The other part of the President’s promise, “you can keep your doctors” is also (not surprisingly) turning out to be a lie. As reported in the LA Times, not only are people finding their doctors are not in their new plan’s network, but some are finding out even if the insurance company claims their doctors are part of the network, when they show up at the doctor’s office they are disappointed to find their doctor does not accept their insurance.
A month into the most sweeping changes to healthcare in half a century, people are having trouble finding doctors at all, getting faulty information on which ones are covered and receiving little help from insurers swamped by new business.
Experts have warned for months that the logjam was inevitable. But the extent of the problems is taking by surprise many patients — and even doctors — as frustrations mount.
Aliso Viejo resident Danielle Nelson said Anthem Blue Cross promised half a dozen times that her oncologists would be covered under her new policy. She was diagnosed last year with non-Hodgkin’s lymphoma and discovered a suspicious lump near her jaw in early January.
But when she went to her oncologist’s office, she promptly encountered a bright orange sign saying that Covered California plans are not accepted.
“I’m a complete fan of the Affordable Care Act, but now I can’t sleep at night,” Nelson said. “I can’t imagine this is how President Obama wanted it to happen.”
Some people believe this is exactly how Obama wanted it to happen—a total collapse of our medical system driving people to beg for a “single-payer” system.
To hold down premiums under the healthcare law, major insurers have sharply cut the number of doctors and hospitals available to patients in the state’s new health insurance market.
Now those limited options are becoming clearer, and California officials say they are receiving more consumer complaints about access to medical providers. State lawmakers are also moving swiftly to ease some of the problems that have arisen.
“It’s a little early for anyone to know how widespread and deep this problem is,” said California Insurance Commissioner Dave Jones. “There are a lot of economic incentives for health insurers to narrow their networks, but if they go too far, people won’t have access to care. Network adequacy will be a big issue in 2014.”
The latest travails come at a crucial time during the rollout of Obama’s signature law. Government exchanges and other supporters of the healthcare law are trying to boost enrollment, particularly among young and healthy people, ahead of a March 31 deadline.
Of course, complaints about outdated provider lists and delays in getting a doctor’s appointment were common long before the healthcare law was enacted. But some experts worry the influx of newly insured patients and the cost-cutting strategies of health plans may further strain the system.
Maria Berumen, a tax preparer in Downey, was uninsured for years because of preexisting conditions. The 53-year-old was thrilled to find coverage for herself and her husband for $148 a month after qualifying for a big government subsidy.
She jumped at the chance in early January to visit a primary-care doctor for long-running numbness in her arm and shoulder as a result of bone spurs on her spine. The doctor referred her to a specialist, and problems ensued. At least four doctors wouldn’t accept her health plan — even though the state exchange website and her insurer, Health Net Inc., list them as part of her HMO network.
This is just one state and doesn’t even cover the fact that many major hospitals are no longer part of people’s plans. The majority of insurance plans being sold on the new healthcare exchanges in New York, Texas, and California, for example, will not offer patients’ access to Memorial Sloan Kettering in Manhattan or MD Anderson Cancer Center in Houston, two top cancer centers, or Cedars-Sinai in Los Angeles, one of the top research and teaching hospitals in the country.
This points to a problem with Obamacare and most progressive redistribution plans. The ultimate goal is not to raise the care of the “have-nots” but to create one very mediocre middle. With the elimination of some of the nations top hospitals from the Obamacare health insurance plans almost everybody’s healthcare will be worse and only the rich will be able to use the very best.