Denver, CO
Insurance plan mix-up left 20,000 Colorado Anthem customers out-of-network with UCHealth
Thousands of Anthem BlueCross BlueShield customers who bought an insurance plan that said it included UCHealth got a surprise earlier this summer when they learned the health system actually wasn’t in-network.
Anthem sells two general types of plans on the individual marketplace: those labeled Pathway, which include UCHealth hospitals and doctors, and Pathway Essentials, which don’t. The plan description on the Connect for Health Colorado website mistakenly listed UCHealth as in-network for both types of plans.
Mistakes like that are rare, and this one triggered an open enrollment period from May to July for people who want to switch plans, said Nina Schwartz, senior director of policy and external affairs at Connect for Health Colorado.
When patients go to an in-network provider, they pay an agreed-upon share of their care costs. If they go to an out-of-network provider, they can get stuck with a bill for the difference between the amount their insurer paid and their provider charged. Federal and state law prohibits such “surprise bills” in the case of emergencies, but not for scheduled care.
Dan Weaver, spokesman for UCHealth, said the system knew it wasn’t in-network with the Essentials plans, so the incorrect information had no effect on its operations. The system screens patients so they know if they’re going out-of-network for care, he said.
Anthem estimated about 20,000 people, out of roughly 1.5 million customers in Colorado, had purchased plans involved in the mix-up. It didn’t have information about how many had switched because of it. The company attributed the mistake to a computer error.
“The health of our members is our top priority and we worked quickly with Connect for Health Colorado and the Division of Insurance to correct this mistake,” spokeswoman Emily Snooks said in a statement.
Chris Citron, of Denver, said the news was confusing for her family. She manages an adult relative’s health insurance, and said she had chosen the plan specifically so her relative could stay with familiar doctors, who work at UCHealth.
“I was incredulous,” she said. “I thought that was bait-and-switch.”
The letter customers received said they could continue to see UCHealth doctors at in-network rates for the rest of the year if another provider had referred them to the health system. But Citron said it hasn’t worked out easily for her family so far. She called Anthem multiple times to verify that her relative’s appointment would be covered at in-network rates, but still got an out-of-network bill that she’s trying to sort out.
Ideally, she’d like to sign up with a new plan to keep UCHealth in-network for her relative next year, but isn’t sure if she’ll be able to find one. Most plans sold on the individual marketplace for Denver don’t include that health system.
“I’m really worried, because there are hardly any alternatives,” she said.
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Originally Published:
Denver, CO
Esther Romero
Esther Romero
OBITUARY
Esther Romero (Lopez), 84, entered into eternal rest surrounded by her loving family. Born in Mt. Harris, Colorado, a small coal mining town near Steamboat Springs, her family moved to Denver in 1950. She graduated from North High School in 1957 and was the first in her family to attend college. She left for Colorado State College now UNC in 1958 where she soon met the love of her life and future husband Richard Romero. Esther graduated in 1961, married a week later, and together moved to Castle Rock where she began her career as an educator. Before long they returned to Denver where their three daughters were born. In 1972, Esther became one of Denver Public Schools first bilingual bicultural teachers and soon earned her Masters Degree from UNC. A passionate advocate, she understood the value of building a strong educational foundation in a child’s home language and honoring culture while also learning English. She taught at Elmwood, Del Pueblo, and Fairmont elementaries. A founding member of the Congress of Hispanic Educators (CHE), Esther served as president for many years helping to ensure children in DPS had access to a quality bilingual education. She continued this work through her final days. Esther taught for 30 years, was recognized as a master teacher of children, an exceptional mentor and coach to future educators, and served as a liaison between CU-Denver and DPS. She was a member of Delta Kappa Gamma.
Esther enjoyed traveling with family and friends to Mexico, Europe, South America, the Caribbean, and almost all fifty states. She and Richard were avid Broncos fans holding season tickets since 1970, traveling to two Super Bowls. She loved organizing family gatherings, gambling trips, camping, reading, puzzles, and playing games with family. She had the unique ability to make everyone feel seen, heard, valued, and loved.
She was preceded in death by her parents Luis and Tommie G. Lopez, devoted husband Richard Romero, brother Baltazar Lopez ( Lourdes) and survived by her loving daughters Rosana (Dean) Trujillo, Carla (Arturo) Perez, Diana (John) Romero Campbell, and her grandchildren Arturito, Juliana, Claudia, Sofia, Orlando, Geronimo and Alicia, her sister Alice (Joe) Marquez, brothers Louie (Pat dec.) Lopez, Davey (Pat dec.) Lopez, Robert (Shari) Lopez, Ray (Melva) Lopez, and numerous extended family members. Please see www.cfcscolorado.org for service details.
Denver, CO
Denver Salvation Army needs more bell ringers to support the community
The Salvation Army provides shelter, meals, and support for families in need in our community every day, but they need help to raise those donations.
They have put out a call for paid and volunteer bell ringers to collect donations vital to support their programs and services.
All of the donations raised go to serve the Denver community. Funds go to serve families struggling to feed their children or provide gifts during the holidays as well as disaster services and much more for the residents of the Denver metro area.
Bell ringers get to pick their hours and location, and friends and families are encouraged to volunteer together and give back to the community.
Those interested in volunteering can sign up online at www.registertoring.com. To find a paid bell ringer position, applicants can visit the Salvation Corps nearest to their neighborhood.
A listing of all Denver area Corps locations is available at visiting.denver.salvationarmy.org. Applicants must be 18 or over to have a paid bell ringing position.
Denver, CO
Colorado weather: White Christmas hopes dwindling in Denver
Denver residents wishing for a snowy Christmas this year could be disappointed, as forecasters say the metro area can look forward to a mild weekend followed by a cool, sunny week.
Temperatures are expected to reach highs in the low 60s this weekend, with clouds encroaching Sunday and overnight lows in the mid 30s, according to the National Weather Service.
Highs of 54 and 53 are forecast Monday and Tuesday, falling to 49 on Christmas, with some clouds.
A slight chance of rain and snow showers before 11 p.m. remains Wednesday night, with more showers possible Thursday and Friday in the metro area.
Light snow will likely fall in the mountains Monday, Wednesday and Friday, the NWS reports.
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