Another ObamaCare Success Story: Doctor’s Office Spends Hours On Hold With Health Insurer for Patient’s Surgery Authorization

Posted by on Jan 03, 2014 at 11:28 am

We figure people will start dying pretty soon thanks to ObamaCare, and it apparently will happen pretty quickly the way things are going.

Paperwork problems almost delayed suburban Chicago resident Sheri Zajcew’s scheduled surgery Thursday, but Dr. John Venetos decided to operate without a routine go-ahead from the insurance company. That was after Venetos’ office manager spent two hours on hold with the insurer Thursday, 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 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.”

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.”

You can bet on that, Doc.

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One Response to “Another ObamaCare Success Story: Doctor’s Office Spends Hours On Hold With Health Insurer for Patient’s Surgery Authorization”

  1. Catseyes on 3/03/14 at 5:19 pm

    A lot of this going around went in to pick up my wife’s perscriptions yesterday and they couldn’t verify then either even tho I had her card from the insurance company with me. This may turn into the next big glitch for O’bamacare inability to verify coverage, I’ve run across a few other stories about this or similar types of problems.