Tuesday Tangent, it’s about profit, not your health.

I’ve been fighting with my insurance company, Florida Blue, a division of Blue Cross Blue Shield for over a year because they refuse to pay for any medical testing other than an x-ray or blood work.  They’ve sent me numerous letters stating that they know that I have brain lesions and spinal issues but they don’t deem MRI’s or cat scans a necessary medical treatment despite the fact that ALL of my doctors have said I need to have those tests yearly.

Recently MacGyver has had some neck stiffness and nerve pain which alarmed his doctor and prompted hime to order some additional tests, immediately.  MacGyver is a man who does not go to the doctor and even refused an ambulance when his hand was filleted open after  a muzzle loader accident.  He has paid into the same insurance plan for over 5 years and gone to the doctor twice.  By my best estimates the insurance company has made a tidy little profit of about 40,000 dollars just from my husband and yet they denied any and all testing ordered.

It’s become such a trend around the medical center that I go to that as soon as I mention my insurance company inevitably someone will tell me that they don’t authorize any testing outside of doctors visits.  I also find it odd that they have a representative who actually has an office inside of the medical practice that I go to.  That’s just off putting to me.

I don’t know what other peoples experiences have been but I’ve often wondered and then I read about a doctor in Mississippi diagnosed with brain cancer who needs treatment but his insurance company will not pay.


doctor with brain cancer

Go ahead and take a guess at who his insurance company is….if you guessed Blue Cross Blue Shield, you nailed it.

Enough is enough people.  I am sick of this shit.  If you pay for a service you should receive that service.  Why is it okay that they continue to profit year after year while we have to fight for basic rights?  It’s not okay.  It’s not.

If you live in Florida and have ever had a problem with your health insurance, you can go here to file a complaint.  If you have problems with your health insurance and you live in any other state, I implore you to get in touch with the proper agency and file a report.

Florida Blue has an annual revenue of 8.9 billion dollars.  The CEO, Patrick Geraghty earned almost 7 million dollars in 2013 and who knows how much he earns now.  Not bad for a not for profit organization huh?

I wish I could give people advice when they’re struggling to get their insurance to pay but the only advice I have is do your best to stay healthy and try not to ever get sick.

Have you ever had trouble getting your health insurance to pay for testing or treatment?  What did you do about it?

 

4 thoughts on “Tuesday Tangent, it’s about profit, not your health.

  1. Ugh. I hate this! I wish I had a solution. Insurance has always felt like a major scam to me. We’ve never really benefitted. So we are saving cash for emergencies. But if we end up with cancer I guess we are screwed!

    • We’re seriously considering saving our premiums and then just paying out of pocket but it seems like doctors don’t negotiate down as low with an individual as they do with insurance companies, it’s one frustrating process, that’s for sure!

Leave a Reply

Your email address will not be published. Required fields are marked *