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Blue Shield sued for allegedly lying about its coverage

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flashl Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Jul-17-08 07:18 PM
Original message
Blue Shield sued for allegedly lying about its coverage
When Blue Shield of California learned that Ana Maria Simoes needed emergency surgery to remove her gall bladder, the company OKd the operation but also turned the case over to its investigative unit, according to corporate records disclosed Wednesday.

A Blue Shield investigator scrutinized Ana Maria's medical records and compared them to the application she filled out for coverage, the investigator's notes show. Ultimately, the investigator scribbled "unable to prove" in her notes, and then opened an investigation into Ana Maria's husband, Augustine.

This time, the investigator concluded the Chino dairy farmer had failed to disclose that he had high cholesterol, and the omission was used to justify canceling the couple's coverage.

The cancellation was highlighted by Los Angeles City Atty. Rocky Delgadillo as an example of the allegedly abusive practices at the heart of a lawsuit he filed Wednesday on behalf of the residents of Los Angeles against Blue Shield. The suit contends that Blue Shield has illegally canceled the coverage of more than 850 policyholders including people like the Simoeses since 2002.


LA Times
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truedelphi Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Jul-17-08 07:32 PM
Response to Original message
1. Do not picket outside 18 Turtle Rock in Tiburon CA
Edited on Thu Jul-17-08 07:34 PM by truedelphi
Bruce Bodaken, CEO at Blue Shield, means us no harm.

He says that as CEO of Blue Shield he has the expertise that is needed to guide our nation on the course that it needs to take as we "universalize" the nation's health care system

Please believe Bruce Bodaken. He is an honorable man. How do I know he is a nice man? He has a smile that is every bit as nice as Tony Snow's was!

Even the SF Chronicle likes him and allows him much footage on the OP page of that paper.

Do not picket outside his home in Tiburon... Bruce Bodaken wants all DU'er s to know that he is our friend!!

Blue Shiled has our best interests at heart! Shame on those that would speak ill of the hard working upper management at Blue Shield!
http://tinyurl.com/6ay3jb
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rurallib Donating Member (1000+ posts) Send PM | Profile | Ignore Thu Jul-17-08 08:35 PM
Response to Original message
2. about fucking time these guys get sued for the fraud they commit
24 hours a day, 7days a week etc!!
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