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  1. #1
    Administrator Jean's Avatar
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    CA: Companies Offer Insurance For Employees To Cross The Bor

    Hadn't heard this is going on here and I live near TJ. This article is from Tennessee news.

    http://www.wrcbtv.com/news/index.cfm?sid=5466

    Companies Offer Insurance For Employees To Cross The Border

    Jan 9, 2007


    Some California companies are offering employees the option of crossing the border into Mexico for their medical treatment.

    As Jane Wells reports, it's an issue that addresses both immigration and healthcare reform. In a busy medical clinic in Tijuana, sits Charles Greenwood. "I have medical, I have dental, and I have vision."

    Greenwood is a waiter at a Marriott in California. His employer provides medical coverage in the U.S., but also offered a policy at about half the price if Greenwood wanted to go to the doctor in Mexico. He chose Mexico.

    "A major surgery, I believe I have to cross over to the United States. If it is something really really major."

    But everything else is done here. Companies from Healthnet to Blue Shield now provide cross border insurance policies to an estimated 150,000 California workers or their dependents. "We wanted to provide coverage for employees that may have to waive insurance because they can't afford it."

    Steve Solomon at Dixieline Lumber says the company has offered health coverage for years, but a few years ago it added a cheaper plan through Blue Shield of California called access Baja.

    Truss designer Juan Carlos Leyva pays $60 a month now versus $170 for U.S. coverage and his wife is happier. "She likes to speak Spanish with the doctor. She feels better. She feels free." "The program has improved worker retention. Usually in a truss yard there's about 30% turnover a year. Here it's closer to ten."

    Dixieline says it saves $400,000 a year offering access Baja. But what about the quality of care? "Better." "I find it just as good, in some cases better. I say it's easier to get in and see a doctor. Worst-case scenario? Well we know the worst case scenario then it doesn't matter!" The plans will allow workers or dependents to have their babies in Mexico as well.

    Which brings up a political issue because if you have your baby here, it is automatically a U.S. citizen regardless of the parents' immigration status.
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  2. #2
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    Health Net ordered to pay $9 million after canceling cancer patient's policy
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    The punitive damage award is the first of its kind and has prompted the giant medical insurer to scrap practices that have recently come under fire.
    By Lisa Girion, Los Angeles Times Staff Writer
    1:14 PM PST, February 22, 2008
    A breast cancer patient whose medical coverage was canceled by her insurer was awarded more than $9 million today in a case against Health Net Inc., one of the state's largest for-profit insurers.

    The award issued by an arbitration judge was the first of its kind and prompted Health Net to announce it was scrapping its cancellation practices that are under fire from state regulators, patients and the Los Angeles city attorney.


    Arbitration winner
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    PDF
    Bates Arbitration award
    (Acrobat file)

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    - Previous insurance rescission coverage

    Arbitrator Sam Cianchetti, a retired Los Angeles County Superior Court judge, found that Health Net violated numerous state laws in canceling Patsy Bates' policy and declared the company's actions "despicable."

    Cianchetti also blasted the company for tying employee bonuses to the number of policies canceled and the amount of money saved.

    "It's difficult to imagine a policy more reprehensible than tying bonuses to encourage the rescission of health insurance that keeps the public well and alive," he said in a 21-page opinion.

    Woodland Hills-based Health Net responded by announcing substantial changes, including a pledge that it would not cancel policyholders "in the future without first seeking approval from a binding external third-party review process."

    Bates, a mother who owns a Gardena hair salon, screamed with delight when she heard the news, said William Shernoff, the Claremont lawyer who represented her.

    "The punitive damage award will do more than anything else to stop the shameful practice of canceling health insurance after people become seriously ill," Shernoff said.

    lisa.girion@latimes.com

    http://www.latimes.com/business/la-fi-i ... 9339.story
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  3. #3
    Senior Member miguelina's Avatar
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    Dixieline says it saves $400,000 a year offering access Baja. But what about the quality of care? "Better." "I find it just as good, in some cases better. I say it's easier to get in and see a doctor. Worst-case scenario? Well we know the worst case scenario then it doesn't matter!" The plans will allow workers or dependents to have their babies in Mexico as well.
    Oh my, so now Americans have to go to Mexico to get low-cost medical care? Even then, Americans pay for insurance.

    While illegal Mexicans are still freeloading using Americans tax dollars.
    Somehow I don't think any illegal alien Mexicans want to have their babies in Mexico, no money to be had there.
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    "

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