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Internal Anthem Blue Cross/WellPoint Document: Only Patients Who 'Push Back' Get Covered Out of State Liver Transplants
Date:2/25/2010

nsplant network if patients "push back."

Consumer Watchdog, which posted the internal Anthem Blue Cross protocol at http://www.ConsumerWatchdog.org/resources/BlueCrossPushBack.pdf, said Blue Cross/WellPoint's policy shows the need for national health care reform that includes greater legal leverage for patients to make demands on their insurers and a public option to the private health insurance market.

Grocer Ephram Nehme paid $205,000 out of pocket for a liver transplant in Indiana that saved his life after Blue Cross said he wasn't sick enough to receive the transplant anywhere but at one of its California-contracted hospitals.

Nehme paid for his health insurance as an individual, so he is able to sue Blue Cross. 132 million Americans who receive health insurance through a private employer-paid policy cannot recover damages no matter what harm a denial causes due to a 1981 Supreme Court decision. Nehme also noted his Blue Cros
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SOURCE Consumer Watchdog
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