MODERATOR!

Link to comment
Share on other sites

Filed: Lift. Cond. (apr) Country: Egypt
Timeline

I wonder if they consider BUTTERMILK dripping out one's ####### an emergency? :innocent:

Don't just open your mouth and prove yourself a fool....put it in writing.

It gets harder the more you know. Because the more you find out, the uglier everything seems.

kodasmall3.jpg

Link to comment
Share on other sites

Filed: Citizen (apr) Country: Brazil
Timeline
I wonder if they consider BUTTERMILK dripping out one's ####### an emergency? :innocent:

maybe it's not buttermilk...but nut butter :lol:

* ~ * Charles * ~ *
 

I carry a gun because a cop is too heavy.

 

USE THE REPORT BUTTON INSTEAD OF MESSAGING A MODERATOR!

Link to comment
Share on other sites

That settles it. We should have socialized medicine.

Well I am still waiting on a legitimate reason to why it's better to allow boards and executives to decide our treatment.

According to the Internal Revenue Service, the 400 richest American households earned a total of $US138 billion, up from $US105 billion a year earlier. That's an average of $US345 million each, on which they paid a tax rate of just 16.6 per cent.

Link to comment
Share on other sites

 

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now
- Back to Top -

Important Disclaimer: Please read carefully the Visajourney.com Terms of Service. If you do not agree to the Terms of Service you should not access or view any page (including this page) on VisaJourney.com. Answers and comments provided on Visajourney.com Forums are general information, and are not intended to substitute for informed professional medical, psychiatric, psychological, tax, legal, investment, accounting, or other professional advice. Visajourney.com does not endorse, and expressly disclaims liability for any product, manufacturer, distributor, service or service provider mentioned or any opinion expressed in answers or comments. VisaJourney.com does not condone immigration fraud in any way, shape or manner. VisaJourney.com recommends that if any member or user knows directly of someone involved in fraudulent or illegal activity, that they report such activity directly to the Department of Homeland Security, Immigration and Customs Enforcement. You can contact ICE via email at Immigration.Reply@dhs.gov or you can telephone ICE at 1-866-347-2423. All reported threads/posts containing reference to immigration fraud or illegal activities will be removed from this board. If you feel that you have found inappropriate content, please let us know by contacting us here with a url link to that content. Thank you.
×
×
  • Create New...