Nurses Helping Nurses
allnurses Network: Central | Jobs | Books | Newsletter
allnurses: A Nursing Community for Nurses
Home General News Blogs Articles Students Region Specialty Degrees F.A.Q.
Nursing News /

Calif. teen's family sues Cigna over transplant



Did You Know?
allnurses is the largest community for nurses on the web. We now have over 385,663 members! Join today to network with other nurses, laugh, share, and much more.
Page 1 of 3 1 23 >

Dec 30, 2008 01:04 PM

Calif. teen's family sues Cigna over transplant

by jsrRN
Updated Dec 30, 2008 at 10:08 PM by brian

Calif. teen's family sues Cigna over transplant

© 2008 The Associated Press

Dec. 26, 2008, 5:56PM

LOS ANGELES — The family of a 17-year-old leukemia patient has sued health insurance giant Cigna Corp. for her death in 2007 after the company initially refused to pay for a liver transplant.

The lawsuit filed last week in Los Angeles County Superior Court by the family's attorney, Mark Geragos, alleges breach of contract, unfair business practices and intentional infliction of emotional distress. The suit accuses Cigna of delaying and rejecting valid claims, which resulted in the wrongful death of Nataline Sarkisyan.

The Philadelphia-based insurer eventually approved the transplant after Sarkisyan's family held a rally outside Cigna's suburban Los Angeles office. Nataline, however, died hours after the approval was secured.

Chris Curran, a spokesman for Cigna, said the company empathizes with the family but feels the lawsuit is without merit. Curran said Cigna volunteered to pay for the procedure out of its own pocket and not the employer's.
"This decision was made despite the fact that Cigna had no obligation to do so and despite concluding, based on the information available, that the treatment would be unproven and ineffective and therefore experimental and not covered by the employer's benefit plan," Curran said, reading from a statement.

But Charles Idelson, a spokesman for the California Nurses Association, said insurance companies are "in business to provide profits for shareholders, not to provide care."

Full Story: http://www.chron.com/disp/story.mpl/...n/6182733.html


A statement written by her mother is available at:
http://www.calnurses.org/media-cente...natalines.html

A video about the fight to save Nataline is available at:
http://www.youtube.com/watch?v=McGm0...e=channel_page

The approval letter from Cigna can be found at:
http://www.calnurses.org/assets/pdf/...ltr_122007.pdf


Share: Submit Thread to Facebook Submit Thread to Twitter Submit Thread to Technorati Submit Thread to Google Submit Thread to Reddit

Search Tags
cigna, insurance
Top

3 Readers Gave Kudos

 
Advertisement
Sponsored Links
 
Page 1 of 3 1 23 >
Reply
26 Comments
No. 1
from irish6363
Old Dec 30, 2008, 06:12 PM

Default Re: Calif. teen's family sues Cigna over transplant
Very sad....that is why I don't have an HMO for health coverage. Although this appears to be a trend with most all health insurance these days. My heart aches for her mother to feel sooooo helpless and not be able to save her childs life due to red tape and greed....absolutely pathetic and shameful for Cigna. Perhaps some heads will roll...... Makes me very very angry.
Top

3 Readers Gave Kudos
 
No. 2
Old Dec 30, 2008, 06:18 PM

Angry Re: Calif. teen's family sues Cigna over transplant
I work in a pediatric office, and we see things like this daily. Most insurance companies now don't want to pay for vaccines or they will pay for like $250.00 worth of vaccines which is nothing for a baby. They also are cutting well care coverage. It's pathetic.
Top

3 Readers Gave Kudos
 
No. 3
from TiredMD
Old Dec 30, 2008, 07:53 PM

Default Re: Calif. teen's family sues Cigna over transplant
Personally, I think the biggest mistake Cigna made was reversing itself and offering to pay for the transplant. Their original conclusion was correct: this patient was a poor candidate and giving her a liver would have been a waste of a precious resource. Why her physicians offered to do it in the first place is beyond me.
Top

5 Readers Gave Kudos
 
No. 4
from Ludlow
Old Dec 30, 2008, 10:01 PM

Default Re: Calif. teen's family sues Cigna over transplant
Originally Posted by TiredMD View Post
Personally, I think the biggest mistake Cigna made was reversing itself and offering to pay for the transplant. Their original conclusion was correct: this patient was a poor candidate and giving her a liver would have been a waste of a precious resource. Why her physicians offered to do it in the first place is beyond me.
Given that HER physicians who actually examined her and knew all the circumstances of her case said she qualified for the transplant, I don't get why you think you can call the case. Or are you like Bill Frist who can diagnose Terry Schiavo's brain health after viewing her in edited video? And please recall he was 100% wrong.
Top

3 Readers Gave Kudos
 
No. 5
from BabyLady
Old Dec 30, 2008, 10:15 PM

Default Re: Calif. teen's family sues Cigna over transplant
Transplants are experimental?????????????????
Top

1 Reader Gave Kudos
 
No. 6
Old Dec 30, 2008, 10:33 PM
Updated Dec 30, 2008 at 10:50 PM by haras regnurps

Default Re: Calif. teen's family sues Cigna over transplant
see next post.................
Top
 
No. 7
Old Dec 30, 2008, 10:47 PM

Nurse Re: Calif. teen's family sues Cigna over transplant
As a former Liver Transplant team member I can only say cudos to the family. It takes alot of guts to go up against the big guys..........tho I am sure that their lawyers probalby found the family to take the case ( just a hunch )
The insurance industry has been backpedaling for years and we as nurses all know it. You see the abuse everyday in whatever system you work in public private,-Hospitals, Doctors' offices, home health, it is everywhere.
This patient may not have been the most ideal candidate for a transplant but she was a candidate according to her doctors. Livers by the way do not just drop out of the sky............it sometimes takes weeks, months to get one. By refusing to pay and therefore not allowing her to be even put on the list -they delayed treatment !
A catastrophic error on their part. Reversing their original decision is going to cost them in court. My guess is that it will cost them big time. Wish that I would be getting the paychecks of just one of the lawyers involved with the case because at least they will get paid.
Top

6 Readers Gave Kudos
 
No. 8
Old Dec 30, 2008, 10:54 PM

Default Re: Calif. teen's family sues Cigna over transplant
Originally Posted by BabyLady View Post
Transplants are experimental?????????????????
Transplants aren't really considered experimental anymore
Top

1 Reader Gave Kudos
 
No. 9
Old Dec 31, 2008, 12:20 AM

Default Re: Calif. teen's family sues Cigna over transplant
A lot of information on the web about HMO's now and quite a bit negative.. http://www.makingakilling.org/chapter1.html .. some seem to go so far as to dictate the treatment options a doctor can discuss with their patients. IMO this is very sad.
Top

2 Readers Gave Kudos
 
Page 1 of 3 1 23 >
Reply




Thread Tools


Who's Online
218 members
2,043 guests
2,261

0

With...

1

Less regular sleep for ICU nurses may lead to errors

5

Nurse sends unused medical supplies to needy nations

18

Premature Births Are Fueling Higher Rates of Infant...

5

MRSA Strain Linked to High Death Rates

18

RI hospital fined $150,000 in 5th wrong-site surgery since...

60

Nursing: One of the 6 Thriving Jobs that are Here to Stay???

85

Dad Fights Hospital to Keep Baby on Life Support

11

A nurse can dream...about awesome nursing

13

California Nursing Situation - CINHC's plan to help New...



3

Why am I doing this, anyway?

0

Nurse Heal Thyself

6

My Papa, why I am the nurse I am today.

15

I made it through

11

An angel's gaze

13

A Sister Never Forgets

16

Ruby's Marbles

29

What Do Operating Room Nurses Do?

14

My Little Old Jedi

16

I love this job......

23

"I hear voices"

17

Preventing FRUTI (Foley Related Urinary Tract Infection) in...

23

Error and Attitude

10

It's Just a Shower

6

Searching for the Purpose





Sponsored Links

Currently Reading This Page: 1 (0 members & 1 guests)

Interested in the hottest topics of the week? Subscribe to the Nurse-zine Newsletter.
Enter email address: