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Cancer patients may lose insurance
Greetings,
Cancer patients may lose insurance
Author: Haley Hernandez, Reporter
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Cindy Jacobson is in remission for renal cell carcinoma. Her doctors, surgeons, her support group are all at MD Anderson. Her scans there cost up to $9,300 dollars.
“I don’t sleep, I don’t eat, I just keep looking for answers. I don’t know what I’m going to do,” she said.
Jacobson and Sara Speer Selber are business owners who purchased individual health plans. In January, they said they’ll be out of network at St. Luke’s, Texas Heart Institute and MD Anderson.
“I can’t imagine seeing those ads on TV where they cross out cancer and to sit there and look at it and say ‘that’s great, but it’s not for me,’” Jacobson said.
“I want access in my backyard to MD Anderson. I want to be treated no differently than someone who works for a corporation, I pay my taxes the same way,” Selber said.
Blue Cross Blue Shield is one of the insurance companies dropping the individual PPO plan.
They sent Channel 2 a letter that said, “To be clear, only individual PPO plans will be discontinued at the end of 2015. It is extremely important to note that our PPO members will not be impacted if they have a grandfathered policy or if they obtained their policy through their employer.”
Blue Cross Blue Shield said patients can find another doctor outside of MD Anderson or their cost will go up.
“Many impacted members have decided to obtain a Blue Advantage Plus HMO Plan. Blue Advantage Plus is an HMO plan with added point-of-service benefits. These added benefits give the member more flexibility in choosing a provider when care is needed. With Blue Advantage Plus, the member has the choice to go outside the network or see a specialist without a PCP referral. When they do this, the cost of care will be covered at the point-of service benefit level, which is lower than in-network coverage. This means they will pay more out-of-pocket, but will have some benefits they would not have with an HMO. Unfortunately, some providers did not accept our offers to participate in the Blue Advantage network despite contract proposals that supported affordable prices to members.”….More Here
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