Best not travel to the US if Pregnant OR rely on Blue Cross (Full Version)

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Lucylastic -> Best not travel to the US if Pregnant OR rely on Blue Cross (11/20/2014 7:09:07 AM)

A dream vacation has turned into a financial nightmare for one Saskatchewan couple, after a mom-to-be gave birth while on holiday in Hawaii.
Jennifer Huculak and her husband have been saddled with a medical bill of nearly $1 million after she gave birth to her daughter in the U.S.

Jennifer Huculak says she was billed nearly $1 million after unexpectedly giving birth to her daughter in Hawaii.
Huculak was six months pregnant when she flew to Hawaii for a holiday with her husband in October 2013. Before her trip, she bought Blue Cross insurance and received approval from her doctor.
But two days into her trip, Huculak's water broke and she spent the next six weeks on bed rest in a Hawaiian hospital. Her daughter was born nine weeks early and spent two months in intensive care.
While she's grateful that her 11-month-old daughter is now healthy, Huculak and her husband were left with a $950,000 medical bill.
"It makes you sick to your stomach," she told CTV Saskatoon. "Who can pay a million-dollar medical bill? Who can afford that?"
Blue Cross is refusing to pay any of the amount, arguing that Huculak had a pre-existing condition.
In a letter to Huculak, the company noted the following: "Ms. Huculak was diagnosed and treated for a high-risk pregnancy in the six months prior to departure. As Ms. Huculak is currently hospitalized and being treated for this high-risk pregnancy, any expenses incurred are not eligible under the terms of your policy."
But Huculak says that she did not have a high-risk pregnancy, she had a bladder infection which led to bleeding.
"The specialist in Hawaii said that these things just happen. There's nothing that causes them," she said.
Her specialist at home in Saskatchewan has written to Blue Cross, saying that the bladder infection did not lead to Huculak's early labour. But her coverage was still denied.
Huculak is angry because she said the Blue Cross pamphlet had no fine print explaining any rules for pre-existing conditions.
She said the family is now trying to decide if they should fight Blue Cross, declare bankruptcy, or wait and see what happens.
Meanwhile, she hopes that other travellers will learn from their ordeal. "It's a very sad situation to be in and people need to be aware that insurance companies will deny you if they have anything they can go on," she said.


Read more: http://www.ctvnews.ca/canada/million-dollar-baby-canadians-handed-1m-bill-after-woman-gives-birth-in-u-s-1.2107020#ixzz3JcZmaPdU




subrob1967 -> RE: Best not travel to the US if Pregnant OR rely on Blue Cross (11/20/2014 7:15:53 AM)

FR

Fucking deadbeat Canadians expecting free health care here in the US. On the bright side, the kid qualifies for citizenship.




DesideriScuri -> RE: Best not travel to the US if Pregnant OR rely on Blue Cross (11/20/2014 7:33:40 AM)

quote:

ORIGINAL: Lucylastic
A dream vacation has turned into a financial nightmare for one Saskatchewan couple, after a mom-to-be gave birth while on holiday in Hawaii.
Jennifer Huculak and her husband have been saddled with a medical bill of nearly $1 million after she gave birth to her daughter in the U.S.
Jennifer Huculak says she was billed nearly $1 million after unexpectedly giving birth to her daughter in Hawaii.
Huculak was six months pregnant when she flew to Hawaii for a holiday with her husband in October 2013. Before her trip, she bought Blue Cross insurance and received approval from her doctor.
But two days into her trip, Huculak's water broke and she spent the next six weeks on bed rest in a Hawaiian hospital. Her daughter was born nine weeks early and spent two months in intensive care.
While she's grateful that her 11-month-old daughter is now healthy, Huculak and her husband were left with a $950,000 medical bill.
"It makes you sick to your stomach," she told CTV Saskatoon. "Who can pay a million-dollar medical bill? Who can afford that?"
Blue Cross is refusing to pay any of the amount, arguing that Huculak had a pre-existing condition.
In a letter to Huculak, the company noted the following: "Ms. Huculak was diagnosed and treated for a high-risk pregnancy in the six months prior to departure. As Ms. Huculak is currently hospitalized and being treated for this high-risk pregnancy, any expenses incurred are not eligible under the terms of your policy."
But Huculak says that she did not have a high-risk pregnancy, she had a bladder infection which led to bleeding.
"The specialist in Hawaii said that these things just happen. There's nothing that causes them," she said.
Her specialist at home in Saskatchewan has written to Blue Cross, saying that the bladder infection did not lead to Huculak's early labour. But her coverage was still denied.
Huculak is angry because she said the Blue Cross pamphlet had no fine print explaining any rules for pre-existing conditions.
She said the family is now trying to decide if they should fight Blue Cross, declare bankruptcy, or wait and see what happens.
Meanwhile, she hopes that other travellers will learn from their ordeal. "It's a very sad situation to be in and people need to be aware that insurance companies will deny you if they have anything they can go on," she said.
Read more: http://www.ctvnews.ca/canada/million-dollar-baby-canadians-handed-1m-bill-after-woman-gives-birth-in-u-s-1.2107020#ixzz3JcZmaPdU


That's horrible.

I guess the question I have for Blue Cross, is if it was known prior to her signing up for insurance that she was pregnant? If not, shame on Huculak. If so, I think they're responsible for payment, or at least should be.




altoonamaster -> RE: Best not travel to the US if Pregnant OR rely on Blue Cross (11/20/2014 7:39:06 AM)

thank the president for this




Lucylastic -> RE: Best not travel to the US if Pregnant OR rely on Blue Cross (11/20/2014 7:44:44 AM)

IF she was six months pregnant at the time of the trip and blue cross stated her pre existing condition was known(the bladder infection/supposed HR pregnacy)) One would THINK that blue cross knew it.




Lucylastic -> RE: Best not travel to the US if Pregnant OR rely on Blue Cross (11/20/2014 7:48:45 AM)


quote:

ORIGINAL: altoonamaster

thank the president for this

Oh really? how so?
Pre existing conditions for americans are not reason to deny healthcare, for insurance companies
Blue Cross Canada is the issue here
Oh and the cost of having bed rest, early delivery and preemie costs.
This is how pre ACA insurancing issues go.... if you got a pre existing condition, you are denied.
Im in no way advocating travelling to the US when pregnant, or without substantial insurance.





littleladybug -> RE: Best not travel to the US if Pregnant OR rely on Blue Cross (11/20/2014 7:51:50 AM)


quote:

ORIGINAL: Lucylastic

Huculak is angry because she said the Blue Cross pamphlet had no fine print explaining any rules for pre-existing conditions.


I find this hard to believe, but if it's true, I wonder if this is something that is allowed by law. That is, can Blue Cross, or any other insurance company, legally sell this type of insurance without this disclosure?

While I feel for this woman and her family, part of me is placing the blame on a 6 months pregnant woman who didn't think to even ask when purchasing the insurance. The "insurance issues" in the States are no secret in Canada. Some of the policies sold in Canada cover "pre-existing conditions" and some do not.

The article states that "Kimmel and Huculak said that when they purchased their insurance they spoke with a Blue Cross representative who assured them that they would be covered". Covered for what? An accident, or a premature delivery of their baby?





Aylee -> RE: Best not travel to the US if Pregnant OR rely on Blue Cross (11/20/2014 8:00:43 AM)


quote:

ORIGINAL: subrob1967

FR

Fucking deadbeat Canadians expecting free health care here in the US. On the bright side, the kid qualifies for citizenship.


That is the confusing part. The NICU care could likely be covered by Medicaid.




RottenJohnny -> RE: Best not travel to the US if Pregnant OR rely on Blue Cross (11/20/2014 8:40:07 AM)


quote:

ORIGINAL: Lucylastic
Blue Cross Canada is the issue here

So what does this have anything to do with the US other than it happened to be where she delivered her baby? Sounds like the issue is with Canadian health insurance laws to me.




Lucylastic -> RE: Best not travel to the US if Pregnant OR rely on Blue Cross (11/20/2014 8:44:03 AM)

isnt that JUST what I said???
you even quoted me
look
quote:

ORIGINAL: RottenJohnny


quote:

ORIGINAL: Lucylastic
Blue Cross Canada is the issue here

So what does this have anything to do with the US other than it happened to be where she delivered her baby? Sounds like the issue is with Canadian health insurance laws to me.




missiesfavourite -> RE: Best not travel to the US if Pregnant OR rely on Blue Cross (11/20/2014 8:52:11 AM)

this would not have happened like that in almost every other civilised country




RottenJohnny -> RE: Best not travel to the US if Pregnant OR rely on Blue Cross (11/20/2014 9:11:59 AM)


quote:

ORIGINAL: Lucylastic

isnt that JUST what I said???
you even quoted me
look
quote:

ORIGINAL: RottenJohnny


quote:

ORIGINAL: Lucylastic
Blue Cross Canada is the issue here

So what does this have anything to do with the US other than it happened to be where she delivered her baby? Sounds like the issue is with Canadian health insurance laws to me.


Just trying to understand what point you're trying to make, Lucy. I got the impression from your OP that you think the US health care system is somehow at fault as well but I don't see the connection other than the hefty bill for a lot of specialized care.




Lucylastic -> RE: Best not travel to the US if Pregnant OR rely on Blue Cross (11/20/2014 9:30:44 AM)

I dont see how much clearer I could have been.

while I have many points,
The cost.
The insurance
the cost
The pre-existing condition denial.
the cost
While im all for any woman living her life to the fullest, while pregnant....and otherwise.... flying wasnt the smartest idea in the book, but I bet she doesnt do it again.
Oh and the cost.
If she had stayed at home, she wouldnt have anything to worry about, except of course her and her childs health.




tj444 -> RE: Best not travel to the US if Pregnant OR rely on Blue Cross (11/20/2014 9:35:08 AM)

That was not a smart thing to do, they shouldn't have travelled with her being so far along in her pregnancy.. a flight to Hawaii is a very long flight too and sitting in a plane for anywhere from 12 to 20 hours, even if you aren't pregnant.. Why would anyone want to put their unborn baby under that kind of stress?




KYsissy -> RE: Best not travel to the US if Pregnant OR rely on Blue Cross (11/20/2014 9:49:38 AM)


quote:

ORIGINAL: missiesfavourite

this would not have happened like that in almost every other civilised country

Are you saying Canada is uncivilised?




kdsub -> RE: Best not travel to the US if Pregnant OR rely on Blue Cross (11/20/2014 10:25:15 AM)

Lucy as usual I will bet there is more to the story.

This

"Ms. Huculak was diagnosed and treated for a high-risk pregnancy in the six months prior to departure"

May be true...if it is then three things.. One... what the hell is she doing on vacation. Two...I will bet the pre-existing condition was discussed..and three...I am not familiar with the Canadian healthcare system but does it not cover citizens outside of the country or at least have a deductible and reimbursement clause?

Butch




littleladybug -> RE: Best not travel to the US if Pregnant OR rely on Blue Cross (11/20/2014 10:41:22 AM)


quote:

ORIGINAL: Lucylastic

Oh and the cost.



I've been thinking on this one since you first made your post.

It's known here in the States that "retail" costs on healthcare are way different that costs billed to insurance companies. Blue Cross, if and when they cover something like this, will not pay anywhere NEAR that amount.

My point, and question, is this:

What happens when, say, an uninsured American has something like this happen in Canada? How are the costs figured?

As polite as I know Canadians are, I have no doubt that a bill *will* be sent.

Anyone have any data on this?




Lucylastic -> RE: Best not travel to the US if Pregnant OR rely on Blue Cross (11/20/2014 10:42:35 AM)

No it doesnt, thats why she bought insurance.... tax payer canadian healthcare by and large only covers in country healthcare.

Hey Butch:)

Maybe the guidelines have changed in the past few years but a treated bladder infection doesnt make you high risk pregnancy.
Someone may have a different take on it, but I had my babies over 20 years ago, and things change.
Im pretty sure more will come out about this, so ...I cant tell you anymore right now, than what they article says.
I certainly dont have details of the blue cross insurance plan, altho I do believe that there is fine print about pre existing conditions.

It interested me specifically because I just had orders to cancel any trips to the US without hefty insurance, until I have my upcoming surgery. I was planning two trips down, now I have to cancel them, because I have a bunch of pre existing conditions (hence the surgery) and Im not taking the chance of getting sick while down there. OR getting a huge bill and BC or whoever denying it, because I had a broken collarbone last march. *just as an example*





tj444 -> RE: Best not travel to the US if Pregnant OR rely on Blue Cross (11/20/2014 10:47:57 AM)


quote:

ORIGINAL: kdsub

I am not familiar with the Canadian healthcare system but does it not cover citizens outside of the country or at least have a deductible and reimbursement clause?

Butch

No, you need to buy travel insurance, even if you are traveling to another province.. you are only covered in your province by your provincial health care system.. There are some instances where you can apply beforehand to get approved for medical treatment/surgeries in other provinces/countries but you must wait for your provinces healthcare system approval cuz if you go ahead anyway before getting that its on your dime.. In Canada, the healthcare act (whatever its called) is administered by the province, not the Feds.. so its the provinces that decide what drugs, treatments, surgeries, etc they will cover and what they wont.. and that varies somewhat province to province..




Lucylastic -> RE: Best not travel to the US if Pregnant OR rely on Blue Cross (11/20/2014 10:56:48 AM)

what TJ Said,
This is from the Ontario health care page regarding coverage outside Canada
Services Outside Canada( http://www.health.gov.on.ca/en/public/publications/ohip/services.aspx)

For people travelling outside Canada, the ministry pays a set rate for emergency health services. Emergency health services are those given in connection with an acute, unexpected condition, illness, disease or injury that arises outside Canada and requires immediate treatment. Ambulance services are not covered.

Ontario residents are encouraged to purchase supplementary insurance when traveling outside Canada as many emergency health services provided outside the country cost much more than OHIP may pay.



Little Lady Bug, I know of people that have had no bills, but I think for something major like that, there would be a billing, I dont know off hand, BUT Im gonna have a look see.




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