Received: from B.GP.CS.CMU.EDU by K.CS.CMU.EDU;  9 Jan 87 15:44:26 EST
Date: Friday, 9 January 1987 15:36:59 EST
From: Ralf.Brown@b.gp.cs.cmu.edu
To: bovik@k.cs.cmu.edu
Subject: Health America complaints and Praises (from BBoard)
Message-ID: <1987.1.9.20.35.1.Ralf.Brown@b.gp.cs.cmu.edu>

08-Jan-87 13:46    Dennis.Royse@k.cs.cmu.edu    Don't Chose Health America!!!
It's open enrollment for your health care provider until the 15th.  If you 
are considering enrolling in Health America, or considering leaving the 
Health America system I have some information for you.  They don't pay 
their bills!!!  We had some work done in @b@i(JULY) that we are still getting
invoices from collection agencies for!!  This is for authorized lab work,
referrals to specialists, and @u(emergency treatment)!!  The losers haven't
paid these bills even though we have had to call them up 5 or 6 time every 
month to complain!  I think these are the guys that coined the phrase 'the 
check is in the mail'.  Unless you take some perverse pleasure in receiving
bills from collection agencies and potentially having your credit rating 
damaged, I would advise you to abandon ship if you are a current subscriber
and to keep your distance otherwise.  If you read their brochure, you will
see that they talk a good line about the range of services and coverage they
offer.  They don't tell you that they take 6 to 8 months to pay for the 
services and that you have to pull teeth to get them to pay even then.

You can tell from this post that I am more than a little perturbed at these
jokers.   It's just that I am extremely tired of being lied to and of having 
to call them up over and over again.  I ask you, are you willing to take 
this kind of crap?  I don't think so.  After all, you have alternatives.
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08-Jan-87 17:47    Takeo.Kanade@n.sp.cs.cmu.edu Re: Health America
In connection to Dennis' post on health America, I have had three similar
experiences about bills with varying degrees of complications, but I found
that when I WRITE to them (rather than calling) explaining the situation
(how the treatment was authorized), the bill/invoice stopped coming.  Also,
they once reimbursed me even the cost for the treatment that was needed
while my family was in Japan, for which I was grateful.  So, overall I am
satisfied with them, but of course, I will keep being alert.
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09-Jan-87 11:21    Robert.Weide                 RE: Health America
From: Robert.Weide@speech1.cs.cmu.edu
In defense of Health America, they have paid the vast majority of bills
incurred by my family; only once did they fail to pay a bill for a long
enough period of time that the old 'collection agency' threat was used, and
that was eventually cleared up, without undo effort on my part.  Mistakes
happen, and I do not think that it is the policy of Health America to lie to
its customers.
I have been thoroughly satisified with my association with Health America,
and prefer the philosophy of reasonable rates for preventive care over
waiting until Blue Cross has to pay through the nose for perhaps unnecessary
treatment suggested by some guy who needs a new Mercedes.
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09-Jan-87 11:58    Nizwer.Husain                Health America
From: Nizwer.Husain@isl1.ri.cmu.edu
Health America lost my daughter's file 6 MONTHS AGO. In order to be admitted
to child daycare, immunization records are essential. We had a copy of her 
records with us and her doctor issued a certificate on the basis of those 
records. So if you have a baby take that extra step and keep track
of all immunizations yourself.
Regarding claims: if you do need to see an outside doctor for any reason 
whatsoever make sure to call and get permission from Health America. If 
they can skip paying those bills, they will. I like to think they didnt
pay mine because of my neglect in reading the fine print. I take the view that
Health America is no different from any other similar organization, so do
what you must.
[sometimes I wish; if only we had easy access to Medical Expert systems
and prescription drugs, coin operated XRay machines and also 
the Right to cure oneself and neighbor!!]
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