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View Diary: Obamacare website glitches still causing heartburn (86 comments)

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  •  COVERED CALIF IS A MESS... (3+ / 0-)
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    hmi, Bensdad, schnecke21

    I confirmed with Covered CA back in Dec that my Silver Plan (with no Gov Subsidy) would take my Doctors in network (Dr's that I have had for 15 years) and allow me to use my local hospital. So I signed up, paid, received my card in the mail and found out last week that the Plan does NOT allow me to use my Primary Dr or any of my other Dr's and does not cover my local Hospital either. (the one I was born in)

    Since I found all this info out last week, I have tried calling Covered Calif for hours ever day with no one answering. Just a recorded voice saying "We are busy and cannot take your call, Goodbye". The website is a mess and no help either. I called Anthem BC and they confirmed this info and offered no help, none of their Individual plans include any of my needs. ALSO, one of my Dr's offices I called went so far to tell me that they will never take anyone that has a policy with Covered Calif. Another one told me that my Sliver EPO plan is no better than an HMO and is like Medicaid, both of which they do NOT take. It is becoming harder and harder for me to fight for this new ACA law. Their websites are of no help and are a mess too. So I am now paying $506 for a plan that none of my providers and Dr's accept. Rock meet Hard place. What a fucking Joke. Now what do I do?


    by Chamonix on Mon Feb 03, 2014 at 10:04:23 AM PST

    •  Chamonix - that is just awful (1+ / 0-)
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      If this wasn't the government it would be a candidate for a class action lawsuit. How could your receive so much misinformation without some entity being held responsible, returning your premiums, and helping you find a policy that fits your needs?

      Experiences like yours could make the ACA an anvil for the Dems in 2014, as they face an uphill battle in the midterms. I fear the employer mandate will be even worse, just in time for the election.

      "let's talk about that"

      by VClib on Mon Feb 03, 2014 at 11:38:40 AM PST

      [ Parent ]

      •  thanks, just off phone with CoCalif (1+ / 0-)
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        Totally useless. They are, of course, blaming the Doctors and Hospital for bowing out of plan, after they originally had a deal with them? What total BS. ANY PROFESSIONAL COMPANY would have at least had their shit together and guaranteed their Customers 1 year of service with the plan they signed  up with. Now they are telling me that if I switch to Blue Shield PPO that my Dr is covered but NOT my Local Hospital. WTF? This is NOT going away. The doctors and Hospitals are running away screaming from any plans that have been linked and approved to the new health care law. Make my words, they are dumping anyone who will have high quality plans and are paying hardly anything for them thru ACA. It has become a total Class thing and will take years for the best doctors and med centers to welcome new people (Individuals) under the new health care law.  IN the meantime I am totally screwed as they are offering no new Individual plans that cover both my Dr and my Hospital. So I'm paying over $500 for a plan that neither covers my doctors or local hospital. UGhhhhhh


        by Chamonix on Mon Feb 03, 2014 at 01:03:15 PM PST

        [ Parent ]

        •  Networks (0+ / 0-)

          The next phase of health care reform must do away with the in-network/out-of-network distinction, require all health care providers to except any and all insurance without balance billing, and allow all customers to choose any properly credentialed doctor or hospital they choose. To go along with this, the rates of reimbursement need to be set by state, regional, or federal panels or agencies.

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