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TOP RED FLAGS Are you experiencing barriers to care? The following are exam­ples of barriers to care. - “Your doctor is on vacation” - “The manager is in a meeting” - “We’ll get back to you in a few days” - “There are no available appointments” - “We’re too busy” - “Have you spoken to someone in member services?” - “I’m a physician, I have nothing to do with administrative matters” -  Do you believe you are receiving quality health care?

Percentage of Claims Denied Jan-June 2009 by Kaiser Permanente United Health Care's PacifiCare 39.6 Cigna Health Care of California 32.7 Health Net 30.0 Kaiser Permanente 28.3 Blue Cross 27.0 Aetna 6.4

Source: California Nurse’s Association and the individual company reports posted on California Department of Managed Health care web site

From CNN - -

You know what happened to Gary Coleman and it can happen to you By Elizabeth Landau, CNN June 16, 2010 1:36 p.m. EDT

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