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Patient rights activist wins battle to die in hospice with bills reimbursed

Posted by Kay Lazar  June 15, 2009 02:49 PM
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Judi Chamberlin of Arlington, a patient advocate known for championing the rights of the mentally ill, has won her battle to have her unpaid hospice bills reimbursed by her insurance company.

judi.JPGJudi Chamberlin's final wishes are to die at home.

Chamberlin received a letter yesterday from UnitedHealthcare saying the charges have been "reprocessed" for payment. The 64-year-old author and advocate is dying of chronic obstructive pulmonary disease, an incurable lung disorder. Her plight was described in a Globe story last month.

"Please accept our sincere apologies for your frustration and inconvenience while trying to resolve issues with your claims," stated the letter from UnitedHealthcare appeals coordinator Ana Valdes.

"We strive to provide the highest level of customer service possible, and we expect that from all our employees," the letter continued. "We appreciate you taking your time to bring this matter to our attention. Information like this helps us improve the services we provide."

Thirty years ago, Chamberlin authored a seminal book touting patient control in mental health treatment. Late last year, as her lungs grew weak, Chamberlin decided to halt hospitalizations and instead receive home hospice care, which manages pain and emotional needs, but offers no curative treatment.

But United Healthcare informed Chamberlin, 64, in late April that she had "used up" all of her hospice coverage. That benefit is limited to $5,000 in the insurance plan Chamberlin has. The company told her she could file an appeal for an extension.

In her appeal, Chamberlin noted that it would be cheaper for the company to cover hospice than pay thousands of dollars each time she needs to be hospitalized. Chamberlin's doctor also attested to her medical need for hospice care.

As she waited weeks for the insurance company to decide her case, officials from a new hospice provider -- Arlington-based Visiting Nurse and Community Health -- read about her battle and offered to care for Chamberlin for free.

Chamberlin, who was having difficulty breathing and talking today, said she was relieved her insurance battle was over.


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About white coat notes

White Coat Notes covers the latest from the health care industry, hospitals, doctors offices, labs, insurers, and the corridors of government. Chelsea Conaboy previously covered health care for The Philadelphia Inquirer. Write her at cconaboy@boston.com. Follow her on Twitter: @cconaboy.
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