![]() ![]() Lynch and Roffman wrote to Blue Cross/Blue Shield and explained the diagnosis and their basis for recommending the surgery. In preparation for the surgery, appellant filed a claim with Blue Cross/Blue Shield. Lynch's diagnosis and agreed that the recommended surgery was *648 the most medically appropriate treatment available.Īfter considering the diagnosis and recommended treatment, appellant decided to have the surgery. Lynch then recommended that appellant have a total abdominal hysterectomy and bilateral salpingo-oophorectomy, which involves the removal of the uterus, the ovaries, and the fallopian tubes. Lynch diagnosed her as suffering from a genetic condition known as breast-ovarian carcinoma syndrome. After examining appellant and investigating her family's medical history, Dr. Lynch regarding her family's history of breast and ovarian cancer, and particularly her health in relation to such a history. In January 1990, upon the recommendation of her gynecologist, Dr. We reverse the decision of the district court and remand the cause for further proceedings. This action concerns the determination of what constitutes an illness within the meaning of a health insurance policy issued by appellee, Blue Cross/Blue Shield of Nebraska. This appeal arises from a summary judgment issued by the Douglas County District Court dismissing appellant Sindie Katskee's action for breach of contract. HASTINGS, C.J., and BOSLAUGH, WHITE, CAPORALE, FAHRNBRUCH, and LANPHIER, JJ. Fleming, McGrath, North, Mullin & Kratz, P.C., Omaha, for appellee. Mooney, Gross & Welch, Omaha, for appellant. In 2021, BCBS of Michigan took over sole ownership of the company, which provides tools to support a wide range of insurance functions including membership management, claims processing and customer service.BLUE CROSS/BLUE SHIELD OF NEBRASKA, Appellee. “We would not have been able to do that without their partnership and help,” George said.īCBS of Vermont had also been a co-owner of NASCO, a healthcare information technology firm, with BCBS of Michigan and four other Blue insurers. Seven of 12 current board members would stay on, with the five seats coming open to be filled with executives and board members from BCBS of Michigan, George said.īCBS of Vermont first partnered with its Michigan counterpart to roll out its Vermont Blue Advantage plan through the Medicare Part C program, also known as Medicare Advantage, in late 2020. Its board of directors would be reconstituted, though Vermont members would retain a majority. All premium dollars and reserve funds would remain in state to pay claims and fund operations. The Vermont insurer covers around 200,000 people.īlue Cross and Blue Shield of Vermont would keep its name and remain headquartered in Berlin with the same leadership team and workforce. BCBS of Michigan is that state’s largest insurer and provides coverage for around 5.2 million people, around 3.9 million of them in Michigan. The affiliation allows Vermonters to take advantage of the resources available to BCBS of Michigan because of the latter’s scale. “Through this partnership, we will access advanced technology and capabilities and new program capacity for our members and customers without having to build or purchase them ourselves,” he said in an interview. ![]() The Vermont organization’s decision to affiliate with its Detroit-based counterpart, announced Monday, would give the state’s largest provider of health insurance access to a more sophisticated array of digital technology than it could afford on its own, according to BCBS of Vermont CEO Don George. File photo by Andrew Stein/VTDiggerīlue Cross and Blue Shield of Vermont is seeking to become part of the Blue Cross Blue Shield of Michigan “family of companies.” Blue Cross Blue Shield of Vermont headquarters in Berlin. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |