Tuesday, November 17, 2009

Insurance Company Denies Coverage to 12-Year Old Boy Born Without Right Arm

Anyone not in favor of healthcare reform, should read this story by The Huffington Post.

The Huffington Post Investigative Fund's citizen journalism project writes that Benjamin French was born with his right arm missing below the elbow. In his 12 years, he has been fitted with seven prostheses. His most recent replacement will cost nearly $30,000 and his doctor says he will soon grow out of it.
But, according to his insurance company (Blue Cross Blue Shield of Michigan), the boy is ineligible for further coverage of prosthetic devices because he has already spent his lifetime maximum benefit.

Benjamin's family happens to live in Michigan, one of 33 states where insurance companies are allowed to set annual and lifetime caps on prosthetic coverage.

To no surprise, a spokesman for Blue Cross Blue Shield of Michigan said the insurance company could not comment on individual cases.

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