Complaint Review: Blue Shield Of California - 50 Beale Street, San Francisco California
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- Author Confirmed
- Blue Shield Of California 50 Beale Street, 50 Beale Street, San Francisco, California U.S.A.
- Phone: 415-229-5000
- Web:
- Category: Health Insurance
Blue Shield Of California Deceptive marketing of PPO health Plans, that are so restrictive that HMO plans are better, San Francisco California
*Author of original report: Medical Incompetance by Blue Shield designated Pre-Approval group
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Blue Shield of california places so many restrictions on how the their PPO plans are administered that it approaches the same service as HMO plans.
The plans are vastly more expensive than HMO, but almost everything has to be pre-approved before any procedures or prescriptions are issued.
Example:
Recently a pre-approval was required for my spouse to get Ambien prescribed.
Example by cardiologist prescribed Diovan (for Heart patients with Diabetes), and this was refused by the plan.
Example My cardiologist was a CT scan of my chest, this also has to be pre-approved, why? I have one of their best PPO plans (PPO250) which I pay a lot for.
I have had HMO's in the past that were less restrictive that this so-called PPO. They should be prevented from doing business in this fraudlent way.
Ed
Irvine, California
U.S.A.
This report was posted on Ripoff Report on 09/29/2007 08:50 PM and is a permanent record located here: https://www.ripoffreport.com/reports/blue-shield-of-california/50-beale-street-san-francisco-california-94105-1808/blue-shield-of-california-deceptive-marketing-of-ppo-health-plans-that-are-so-restrictive-276473. The posting time indicated is Arizona local time. Arizona does not observe daylight savings so the post time may be Mountain or Pacific depending on the time of year. Ripoff Report has an exclusive license to this report. It may not be copied without the written permission of Ripoff Report. READ: Foreign websites steal our content
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#1 Author of original report
Medical Incompetance by Blue Shield designated Pre-Approval group
AUTHOR: Ed hoffman - (U.S.A.)
SUBMITTED: Sunday, November 18, 2007
Update: the CT scan that needed pre-approval?, well they refused it as not necessary! They did not know I had gone to emergency two days before where a CT scan was done that showed that my breast bone was almost completely open and was only being held by two strands of wire.
On the 23rd Oct had an operation to repair the breast bone, and was in hospital for a week.
A PPO plan should not have any restrictions on who I can see, what prescriptions I can have (apart from their formulary) or what procedures are done. Blue Shield are operating a POS/HMO plan but marketing a PPO plan. The State of california needs to investigate this practice, and stop it.
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