My 16 year old very healthy patient's insurance policy rejected

John L.
Grass Valley, CA
Heathcare Status: Self-Insured

I am a chiropractor. My healthy 16 year old patient had five visits in 2007. She is very active and plays soccer for her high school team. She sprained her ankle two different times; her wrist once and a sore lumbo-sacral spine once.

Her Blue shield policy required a new diagnosis for every claim, unless it was severe. If severe she might get two or three visits on a single diagnosis. Each injury was resolved in a single visit.

Her policy was rejected when the parents switched policies. Blue shield is playing a sort of entrapment game with their insured. Now that rejection will always have to be disclosed every time she seeks insurance and will trigger further rejections.

Submitted on January 10, 2008 - 6:09pm.