Firefighters in San Francisco are uniting to fight for their colleague, retired firefighter Ken Jones, who was denied cancer treatment by Blue Shield due to a policy disagreement with the Centers for Medicare and Medicaid Services (CMS). The dispute highlights the challenges faced by city employees and retirees when seeking medical coverage through the city's health plan.
Jones' case has sparked an investigation into other cases where cancer treatments have been denied by Blue Shield. The city's mayor has vowed to support firefighters, stating that the city will "get to the bottom of this" and ensure those affected receive fair treatment. San Francisco Supervisors Matt Dorsey and Connie Chan sent a letter to the health service system, expressing their concerns and promising to use every available tool to hold Blue Shield accountable.
The issue has drawn attention from organizations such as the Cancer Prevention Foundation, which notes that firefighters with cancer diagnoses have a higher mortality rate compared to the general population. Tony Stefani, with the foundation, said that "65% of men and women in our profession are going to contract some form of cancer in their lifetime, some of whom will be fatal."
Blue Shield has defended its policies, stating that they must follow medical policy established by CMS and ensure patients receive safe and effective care covered under Medicare. However, the company acknowledged that members have appeal rights through independent review organizations designated by CMS.
The dispute raises questions about the adequacy of health insurance coverage for city employees and retirees. As one supervisor asked, "What can the board do?" The city's response will likely involve a thorough examination of its agreement with Blue Shield and potential breach of contract claims.
In a show of solidarity, current and retired firefighters gathered at City Hall to demonstrate their support for Jones and other affected individuals. The event highlights the importance of advocating for workers' rights and ensuring that those who have served their communities receive fair treatment in the event of illness or injury.
Jones' case has sparked an investigation into other cases where cancer treatments have been denied by Blue Shield. The city's mayor has vowed to support firefighters, stating that the city will "get to the bottom of this" and ensure those affected receive fair treatment. San Francisco Supervisors Matt Dorsey and Connie Chan sent a letter to the health service system, expressing their concerns and promising to use every available tool to hold Blue Shield accountable.
The issue has drawn attention from organizations such as the Cancer Prevention Foundation, which notes that firefighters with cancer diagnoses have a higher mortality rate compared to the general population. Tony Stefani, with the foundation, said that "65% of men and women in our profession are going to contract some form of cancer in their lifetime, some of whom will be fatal."
Blue Shield has defended its policies, stating that they must follow medical policy established by CMS and ensure patients receive safe and effective care covered under Medicare. However, the company acknowledged that members have appeal rights through independent review organizations designated by CMS.
The dispute raises questions about the adequacy of health insurance coverage for city employees and retirees. As one supervisor asked, "What can the board do?" The city's response will likely involve a thorough examination of its agreement with Blue Shield and potential breach of contract claims.
In a show of solidarity, current and retired firefighters gathered at City Hall to demonstrate their support for Jones and other affected individuals. The event highlights the importance of advocating for workers' rights and ensuring that those who have served their communities receive fair treatment in the event of illness or injury.