Is it an emergency? Insurer makes patients question ER visit

Southwest Life

Is it an emergency? Insurer makes patients question ER visit

Dr. Jesse Pines teaches emergency medicine at the George Washington University School of Medicine & Health Sciences Clinical Learning and Simulation Skills (CLASS) Center and also does a rotation in the hospital’s emergency room. A push by the insurer Anthem to limit ER visits to true emergencies worries doctors and patients who question whether they will make the right call or get stuck with a bill. “I think it’s completely unfair to patients,” said Pines. “It runs the risk of really hurting some people.”
Alison Wrenne and her husband, Daniel, in their backyard in Lexington, Ky. Alison Wrenne was making waffles for her two young children one morning when abdominal pain forced her to the floor. A neighbor who’s a physician assistant urged her to go to the emergency room. Wrong decision, according to her health insurer. Wrenne was diagnosed with a ruptured ovarian cyst, but Anthem said it wasn’t an emergency and stuck her with a $4,110 bill.

Is it an emergency? Insurer makes patients question ER visit

Dr. Jesse Pines teaches emergency medicine at the George Washington University School of Medicine & Health Sciences Clinical Learning and Simulation Skills (CLASS) Center and also does a rotation in the hospital’s emergency room. A push by the insurer Anthem to limit ER visits to true emergencies worries doctors and patients who question whether they will make the right call or get stuck with a bill. “I think it’s completely unfair to patients,” said Pines. “It runs the risk of really hurting some people.”
Alison Wrenne and her husband, Daniel, in their backyard in Lexington, Ky. Alison Wrenne was making waffles for her two young children one morning when abdominal pain forced her to the floor. A neighbor who’s a physician assistant urged her to go to the emergency room. Wrong decision, according to her health insurer. Wrenne was diagnosed with a ruptured ovarian cyst, but Anthem said it wasn’t an emergency and stuck her with a $4,110 bill.
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