The Mudcat Café TM
Thread #106523   Message #2202060
Posted By: RangerSteve
25-Nov-07 - 07:14 PM
Thread Name: BS: Health Insurance RANT!!!!!
Subject: RE: BS: Health Insurance RANT!!!!!
My health insureance company just mailed me a letter last month that starts " Our records show that you may be diabetic". They've been paying for the treatments for 16 years.

They don't cover me in some states, unless it's an emergency that involves going to a hospital. When my Mom died, I called them to see if they would cover my dialysis in South Carolina for two days. The Dialysis center that I go to has branches all around where she lived in SC, but my insurance won't pay in that state. I explained that I needed to attend my Mom's funeral. Their reply "Sorry, but they're not in the system". I explained again that it was for my Mom's FUNERAL. oh, well in that case, of course. We'll get back to you. Two hours later "Sorry, they're not in the system". I explained the situation again. Oh, of course we can accomodate you. We'll get back to you. Two hourse later, "Sorry, they're not in the system". My doctor's office and the dialysis center both had poeple trying to get them to yield, but the answer was the same. My doctor's secretary was on the phone for 5 hours one day, with no results. Finally, after 5 days of trying, they relented, but 10 hours before I needed my next dialysis treatment, too late to make arrangements for it in SC, which is a 12 hour drive from my house. Fortunately, a friend offered to go with me and share the driving. I had dialysis here in New Jersey on Thurs. morning, drove to SC, got there at midnight, went to the service next morning, stayed around long enough to be polite, and came home in time for dialysis in NJ the next morning. They apparently have no idea of how for NJ and SC were from each other, and thought that I could just show up at any dialysis center unannounced and get treatment.

They also won't pay for Lipitor, a cholesterol medicine. They'll pay for another med, but one that could have an adverse effect on my kidneys. They're paying for my dialysis, but don't know that my kidneys are shot.