obamacare problems causing delays concerning authorization

Obamacare Problems Continue Causing Delays For Health

Insurance Authorization

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I will share an example of why you want to find an individual plan and avoid Obamacare. Go

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According to Associated Press and other reports people are

not sure they are covered, despite their continued efforts

to enroll at the Obamacare website.

On the first day of 2014 the roll out of the Affordable Care Act still had major issues with the often complicated website.

Certainly there are some pluses as consumers can no longer be denied coverage, if they are in poor health.

Insurance plans must offer a minimum level of

essential benefits, and care such as flu shots and

mammograms will be fully covered without cost to

patients.

However the early problems with the

website caused millions of people to delay until last week to sign up and as a result the insurer

carriers are still processing all the enrollment forms.

It has been reported that a patient in the Chicago area scheduled for surgery by a

Dr. John Venetos almost was unable to have the surgery

due to a 2 hour wait on hold by the doctor’s

administrative assistant. All the assistant was wanting is

authorization to proceed with the surgery.

Thank God the doctor decided to operate

without the routine go-ahead. Trying to get an

answer about whether the patient needed prior authorization for the surgery. The office

manager finally gave up.

“I’m not a happy camper,” said Nate Zajcew, the patient’s

husband. The couple signed up for a Blue Cross Blue Shield

bronze plan through the federal HealthCare.gov site on Dec. 16. “I understand it’s just

a matter of paperwork and yesterday was a holiday. I can be an SOB, too, at times, but

since they’re going on with the procedure, it’s OK.

On Fox News Dr. Venetos, a Chicago digestive system specialist,

described “tremendous uncertainty and anxiety” among patients calling

his office recently. Some thought they’d signed up for coverage but hadn’t

received insurance cards yet.

Others had insurance policies that were canceled and weren’t sure if their coverage had been reinstated after Gov. Pat Quinn

decided to allow one-year extensions of canceled plans.

Venetos said he has decided to take a risk and provide care for

these patients, at least until there’s less confusion about

coverage.

“We feel it’s the right thing to do,” Venetos said. “We may

end up stuck holding the bag and not getting paid on these

claims.”

In the southern Illinois city of Benton, 61-year-old

Nancy Pace spent part of New Year’s Day calling Blue Cross Blue Shield to make

certain she and her husband were covered by the silver plan they chose on the troubled federal

insurance website.

“When you get to where it says ‘Pay for your policy,’ well, that

button doesn’t work,” Pace said.

Calling the insurance company worked: Pace paid and got her

member number over the phone.

“I made a phone call. I pushed the right button and got a live

person,” she said.

Pace, a stroke survivor, said she hasn’t had good insurance since her

husband lost his job when the mining machinery plant where he worked closed in 2005. The Affordable Care Act means better health

care for her and her husband, she said, but she

has doubts.

“My biggest concern is, how long is this going to last? How long can our country bear this expense?” Pace said. “It’s a benefit for us right now. But I don’t see

how it can possibly be sustainable. … Am I going to use it? You bet I am. For one thing, it’s a law. I don’t

have a choice.”

Again this is an example of why you want to find an

individual plan and avoid Obamacare. Visit

www.AIADirectQuote.com

to find affordable alternatives and get the care you are in need of

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“Remember It Is Not What YOU

Know, But What YOU Do With

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