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View Diary: Woman in debunked Obamacare horror story finally speaks ... to Fox News (232 comments)

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  •  Lots of details are missing. (8+ / 0-)

    The woman had Blue Cross which cancelled her policy. Why? That's the real question. She bought a Human plan on November 22 directly from Humana, not through the exchange, not with the help of a navigator, nor the help of an insurance broker. She went directly to insurance company websites and called companies one-by-one. How smart is that? She was given incorrect information by the Humana enrollment agent, and it turns out the injection she needs twice monthly is not covered under the plan's formulary. That's really bad, but blaming the ACA misdirects where the blamed should really be placed.

    Of course, we know there is an obvious solution. The enrollment period is not yet up. She can enroll in a plan that does cover her injections and her doctors and cancel the Humana plan that does not. But this time, she should get the help of a navigator or an insurance broker. There's still time to switch.

    •  Important point (5+ / 0-)

      The article says that she had the same BCBS policy for 20 years.  If that is the case, then her policy was clearly "grandfathered" under the ACA.  So it cannot be said that BCBS was required by the ACA to drop her policy.  

      Questions about this case should be referred to BCBS.  

      •  She probably didn't (2+ / 0-)
        Recommended by:
        Involuntary Exile, acornweb

        She thinks she does because she always was in Blue Cross and paid money to them each year. But, often they discontinue old plans and roll you into new ones in a relatively invisible way.

        It's really unusual for an insurance company to keep the "same plan" by the definition we're using here for more than a few years.

        Fry, don't be a hero! It's not covered by our health plan!

        by elfling on Mon Feb 24, 2014 at 12:52:05 PM PST

        [ Parent ]

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