Regence Blue Cross Blue Shield in hot water with Washington, Oregon, Idaho and Utah « Health Insurance Advisory

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new healthcare reform lawThe new healthcare law, called the Patient Protection and Affordable Care Act (PPACA), represents comprehensive healthcare reform legislation signed into law on March 23, 2010. It contains numerous provisions designed to protect consumers and promote low cost medical insurance, including many new taxes to pay for the cost.

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Regence Blue Cross Blue Shield in hot water with Washington, Oregon, Idaho and Utah

Author: Pete S - Sr. Staff Writer | Sep 13 2011 | Idaho, Oregon, Regence Blue Cross Blue Shield, Utah, Washington

The state of Washington’s largest health insurance company, Regence Blue Cross Blue Shield, is under fire again with insurance regulators. The company has been instructed to fix recurring administrative errors that impact thousands of their members. The Insurance Commissioners from Washington, Oregon, Idaho and Utah recently met with Regence Blue Cross Blue Shield. The regulators contend the problems are not one time, non-recurring situations. The issues include:

  • providing incomplete and inadequate responses to insurance commissioner complaint letters
  • denying contraceptive claims incorrectly and failing to provide mandated coverage for prostate-cancer screenings
  • delaying payment of roughly 300,000 medical claims for 90,000 retirees
  • deducting monies incorrectly from more than 200 bank accounts of non-insurance company members
  • disclosing accidentally the names and ID numbers of members to strangers
  • misplacing documentation that resulted in delayed payment of claims
  • denying after the fact claims for several pre authorized medical services without a reasonable basis

Additionally, Regence Blue Cross Blue Shield in 2010 was ordered to begin accepting child only medical insurance applications. Many health insurance companies abandoned the child only health insurance marketplace in 2010 because of the new healthcare law. The Patient Protection and Affordable Care Act mandates that individuals less than 19 years of age must be accepted for health insurance and pre existing conditions must be covered. Prior to the new healthcare law, any applicant could be denied and their pre existing health conditions excluded from coverage through an Exclusionary Rider.

A company spokesperson for Regence Blue Cross Blue Shield attributed the issues to a computer system changeover and challenges with implementing the new health care law. A company spokesperson said they are committing the necessary to correct the problems and resolving the issues with insurance regulators.

If you are trying to find medical insurance in Washington, Oregon, Idaho and Utah or want to know your options for medical insurance, we can help. Our online medical insurance quotes make it easy to shop and compare side by side the rates and benefits of leading health insurance companies. Save money now! Get started today!

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