STEAM ROOM FOR ANGER
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Good. Your State Representative should have a local office. Call them. You want the local office to help you. Send it to them too, as well as your State Board of Insuranceand your governor's office.
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Thank you Melissa. I had no idea I could go beyond the craptastic insurance companies involved. At least if they can't fix it for me maybe they will see the unfortunate error for me and do something so someone else needing urgent care isn't bounced like I am.
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Nice job Melissa, girl you are the MAX!
Artista sorry you got screwed by the system. I did it to myself one time. I started in October 2009 to get DH transitioned to HFHP HMO Medicare in Jan 2010. They fouled it up. He went to straight Medicare. Probably intentionally and I didn't know any better. I had it in my head that he should be on the HMO plan. Should have left him on straight Medicare once he was there. Transitioned him. He already met the deductible very fast. But b/c I insisted to the change to the HMO everything went to zero. had to meet the deductible again. My head wasn't working right. I was right at the beginning, but the foul ups caused a computation malfunction. Two of us with cancer at the same time with him getting worse was 'challenging'. Yeah, that's an understatement. Melissa's advice was nice, very nice! Ring some bells Artista, be as noisy as you can be. Obamacare sucks.
They're three standards of care in this country. Not that they're hasn't always been three standards of care. Either regular insurance, Medicaid, or no insurance. Nothing changed with ACA. Not sure that more people insured means quality. Numbers can't tell us that. History may give us a clue, the present won't. I know, I lost my hospital of 23 years, and two of my practioners--one doc and my counselor
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Sas- If I didn't have Obamacare I'd be one without any insurance and left to the wind. It's not Obamacare for me. It's the dipshit who went into my account and set my salary to 0 and putting me on Medi-crap, and Medi-crap saying they can't fix it in the computer to release me this month so BC can pick me back up like nothing happened. Otherwise, I was doing great, getting great care with the hospital and docs I love. The bonus is Medi-crap selected a plan of theirs that my providers don't take. They take this other plan. So I didn't get to choose, just someone guessed because they hadn't heard from me. Well yeah, because I had no idea that Medi-crap was in the picture until I was unable to pay my BC premium on 2/28! I'm on disability, low income so it's not like I have 3K laying around either to start over at 0. Simply amazing. Insurance companies just don't care, any of them. Obamacare has saved my life because without it I'd be getting 0 care as I don't qualify for regular Medi-Cal here in CA, so I'd have no insurance and would be picking out my tombstone now.
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Artista, I am in no way minimizing your anger (I would be pissed as hell) but how many infusions have you had? My MO dropped my last one, saying they are now finding 4 are as good as 6. I got neuropathy and terrible digestive issues after chemo round 5. I was supposed to have 6 but could only do 5. I was on a different regimen than you are though She said don't worry, you had plenty of chemo.
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Artista, sorry didn't mean to upset you. The point was I worked on transitioning my Greg starting in October b/c I understood insurance foul ups. I kept checking with everyone. They all assured me we had done everything correctly. Then the foul up. No one would own it. They all said we & they had done everything correctly. My foul up was I should have left him there.
What we don't know as consumers what happens behind closed doors that we have no access too. No one owns the mistake. They know we have no power to ask for accountability. You are and expensive patient. Was it easy to hit '0' which changed your status. Was it planned, was it a mistake? It's a failure of the system? Unless there is a whistleblower we won't know.
I do believe in Free Enterprise and Capitalism, but in the USA we have the highest costs for everything medical and subsidize the world.
I do believe in Medicare. HSA. It sets the rules everyone follows. I have watched it function for decades. Now on this side of it for several years.
The turbulence of these last few years with the attempt of ACA to manage healthcare isn't working. Yes, some folks that were never covered before could get coverage. Like you. Great. Then inextricably a zero was entered. Intentional or a mistake? No accountability. You now have to pay another deductible. Intentional or a mistake? Will you live or die b/c of this? I have a letter written someplace for a similar scenario let me see if I can find it. You can modify it to make it work for you.
Now if I can just remember where.
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4 AC and 3 Taxotere. It's not just completing the infusions but this month is nothing--no scans, no rads, nothing. My side effects aren't doing me in so I want the last dose if anything for piece of mind. Who knows really if it's enough chemo or not, that's individual imo outside of stats and our individual #--our bodies are different. I'm behind 2 months at least from before starting chemo due to drains in a long time then infection for 5 weeks then needing iron infusions so while my sx sisters went forth in chemo, I was left 2 months behind. Now that couldn't be controlled, but this insurance shit can and isn't so it's adding an addition month or more to my being behind and effectiveness of tx.
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Can't find the letter. here's a new one.BTW--------there was no 30 day leeway to reinstate insurance which is usual. They cut you off that one day?
Dear(insert name of CEO)
This is the history of this occurrence(insert history--abbreviate to fact)
Let it be known that due to and error of omission either covert or overt on your part, I depended on you to correctly administer my insurance. You did not follow the rules. That has interfered with me receiving my properly time treatments. You are responsible for any untoward outcome of any nature that occurs because of the negligence of your employees. This succeeds unto my estate should your negligence cause my untimely death.
Simply stating you have no idea on how I was entered as a "0" which through me out of your system doesn't make you not responsible. You are the "Respondeat Superior" the Responsible Superior. You are responsible for all your employees actions. You cannot negate that responsibility by putting it off to clerical error. The law doesn't allow it.
A correction forthwith with all past consideration of deductibles be reinstated as to March 1st 2016.
Complaints of the above breach of the law have been sent to the following. (list all)
_____________________
Get it notarized and send a copy to your lawyer.
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LOL, Sounds official ...........had to laugh " This succeeds unto my estate should your negligence cause my untimely death" no idea where I pulled that one from.........but it works, looked it up.
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Sorry Artista, I wasn't trying to be inflammatory, just be on your side and think positive. I know it is awful to not get recommended treatment
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Maybe Wuthering Heights
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I know Italychick...it's all good.
And I can't afford to pay 3K again when my BC is back on 4/1, let alone for a lawyer as well.0 -
it is so appalling what has happened to you, I have no words. Just hoping everything turns out well for you
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^^^^ Thanks. It's pretty incredible to say the least!
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Artista, so sorry for what you are going through. You wrote, " Medi-crap saying they can't fix it in the computer to release me this month so BC can pick me back up like nothing happened.' This is not true. I just talked to a friend who works in the Medi-cal office. Ask to talk to a supervisor. He/she should be able to remove the error from the state system. I am in California too. I have dealt with Med-cal (not for me personally)....pain in the behind. Some there do not know what they are doing. Not saying it to put anyone down. It is a complex system they have. Had to make a phone call for someone a few years ago as the person did not speak English. It's terrible how you get the run around. Fortunately, I finally got a person who was really helpful and took the time to look into the case and corrected the information for me. I always told my kids that when you don't do your job properly someone will suffer. I have seen it so many times in my line of work. I always have to remind myself people are not #'s. Best wishes and I hope you can get this resolved soon.
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I am talking to my case worker's supervisor. I've spent the past couple hours getting her to understand the issue to basically no avail. BC has said if I can get out of Medi-crap today then they can back date my plan eff 3/1. She's stuck on this can't do anything till 3/31 when I'm slated to be dropped. I've asked this super to see if her boss or boss's boss can help and get the there's nothing we can do. I can't believe how these people even get hired. Not speaking/understanding english well is bad enough but not being able to do anything business is pure bull shit. But what can you do. For the past 2 weeks I have talked to Medi-crap and Covered CA to no avail. Having cancer and being in active tx that is now on hold because of their fock up doesn't mean much. Unreal!
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Unbelievable! Ask to speak to the manager directly. Don't give up. I found that the best time to call was 8:00 am or 4:00 pm here in Sac. I had to make many phone calls until I finally found a kind lady to help me. It makes me wonder about the people whom I talked to prior to getting her as I gave the other people the same informations. Why was she able to help me and not those before her? She took the time to research what was wrong with the case. Again, very sorry.
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I have asked to get the higher ups but no go. She's calling to see what can be done. I'm so out of energy with this 2 weeks of fighting..
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If you have a local news channel that advocates for consumers- you can try to call them if you want a bulldog. That is- if you don't mind sharing your story. You have a loaded hand- cancer, in treatment for cancer, insurance gone wrong and a state office. No one likes to look like the bad guy especially to cancer patients on the news. The one problem might be HIPPA. Just a thought.
Best wishes to you.
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If my family knew about my cancer, I'd go to what they call channel 5 on your side media. But I can't let them know so all I did was write my congressmen and will make sure toward the end of the month everything is still in order, no surprises for April. 2 weeks of madening back and forth and I don't have much energy to start with. I'm pooped!
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Frustration. Waiting on echo results, dr office won't call me back, try to get medical records and they closed 20 minutes before I got there... Being put off by another dr office for a consult that won't happen for 3 months... Putting off re-reconstruction surgery to work with other people's schedules- and realizing one just doesn't seem to appreciate it...
I need a vacation. A good one too!
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Arghhhh! Why doesn't management ever understand what we go through in our jobs? They just added another VERY time consuming duty to my work and I have no idea in hell when I will get to that on top of everything else I have to do. I really wish they would think before doing things like this!!!
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Couple of reasons: 1. They have never done your job, ergo, don't know the time it takes to do what you do. 2. They don't care. They can say that on such a date "I appropriately delegated it to April. I'm sorry that we haven't met the timeline, I thought she could handle the work. I will be more discriminating in the future as to who I assign projects too."
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So want to say Fuck Her, but that would be indiscriminate.
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Amen Sas...me too!
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1st Taxotere... Well see if all of this cold capping crap pays off and if I can avoid people for the next 9 weeks.... = no colds. I. Calling mothers day I'm just going fishing!
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Great pic 7, love the finger, adds so much
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That cold induced headache for the first 5 - 10 minutes almost....ALMOST ...was unbearable but I got through it. Gets easier. My husband was the best coach and dogged me to change those things every 20 - 30 minutes. He'd measure the temp and if they weren't as cold as he liked he switched to 20. Bastard. lol
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Good job!
Also, if you don't mind me saying, I'd suggest you take with you frozen small peas bags and stick the tip of your fingers in them during treatment. It will make things easier on your fingernails and reduces the risk of them lifting off the nailbed tremendously.
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