Community Chat

[Tinkrbl44]

@PickyPicky3 

What state was this in?

[PickyPicky3]

@cjm61   The article is the Kaiser Health News "Bill of the Month." The incident did not happen at a Kaiser facility.

Easy to find at the Kaiser Health News website, where you always learn something new and interesting.

If it were my daughter, I also would have taken her directly to an ER. But the article is about insurance coverage and medical billing. 

[PickyPicky3]

@Tinkrbl44   Georgia      Good question!

[sann]

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@Zhills wrote:

They didn't refuse her treatment, they referred her to the ER!

They are usually close to each other!

This happened to me with Diverticulitis because, "I needed tests they couldn't do!?"

Not uncommon.

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If they didn't give her treatment then she was refused....

[Imaoldhippie]

There is something odd about this story.  If the accident occurred as described the police and emergency squad would have been there and she would have been transported to the ER, especially with the complaint of a headache.

[Spurt]

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@sann wrote:

I have never heard of any Medical Facility refusing treatment to anyone...if it's life threatening certainly you should go to the Hospital ER....something about this story doesn't sound right

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@sann 

It sounds like a nice scenario for a lawsuit since she was refused treatment and what if something came up that they discovered that had required immediate attention!!! .

[Starpolisher]

@Trailrun23 @PickyPicky3 

I agree with you both. Bottom line, The whole thing is about money! Unfortunate, but true!

[CelticCrafter]

I one time went to the CVS Minute Clinic for a cat scratch that became infected.

I signed myself in on the iPad, personal info and why I was there, sat and waited my turn.

It wasn't until AFTER she did vitals and all that stuff did she tell me that they don't treat animal bites/scratches there and I had to go to a regular urgent care.

I was really po'd.  She knew why I was there, I should have been told before she took me in. 

[Nonametoday]

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@PickyPicky3 wrote:

Kaiser Health News is reporting the experience of a high school girl who was in a car accident. The car had skidded on some standing water and rolled over. But the low speed, seatbelt and airbag deployment all kept her safe. She reported only a slight headache.

Her father decided to take her to an urgent care to have her checked out. In spite of having full coverage health insurance, the girl was denied treatment because injuries due to car accidents are often covered by auto insurance or homeowners insurance, which the UC didn't accept.  The UC referred her to the nearby hospital which actually owned the urgent care.

The ER declared her fine. 

Live and learn.

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@PickyPicky3 

As someone who worked in the medical industry for years, that was appropriate.  Doctors' offices and urgent care cannot accept this insurance.  They are not qualified and feel that should something happen, they could be sued.  It is always this way with these kinds of accidents.  No doctors' offices should ever accept a patient who has been in an MVA or some kind of potentially severe accident as they cannot cover it and most do not even stock Tetanus for that reason as well as frequently not having an MD in the house, only a nurse practitioner or PA.

[reiki604]

This is the result of our for profit healthcare system. The US ranks last out of the top 11 weathiest nations in health care outcomes.