A California Marine who contracted chronic Lyme’s disease while on active duty overseas has been told to cancel his ObamaCare plan and search for another one, due to lack of coverage.
Under the state’s mandatory coverage system, each patient must have adequate doctors within a 15-mile radius of his home, yet Kyle’s (last name protected) Anthem Blue Cross plan could not provide one, Bay Area KPIX 5 reported.
“I was on the phone for two hours while they were trying to find me a doctor within 20 miles,” he told the CBS news investigator. “Finally a supervisor came on the phone and said, ‘Sir, we have to go, we have other people to help,’ and advised me I need to cancel my plan.’”
In addition to a host of pills, Kyle requires weekly IV treatments, and publicity of his case has spawned a torrent of similar situations.
When the Department of Managed Health Care, which supervises the insurers, was confronted with the inaccuracies and insufficiencies in its system, they gave the obligatory Obama-style “we’re looking into it” response. Asked again three months later if these violations were being pursued, that the shortage of plan doctors continued, nebulous answers were still given.
KPIX 5 discovered many more inaccuracies and inadequacies, and even an email sent from the head of the Complaint Department to the DMHC Director the very first day after their visit, which read, “I suspect we are going to have a network adequacy issue soon.”
While DMHC regulates insurers, it is Cover California that determines which of these players makes the starting lineup. With the largest population in the United States, taking the field in California translates into a hefty payday.
CC Representative Dana Howard gave evasive answers to all of KPIX 5’s questions as the video reveals, contending that specifics would hinder his ability to negotiate with the providers.
But Kyle has some advice regarding his ObamaCare’s Anthem Blue Cross participation on the team. “I would say get rid of them,” he told KPIX 5’s reporter, forcefully.
Ironically, Anthem has already been fined in the last three months more than $100,000 for various violations, but not once for a shortage of doctors or network inadequacy.
Watch the report here via KPIX:
H/T: The Blaze
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