Posted by Curt on 20 February, 2014 at 1:59 pm. 2 comments already!


Ed Morrissey:

CBS affiliates bring us two updates on the ongoing disaster of Covered California, the ObamaCare exchange in the Golden State that has begun to look a lot more like Uncovered Californians. In Sacramento, Nick Janes reports on the plight of Katherine Cadman, who eagerly signed up for an insurance policy through the state’s exchange — and then tried to use it to see a doctor. Doctors, however, are not anxious to see customers from ObamaCare plans, thanks to the lousy reimbursement rates:

One viewer said she did months of research before picking the plan that Blue Cross recommended. But it’s still been a nightmare.

Katherine Cadman says her emails and calls aren’t getting anywhere. She says she signed up for an Anthem Blue Cross Plan, but doctors keep refusing to see her.

“It’s just not right,” she said. “It does make you feel like you’re a second-class citizen.”

Chris and Tammy Dunn told us the same exact thing about their experience trying to find a doctor to fix Chris’ back. He says an in-network doctor turned him down.

“I haven’t slept in four months,” said Chris.

When we again reached out to Anthem again for answers on Wednesday and they issued the following statement:

“Our records indicate that this doctor has a contract with Anthem Blue Cross to treat our Covered CA members, and we will reach out to him to determine what the issue is.”

The doctor apparently was on the plan … emphasis on the past tense. The providers in question decided not to provide service under the reduced reimbursement rates that Anthem’s ObamaCare-compliant plan delivers. That’s his choice; doctors don’t have to accept insurance plans, after all, especially if the reimbursement doesn’t cover his or her costs to provide services. That, however, leaves Covered California consumers asking this question:

“What are we left with as far as being Covered California subscribers?” Cadman asked. “The bottom of the barrel?”

When payments get cut to bottom-of-barrel rates, what do consumers expect to happen?

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