Jessica Mendoza
๐ค PersonAppearances Over Time
Podcast Appearances
He also sent it to the media, the governor of Missouri, and the secretary of the Federal Department of Health and Human Services. Because Ed had exhausted all his appeals with Anthem, the company had no obligation to respond. So Aaron, Ed, and their family just had to wait and hope. And then, in mid-July, Ed got an email saying the insurance company had overturned its denial.
He also sent it to the media, the governor of Missouri, and the secretary of the Federal Department of Health and Human Services. Because Ed had exhausted all his appeals with Anthem, the company had no obligation to respond. So Aaron, Ed, and their family just had to wait and hope. And then, in mid-July, Ed got an email saying the insurance company had overturned its denial.
Anthem would pay for the transplant.
Anthem would pay for the transplant.
Anthem would pay for the transplant.
About two months after the approval, Ed was able to get a new liver. And it didn't take long for him to get back out onto the golf course.
About two months after the approval, Ed was able to get a new liver. And it didn't take long for him to get back out onto the golf course.
About two months after the approval, Ed was able to get a new liver. And it didn't take long for him to get back out onto the golf course.
Ed says he thinks a lot about what Erin did to help him get the transplant.
Ed says he thinks a lot about what Erin did to help him get the transplant.
Ed says he thinks a lot about what Erin did to help him get the transplant.
Anthem said that this was a rare case. The company said it did not have access to the relevant research before its final denial, and that following a discussion between Ed's transplant surgeon and an Anthem physician, the transplant was approved. So for Ed and his family, it worked out in the end, but only after a tremendous amount of time and effort.
Anthem said that this was a rare case. The company said it did not have access to the relevant research before its final denial, and that following a discussion between Ed's transplant surgeon and an Anthem physician, the transplant was approved. So for Ed and his family, it worked out in the end, but only after a tremendous amount of time and effort.
Anthem said that this was a rare case. The company said it did not have access to the relevant research before its final denial, and that following a discussion between Ed's transplant surgeon and an Anthem physician, the transplant was approved. So for Ed and his family, it worked out in the end, but only after a tremendous amount of time and effort.
Erin says she feels lucky she had the resources to do this work. I asked Julie what the Stratton story tells us about health insurance in the U.S.
Erin says she feels lucky she had the resources to do this work. I asked Julie what the Stratton story tells us about health insurance in the U.S.
Erin says she feels lucky she had the resources to do this work. I asked Julie what the Stratton story tells us about health insurance in the U.S.
Right. And in the Stratton's case, they were able to get insurance to pay for the liver transplant eventually, but only 1% of people appeal insurance companies' decisions. Why do you think that is?
Right. And in the Stratton's case, they were able to get insurance to pay for the liver transplant eventually, but only 1% of people appeal insurance companies' decisions. Why do you think that is?
Right. And in the Stratton's case, they were able to get insurance to pay for the liver transplant eventually, but only 1% of people appeal insurance companies' decisions. Why do you think that is?