Wednesday, May 28, 2014

Where are the insurance commissioners?

This is the Texas Insurance Commissioner. She isn't going her job.
Texas Insurance Commissioner Julia Rathgeber (click here) listened to testimony at a public hearing on proposed rules for health insurance navigators in Austin on Dec. 20, 2013.

This is a story I heard on the radio the other day and my first reaction was "Where is the insurance commissioner?"

The couple was expecting their third child without insurance and now the wife had a pre-existing condition. They went to the health care exchanges and didn't quality for Medicaid because Texas refuses the two years of federal payments. So, the husband looked through the exchanges and found a Blue Cross Blue Shield policy for the cost of about $400.00. When the wife then sought pre-natal care they were told their insurance was not accepted.

by CARRIE FEIBEL
May 27, 2014 3:27 AM ET

...And so they dropped their new plan; (click here) they just stopped paying the premium.
They signed on to be in the midwife's care. Nick signed up for a nonprofit, Christian-orientedcost-sharing plan. The Robinsons will pay cash upfront and request reimbursement later....

The couple gave up with an impending birth and took the best road they could find even though it made them uneasy about their choice. They basically had no alternative that fit their comfort zone. There was a Christian organization standing at the ready and helped the couple deliver their child.

The lack of services provided this couple by Blue Cross Blue Shield is not the fault of the insurance company, otherwise, it would be fraud. This is a discontinuity between the insurances and the health care providers. The providers are disregarding the insurance policies they signed onto and leaving the consumer outside the health care system. The providers had no right to turn away a pregnant woman with an insurance policy they are listed as participating in network.

The Texas Insurance Commissioner is looking the other way and it is completely based in politics. There is no enforcement of health care contracts between insurance companies and their providers. The providers are not allowed to cherry pick their customers. The consumers of health care are paying their premiums, finding providers within the insurance network they chose, but, the providers are turning them away.

The Texas Insurance Commissioner is not only ignoring her responsibilities in enforcing contracts to benefit the consumer, she is endangering the lives of innocent citizens of Texas. The consumers are doing what they are suppose to be doing. They are being responsible. It is not their problem. The Insurance Commissioner should be investigated for negligence linked with services provided to consumers by these providers.

This entire circumstance is ridiculous. $400 per month premium, plenty of providers listed, and they refuse the patients while stating there is no hospital accepting the insurance. This is Blue Cross Blue Shield for god sake. Blue Cross Blue Shield doesn't know what it is doing? They fully well know in order to sell health care insurance they have to have providers linked with hospitals where their customers can receive complete services.

Someone needs to do something about this insurance commissioner before people die if they haven't already.

Just because this is Obamacare doesn't mean state insurance commissioners can look the other way because it is politically popular to do so. The insurance commissioners are suppose to be upholding the law, not the GOP doctrine.