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 A Woman's Bleeding Breast Is Not An Emergency
A Woman's Bleeding Breast Is Not An Emergency
Insurer Blue Shield of California denied a woman's emergency room visit claim when she woke up to discover blood pouring from her nipple and sent her a bill for $2,791. Guess what happened next? picked by suebe 2 months ago
tags bleeding breast emergency blue shield insurer denied
 quote edit #1 

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33
 kerobero...
2 months ago
I would like to point out that if a Bleeding Breast (nevermind if the woman was breastfeeding a baby or not) is not to be considered an emergency, by the same token a Bleeding Penis IS NOT to be considered an emergency, either (nevermind if the man has to take a piss or not... he should have taken his meds for the clap)...

How asinine of the insurance company to second guess someone who, not only is not trained to determine whether her condition is an emergency or not... *A BLEEDING BREAST IS NOT A NATURAL OCCURRING PHENOMENON*

It is normal, however, to seek professional help. In either case, penis/breast bleeding...
quote #2
50
 2manyuse...
2 months ago
This is just too hard to believe. Yes we all hate insurance companies for good reasons, but they pay for millions of emergency room visits every year. Many of which are far less of an emergency than something this horrific. I am quite sure there is more to the story.
quote #3
13
 WeeBeast...
2 months ago
I dunno... sounds like something my insurer would do.

I received an unexpected bill recently and gave BCBS (biiiiig BS) a call. Apparently they don't cover regular physicals at all if bloodwork is ordered, even if the bloodwork is taken days later.

and here I thought I was being responsible looking out for my health rather than waiting till I got ill... silly me.

ETA - this is contrary to the piles and piles of paperwork I had to tread through when I signed up.
quote #4
33
 kerobero...
2 months ago
« WeeBeastie : I dunno... sounds like something my insurer would do.

I received an unexpected bill recently and gave BCBS (biiiiig BS) a call. Apparently they don't cover regular physicals at all if bloodwork is ordered, even if the bloodwork is taken days later.

and here I thought I was being responsible looking out for my health rather than waiting till I got ill... silly me.

ETA - this is contrary to the piles and piles of paperwork I had to tread through when I signed up.
You know... thank you for the heads up... I was about to go schedule my annual well-woman check-up (includes blood work) with my doctor, but I have BCBS through my husband... I think I will investigate what they will/will not cover before scheduling an appointment!
quote #5
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17
 T1000
2 months ago
« 2manyusernames : This is just too hard to believe. Yes we all hate insurance companies for good reasons, but they pay for millions of emergency room visits every year. Many of which are far less of an emergency than something this horrific. I am quite sure there is more to the story.
Think maybe it was a trickle?
quote #6
4
 marcopol...
2 months ago
Thank "I'm not a crook" Nixon for HMOs and republicans for the rest of the mess in healthcare.
quote #7
21
 sidran32
2 months ago
As my doctor did say to me...

"Medical insurance is like paying someone to punch you in the face."

I'm glad that she got her money that she was owed in the end, but this just shows the sorry state that the insurance industry is in. They pull all sorts of crap and it's horrible.
quote #8
14
 fugazi
2 months ago
good thing a public insurance plan and/or bureaucrat or death panel isn't standing in her way of receiving help from THE BEST MEDICAL SYSTEM IN THE WORRRRRLLLLDDDD!!!

BTW, Kerobero...tell me about the BBE Free Fuzz...got one used for $40, but still haven't plugged it in...
quote #9
33
 RowanGre...
2 months ago
Those f**kers pulled a very similar trick on me earlier this year.
My being completely unconscious with a dangerously low blood pressure was not enough justification for an ambulance ride. They fully expected my husband to carry me down a flight of steps and put me in the car, then drive calmly the 40 minutes to the only hospital in my area that my insurance covers.
quote #10
25
 BADbud
2 months ago
it is your responsibility to know your insurance coverage and its requirements


(please doont hit me)
quote #11
41
 dollylla...
2 months ago
« 2manyusernames : This is just too hard to believe. Yes we all hate insurance companies for good reasons, but they pay for millions of emergency room visits every year. Many of which are far less of an emergency than something this horrific. I am quite sure there is more to the story.
So, what you're saying here is that the insurance companies do a really poor job of screening if they're paying for all these unnecessary emergency room visits but deny the actual emergencies.

Of course there's more to the story, they got the bill, found out it was an actual COSTLY emergency and denied it after initially accepting it.

I have dealt with a lot of insurance companies both privately and professionally. This is S.O.P.
quote #12
10
 nev
2 months ago
« fugazi :
BTW, Kerobero...tell me about the BBE Free Fuzz...got one used for $40, but still haven't plugged it in...
Apologies for being off topic, but here's a link to some good reviews on the BBE pedal you were talking about.



IMO I still will always love the EH little big muff for guitar and the Russian big muff for bass.
quote #13
14
 theant31...
2 months ago
« keroberos32:It is normal, however, to seek professional help. In either case, penis/breast bleeding...
I started to think, "Wait! Isn't a bleeding penis more like a bleeding..." And then it hit me.
quote #14
15
 shuallyo
2 months ago
« dollyllama : So, what you're saying here is that the insurance companies do a really poor job of screening if they're paying for all these unnecessary emergency room visits but deny the actual emergencies.

Of course there's more to the story, they got the bill, found out it was an actual COSTLY emergency and denied it after initially accepting it.

I have dealt with a lot of insurance companies both privately and professionally. This is S.O.P.
Right and I'm sure all these problems will magically be solved and no one will ever suffer under a government system.
quote #15
13
 WeeBeast...
2 months ago
« BADbud : it is your responsibility to know your insurance coverage and its requirements


(please doont hit me)
I thought I did. I read every scrap of paper that came with it. What those papers told me was physicals and labs were covered 100%. What the papers didn't say was that if the labs were ordered the same day as the physical, the coverage changed. I did learn from the calls I made that it is mentioned in an obscure place on the plan's website. bcBS, indeed.

I can't learn something that isn't in the paperwork.
quote #16
31
 gammerus
2 months ago
« shuallyo:Right and I'm sure all these problems will magically be solved and no one will ever suffer under a government system.
You dont think making companies compete by actually offering real service will change something?

The public option isn't going to be the only option, it is there to make sure companies will have to compete if they want our business instead of sticking it to us because they know we have no other option.
quote #17
15
 shuallyo
2 months ago
« gammerus : You dont think making companies compete by actually offering real service will change something?

The public option isn't going to be the only option, it is there to make sure companies will have to compete if they want our business instead of sticking it to us because they know we have no other option.
Gam let's hope that's how it all works out... but if history is any indicator of future government failure, I highly doubt it. The government, in order to sustain this option, will HAVE to treat the government run ins. portion of the bill like a business. Do you really think that the same amount of people will not slide through the cracks of the government option? Do you think the government will always cover everything that private companies won't? It can't and it won't. I believe what you will see is a government mirror of the current private system. Surgeries, cancer treatments, etc will still be rejected to some people. It simply cannot cover everything. BTW.. I hope I eat my words... But I highly doubt I will.
quote #18
31
 gammerus
2 months ago
« shuallyo : Gam let's hope that's how it all works out... but if history is any indicator of future government failure, I highly doubt it. The government, in order to sustain this option, will HAVE to treat the government run ins. portion of the bill like a business. Do you really think that the same amount of people will not slide through the cracks of the government option? Do you think the government will always cover everything that private companies won't? It can't and it won't. I believe what you will see is a government mirror of the current private system. Surgeries, cancer treatments, etc will still be rejected to some people. It simply cannot cover everything. BTW.. I hope I eat my words... But I highly doubt I will.
I think it will be like usps, sure it isn't perfect, but it forces companies like fedex and ups to have to compete for our business. Even if the post office isn't perfect it still does a damn good job, and as a result we have come to expect the same thing of it's competitors. Competition is good for any business, but for too long insurance companies have not had to compete which is the problem.

And even if it isn't perfect, I know too many people that need insurance but just don't have any options due to retirement or unemployment (aka students)
quote #19
17
 T1000
2 months ago
« gammerus : I think it will be like usps, sure it isn't perfect, but it forces companies like fedex and ups to have to compete for our business. Even if the post office isn't perfect it still does a damn good job, and as a result we have come to expect the same thing of it's competitors.
Yeah except USPS is going through a major downsizing, and they haven't turned a profit in decades.

Do you want a healthcare system that ends up the same way?
quote #20
32
 lynxears
2 months ago
« T1000 : Yeah except USPS is going through a major downsizing, and they haven't turned a profit in decades.

Do you want a healthcare system that ends up the same way?
But in terms of being a competition for the other guys, they are doing a marvelous job.

The health care system isn't likely to end up that way; the private insurers like their profits far far too much.... at the exclusion of the people.
quote #21
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