Cutting off coverage? An examination of a case in California

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The Huffington Post Investigative Fund on the case of Heather Galeotti, a woman in a coma after being hit by a car: "[I]n July 2007, five months into Galeotti's treatment, Kaiser [Permanente] stunned the family with a letter. The Galeottis would have to find another way to pay the bills. Based on information received from her father's employer, Kaiser said that the young woman's coverage had not been in effect when she was hit." (Neither KHN nor the Kaiser Family Foundation is affiliated with Kaiser Permanente). Galeotti's coverage had been previously approved. "Like many insurance disputes, the Galeotti case has its share of miscommunication, bureaucratic wrangling and missing documents. But it remains a stark example of a murky practice by some insurance companies and employers - cutting off coverage retroactively for some patients with expensive medical claims" (Ivory, 3/26).


Kaiser Health NewsThis article was reprinted from khn.org with permission from the Henry J. Kaiser Family Foundation. Kaiser Health News, an editorially independent news service, is a program of the Kaiser Family Foundation, a nonpartisan health care policy research organization unaffiliated with Kaiser Permanente.

Comments

  1. Dennis Dennis United States says:

    Yep, a "checker" saw this as "paid premiums versus paid out coverage" & told the higher ups this is COSTING TOO MUCH proudly, because every penny SAVED for the insurance company elevates his/her standing/worth/usefulness for CONTINUED EMPLOYMENT & possibly a future raise, why?, because they SAVED the insurance company $M$O$N$E$Y$, lets translate the "insurance-speak", once again that's $$$MONEY$$$, plus a nice dividend for the stockbrokers.

    Here's the BOTTOM line, it is that you give them MONEY for future needs/uses, when you need to use it the insurance company says no if you try to use too much, what are they insuring you for?, a cut finger???, a broken arm or leg???, anything more than that & they want to get rid of you because NOW you're a RISK to future PROFITS.

The opinions expressed here are the views of the writer and do not necessarily reflect the views and opinions of News Medical.
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