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Insurance companies and the fatal mistakes they make

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Insurance companies and the fatal mistakes they make Empty Insurance companies and the fatal mistakes they make

Post by Rishi Tue Dec 31, 2013 9:46 pm

http://abcnews.go.com/Health/texas-mom-sues-insurance-denies-claim-daughter-dies/story?id=21371733

Texas nurse and mother has sued her insurance company after her 6-year-old daughter died of a brain injury when appendicitis surgery allegedly went wrong while the family was on vacation in the Dominican Republic in 2012.

Marissett Tolentino alleges in a lawsuit filed Dec. 17 in Galveston County Court that Blue Cross Blue Shield of Texas denied her sick daughter Isabella a medical jet that they were entitled to under their policy, which led to surgery "being performed in substandard conditions" at a local hospital.

Isabella had her appendix surgically removed at a BCBSTX-authorized facility, Hospiten Bavaro in Punta Cana, but she never came out of the anesthesia and suffered a fatal brain injury, the lawsuit alleges.

Eventually, the insurance company approved the medical jet and airlifted the little girl to Miami, but it was too late to save her, according to the lawsuit.

"They gave her the dosage equivalent of a 6-foot, 200-pound man. And she was intubated with an infant-sized tube instead of a toddler one. Not only was she drugged up on so much anesthesia, she wasn't breathing the right amount of oxygen," explained the lawyer for the Tolentinos, Mason Herring of Houston.

The wrong-sized breathing tube was discovered when Isabella was airlifted to Miami and the medical team aboard the jet found mucus clogging the tube, according to Herring.

Tolentino and her husband Francisco allege in their lawsuit that the insurance company was too cheap to initially approve the flight.

"I just thought, I've been paying all these premiums all these years and then when I really needed them, they wouldn't pay for an $18,000 flight," Tolentino told the Houston Chronicle, which first reported the story. "I have to deal with the daily struggles of losing my child over something so stupid -- them flying her home."

Rishi

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