A Canadian mother's million dollar medical bill for giving birth in the U.S.
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A Canadian mother has been saddled with a one million dollar medical bill. The reason for the outrageous bill? Because she’s a new mother. Jennifer Huculak-Kimmel and her husband, who are both citizens of Canada, took a vacation last year to Hawaii. Jennifer was six months pregnant at the time, but she gave birth nearly three months early. Rushed to the hospital via helicopter, she gave birth to a premature baby girl, who needed six weeks in intensive care and 14 weeks total in the hospital until the family could bring her home.
Writes the Canada Journal on Nov. 19: “New babies are always expensive, but a Saskatchewan couple has been hit with a $1 million bill after delivering their daughter prematurely in Hawaii. Their travel insurance provider, Saskatchewan Blue Cross, is refusing to pay for any of it, citing a pre-existing condition clause.”
The “pre-condition” cited by the provider was the fact Jennifer was pregnant, coinciding with a bladder infection she had prior to leaving. She disputes that, claiming her Blue Cross travel insurance advised her that any medical needs would extend to her while they were on holiday. Jennifer also says she was given permission from her doctor – in writing – to travel.
“I had an ultrasound four days before we flew down there. The doctor said, ‘There is no reason you can’t go to Hawaii. You and your baby are healthy,’” she said. “We thought we did everything right. We thought we were covered. We did the doctor’s appointment, we got the OK. We did the Blue Cross thing. It’s kind of a really hard fall when you think that you prepared yourself.”
Huculak is happy to report that their daughter "Reese" is healthy, for which they are eternally grateful to the doctors and staff in Hawaii. “We’re very fortunate and we count our blessing that we have a healthy baby but it still hangs over your head every day,” she said. “I wish someone would’ve warned me. I wish someone would’ve took me aside and said, ‘Hey, you need to get more information.’”
After the 14-week hospital stay, the $950,000 medical bill arrived. “It makes you sick to your stomach. Who can pay a million-dollar medical bill? Who can afford that?” she said, according to The Spread It. The family is now contemplating legal action, bankruptcy, or doing nothing.
Saskatchewan Blue Cross commented that they refused coverage because Huculak was involved in “a high-risk pregnancy.” Per the company’s statement, issued at the time she was in the hospital:
Ms. Huculak was diagnosed and treated for a high-risk pregnancy in the six months prior to departure. As Ms. Huculak is currently hospitalized and being treated for this high-risk pregnancy, any expenses incurred are not eligible under the terms of your policy.
Funny though. I used to live in Buffalo. And, we had droves of Canadians coming to Buffalo Hospitals to get their gallbladders removed and other assorted things.
Funny though. I used to live in Buffalo. And, we had droves of Canadians coming to Buffalo Hospitals to get their gallbladders removed and other assorted things.
My sister use to live in Michigan, she said the same thing. Canadians were driving across to use American Doctors. They did not care for the system.
She didn't come here for medical attention, she came here for vacation. To twist this story to be a canadians hate their socialised medicine is disingenuous. BCBS will not pay this.
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Maybe she'll learn to keep her c0ck-holster closed. -- Edited by huskerbb on Sunday 9th of November 2014 01:32:19 PM
She didn't come here for medical attention, she came here for vacation. To twist this story to be a canadians hate their socialised medicine is disingenuous. BCBS will not pay this.
Well that really sucks for the American hospital, doesn't it? Because the family isn't going to pay it, either, and what will the hospital do to a couple that lives in another country?
BCBS SHOULD pay it.
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LawyerLady
I can explain it to you, but I can't understand it for you.
The hospital will sue Saskatchewan Blue Cross and the mother. The insurance company accepted her policy with the knowledge of her pre-existing conditions, and they will probably be liable.
However, it might depend on the fine print in their contract. Also, the fact that it's international will certainly complicate it.
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To be fair, I don't like our insurance system here anymore. It was so much better before lawsuits, regulations (even though some is needed). Insurance are always looking for ways to take your money and finding ways not to have to pay.
I know what my sister told me but It could be the area they live in Canada. I've heard some who really like the healthcare in Canada.
I know a well known and prominent Canadian that comes to the US for all of his health and dental needs. Even though he proclaims Socialism is the best way, his actions prove otherwise. He is able to pay out of pocket, so he comes here. Its interesting...
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Hopefully they will take the insurance company to court and win. I HIGHLY doubt they hid a pregnancy from them when the bought the insurance.
The hospital certainly shouldn't have to eat this bill.
I don't think this couple should, either. They did the responsible thing and purchased insurance for their trip.
This is part of the problem with government health care.
My own personal insurance is good overseas--so I wouldn't need special trip insurance. Canadians don't have private insurance, so they do need trip insurance, and in this case, the company isn't ponying up.
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Well, I could agree with you--but then we'd both be wrong.
To be fair, I don't like our insurance system here anymore. It was so much better before lawsuits, regulations (even though some is needed). Insurance are always looking for ways to take your money and finding ways not to have to pay.
I know what my sister told me but It could be the area they live in Canada. I've heard some who really like the healthcare in Canada.
I'm Canadian and I love our healthcare system. There are definitely differences between provinces, as healthcare is run by provincial, not federal government. This case, however, isn't an example of this. No Canadian healthcare system would cover out of country costs... The woman in the article bought travel health insurance which she had every reason to believe would cover her if she ran into an issue during her travels. The insurance company isn't paying. If she and/or the baby could have been transported to Canada, they absolutely would have been covered.
When I travel over country boundaries, I have a rider on my insurance to handle foreign Hospital bills. Ain't socialized medicine great?
I'm confused what this article has to do with socialized medicine. She needed to buy insurance. She bought insurance. Insurance didn't pay. I'm sure I can find thousands of articles in a quick google outlining issues americans have had with their health insurance declining coverage for crappy reasons. This particular case is just particularly notable because of the relatively extreme circumstances/costs (helicopter transport to the hospital, 6 weeks of bed rest, 14 weeks of NICU I believe) and the fact she happens to be Canadian.
BTW - most of us have private insurance (with companies like BCBS) in addition to our provincial healthcare, for supplemental services like prescriptions, massage/physio/chiro, upgrades to private rooms. if this mother is like most Canadians I know, they probably got this travel insurance either as part of their standard employer coverage or as a rider on their supplemental insurance.
When I travel over country boundaries, I have a rider on my insurance to handle foreign Hospital bills. Ain't socialized medicine great?
I'm confused what this article has to do with socialized medicine. She needed to buy insurance. She bought insurance. Insurance didn't pay. I'm sure I can find thousands of articles in a quick google outlining issues americans have had with their health insurance declining coverage for crappy reasons. This particular case is just particularly notable because of the relatively extreme circumstances/costs (helicopter transport to the hospital, 6 weeks of bed rest, 14 weeks of NICU I believe) and the fact she happens to be Canadian.
BTW - most of us have private insurance (with companies like BCBS) in addition to our provincial healthcare, for supplemental services like prescriptions, massage/physio/chiro, upgrades to private rooms. if this mother is like most Canadians I know, they probably got this travel insurance either as part of their standard employer coverage or as a rider on their supplemental insurance.
I made that comment not for relevance here but because I hate the idea of socialized medicine. Sorry.
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