A California veteran is having trouble finding a doctor because of a faulty Obamacare plan.
Kyle, affected by chronic Lyme disease he contracted while on active duty, is frustrated with the lack of doctor availability on his Anthem BlueCross insurance plan. "I was on the phone with Anthem for two hours while they were trying to find me a doctor within 20 miles. Finally a supervisor came on the phone and said ‘Sir, we have to go, we have other people to help’ and advised me [that] I need to cancel my plan," he told KPIX.
State law stipulates that insurers must have enough doctors to enable patients to get an appointment within 15 days within 15 miles of their home. Kyle was not able to find a doctor under these requirements and neither was Anthem. Inaccurately listed doctors are considered a violation of the law. The list of doctors given to CoveredCalifornia was incorrect.
"If we determine that a health plan has violated the law, we will take action," Marta Green of Department of Managed Health Care said in response.
Internal emails reveal one individual’s warning about listing doctors that are not actually on insurance plans "I suspect that we are going to have a network adequacy issue very soon."
Kyle advised CoveredCalifornia not to negotiate with Anthem. "I would tell them to get rid of Anthem BlueCross."