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To: DonaldC
My wife had a stroke during the operation. EBMS wanted us to stay in network, yet no in network Neurosurgeons existed; they don't want anything to do with EBMS; so we had to do the operation where the doctor wanted to do it, an outta network hospital. Even though we had the hospital agree to the 50% cut that would have been paid to an in network facility; it allowed EBMS the ability to refuse to pay many of the charges. Also all that over and above the customary rate exclusions, ect.

I wish we wouldn't have been such a nightmare, part of problem is that I call Alaska home, choices don't exist. I had always thought I had a good health plan, until we used it; got a rude awakening for sure. EBMS was quick to work everything in their favor rather than doing what was fair, right, and reasonable. That's why I say the problem honestly must be solved by our Repubs, and not just window dressing & smoking mirrors.

Then when you consider all the Americans who can't afford a 2-3 thousand/ month family health plan; very big problem indeed.

74 posted on 11/17/2014 10:25:03 AM PST by Eska
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To: Eska

Did you report your insurance problem to your state insurance commissioner?


76 posted on 11/17/2014 10:27:54 AM PST by kaila
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