kpix-7-2013-masthead kcbs 7-2013-masthead

Local

Sonoma County Man Battling Cancer Denied Coverage By Anthem Blue Cross After Paying $100K In Premiums

View Comments
Andria-Borba_BIO-HEAD Andria Borba
Andria Borba joined KPIX 5 in October 2013. Born in Modesto, raised in...
Read More

CBS SF Bay (con't)

Affordable Care Act Updates: CBSSanFrancisco.com/ACA

Health News & Information: CBSSanFrancisco.com/Health

Trending Stories On CBS SF

weed wildfire 091514 Sonoma County Man Battling Cancer Denied Coverage By Anthem Blue Cross After Paying $100K In PremiumsWildfire In Northern California Town Of Weed Burns 100 Homes, At Least 1,500 Evacuated

hurricane odile Sonoma County Man Battling Cancer Denied Coverage By Anthem Blue Cross After Paying $100K In PremiumsHurricane Odile Slams Into Mexico’s Baja California Peninsula Near Cabo San Lucas

jung Sonoma County Man Battling Cancer Denied Coverage By Anthem Blue Cross After Paying $100K In PremiumsNotorious Ex-Cocaine Kingpin George Jung Out of Prison, Living In San Francisco

strange lights Sonoma County Man Battling Cancer Denied Coverage By Anthem Blue Cross After Paying $100K In PremiumsWhat Was That Strange Streak Of Light In The Bay Area Sky Friday Morning?

marijuanagrowing Sonoma County Man Battling Cancer Denied Coverage By Anthem Blue Cross After Paying $100K In PremiumsMysterious Men Dropping From Helicopters To Chop Down NorCal Marijuana Grows

CAMP MEEKER (CBS SF) — A Sonoma County man battling more than a dozen tumors in his body is fighting a new battle with his insurance carrier, who has denied coverage for his treatments.

Jeffrey Rusch of Camp Meeker knew the news was bad when an MRI found 20 tumors in his brain. Two days later, a C-T scan at Sutter medical center in Santa Rosa brought another devastating blow, discovering a large tumor in his lungs, and more in his liver and bones.

UPDATE: Anthem Blue Cross To Cover Sonoma County Cancer Patient After KPIX 5 Report

Doctors told Jeffrey he would need to be hospitalized immediately.

“My husband was having a lot of difficulty breathing already, and he was getting a lot worse, so we went to the hospital and they admitted him immediately,” Jeffrey’s wife Zoe Keating said.

Related Links:

In the hospital, doctors removed a half-liter of fluid from Jeffrey’s lungs, and gave him steroids to reduce brain swelling. Doctors administered emergency chemotherapy.

Then came even more devastating news: Anthem Blue Cross was denying their coverage for the treatments.

The family received a letter from the insurance provider, saying his hospital stay didn’t meet the criteria for medical necessity.

“It’s like an attack on my family. It feels that way,” Rusch said.

Jeffrey and Zoe have been Anthem members since 2008, and estimate they’ve paid $100-thousand in premiums.

“I would call saving my husband’s life medically necessary,” Zoe said.

Anthem was unable to comment on the case without a signed HIPAA release form from Rusch.

View Comments
blog comments powered by Disqus
Follow

Get every new post delivered to your Inbox.

Join 53,914 other followers