Anthem Blue Cross 2005 Annual Report Download - page 7

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5
WellPoint Through the Eyes of the Consumer
trusted choice for consumers
We really feel that our case manager
is on our side.tonya haas
boulder county, colorado
In March 2005, Philip Haas suffered severe hip and leg injuries in a motorcycle
accident. After a month in the hospital, including 14 days in intensive care, Phil still
faced months of recovery. Fortunately, Phil’s wife Tonya had medical coverage from
Anthem Blue Cross and Blue Shield, and they were assisted by Glenda Martin, a nurse
case manager.
“Glenda has been a godsend,” says Tonya, who had to deal with Phil’s medical
care along with the responsibilities of a demanding job and two teenage children.
“I honestly don’t know how I could have gotten through it without her.
“Glenda was instrumental not only in helping me navigate through the insurance
hoops, but in seeing that my husband got the care he truly needed,” says Tonya. Glenda
helped ensure that Phil could continue to receive care from the non-network physician
who performed the initial emergency surgery. She also helped get prescriptions for
pain medication approved in a timely manner.
“She called just to see how I was doing,” says Phil. “That’s a human touch you don’t
expect from an insurance company.
After being home from the hospital a couple of months, Phil began having trouble
with his emotions, cognition, and memory. While talking with Phil on the phone,
Glenda recognized that he might have suffered a closed head injury and suggested
he see a neurologist — whose diagnosis confirmed Glenda’s hunch. As a result,
“Phil is doing much better in all respects under the treatment plan being monitored
by the neurologist,” says Tonya.
“Glenda always seems to be there when we need her most,” says Tonya, “and we
really feel that our case manager is on our side.” Glenda Martin is just one of the reasons
why consumers trust Anthem Blue Cross and Blue Shield.