Emergency is paid everywhere
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does he uses the Marketplace for enrollment?
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Me too. Last year they were correcting if you send them right info - name and DOB.
Land Of Lincoln
- Thread starter SamIam
- Start date
Emergency is paid everywhere
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Me too. Last year they were correcting if you send them right info - name and DOB.
- 8,448
Emergency is paid everywhere
That is correct ARus. But what about the many instances where people are driven to the closest hospital with chest pains. After thousands of $$$ in tests, the physicians conclude that Taco Bell's FIRE BURRITO was at fault.
Not an emergency + Out-of-Network Hospital = Big bill to pay and perhaps, legitimate cardiac pains.
I moved 2 clients who have Alexian Brothers as their closest hospital over to Harken Health PPO, just before the deadline this past weekend. The commission is lower, but it was the right thing to do. It's just too bad for LOLH that these two lost clients were healthy premium payers.
BCBS has one good site: they will negotiate the price before you should pay it. I was billed above 1000 in tests (have 6000 ded), but they negotiated the price and left to me $115. They didn't pay, just negotiated. The hospital sent me a mail for some reconsideration, but I don't think they will charge me more.
- 8,448
BCBS has one good site: they will negotiate the price before you should pay it. I was billed above 1000 in tests (have 6000 ded), but they negotiated the price and left to me $115. They didn't pay, just negotiated. The hospital sent me a mail for some reconsideration, but I don't think they will charge me more.
That's wonderful, ARus! Congratulations. There's a lot to be said for the influence of Blue Cross and their eagerness to negotiate medical bills downward.
Don't know if Land of Lincoln Health has that kind of influence yet, though. They're a baby in age and size, compared to Blue Cross. I didn't feel comfortable leaving my clients in a LOLH plan where their local Hospital is not in the PPO network.
- Thread starter
- #105
I was informed my one of my clients today that just because LOL pre-certify a procedure it doesn't mean anything until the director approves of it. Then I heard the same thing from a another agent. I have only have 7 clients on the books with them I hope this is not true.
- 8,448
You mean the Director of the Hospital? Does LOLH have a bad reputation when it comes to paying medical providers for procedures?
I heard from a medical professional that they reject first. I am not sure though.
- Thread starter
- #108
No Allen they met the head of Land Of Lincoln. I find it hard to believe but I heard it from two different sources now.
- 8,448
March 1, 2016
The full 2015 revenue and loss numbers are now in for Land of Lincoln Health.
Story: http://www.chicagobusiness.com/arti...60309989/obamacare-illinois-losses-accelerate
It's too bad that BCBS-IL stopped paying us for sales this year. I was planning on moving most of my Land of Lincoln Health clients to Blue Cross, if LOLH folded. It's increasing starting to look like the company won't make it to the end of 2016.
The full 2015 revenue and loss numbers are now in for Land of Lincoln Health.
Story: http://www.chicagobusiness.com/arti...60309989/obamacare-illinois-losses-accelerate
It's too bad that BCBS-IL stopped paying us for sales this year. I was planning on moving most of my Land of Lincoln Health clients to Blue Cross, if LOLH folded. It's increasing starting to look like the company won't make it to the end of 2016.
- Thread starter
- #110
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