
Big girl
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Everything posted by Big girl
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Dove, since you are the self declared "special" policeman
Big girl replied to stevenash's topic in Political Forum
If I see some white teenagers with trench coats on standing in front of a school, I am definitely going the other way, far from the school. -
The aca does not mandate who is allowed into a private insurance companies network. Steve your source is whak The ACA is a good thing period. The president is the man. :)
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You guys are really stupid when it comes to healthcare. Smh
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have you looked at every single plans provider network that participates on the change to see if md Anderson is in network? There are commercial plans not on the exchange that dont use md anderson. The aca does not stimulate who a plan designates who a carrier puts in their provider network.
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it is obvious that you dont know what you are talking about. An observation stay merely means that a patient is being monitored. Molina has several plans, the one on the exchange is not a Medicaid him. What government guidelines are you referring to? Do you know the name of the guidelines insurance carriers use?
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how can you support a party that claims to be pro-life, but they are opposed to programs that sustain life like TANF, SNAPS, WIC and free lunch programs. Republicans want to force you to have a baby, but they dont care if he starves to death after he is born. You guys are pro birth not pro life. I dont agree with abortions, but I also dont agree with letting a kid starve to death
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Dove, since you are the self declared "special" policeman
Big girl replied to stevenash's topic in Political Forum
No, I agree with what he said. Having some prejudices and being a racist is totally different in my opinion. -
Not offensive to you, others might be.
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Plans dont come up with guidelines. Smh
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Keeps. Blue cross/ blue shield, Aetna, united healthcare, molina etc all use the same guidelines for everyone it doesnt matter if you bought insurance on the exchange or not.
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What the heck are you talking about or do you know? John is not receiving any treatment his doctor jeeps him in the hospital so that the nurses can "observe" him to make sure that he does not exhibit any more symptoms. Why would we pay for an inpatient stay as opposed to an observation stay.they are only observing him.
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Steve who said you cant be. Insurance companies have 1000's of hospitals in their network, not just one so.......what are you talking about?
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This was a law long before obama came into office, because you had people going to out of network hospitals or they were uninsured and as a result the hospital would not treat them. People were dying on the front lawns of hospitals
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If the Methodist hospital is not in network they are still liable. A hospital cannot turn a patient away. They have to stabilize he or she and then transfer the patient to an in network facility if they so desire.
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Receives notification
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Second scenario ( insurance side) Yatisha S, Registered Nurse, at Molina healthcare, receives that John Q was admitted to Memorial Hermann hospital with severe crushing chest pain. The doctor orders a battery of test. John's trop levels as well as his ckmb levels are normal. It is determined that he did not have a NSTEMI or STEMI (heart attack). He stays in the hospital for 2 days in spite of the results. .. I call the Registered Nurse case manager at the hospital and tell her that the inpatient stay will be denied, but I will pay for a 48 hour observation stay. the federal government nor "obamacare" had nothing to do with my decision.
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This is so disheartening. You guys are in direct opposition to something you dont know anything about. Please review the ACA. ACA 101 The federal government mandated that pre-existing condition clauses are now illegal; as well as, maximum out of pocket benefits, amount of subsidies etc. the federal government does not dictate standards of care example: Susan J has chest tightness and shortness of breath.she goes to Methodist hospital in Houston. She has the blue advantage plan 003 and that hospital is in their network. She is placed in an ER bed. The nurse checks on her two hours later and she is dead. who is to blame for this? The Methodist hospital staff or "obamacare"? The hospital staff is to blame. They did not find out what her 02 sats were, ABG's, they didnt start her on steroids etc the ACA does not dictate what hospitals are allowed in blue advantage's provider network. A hospital has to apply and is solely up to the credentialing department to say yea or nay.
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Did Bush worry about it?
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Who said that Christ supported sin?