My lifetime maximums have dwindled down to less than $100,000, and I have not finished chemotherapy. I would not be able to cure my disease and my four children would be motherless. I could have an additional $76,522.32 towards the balance of my treatment, if Methodist Hospital of Southern California, would send back the overpayment to Anthem Blue Cross. Since Blue Shield is contracted with this hospital, I had a balance of $3,428.02. Anthem Blue Cross paid $79,950.34. This leaves an overpayment of $76,522.32. For the dates of service 5/28/09-6/03/08 the total amount billed was $82,558.58. Methodist Hospital of Southern California was paid $79,950.34 by Anthem Blue Cross, and $16,221.98 by Blue Shield of California, which totals $ 96,172.32. They paid $13,613.74 over the billed amount. The thought of a mother with cancer dying, because she cannot afford to pay the balance of her medical treatment, due to the decrease of $76,522.32, by a hospital that was paid in full, is incorrigible. There are some things that are simply immoral, and a calculated gorge of a patient’s medical insurance policy, in order to pad the pockets of the board of director’s of Methodist Hospital. Methodist Hospital should have provided service, and should only get paid for those services. They should not get to benefit, gain an income, or profit from the insurances that I pay for out of my own pocket, is terrible, especially from a "non-profit."
Methodist Hospital 08/26/2011
Methodist Hospital had diligently worked on this matter and has consulted with legal counsel who initiated a review of the case by Blue Shield's attorney's who in turn, conducted a thorough investigation. The final determination is that no coordination of benefits is necessary and Blue Shield is not seeking any payment or refund from the hospital. As Blue Cross is to be considered the primary payer for this account and there is to be no coordination of benefits with Blue Shield, our records indicate a credit balance on this account of $11,421. Open balances on subsequent accounts totaling $2,717.40 which have been deducted, leaving the total refund amount previously paid to the patient in the amount of $8,703.60.