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States begin process of neutering Obamacare
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<blockquote data-quote="Babagounj" data-source="post: 2877789" data-attributes="member: 12952"><p><a href="http://www.latimes.com/business/hiltzik/la-fi-hiltzik-insurance-er-20170602-story.html" target="_blank">A big health insurer is planning to punish patients for 'unnecessary' ER visits</a></p><p></p><p></p><p>Anthem is the nation’s second-largest health insurer, with thousands of medical professionals on its payroll. Yet its Blue Cross and Blue Shield of Georgia subsidiary has just informed its members that if they show up at the emergency room with a problem that later is deemed to have not been an emergency, their claim won’t be paid.</p><p></p><p>Blue Cross Blue Shield of Georgia, the only insurer offering individual insurance plans in 96 of the state’s 159 counties, sent letters to its enrollees in late May stating that it would refuse to cover non-emergency ER visits starting July 1. It defined inappropriate visits as any but those that “a prudent layperson, possessing an average knowledge of medicine and health,” would believe needed immediate treatment. It hoped to encourage patients with non-emergency conditions to seek help instead at an urgent care clinic or a doctor’s offic</p></blockquote><p></p>
[QUOTE="Babagounj, post: 2877789, member: 12952"] [URL="http://www.latimes.com/business/hiltzik/la-fi-hiltzik-insurance-er-20170602-story.html"]A big health insurer is planning to punish patients for 'unnecessary' ER visits[/URL] Anthem is the nation’s second-largest health insurer, with thousands of medical professionals on its payroll. Yet its Blue Cross and Blue Shield of Georgia subsidiary has just informed its members that if they show up at the emergency room with a problem that later is deemed to have not been an emergency, their claim won’t be paid. Blue Cross Blue Shield of Georgia, the only insurer offering individual insurance plans in 96 of the state’s 159 counties, sent letters to its enrollees in late May stating that it would refuse to cover non-emergency ER visits starting July 1. It defined inappropriate visits as any but those that “a prudent layperson, possessing an average knowledge of medicine and health,” would believe needed immediate treatment. It hoped to encourage patients with non-emergency conditions to seek help instead at an urgent care clinic or a doctor’s offic [/QUOTE]
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