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Review 11/30/2010
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My lifetime maximums have dwindled down to less than $100,000, and I have not finished chemotherapy. This means that my policy could end, without completing my cancer therapy, and I would not be able to cure my disease and my four children would be motherless. I could have an additional $76,522.32 towards the balance of my treatment, if Methodist Hospital of Southern California, would do the right thing and send back the overpayment to Anthem Blue Cross. Since Blue Shield is contracted with this hospital, after they paid, that left a member responsibility or balance of $3,428.02. Anthem Blue Cross paid $79,950.34. This leaves an overpayment of $76,522.32. For the dates of service the total amount billed was $82,558.58. Methodist Hospital of Southern California was paid $79,950.34 by Anthem Blue Cross, and $16,221.98 by Blue Shield of California, which totals $ 96,172.32. This means that Methodist Hospital was paid $13,613.74 even over the billed amount.I have personally spoken with Blue Shield of California, and I have spoken with Anthem of California, and they have done their part by calling and sending letters to the hospital. I did not sign any documents assigning my insurance rights to the hospital. I have spoken with this hospital, and nothing has been done to remedy this situation. The thought of a mother with cancer dying, because she cannot afford the balance of her medical treatment, due to the decrease of $76,522.32, by a hospital that was paid in full, is incorrigible. There are some things that are simply immoral, and I am hoping that this is a slight miscalculation rather than the calculated rape of a patient’s medical insurance policy, in order to pad the pockets of the board of director’s of Methodist Hospital. Methodist Hospital should have provided service, and should only get paid for those services. They should not get to benefit of gain an income or profit from the insurances that I pay for.
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