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Post by bobathon on Feb 5, 2018 17:47:47 GMT -5
FUCK am *I* in the goddamn middle?
Second time with two different specialties where, oh whoops, no authorized visits. Goddamn, health insurer, it takes way more than two months of PT to recover from rotator cuff repair, and you assholes fucking KNOW it (you also know the prostate checks will be until I die, you shitballs). There's no reason to keep coming back to you for more authorizations on this shit for at least 6 months. And Dr office, you call me two business days ahead to remind me (thank you), howzabout you confirm the paperwork is ready at that time, instead of cancelling the appointment THE NIGHT BEFORE? And now I have to play goddamn matchmaker because you two business entities can't attend to your fucking business? WTF are my payments paying for? It's not like I'm going to work instead, I made other plans, knowing I'd be here after my P-fucking-T, so I have to take ANOTHER day off to replace this delayed appointment! Fuckers! GRRRRRR.
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DA
mob associate
Hello? Is this thing on?
Posts: 589 
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Post by DA on Feb 5, 2018 18:28:26 GMT -5
I believe that if I would have been allowed to have my shoulder surgery within the 2 years I injured it, I wouldn't have lost my job. But no, I had to try numerous rounds of therapy, continually wait for approval for this and that, and finally after 2 years allowed to have surgery. Couldn't recover and get fit enough in the one year I had left on my medical leave, so yay me, I got to lose my job of 25 years. 6 years after the fact I am still bitter about this.
I feel your pain, literally. My shoulder still hurts.
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Post by minx on Feb 5, 2018 18:29:36 GMT -5
I had that with my eye dr, only I came in and did half of the exam. Dr. came in to do the final half, and happened to look at the chart, where one of the billing clerks had helpfully written - not eligible before 1/1/18.
Nice to at least call and let me know that. At least the dr was nice, and changed the billing codes so it could go through my medical insurance instead.
And I won't start again about the sleep study...
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Post by bobathon on Feb 5, 2018 19:03:31 GMT -5
I'd be bitter, too, DA. Even as I wrote it, I knew I was lucky to have continuing coverage. I actually tore it 6 yrs ago, but made it a lot worse last summer, so the time had come. Again, I'm lucky I can get it done, lucky I can take days off work, etc.
But fergawdsake! Why does my health care have to $uffer for this bureaucratic dance?
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Post by minx on Feb 6, 2018 9:42:59 GMT -5
My all-time favorite.
I worked doing collections in a neurologist's office back in the day. One of their patients was on worker's comp - his insurance had refused to continue to pay for treatment, saying he should be back at work.
Guy was a lineman for PEPCO.
This is the first line from his initial consult - XXX was on a ladder working on YY. He was hit by an arc of electricity, and fell ZZZ feet (I forget the distance, but it was very large) off of the ladder onto his head. Fortunately, he was wearing a hard hat at the time.
At the time I had his account, it was 1 year past the accident. Guy had severe headaches, blurred vision, continuing neck and back problems, ect. We had to stop treatment because his insurance didn't think it was medically necessary. THE GUY LANDED ON HIS HEAD!!! Dude was lucky to be alive, and they wanted to send him up a goddamed pole again.
That was over 25 years ago, and it still pisses me off to this day. We eventually got his coverage back for him after a shit ton of paperwork and arguing, but in the meantime, he had to suffer. Unfortunately, he was only one of many - I spent 8 hours a day dealing with people who had their coverage cut off for no good reason.
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Post by Dave's Not Here Man on Feb 6, 2018 10:58:43 GMT -5
Somewhere around here I have a big folder from when my wife had claims denied for her melanoma diagnosis, surgery, and treatments by Health Keepers. In it are copies of dozens of letters I wrote to Health Takers just and about everyone you can think of in the local, state, and Federal government, local tv news (like 7 on your side), newspapers, watchdogs, you name it. One of the several points I made was that the decision makers for her health care were being made by lawyers and accountants, not medical professionals. Of course that's how the vast majority of health insurance companies are operated and it won't change (just who exactly do you think will be running Amazon Care?) as long as they are for profit. Another point that I made which was key, is that by the insurer's definition, all conditions that are discovered are pre-existing.
Like Bob said, the two business entities can't get their shit together and the one who gets shafted is the patient. It's a truly fucked up system and it's getting worse by the day.
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