POSTED: November 9th, 2017
POSTED IN: Insurance, Legislative Updates,
The media is starting to look into and report about Anthem’s policy regarding not paying for emergency department visits.
In this article, the New York Times describes a patient with severe pain that was diagnosed with a ruptured ovarian cyst in the emergency department and how Anthem declined to pay for the evaluation as ‘it was not an emergency.’ According to the article, Anthem told the patient, “We do not believe that a person with an average knowledge of health and medicine would think that this needed care right away.” Just as important after Anthem denied payment to another patient for what may have been angioedema, she was quoted as saying, “It would have to be terribly life-threatening if I were to go (to the ED),” Kurtz said. “I would probably have to be (unconscious) and someone would have to carry me out.”