Connect with us

Denver, CO

Insurance plan mix-up left 20,000 Colorado Anthem customers out-of-network with UCHealth

Published

on

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.

Advertisement

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.”

Advertisement

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.

Sign up for our weekly newsletter to get health news sent straight to your inbox.

Originally Published:

Advertisement



Source link

Continue Reading
Advertisement
Click to comment

Leave a Reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.

Denver, CO

Superlek Attains Two-Sport Glory With Crushing KO Of Jonathan Haggerty At ONE 168: Denver

Published

on

Superlek Attains Two-Sport Glory With Crushing KO Of Jonathan Haggerty At ONE 168: Denver


“The Kicking Machine” Superlek Kiatmoo9 continued his glorious ride to the Mount Rushmore of Muay Thai with a scintillating sub-minute knockout of Jonathan “The General” Haggerty in the main event of ONE 168: Denver.

The ONE Flyweight Kickboxing World Champion arrived inside the packed Ball Arena in Denver, Colorado, game to prove why he’s widely regarded as the best pound-for-pound striker in the world today. And he couldn’t have written the script any better.

He captured the Englishman’s ONE Bantamweight Muay Thai World Title to join an elite list of two-sport World Champions at the organization’s second on-ground spectacle in the U.S., which aired live in North American primetime on Friday, September 6.

It wasn’t all one-way traffic, though, as the Kiatmoo9 Gym athlete was forced to deal with a heavy onslaught from Haggerty. The two-sport king came in guns blazing, working behind his left straights and sweeping low kicks.

Advertisement

Despite standing in the face of adversity, Superlek didn’t throw any caution to the wind. Instead, the muay femur stylist stuck to what he does best – setting up traps.

Needless to say, Haggerty took the bait and launched into enemy territory with a right punch. At that moment, Superlek evaded and countered with a right elbow and, coupled with Haggerty’s forward momentum, left the latter flattened on the canvas.

Although Haggerty displayed the heart of a champion to regain his footing, he failed to beat the eight-count, thus handing the Thai megastar the knockout victory inside just 49 seconds.

Superlek’s win was his 11th straight in the world’s largest martial arts organization and pushed his overall record to an impressive 139-29.

At the same time, the newly crowned two-sport king claimed a US$50,000 performance bonus from ONE Chairman and CEO Chatri Sityodtong and stopped Haggerty’s six-fight winning streak.

Advertisement





Source link

Continue Reading

Denver, CO

Denver, a sanctuary city, is considering proposal to house migrants in elementary school: mayor's office

Published

on

Denver, a sanctuary city, is considering proposal to house migrants in elementary school: mayor's office


Join Fox News for access to this content

You have reached your maximum number of articles. Log in or create an account FREE of charge to continue reading.

By entering your email and pushing continue, you are agreeing to Fox News’ Terms of Use and Privacy Policy, which includes our Notice of Financial Incentive.

Please enter a valid email address.

Having trouble? Click here.

Fox News confirmed Friday that a vacant elementary school building in Denver, Colorado, may be turned into a migrant shelter.

Advertisement

A spokesperson for Democratic Mayor Mike Johnston said the building has been “identified as a potential migrant shelter, but nothing is final and there’s no paperwork,” adding the city has been “looking for buildings that would be suited as an emergency shelter.” 

A spokesperson for Denver Public Schools, which owns the vacant building, told Fox News, “No determination has been made yet.”

ICE CONFIRMS AURORA, COLORADO GANG MEMBERS ARE IN THE UNITED STATES ILLEGALLY, RELEASED BY BIDEN ADMIN

Denver is a sanctuary city, meaning it does not enforce immigration law, nor does the city cooperate with Immigration and Customs Enforcement agents.

“The location you reference has been looked at as a possible site to provide temporary shelter for newcomers,” Jon Ewing, a spokesperson for the Denver mayor’s office, clarified to Fox News. “No decisions have been made, nor contracts signed.

Advertisement

“It’s also probably worth pointing out that very few newcomers are in shelter at this time. In all of August, we saw around 150 people come through our shelter system, many of whom stayed for only a matter of hours before departing for other locations.”

Alleged members of the Tren de Aragua gang have overtaken an apartment building in Aurora, Colo., charging rent in exchange for “protection.” (Edward Romero)

GOP lawmakers have sounded the alarm on sanctuary city and open border policies in light of transnational gang activity in Colorado. The Tren de Aragua gang has been involved in apartment takeovers in Aurora, as seen in viral surveillance video that surfaced last week.

“The situation in Aurora, Colorado, is just the tip of the iceberg of the problems that come with the Biden-Harris administration’s open border policies. While gangs overrun our cities, Gov. Polis and Mayor Coffman are complicit in the violence unfolding there that is putting Americans in danger,” Congresswoman Anna Paulina Luna told Fox News Digital. 

“These criminals are reportedly involved in human trafficking and sexual abuse of minors. We must quickly put an end to the wave of illegal aliens pouring into our country and ensure that justice is served for the victims of these monstrous acts.”

Advertisement

VENEZUELAN GANG’S ALLEGED TAKEOVER OF AURORA, COLORADO APARTMENTS BEGAN IN 2023: REPORT

Four Venezuelan nationals confirmed to be involved with Tren de Aragua were arrested in Aurora in a shooting outside one of the overtaken apartment buildings July 28.

In a letter shared with the Daily Caller News Foundation, GOP lawmakers wrote, “The Biden-Harris Administration’s open border policies coupled with the state of Colorado’s sanctuary policies and the city of Denver’s sanctuary city status have fueled and exasperated the immigration crisis in Colorado.”

The GOP lawmakers who penned the letter include Rep. Chip Roy of Texas and Lauren Boebert, Doug Lamborn and Greg Lopez of Colorado.

Occupied apartment building with "Venezuela" graffiti

This apartment building was overrun by alleged gang members who changed the locks, according to one resident. (Council member Danielle Jurinsky)

“Multiple local elected officials and the nonpartisan Perkins Coie law firm that was hired to investigate the takeover have confirmed numerous criminal acts committed by TdA gang members including threats of murder, robbery, extortion, trespassing, assaults and battery, aggravated assault with a deadly weapon, drug related crimes, stolen vehicles, human trafficking and sexual abuse of minors,” the letter continued.

Advertisement

“Non sanctuary cities and neighboring communities have suffered harm from these policies and don’t have the resources or authorities to mitigate the influx of illegal aliens and TdA gang members.”

Aurora City Council Member Danielle Jurinsky told Fox News Digital, “Denver’s sanctuary policies and their approach to handling this migrant crisis is further exacerbating the problem and continuing to put American kids last.”

CLICK HERE TO GET THE FOX NEWS APP

The offices of representatives Roy and Boebert did not respond to Fox News Digital’s request for comment before publication.



Source link

Advertisement
Continue Reading

Denver, CO

Broncos vs. Seahawks score predictions

Published

on

Broncos vs. Seahawks score predictions


We’re back with another season of predicting the score here at Mile High Report. Expect the optimism to again be Rocky Mountain high here, but we’ve all rapidly become bo-lievers in the 2024 Denver Broncos and only some bad outcomes in games will start to change that mood.

With Bo Nix, we should temper those expectations as he is a rookie making his first NFL start against a decent Seattle Seahawks team in front of a very hostile crowd. Win or lose, I think most of us hope to see good decision-making and efficiency from the rook, along with a solid run game and good defense.

As for score predictions, the consensus final score from our staff is a 26-19 Broncos road win over the Seahawks. Always with the optimism in Week 1 and I wouldn’t have it any other way.

Here is how we see things playing out on an individual basis:

Advertisement

Broncos 20, Seahawks 16

In a tight game, the Broncos get one more red zone touchdown than Seattle and eek out a tough road win to start the season. The difference maker being the Broncos’ interior defensive line that is suddenly a force to be reckoned with after being a bit of a weakness last season. Bo Nix has a an efficient, if pedestrian, stat line where the offense is mostly carried by a solid 1-2 punch from Javonte Williams and Jaleel McLaughlin. 1-0 would surely feel good. – Tim Lynch

Broncos 27, Seahawks 14

Bo Nix doesn’t make the spectacular play, but it’s his consistency that is spectacular. He relentlessly marches his team down the field, wearing Seattle down. The defense gets to do something it rarely does — play with a lead. They enjoy this very much. – Mike DeCicco

Broncos 24, Seahawks 20

The Bo Nix Era starts off with a win on the road against the Seattle Seahawks. This will be a good test for the Broncos’ offensive line and Nix. with Leonard Williams, Jarran Reed, Dre’Mont Jones, Johnathan Hankins and Byron Murphy II are quality players on their defensive line. How the Broncos’ offensive line holds up and Nix deals with pressure will be a major tipping point in this game. I’ve got the Broncos winning this one and starting off the season on the right foot. – Chris Hart

Broncos 26, Seahawks 19

I expect a few bumps in the road, but this game reads like a win. The Broncos are going to surprise some people this season, and they will grab a win here. Bo Nix will lean on the run game, and follow that up with mostly quick short passes. Sean Payton will control the clock, and with a few touchdowns and field goals, the Bo Nix era will be off and running. – Adam Malnati

Broncos 24, Seahawks 20

Let’s be real: neither fanbase has a very clear idea of what these two teams are. This will be the first opportunity for both to show what they are to the world under vastly different circumstances than they had last season. This prediction is based off numbers I hit on a dart board, because anyone saying they have a pulse on what Denver and Seattle will do Week 1 is full of nonsense. – Sadaraine

Advertisement

Broncos 27, Seahawks 23

Nix throws two TDs while the defense comes up with a few turnovers and a late stop to get the big road win. The good news is Payton and Nix will know the situation and not rely on Wil Lutz to kick a 64-yard field goal to win the game. The Nix era starts with a big road win. – Ian St. Clair

Broncos 31, Seahawks 17

Bo Nix will lead the Broncos to an opening week victory and continue the success we saw during the preseason. In a tough environment, the rookie QB throws for 2 TDs and for 250+ yards. The Broncos run game will be consistent and be a difference maker in this game. Jaleel McLaughlin will make plays as a runner and receiver in this one.

The Broncos pass rush will get after Geno Smith all game and forcing him to throw two INTs. Ja’Quan McMillion will get one and Brandon Johnson will get another to win over Broncos Country.

The Seahawks have had the Broncos number in recent history but this game will finally turn the tide in the Broncos favor. – Scotty Payne

Broncos 27, Seahawks 23

It’ll be a close game, but there’s no way that this ends up like their previous Week 1 matchup from a couple of years ago. The Seahawks do pose a formidable threat with their front seven and exotic and common blitzing scheme from that new head coach Mike Macdonald brought from Baltimore, but the Payton and Denver’s offensive line have had all offseason to prepare for it. As long as they can get the run game going, Bo Nix’s ability to make pre-snap reads and get the ball out of his hands quickly should go a long way on Sunday. – Ross Allen

Advertisement
What is your score prediction for the Broncos-Seahawks game? Let us know in the comments section below.



Source link

Continue Reading

Trending