General Discussion

xmas74

(29,804 posts)

46. That's frightening.

Thu Dec 5, 2024, 01:51 AM

Dec 5

I had Anthem when I went in for a simple out patient removal of an ovarian cyst. The first incision made them realize immediately that it was bigger than they thought and it was cancer. Once they converted from a lapro to a fully open abdominal surgery is when they saw cancer also on the other ovary and in my uterus. They also discovered possibly decades of undiagnosed endometriosis all over the abdominal wall, kidneys,colon, and a vein. While scraping the endo they nicked a vein and I began to hemorrhage, needing several units of blood.

I'm telling this because my surgery went over by several hours. According to this policy I could be denied any more anesthesia after what was initially predicted to be no more than 40 minutes in and out. Can anyone imagine going through what I did without anesthesia?

People will die under this policy.

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Anthem Blue Cross Blue Shield Won't Pay for the Complete Duration of Anesthesia for Patients' Surgical Procedures [View all] Nevilledog Dec 4 OP

and people will still wonder why he was shot. Not me. ZonkerHarris Dec 4 #1

United Healthcare denied more claims than any other insurer according to a chart I just saw on DU. OMGWTF Dec 4 #2

United denied my c section back in 2000 xmas74 Dec 5 #49

Did you contest it? soandso Dec 5 #54

Yes, i did. xmas74 Dec 5 #66

What a bummer soandso Dec 5 #86

I had a similar situation in 2007 - UH didn't want to pay for the surgeon TBF Dec 5 #65

Happened to me. ChazInAz Dec 5 #75

I have a friend that works there Demobrat Dec 4 #15

Good lord - TBF Dec 4 #31

In any murder soandso Dec 5 #41

I suppose so - TBF Dec 5 #64

And it turns out you're right soandso Dec 5 #85

Ah, interesting that they lived apart - TBF Dec 5 #90

When he was killed, yesterday soandso Dec 5 #92

I gotta admit - it will tickle me if the shooter is a person whose claim was disavowed. 3Hotdogs Dec 4 #29

General sentiment about this murder (not just on DU) is leaning toward possible allegorical oracle Dec 5 #81

Literally the only surprising thing about that entire incident was that it took this long for something like it to Karasu Dec 5 #48

I've been wondering TommyT139 Dec 5 #53

That's what I thought - Nigrum Cattus Dec 5 #84

We allow our lawmakers to allow this to be a USA reality. Passages Dec 4 #3

I predict more healthcare CEO shootings. n/t Coventina Dec 4 #4

I'm against both the death penalty and markodochartaigh Dec 4 #25

It would be a monumental sign of protest. Omnipresent Dec 5 #76

What does this mean ? The patient,... magicarpet Dec 4 #5

Patient stays "under" during the surgery .. the "pain" comes afterward. Bo Zarts Dec 4 #12

Mad magazine was great back then. enigmania Dec 4 #23

Sure was! I looked forward to every issue. calimary Dec 5 #40

Would that have been "another ridiculous MAD fold-in"? Prof. Toru Tanaka Dec 5 #58

It means the anesthesiologist does their job Demobrat Dec 4 #16

Actually, a lot of brain surgery is done w/o anesthesia soandso Dec 5 #42

True dat. colorado_ufo Dec 5 #82

In the 1970s my dad needed a heart valve. Estimated time of surgery: 3 to 4 hours. Actual time: 12 hours Hekate Dec 4 #6

And if mine takes only 2 hours, they will pay me? nilram Dec 4 #19

Excellent point! soandso Dec 5 #43

This sounds essentially like the way original Medicare pays for hospital stays and bundled care. Silent Type Dec 4 #7

Interesting soandso Dec 5 #44

Believe it or not, when Medicare first started, docs and hospitals were paid whatever they charged. Medicare learned Silent Type Dec 5 #69

That's the same that drove tuitions soandso Dec 5 #89

Surgeons will only take easy cases that can be done quickly. Irish_Dem Dec 4 #8

Destroy insurance companies lonely bird Dec 4 #9

Appalling. Joinfortmill Dec 4 #10

We have a for-profit healthcare system. The only thing that matters is profits. Lonestarblue Dec 4 #11

The US does not have a health care system. markodochartaigh Dec 4 #24

Hey, I've got a great idea . . . NBachers Dec 4 #13

This is as much violence as someone shooting someone on the street. WhiskeyGrinder Dec 4 #14

More. This CEO died instantly. Demobrat Dec 4 #17

Only the beginning... orwell Dec 4 #18

If anyone hasn't seen it, I recommend the movie Sicko DeeDeeNY Dec 4 #20

O. M. G. !!! calimary Dec 4 #21

I confess to enigmania Dec 4 #22

Years ago, my wife had surgery and had been in the hospital for a few days. 70sEraVet Dec 4 #26

A wallet-biopsy is required before services can be rendered Seinan Sensei Dec 5 #63

There could soon be another dead health care exec. RandySF Dec 4 #27

Universal Healthcare! Joe Nation Dec 4 #28

WTAF????? SheltieLover Dec 4 #30

How many here remember when Blue Cross/ Blue Shield (later "Anthem") was NON-PROFIT? I do. Evolve Dammit Dec 4 #32

Blue Shield still is. According to them. Demobrat Dec 4 #34

Interesting. Wonder if they "spun off" as their own entity? Evolve Dammit Dec 5 #71

Depends on the state. Here in CA Demobrat Dec 5 #72

60 minutes should do a piece on this. We the consumers have no f'in idea. Evolve Dammit Dec 5 #73

Blue Cross Blue Shield is a nonprofit federation of companies IronLionZion Dec 5 #80

Interesting. Still Anthem in northeast and they suck. Had a big data breech in addition to crappy coverage and service. Evolve Dammit Dec 5 #88

More reason to avoid Medicare "DISadvantage". NGeorgian Dec 4 #33

glad my plan is based in Michigan MistakenLamb Dec 4 #35

I have Anthem Blue Cross/Blue Shield. Jeebo Dec 4 #36

Same xmas74 Dec 5 #47

Health insurance in the USA is a financial scam. PufPuf23 Dec 4 #37

DURec leftstreet Dec 4 #38

This is horrible! orion9941 Dec 4 #39

OMG soandso Dec 5 #45

That's frightening. xmas74 Dec 5 #46

There's a reason that CEO was shot RainCaster Dec 5 #50

And the worst administration in the history of the U.S. will be looking into this come Jan. 20th. C Moon Dec 5 #51

I thought of the logical response pfitz59 Dec 5 #52

scary and insane BlueWaveNeverEnd Dec 5 #55

This is further reason to dump Advantage if you have it soandso Dec 5 #56

Great. :/ That's who we are insured through. C Moon Dec 5 #57

Looks like it just those three states soandso Dec 5 #59

Several years ago during a colonoscopy moniss Dec 5 #60

Emblematic of what's to come from corporate America with the lawless SlobFather in charge? NoMoreRepugs Dec 5 #61

Anesthesiologists used to bill seperately from the surgery.. Historic NY Dec 5 #62

The issue is likely a bit more complex than just evil insurance companies. Ms. Toad Dec 5 #67

Unconscionable. Martin68 Dec 5 #68

As someone who once woke up on the operating table, this is horrific! Pacifist Patriot Dec 5 #70

WAKE UP! we haven't completed the surgery but your knock out time has expired. sorry. orleans Dec 5 #74

May not be limited to just Anthem bmichaelh Dec 5 #77

"Kill a man, and you are a murderer. Kill millions of men, and you are a conqueror." -- Jean Rostand Passages Dec 5 #78

Payment is the most painful part of the American healthcare system IronLionZion Dec 5 #79

So say you wake up and there's an hour to go on the abdominal surgery. Do they give you a bullet to bite on? Vinca Dec 5 #83

Like the old long-distance operator: "Please deposit Buns_of_Fire Dec 5 #87

Wakey, wakey! Do you have your credit card handy? keithbvadu2 Dec 5 #91

Anthem Blue Cross Blue Shield calls off surgery anesthesia cap keithbvadu2 Dec 5 #93