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HEALTH PLANS: Looks like Empire has caved

So judging from the comments in the post on this subject below, it looks like Empire BCBS has decided that the headache of not paying for the young teenager’s surgery exceeds that of appearing on CNN in a negative light. Very understandable, and something that more health plans need to consider, especially when they are asking for more than 10% rate increases for the 5th year in a row.

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Cathy HarrisongadflyDiane DickDiane DickKP Hawaii Recent comment authors
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Cathy Harrison
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Cathy Harrison

we have been told since he was 12 we must wait until he totally finishes growing – ins. or not — We have again become aggressive about finding a surgeon that will do his surgery. I wasn’t expecting ins. to pay — from what I’ve known of past—-Sooooo, I am glad you guys fought your way through to get them to do what they should do. I hope Kevin is doing fine — My son knows it will be tough –but boy is he ready. We have an appt. in California next week. We were in San Antonio today —… Read more »

Cathy Harrison
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Cathy Harrison

my son is 16 with pectus carinatum.

Diane Dick
Guest

Kevin is doing great and the surgeon did a wonderful job. The was a first for the Wilimington Hosp. There were a few things that happended that caused the kid pain..but..after The Dr’s setting things straight..will not happen agaim. 🙂
so he has a brand new looking chest and everyone is extremely happy..of course Kevin has us all bet in that department. 🙂
Grandma Dee

gadfly
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gadfly

Way to go, Grandma Dee! I hope Kevin came through his surgery okay. 🙂

Diane Dick
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June 21, 2005 new interview from wway3 <<Back Insurance Company Reverses Decision, Covers Teen's Surgery Jun 20, 2005, 8:42 PM It's an unbelievable turn of events for a Wilmington teenager and his family. Fifteen-year-old Kevin Dick just found out that Empire Blue Cross Blue Shield will pay for an operation to help him breathe. Over the past month, the insurance company had repeatedly denied coverage for a surgery Kevin's doctors said he needed. "I called my husband right away, and he was in shock. I called my father, I've called everybody, and it's just a huge relief for us," Kevin's… Read more »

Diane Dick
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It has been 3 hours since Kevin went into surgery. Ron,(my son) said last night that the Doctor will cut cross ways on his chest.Then cut through the chest bones and repair them. Then will place a metal bar brace and sew him back up. That will be in place for about a year. He will be on best rest for about 3 months. This is a five hour long surgery. I do agree with Gadfy..people do get apathetic because they think they cannot win. I hope that this cause will give them hope that they can win. I do… Read more »

gadfly
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gadfly

// “what is the use’..no one can every WIN AGAINST big corporations// What depresses me is that people tend to get apathetic because they think the little guy can’t win. Worse, I think people have more fun commenting on why the little guy loses than cheering for the little guy: they’ve become accustomed to wisely commenting on why so-and-so got voted off the island in Survivor. Perhaps there’s something comforting in being able to explain it all and issue judgments on how foolish other people are for trying. It really does my heart good to see someone who managed to… Read more »

Diane Dick
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Yes, they really did cover the story on CNN..It was seen by my other son and his friends. I have hunted and hunted and put into the search every which way..no luck. I have e-mailed CNN and asked them to send link. LOL..Ron..you are pobally right..1000 blogs plus. I am getting e-mails from others asking for help. I am sure they will learn alot from Matt site. I ALWAYS THOUGHT “what is the use’..no one can every WIN AGAINST big corporations. That is of course untill it struck home. I hope that this will help others…atleast try to fight and… Read more »

Ron Greiner
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Ron Greiner

I don’t think CNN did run a story. When I searched the doctor’s name and Kevin I only get the two blogs and the Channel 3 TV station. Did CNN not use the Surgeon’s name? So it wasn’t like a bunch of blogs were involved either. The TV station is taking total credit but I don’t buy that. I think the power of the 2 blogs had something to do with the prompt attention. Don’t tell Matthew because he will raise the cost of advertising here. Google AdSense doesn’t pay enough. Knowing Granma D though, it another month this story… Read more »

Diane Dick
Guest

ME TO. lol..you should pay the buck anyways. lol
I have e-mailed them and asked for the link to view.
I missed it.
Because, I am getting private e-mails wanting to see kevin chest. They, also have sons, daughters and themselves, They have this Pectus Carinatum. or the other kind….and are being refused coverage by there Insurance companies.
I hope that I will be able to..I have No experience..only heart & determination & loads of frustration at insurance companies that would cause any human being to living life deformed.
Grandma Dee

Ron Greiner
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Ron Greiner

Darn it. I don’t think I have to pay unless Matthew agrees to the bet. And he might be disqualified for waiting too long.
Is there anyway to see this CNN story? I would be interested in what was reported.
TV is great for stories about sick people, it can be so visual.

KP Hawaii
Guest

CNN did run the story, the day before Empire BCBS gave in. Ron loses a dollar.

Ron Greiner
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Ron Greiner

Don’t be so humble Matthew. I will bet you a dollar that CNN doesn’t do anything about this Empire BCBS story. It might of helped that she said CNN but I doubt it. CNN has nothing to do but try and fill up air time and they are not running stories like this. I’m sure someone at “Empire Central” checked out the blog and thought, “We don’t need this.” Or maybe Empire was contacted by BCBS National because other BCBS plans were complaining that if one BCBS looks bad, all of them look bad. The public doesn’t know that they… Read more »