Shield Cut
Insurance cut off....?
My step mom had a stroke February of 2007. She came home in August of 2007, even though her speech was still messed up, she is in a wheel chair (can't walk), can't maneuver her left arm, lost of hearing (she has a hearing aide now). As soon as she got home she started rehabilitation (physhical, occupational, and speech therapy). She has made some progress since then, however not enough that she doesn't need therapy. Her insurance (blue cross blue shield) has cut her off as of today. How can they do this? What can we do as far legal matters, can we sue? Please, only useful feedback!
Yes, premiums up to date. The rehab facility wasn't specific on details, just said they weren't paying anymore.
I was thinking about that woman who had leukemia and her insurance cut her, then she took to court and won.
She worked for the state as a social worker, if that makes a difference>
It sounds like she has exhausted her benefit.
The insurance probably only covers a certain amount of days. Some plans cover 20, or 30. Some are 60. Some have no maximum. Its all written in her benefit plan.
Call BCBS. They'll be able to answer this question better than any of us... We're all just speculating. If she maxed out her benefit, there's nothing/no one to sue... They insurance is administering the plan she, or her employer, selected. Find out when the plan renews, or when she'll have more days available. Maximums are usually set per benefit year. You can also look into community resources.
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