Mar 19, 2012
BCBS of Michigan is refusing to pay for in-patient hospital care for Andrea Duling, a Lansing woman who suffered a stroke, according to the Lansing State Journal. Duling worked as an equipment clerk and was told by her employer she was eligible for 180 days of in-patient care. Her teenage son says she is improving, but needs more therapy.
According to the Journal, a Blue Cross physician made the decision, not the patient’s personal doctor. So it’s no wonder the doctor ruled in the company’s favor. BCBS says Duling can appeal. That’s their approach, as with many insurance companies. Deny first, and ask questions later.
Denying in this case means the woman won’t get the therapy she needs NOW, when it will do the most good.