Anthem Blue Cross says the $51,000 helicopter ride wasn't 'medically necessary.' But doctors, amid a medical emergency, believed otherwise. Columnist Davidlaz explains:
But the thing that never ceases to astonish me is how needlessly cruel our system is.
“There was a pediatric neurosurgeon at UCLA, and he said they’d send an ambulance for Ethan,” Hassanzai recalled. “We didn’t know it would be an air ambulance.”Then came the bill for the air ambulance. A company called Reach Air Medical Services wanted $51,000 for the trip. No, of course not. How could anyone reasonably be expected to override trained medical professionals in such a situation?
“However, based on the review of the case and the hospital records, Mr. Hassanzai was stable in his vital signs and exam while he was in the emergency room, and when he was transported to the receiving hospital,” she said.“In accordance with our medical necessity criteria outlined in our policy, air ambulance transportation was not medically necessary in this case and ground transportation was appropriate for his care.
But let’s not kid ourselves. It seems like an arbitrary decision at best to deny coverage for treatment ordered by doctors in the midst of an emergency.have a contract with Anthem and thus a lower price could have been negotiated.
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