James Baar: Nightmare at the Exchange


Ask Christine Ferguson, Director of Rhode Island’s very own ObamaCare Exchange, HealthSource RI, and she will tell you it is “one of the most successful in the nation.”

Erik Brown, President of Erik Brown Photography, LLC, a small business that was one of HealthSource’s early clients, would disagree.

“I have never dealt with a worse run company in my life,” he says.  “Their gross incompetence put me through a four month nightmare.”

Here is how Brown, known for his wedding pictures and portraits, bitterly describes what the business schools call his “customer experience.”

In December, he enrolled online, swapping his private-sector Blue Cross health insurance policy for a Blue Cross policy through the exchange.  OK, his new deductible would jump from $5,000 to $8,000 per person.  OK, he found enrolling “so slow as if the data entered was being written down by someone and reentered with numerous errors.”  But he was lured by an approximately 30% subsidy on his premium.

In January and February, he had to guess when to pay his premiums, in the teeth of changing due dates appearing only on the Internet and the issuance of repeatedly incorrect receipts. Then in mid-February the exchange eliminated his subsidy without explanation.

In early March, he reluctantly paid his higher premium, which now equaled the premium on his old Blue Cross policy.  Then, when he bought prescriptions and sought medical service, he was informed by providers that he had no coverage.  An exchange “call center” staffer laughed and told him “not to worry; just a mistake; you are insured.”   But his “health providers” disagreed.

Finding HealthSource RI “call center” staffers “uninformed, useless or both,” he fought his way to their supervisors, who were also useless. Unable   to get through to Director Ferguson, Brown went directly to Governor Chafee’s office. There, all was “very relaxed, quiet, polite.”  The governor’s constituent affairs functionaries said Brown should be talking to the Exchange Management Office and put him in contact there.  Despite numerous phone calls, nothing happened.

Brown went to the RI attorney general and said he wanted to file a complaint.  No luck. The constituent affairs functionaries said “the AG had no jurisdiction,” but helpfully suggested that Brown file his complaint with the RI health insurance commissioner. Still no luck.  The health insurance commissioner’s office said “they had no jurisdiction,” but helpfully passed the complaint to, get ready for it, the Exchange Management Office.

In April, Brown gave up.  He reapplied to Blue Cross for his old private sector policy which now contained “unwanted additions” in line with Obamacare regulations.  But Blue Cross refused him because, despite all that had passed, records said he was still registered as a policy holder with Blue Cross through the exchange. A HealthSource RI staffer explained that, although his payments had been “delinquent,” they now were credited to him, making him paid-up through April.

Brown immediately went back to “Go.” He signed up again with private sector Blue Cross beginning in May. He cancelled his exchange-based Blue Cross effective April 30. And he has been left with allegedly “uncovered” medical claims totaling more than $2,500 plus $1,400 in mystery bills from his exchange-based plan.  The reason for the rejection:  The exchange Blue Cross agent said they had no record from HealthSource RI that Brown was insured when the medical services were provided.

In retrospect, now that he is again insured by private sector Blue Cross, Brown hopes that the story of his “customer experience” with the exchange will be a flashing warning to other Rhode Islanders.

He says when you deal with the exchange you learn quickly that it  is “a totally inept  operation” packaged in bureaucratic glue for which “no one in Rhode Island — not the governor, not the attorney general, not the health insurance commissioner — is accountable.”

But Brown notes with deep irony that HealthSource RI wants Rhode Island taxpayers to spend $17 to possibly $25 million to keep it alive in the future.

Asked what he thought should be done with the exchange, Brown suggested early mercy killing.

 

James Baar is an author and communications consultant residing in Providence and on his Web site, jamesbaarbooks.net.

QUICK SURVEY

Of the following two issues related to Rhode Island’s public schools, which one is a greater concern?

YOUR CART
  • No products in the cart.
0