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Category Archives: Insurance

Health Care is a Mess

The mess that is health care is no surprise to the people who have been reading checkonjim.  Just yesterday, Jim had a unbelieveable experience with his health insurance but I am going to let him tell you about it if he wants — I’ll just get unbelievably angry and say all sorts of things that [...]

More Insurance Nonsense

UCLA’s billing guy just popped by the ER to ask Jim for $2,000 to start treatment. Jim’s insurance company says they will not pay for treatment if he does not pay this portion of the bill in advance. He has Blue Cross PPO, so perhaps this is a billing procedure we are not familiar with? [...]

Prepare Yourself to Get Angry — Go to Hell, Health Net

Today, the LA Times has an article about Health Net: “One of the state’s largest health insurers [Health Net] set goals and paid bonuses based in part on how many individual policyholders were dropped and how much money was saved.” These people should be put in JAIL for a long time — nothing less. I [...]

Criminalize the Uninsured

The democrats caved to the greedy politics of Schwarzenegger’s health care plan. So says the California Nurses and Kos. What do the nurses want?  — Single Payer Health Insurance. California has decided to criminalize the uninsured — great, maybe we can send all the uninsured to jail. Sure, California will have to build a bunch [...]

Blue Shield, Scum Suckers — Thanks Daily Kos

It is so great when somebody like Kos highlights “Blue Shield, Scum Suckers” [his words but I don't mind claiming them as well]. Come on people, there is something wrong, seriously wrong, horribly wrong, criminally wrong, with health care in America. The item was particularly significant to me because my daughter was in that very [...]

Transplant Costs To Date

Just wanted to give an update on the insurance reimbursements eight months after the transplant. AETNA has paid approximately $168,000 for medical and another $34,000 for prescription drugs since the Feb 1st transplant. There have been over $2.5 million in medical claims submitted for the transplant with 93% of them “Not Approved”. Some of the [...]

Thank You Oprah and Michael

Oprah had a show today on US health care with Michael Moore. It was a great show with two of my favorite people.

California OneCareNow Plan

There is a proposal in California for universal health care and an excellent new video that describes the program. Sheila Kuehl is sponsoring SB 840. Twenty percent of Californians have no health insurance and vast numbers of people have health insurance that is marginal or worse. I think California will be the first state to [...]

SiCKO

I just saw SiCKO and cried and cried. It was the saddest movie I have ever seen. It makes me ashamed of America. There is something so incredibility wrong that I can’t even tell you how I really feel. Thank you, Michael Moore. http://www.michaelmoore.com/

Evil Health Care Companies

The next time you see one of those billboards or television commercials about how the health insurance companies care about you, consider today’s LA Times story about a man whose health insurance was canceled retroactively after he was in a car accident. I know well the form that is referred to in the article. When [...]

“Healthcare is not a Right”

So said Governor Schwarzenegger of California — “”Healthcare is not a right.” With all the talk about human rights and family values, you would think that healthcare for all Californians (even all Americans) would be a right. Just as we have a minimum wage, we should also have minimum healthcare for everybody. People die everyday [...]

Looming Health Insurance Changes

Today Jim found out that his employer may be changing insurance companies at the first of the year. And when I say employer I don’t mean Brave New Films because the change is really being made through the media group to which Brave New Films belongs. And as you would expect, the folks at Brave [...]

Transplant Team Meets Today

The UCLA lung transplant team meets every Thursday, so we are hoping to hear something from them today. Jim went to see his pulmonologist, Dr. Kahan, yesterday for a checkup. Dr. Kahan gave him his flu shot and did a blood workup. Dr. Kahan also tried calling UCLA but couldn’t get through to Dr. Lynch. [...]

Blue Shield to Stop Sending Patients to UCLA

The state’s third-largest health plan, Blue Shield of California, will no longer send patients to UCLA Medical Center, one of the nation’s top-ranked facilities, because the hospital wants too much money for its services, the insurer said. Read the LA Times for More. Blue Shield called Jim to discuss the possibility of moving him to [...]

It Was Bound to Happen

Not much to report at our place as things are going much the same as usual. Jim has been on the waiting list a little over seven weeks now. While reading the paper this morning I ran across an article about something that happened at the pharmacy where we get Jim’s prescriptions. The folks that [...]