From the Pragmatic Progressive.
I only know this woman’s first name, Midge. I assume she lives in New Jersey because the closest hospital to her was in Hoboken. But her story is all too common.
“Let’s talk about insurance companies. My husband Dan became very ill last Friday. He rushed in from work unexpected. He was weak, shaking violently and on the verge of passing out with a 104.2 fever. I knew how dangerous that was for an adult and immediately rushed him in a cab to the closest hospital which was Hoboken University Hospital. They attended to him immediately and said he had a very bad infection and was septic. After days in the hospital it was determined he had sepsis and the bacteria in his blood was ecoli. He went through several days of being very sick and was hooked up to all kinds of medication and they tell me I saved his life by getting him there when I did. The good news is he’s doing better and was released with intense antibiotic treatment at home for 21 days. Sounds like a happy ending right..? …WRONG. The telephone rang at 4:00 yesterday afternoon at the hospital and they wanted to talk to Dan Hough, it was a representative of Cigna. I saw his face go white as she said he was in an out of network hospital and Cigna was not responsible. Really???? We didn’t chose this hospital for a bruise, a twisted ankle etc. we choose it because his condition was urgent and it was the closest one to us. As he tried to explain what had happened and tell her that he was never told of this network issue she said he should have called his primary care physician..well we just moved here and we don’t have a primary care physician, we moved here two weeks ago. The hospital never told us about this being an issue and we had a case worker who was arranging for home care if needed, she never said a word…but I’m getting off topic… This Nurse consultant kept trying to trip Dan up… a very sick man… to catch him in a lie as he struggled to explain she said “Just consider this an education” …so folks looks like we are in for another fight. We asked why they did not call us immediately and perhaps we could have changed hospitals although Hoboken said we would need an accepting physician. Again, we do not have a doctor. Dan’s treatment could not be interrupted, his life depended on it so we felt helpless..seems Cigna does not understand that. So a life threatening illness followed by abuse from a “caring Cigna nurse. Yup, it’s all about money. They have several pages on facebook and they talk about how they are different and how people are not seen as a number..really? PROFITS OVER PEOPLE it’s been that way for a long time and once again I am feeling the sting of what this really means to people. I am asking you to help, if you know Dan and I please copy this story or go to their fb pages to ask them why they would punish us for doing what was needed to save a life. Ask them about their caring treatment to a seriously ill patient. The fight is on, I’m not rolling over for this because it was life or death and Cigna is afraid they will lose some money..Yeah sure Cigna, you care about people, they are not just numbers to you! I’d like an apology from the Cigna nurse, perhaps she would like to know they had to take his blood pressure twice because he got so upset.”
Insurance companies will go to great lengths to deny payment; this story is just one of millions out there. What’s yours? You can e-mail it to me at email@example.com.